C&P exam results need your thoughts on results

[sauerkraut1977]

Hey guys just downloaded my c&p results on my plantar fascitis. I am wondering what rating you think i will get. I have a feeling i will be screwed over again on my percentage because it seems to contradict itself. I am confused because it say chronic condition butdoesnot kimit mobility but he addes with difficulty, and how will the deal with the bone spurs? Will it be another rateable condition that will be figured into whatever the bi-lat plantar rating?

Please let me know what you all think. 

LOCAL TITLE: C&P FEET 
STANDARD TITLE: ORTHOPEDIC SURGERY C & P EXAMINATION CONSULT 
DATE OF NOTE: APR 07, 2016@08:30 ENTRY DATE: APR 07, 2016@08:46:36 
 AUTHOR: COLLIER,JAMES C PA- EXP COSIGNER: 
 URGENCY: STATUS: COMPLETED 
 Foot Conditions, including Flatfoot (Pes Planus)
 Disability Benefits Questionnaire
 
 Is this DBQ being completed in conjunction with a VA 21-2507, C&P 
Examination
 Request?
 [X] Yes [ ] No
 
 ACE and Evidence Review
 -----------------------
 Indicate method used to obtain medical information to complete this 
document:
 
 [X] In-person examination
 
 Evidence Review
 ---------------
 Evidence reviewed (check all that apply):
 
 [X] VA e-folder (VBMS or Virtual VA)
 [X] CPRS

1. Diagnosis
 ------------
 a. List the claimed condition(s) that pertain to this DBQ:
 No response provided
 
 b. Select diagnoses associated with the claimed condition(s):
 [X] Plantar fasciitis
 ICD Code: 00000000000
 Side affected: Both
 Date of diagnosis: Right HISTORICAL
 Date of diagnosis: Left HISTORICAL
 c. Comments (if any):
 No response provided
 
 d. Was an opinion requested about this condition (internal VA only)?
 [X] Yes [ ] No [ ] N/A
 
 2. Medical history
 ------------------
 a. Describe the history (including onset and course) of the Veteran's 
foot
 condition (brief summary):
 TYPICAL SYMPTOMS OF PLANTAR FACIITIS, WITH PAIN IN THE AM THAT GETS BETTER
 THEN WORSE. HAS HAD STEROID INJECTIONS THAT HELPS. LOT OF DAILY HEEL PAIN.
 XRAY SHOWS CALCANEAL SPURS. USES ORTHOTICS. ALSO HAS A RIGHT TOE PATHOLOGY
 HOWEVER THIS IS NOT RELATED TO THE PLANTAR FACIITIS AND HAPPENED POST
 SERVCIE. MEDICATION TRAMADOL AND INDICIN.
 
 b. Does the Veteran report pain of the foot being evaluated on this DBQ?
 [X] Yes [ ] No
 
 If yes, document the Veteran's description of pain in his or her 
own
 words:
 SEE ABOVE
 
 c. Does the Veteran report that flare-ups impact the function of the foot?
 [ ] Yes [X] No
 
  d. Does the Veteran report having any functional loss or functional impairment
 of the foot being evaluated on this DBQ (regardless of repetitive use)?
 [ ] Yes [X] No
 
 3. Flatfoot (pes planus)
 ------------------------
 No response provided
 4. Morton's neuroma (Morton's disease) and metatarsalgia
 --------------------------------------------------------
 No response provided
 
 5. Hammer toe
 -------------
 No response provided
 
 6. Hallux valgus
 ----------------
 No response provided
 
 7. Hallux rigidus
 -----------------
 No response provided
 
 8. Acquired pes cavus (clawfoot)
 --------------------------------
 No response provided
 
 9. Malunion or nonunion of tarsal or metatarsal bones
 -----------------------------------------------------
 No response provided
 
 10. Foot injuries and other conditions
 --------------------------------------
 a. Does the Veteran have any foot injuries or other foot conditions not 
already
 described?
 [X] Yes [ ] No
 
 If yes, describe the foot injury or other conditions (including
 frequency and physical exam findings) and complete question b. 
(severity
 and side affected).
 INFECTIVE PATHOLOGY OF THE RIGHT GREAT TOE, HOWEVER IT IS UNRELATED TO
 PLANTAR FACIITIS AND HAPPENED POST SERVICE.
 
