Please give me your opinion on how this headache DBQ is filled out. This was done by a board certified neurologist. My left knee is is rated at 10% for limitation of flexion. There are STRs that state my knee gave out in service. I have current medical records that also state my knee goes out. I'm also going to claim knee instability (I didn't know about this when I filed the first time.) I have a work accommodation forms filled out by my VA PC and Neurologist that state I need to leave work, not show up, and be allowed to complete my work on nights and weekends. The forms also state things like "Can't do any other activity during severe headaches" and "bedridden". I also have a letter from work stating they granted these work accommodations and 14 buddy letters.
I'm planning on asking for an extra-schedular rating since the headache schedule doesn't talk about involuntary body tics, ability to focus/keep on task, interference with reading, and interference with driving.
Opinions requested for:
Nexus
Does this fit extra-schedular ratings criteria?
Does 1C and 2A cover medical reasoning that would normally be needed in an IMO to back up the doctor's nexus?
What if anything should I ask the doctor to change?
Quote
1A. Does the Veteran now have or has he or she ever been diagnosed with a headache condition?
Yes = Checked
1B. Select veteran's condition
Other = Occipital Neuralgia ICD Code = M54.81 Date of Diagnosis = REDACTED
1C. If there are additional diagnoses that pertain to a headache condition, list using above format:
Post - Traumatic Occipital Neuralgia M54.81 + G44.309
2A. Describe the history (including onset and course) of the veteran's headache conditions
Veteran's left knee gave out and he fell down stairs, striking the right occipital region of his head on the edge of the stairs. Occipital neuralgia headaches began shortly afterward.
2B. Does the Veteran's treatment plan include taking medications for the diagnosed condition?
Other = Stabbing and electric shock on right occipital region radiating to top of head
3B. Does the Veteran experience non-headache symptoms associated with headaches?
Yes = Checked
Other = Involuntary body tics from electric shock pain when headaches are severe.
3C. Indicate duration of typical head pain
1-2 days = checked
Other = Milder headaches up to one day, severe headaches 1-2 days
3D. Indicate location of typical head pain
Other = Right occipital region radiate in direction of top of head
4A. Migraine - Does the Veteran have characteristic prostrating attacks of migraine headache pain?
No = Checked
4B. Does the Veteran have very frequent prostrating and prolonged attacks of migraine headache pain?
No = Checked
4C. Non-Migraine - Does the Veteran have characteristic prostrating attacks of migraine headache pain?
Yes = Checked
More frequently than once per month = checked
4B. Does the Veteran have very frequent prostrating and prolonged attacks of non-migraine headache pain?
Yes = Checked
5A. Does the veteran have any scars related....
No = Checked
5B. Does the veteran have other pertinent physical findings, complications, conditions, signs or symptoms related...
No = Checked
6. Are there any other significant diagnostic test findings and or results?
No = Checked
7. Does the veteran's headache condition impact his or her ability to work?
Yes = Checked
Mild headaches make it hard to concentrate/focus, read, keep on task, or drive.
Severe headaches are fully debilitating and cause the veteran to be bedridden.
8. Remarks
Milder headaches occur up to five days a week, severe headaches 3 to 5 per month, but may last 2 days each. My medical impression is that these occipital neuralgia headaches are due to his left service connected knee. The veteran's complete C-file was reviewed.
Question
mrstephens11
Please give me your opinion on how this headache DBQ is filled out. This was done by a board certified neurologist. My left knee is is rated at 10% for limitation of flexion. There are STRs that state my knee gave out in service. I have current medical records that also state my knee goes out. I'm also going to claim knee instability (I didn't know about this when I filed the first time.) I have a work accommodation forms filled out by my VA PC and Neurologist that state I need to leave work, not show up, and be allowed to complete my work on nights and weekends. The forms also state things like "Can't do any other activity during severe headaches" and "bedridden". I also have a letter from work stating they granted these work accommodations and 14 buddy letters.
I'm planning on asking for an extra-schedular rating since the headache schedule doesn't talk about involuntary body tics, ability to focus/keep on task, interference with reading, and interference with driving.
Opinions requested for:
Thank you
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