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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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Wjason777

Filing for Numbness and Tingling in Legs Secondary to Back condition

Question

I'm already getting 20% for the Lower back condition. Wanted to file for numbness and tingling in legs and foot ( radiculopathy). But the only thing I have for Evidence is a DBQ and prior health records that I used for my initial back claim. My Question to you guys is what else do I need for me to win the Claim?

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You need a doctor's statement that the numbness and tingling is directly due to the back disability, with a full medical rationale . I know it makes sense that this would be due to your SC back disability- but VA needs a doctor to state that.

If you have service connected diabetes it could also be peripheral neuropathy from that- but I am not a doctor- neither are the  VA  raters-and that is why they need a medical rationale as to what caused the numbness and tingling.

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You do have a VA Neurologist, correct? Unless requirements have changed, your PCP must order an EMG Study prior to the Neurology Referal for Neuropathy. The EMG Results will confirm the PN Diagnosis as well as which nerves are involved.

With a PN DX and the EMG as supporting evidence of a Secondary Claim, an FDC Filing should be in order.  Does the condition affect both Legs? If so, you'll be looking at a Bi-lateral Award (additional 10% of Leg CSC Rating).

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2 hours ago, Gastone said:

You do have a VA Neurologist, correct? Unless requirements have changed, your PCP must order an EMG Study prior to the Neurology Referal for Neuropathy. The EMG Results will confirm the PN Diagnosis as well as which nerves are involved.

With a PN DX and the EMG as supporting evidence of a Secondary Claim, an FDC Filing should be in order.  Does the condition affect both Legs? If so, you'll be looking at a Bi-lateral Award (additional 10% of Leg CSC Rating).

I don’t have a VA Neurologist. Just a Orthopedic doctor. He’s wanting to do a MRI and X-ray.  

So when everything done. I’ll only have my med records from active duty, and treatment records from the VA PCP( Which I used to for the back claim ) and a New DBQ.  

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You don't use a VMC PCP for Rxs or follow-up treatment, for anything?  Not sure about MRI or Xray being considered as definitive tests for Diagnosing (DXing) Peripheral Neuropathy.

At a CSC 50%, you have free access to your VMC, might want to get a VA Neurologist involved now, rather than later.

If you already have a VMC PCP,  you could request the Referal to a VA Neurologist and EMG Test via your My Healthy Vet Secure Messaging. Request that your Private Ortho. Dr provides your Med Recs to the VMC, you'll need to sign a HIPPA Release form for the transfer.

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13 hours ago, Gastone said:

You do have a VA Neurologist, correct? Unless requirements have changed, your PCP must order an EMG Study prior to the Neurology Referal for Neuropathy. The EMG Results will confirm the PN Diagnosis as well as which nerves are involved.

My EMG was negative when I filed for radiculopathy secondary to lumbar spine. The VA did the EMG while I was laying down. My non-VA neurologist did one while I was sitting. He said, paraphrasing, but in proper medical rationale, gravity mattered due to physics of load bearing and nerve impingement which was positive while vertical instead. Won my claim based on that. Kinda sucks having mechanical back/spine pain.

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