 b. Indicate severity and side affected:
 [X] Moderately severe [X] Right [ ] Left [ ] Both
 
 c. Does the foot condition chronically compromise weight bearing?
 [ ] Yes [X] No
 
 d. Does the foot condition require arch supports, custom orthotic inserts or
 shoe modifications?
 [ ] Yes [X] No

e. Comments: No comments provided
 
 11. Surgical procedures
 -----------------------
 a. Has the Veteran had foot surgery (arthroscopic or open)?
 [ ] Yes [X] No
 
 b. Does the Veteran have any residual signs or symptoms due to arthroscopic or
 other foot surgery?
 No response provided
 
 12. Pain
 --------
 RIGHT FOOT:
 
 Is there pain on physical exam?
 [X] Yes [ ] No
 
 If yes, (there is pain on physical exam), does the pain contribute to
 functional loss?
 [ ] Yes [X] No
 
 If no, (the pain does not contribute to functional loss or
 additional limitations), explain why the pain does not contribute:
 FUNCTIONS WITH DIFFICULTY
 LEFT FOOT:
 
 Is there pain on physical exam?
 [X] Yes [ ] No
 
 If yes, (there is pain on physical exam), does the pain contribute to
 functional loss?
 [ ] Yes [X] No
 
 If no, (the pain does not contribute to functional loss or
 additional limitations), explain why the pain does not contribute:
 FUNCTIONS WITH DIFFICULTY
 13. Functional loss and limitation of motion
 --------------------------------------------
 a. Contributing factors of disability (check all that apply and indicate side
 affected):
 [X] Pain on weight-bearing
 Side affected: [ ] Right [ ] Left [X] Both
 
 [X] Pain on non weight-bearing
 Side affected: [ ] Right [ ] Left [X] Both
 
 [X] Interference with standing
 Side affected: [ ] Right [ ] Left [X] Both

Contributing factors of disability associated with limitation of motion:
 
 b. Is there pain, weakness, fatigability, or incoordination that significantly
 limits functional ability during flare-ups or when the foot is used
 repeatedly over a period of time?
 RIGHT FOOT: [ ] Yes [X] No
 
 LEFT FOOT: [ ] Yes [X] No
 
 c. Is there any other functional loss during flare-ups or when the foot is 
used
 repeatedly over a period of time?
 RIGHT FOOT: [ ] Yes [X] No
 
 LEFT FOOT: [ ] Yes [X] No
 
 14. Other pertinent physical findings, complications, conditions, signs,
 symptoms and scars
 ------------------------------------------------------------------------
 a. Does the Veteran have any other pertinent physical findings, complications,
 conditions, signs or symptoms related to any conditions listed in the
 Diagnosis section above?
 [ ] Yes [X] No
 
 b. Does the Veteran have any scars (surgical or otherwise) related to any
 conditions or to the treatment of any conditions listed in the Diagnosis
 section above?
 [ ] Yes [X] No
 
 c. Comments: No comments provided
 
 15. Assistive devices
 ---------------------
 a. Does the Veteran use any assistive devices as a normal mode of locomotion,
 although occasional locomotion by other methods may be possible?
 [X] Yes [ ] No
 
 If yes, identify assistive devices used (check all that apply and
 indicate frequency):
 
 Assistive Device: Frequency of use:
 ----------------- -----------------
 [X] Other: ORTHOTICS
 [ ] Occasional [X] Regular [ ] Constant
 
 b. If the Veteran uses any assistive devices, specify the condition and

identify the assistive device used for each condition:
 FEET
 
 16
. Remaining effective function of the extremities
 ---------------------------------------------------
 Due to the Veteran's foot condition, is there functional impairment of an
 extremity such that no effective function remains other than that which would
 be equally well served by an amputation with prosthesis? (Functions of the
 upper extremity include grasping, manipulation, etc., while functions for the
 lower extremity include balance and propulsion, etc.)
 
 [ ] Yes, functioning is so diminished that amputation with prosthesis would
 equally serve the Veteran.
 [X] No
 
 17. Diagnostic testing
 ----------------------
 a. Have imaging studies of the foot been performed and are the results
 available?
 [X] Yes [ ] No
 
 If yes, is degenerative or traumatic arthritis documented?
 [ ] Yes [X] No
 
 b. Are there any other significant diagnostic test findings or results?
 [X] Yes [ ] No
 
 If yes, provide type of test or procedure, date and results (brief
 summary):
 CALCANEAL SPURS
 
 c. If any test results are other than normal, indicate relationship of 
abnormal
 findings to diagnosed condition:
 No response provided
 
 18. Functional impact
 ---------------------
 Regardless of the Veteran's current employment status, do the 
condition(s)
 listed in the Diagnosis section impact his or her ability to perform any type
 of occupational task (such as standing, walking, lifting, sitting, etc.)?
 [X] Yes [ ] No
 
 If yes, describe the functional impact of each condition, providing one or
 more examples:
 HAD TO CHANGE JOBS DUE TO PLANTAR FACIITIS.
 
