Range Of Motion Question/ Pyramidng Question On Knee Claim

[oldman273]

My ROM for my right leg is 15-105, my left leg ROM is 20-105 per my last C&P exam. Am I figuring the % right is this 20% based on ROM and arthritis combined? I get confused on pyramiding anyway.

I had a claim remanded from CVA and the claim was granted for SC for my right knee and left knee secondary to the right SC. I had this on a remand and since my last C&P was over 4 years old I am wondering if I will have to get a more recent C&P exam. I am sure a new C&P exam will be ordered for the left leg but not sure about the right one.

I have Bilateral chondromalacia patella and I had a meniscus tear which has been repaired with surgery back before the claim was granted as secondary on my left leg. I guess I will know when I get the award letter in but I was just working the numbers I have never had a remand before always directly from RAO. Have a good afternoon and thanks

[Vync]

I am not a knee expert, but recall reading somewhere that pyramiding may apply differently to the knee.

Below is a Google search link to Hadit.com forum topics including the knee and pyramiding. It might help you find an answer until someone more knowledgeable responds.

https://www.google.com/#q=site:hadit.com+pyramiding+knee

[oldman273]

_{Thanks will check the link out. I had a fellow veteran reply to a post that concerned me I wish I had gotten some advice. I am P&T 100& for over 4 years SMC/housebound. I applied the knee issue back in 2003. I was told that my winning a remand of a 12 year old claim "might" be an issue with VA. Not anything I could do but fight it I guess. I will be calling my local VSO in the morning to ask. Never even thought about it being an issue as to the age of the claim. Well thanks for the link but I believe I will just wait till I see something either way from the VARO. I got tired of waiting on this claim about 6 years ago no need to start another very bad habit. Adios and have a good night.}

[JR Reihs]

Keep in mind that Arthritis is a separate rating in itself.

[oldman273]

Thanks from what I read so far which made my mind twist sideways I so far understand I can have multiple ratings for the knees since they avoid the pyramid rating as they involve 2 separate joints ( I think I am right?) I also see it as the rating has to be the higher of the two ratings to avoid the pyramiding obstacle. I am just going to sit back and wait till I can see what the rating is. I think it is better than trying to get ahead of myself.

I did go back and look at my effective date of 100% it came back to June 2.2009 my remanded claim was effective June 03,2014 5 years and 1 day if I am reading the dates but again I will just wait and see. I wish I had $1 for every time I sat around fretting over what the VA was doing. My biggest waste of time I have ever did. Maybe not the biggest but the most wasteful use of time and energy I have used up of my short life so far. I say this as many of us look to the problems we have with the VA and it is like charging windmills nothing really worthwhile. It is so sad I come to the advice of many other smarter members on this board. My hat is off to you all. Thanks for the reply I hope to get to sleep here soon. Adios