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  • 14 Questions about VA Disability Compensation Benefits Claims

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    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
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  • Most Common VA Disabilities Claimed for Compensation:   

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  • Can a 100 percent Disabled Veteran Work and Earn an Income?

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    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

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Question

What type of rating can I expect?

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)

1. Diagnosis
------------
a. List the claimed condition(s) that pertain to this DBQ:

b/l flatfeet, hallux valgus, plantar fasciitis
b. Select diagnoses associated with the claimed condition(s):

[X] Flat foot (pes planus) Side affected: Both

[X] Hallux valgus
Side affected: Both

[X] Plantar fasciitis Side affected: Both

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):
The veteran reports b/l foot pain. It's been diagnosed as b/l pes

planus,
hallux valgus and plantar fasciitis. Treatment has included orthotics, shoes, Mobic, night splints and PT. Now, the feet hurt daily.

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:
"my feet hurt daily"

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)
------------------------
a. Does the Veteran have pain on use of the feet? [X] Yes [ ] No

If yes, indicate side affected: [ ] Right [ ] Left [X] Both If yes, is the pain accentuated on use? [X] Yes [ ] No

If yes, indicate side affected: [ ] Right [ ] Left [X] Both
b. Does the Veteran have pain on manipulation of the feet? [X] Yes

If yes, indicate side affected: [ ] Right [ ] Left [X] Both
If yes, is the pain accentuated on manipulation? [X] Yes [ ] No

If yes, indicate side affected: [ ] Right [ ] Left [X] Both
c. Is there indication of swelling on use? [ ] Yes [X] No
d. Does the Veteran have characteristic callouses? [X] Yes [ ] No

If yes, indicate side affected: [ ] Right [ ] Left [X] Both
e. Effects of use of arch supports, built-up shoes or orthotics:

Tried But Remains Symptomatic -----------------------------

[ ] No

Device
[X] Built-up Shoes [X] Orthotics

Side Not Relieved:
[ ] Right [ ] Left [X] Both

[ ] Right [ ] Left [X] Both

f. Does the Veteran have extreme tenderness of plantar surfaces on one or both feet? [ ] Yes [X] No

g. Does the Veteran have decreased longitudinal arch height of one or both feet

on weight-bearing? [X] Yes [ ] No
If yes, indicate side affected: [ ] Right [ ] Left [X] Both

h. Is there objective evidence of marked deformity of one or both feet (pronation, abduction etc.)? [X] Yes [ ] No

If yes, indicate side affected: [ ] Right [ ] Left [X] Both
i. Is there marked pronation of one or both feet? [ ] Yes [X] No

j. For one or both feet, does the weight-bearing line fall over or medial to the great toe? [ ] Yes [X] No

k. Is there a lower extremity deformity other than pes planus, causing alteration of the weight-bearing line? [ ] Yes [X] No

l. Does the Veteran have "inward" bowing of the Achilles tendon (i.e., hindfoot

valgus, with lateral deviation of the heel) of one or both feet? [ ] Yes [X] No

m. Does the Veteran have marked inward displacement and severe spasm of the Achilles tendon (rigid hindfoot) on manipulation of one or both feet?
[ ] Yes [X] No

n. Comments: No comments provided

4. Morton's neuroma (Morton's disease) and metatarsalgia --------------------------------------------------------
No response provided

5. Hammer toe -------------
No response provided

6. Hallux valgus
----------------
a. Does the Veteran have symptoms due to a hallux valgus condition?

[X] Yes [ ] No

If yes, indicate severity:

[X] Mild or moderate symptoms
Side affected: [ ] Right [ ] Left [X] Both

b. Has the Veteran had surgery for hallux valgus? [ ] Yes [X] No

c. Comments: No comments 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 --------------------------------------
No response provided

11. Surgical procedures -----------------------
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?
[X] Yes [ ] No

(Further description of limitations requested in Section XIII below.)

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?
[X] Yes [ ] No

(Further description of limitations requested in Section XIII below.)

13. Functional loss and limitation of motion --------------------------------------------
a. Contributing factors of disability (check all that apply and indicate side

affected):

[X] Excess fatigability
Side affected: [ ] Right [ ] Left [X] Both

[X] Pain on movement
Side affected: [ ] Right [ ] Left [X] Both

[X] Pain on weight-bearing
Side affected: [ ] Right [ ] Left [X] Both

[X] Pain on non weight-bearing
Side affected: [ ] Right [ ] Left [X] Both

 [X] Disturbance of locomotion
Side affected: [ ] Right [ ] Left [X] Both

[X] Interference with standing
Side affected: [ ] Right [ ] Left [X] Both

[X] Lack of endurance
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? [ ] Yes [X] No

b. If the Veteran uses any assistive devices, specify the condition and identify the assistive device used for each condition:
No response provided.

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?
[ ] Yes [X] No

b. Are there any other significant diagnostic test findings or results? [ ] Yes [X] No

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:
difficulty standing long periods, walking long distances

19. Remarks, if any: --------------------
No remarks provided

****************************************************************************

 

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The examiner did not make statements as to the "Yes" in # 19.....

Did they state in the C & P results ( or do you have evidence of) any nexus to your service, or do you already have a SC rating 

or was this claim for a higher rating?

The VA Schedule of Ratings is here in a separate forum.Halfway down the scroll, you can find their rating criteria for this condition.

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Berta,

 Here's the statement below. For some reason he put all of his opinions on a separate form.

 


    a. The claimed condition, which clearly and unmistakably existed prior to
    service, was aggravated beyond its natural progression by an in-service
    event, injury or illness.     

    c. Rationale: The veteran's flatfeet symptoms got progressively worse in the
    service.  Most treatments now provide little relief.  

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That is a Great statement! just what I needed to see.....

I know this is a very painful disability.I have severe pronation too but am a civilian.

The VA will rate what they consider to be the current  level of "aggravation".

 

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Berta,

 

Any idea based off the exam what rating i can expect?

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Kin, we're all just lay people, when it comes to ratings. Are you currently SC'd for your Feet? What %?

You may or may not get a good bump, what do you think? Are you currently working?

Could end up with an "Inferred IU Claim" being mentioned in your Award/Denial Letter. Get prepaired to File the IU Claim. Do you have personal Earned Income above $12,400, under 65 yrs old, $11.400 over 65?

Semper Fi

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