 19. Remarks, if any:
 --------------------
 No remarks provided

Medical Opinion
 Disability Benefits Questionnaire
 
 
 Indicate method used to obtain medical information to complete this 
document:
 
 [ ] Review of available records (without in-person or video telehealth
 examination) using the Acceptable Clinical Evidence (ACE) process 
because
 the existing medical evidence provided sufficient information on which 
to
 prepare the DBQ and such an examination will likely provide no 
additional
 relevant evidence.
 [ ] Review of available records in conjunction with a telephone interview
 with the Veteran (without in-person or telehealth examination) using the
 ACE process because the existing medical evidence supplemented with a
 telephone interview provided sufficient information on which to prepare
 the DBQ and such an examination would likely provide no additional
 relevant evidence.
 [ ] Examination via approved video telehealth
 [X] In-person examination
 
 Evidence review
 ---------------
 Was the Veteran's VA claims file reviewed? Yes
 
 If yes, list any records that were reviewed but were not included in the
 Veteran's VA claims file:
 E-FILE, VA RECORDS
 
 MEDICAL OPINION SUMMARY
 -----------------------
 RESTATEMENT OF REQUESTED OPINION: 
 a. Opinion from general remarks: **Claim for a homeless or at imminent risk
 of homelessness Veteran, 
 expeditious processing is requested.**
 **CLAIM TYPE: ORIGINAL
 **SPECIAL CONSIDERATIONS: AGE OF CLAIM, HOMELESS
 **INSUFFICIENT EXAM: NO

ELECTRONIC CLAIMS FOLDER AVAILABLE.
 CLAIMS FILE BEING SENT FOR REVIEW BY THE EXAMINER.
 The Veteran will need to report for the following exam(s) unless the 
 ACE process is utilized. Clinician: If using the ACE process to 
 complete the DBQ, please explain the basis for the decision not to 
 examine the Veteran, and identify the specific materials reviewed to 
 complete the DBQ. Also if the exam is completed using ACE, please 
 review the Veteran's claims folder and indicate so in the exam 
 report.
 Veteran has a power of attorney.
 Please send a courtesy copy of the exam notice letter to TEXAS VETERANS 
 COMMISSION.
 Date of claim: 12/23/2015
 Days pending: 100
 Veteran claims service connection for:
 Bilateral plantar fasciitis
 Active duty service dates:
 Branch: Army
 EOD: 05/19/1997
 RAD: 08/17/2001
 DBQ MUSC Foot Conditions including Flatfoot (pes planus):
 The Veteran has important information in his or her electronic claims folder 
 in VBMS and Virtual VA. Please review both folders and state that they were 
 reviewed in your report.
 MEDICAL OPINION REQUEST
 TYPE OF MEDICAL OPINION REQUESTED: Direct service connection
 OPINION: Direct service connection
 Does the Veteran have a diagnosis of (a) bilateral plantar fasciitis that is 
 at least as likely as not (50 percent or greater probability) incurred in or 
 caused by (the) bilateral foot pain and plantar fasciitis during service?
 POTENTIALLY RELEVANT EVIDENCE:
 STRs show diagnosis of plantar fasciitis.
 CAPRI record dated 3/10/16 show bilateral foot pain.
 Rationale must be provided in the appropriate section.

b. Indicate type of exam for which opinion has been requested: PLANTAR
 FACIITIS
 TYPE OF MEDICAL OPINION PROVIDED: [ MEDICAL OPINION FOR DIRECT SERVICE
 CONNECTION ] 
 a. The condition claimed was at least as likely as not (50% or greater
 probability) incurred in or caused by the claimed in-service injury, event 
or
 illness. 
 c. Rationale: SMR DOCUMENTATION OF CHRONIC PLANTAR FACIITIS. CURRENTLY HAS
 THE SAME. HE IS BEING TREATED BY HOUSTON VA PODIATRY CURRENTLY. THE RIGHT
 GREAT TOE IS NOT SERVCIE RELATED, THE PLANTAR FACIITIS IS SERVICE RELATED.

Edited April 14, 2016 by sauerkraut1977
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[sauerkraut1977]

Update: they rated me at 30 % so lowballed once again. Good luck to others out there amd hope for better results.