I filed a NOD in January 2017 for limitation of ankle (Right) motion , left Knee strain, lower Back pain, bilateral Plantar Fasciitis and Insomnia (they listed as dysthymic disorder). Since I filed the NOD, I received 30% for persistent depressive disorder (dysthymia) with anxious distress which includes chronic sleep impairment. I currently have a rating of 40% (VA math of 43%). On eBenefits it shows a completion date in November. The wait is driving me crazy.
In April I had a C&P Exam for my Ankle, Knee and Back. I received a copy of my C-File that included my C&P results. She directly SC my Ankle stating:
Lateral Collateral Ligament Sprain (chronic) - right
Acute Ankle Sprains (during Service)
Right Plantar Calcaneal Enthesophyte resulting in Ankle Pain
Right ROM: Abnormal Range, Dorsiflexion (normal range 0-20) results 0-10 and Plantar Flexion (normal range 0-45) results 0-20
Left ROM: Abnormal Range, Dorsiflexion (normal range 0-20) results 0-15 and Plantar Flexion (normal range 0-45) results 0-30
She stated that my knee condition is secondary to my ankle and the results are:
Left Knee Strain - Bilateral knees
Left recurrent Patellar dislocation - slight
Right ROM: Flexion (normal range 0-140) results 0-105 and Extension (normal range 140-0) results 105-0
Left ROM: Flexion (normal range 0-140) results 0-95 and Extension (normal range 140-0) results 95-0
The opposing joint does have evidence of damage as indicated by the exam abnormalities documented above.
She also stated that my lower back condition is secondary to my Ankle and the results are:
X-ray view 1: Possible Herniation of Disc. Diminished height L5 - S1 and Spurring on L2, L3 and L4
X-ray view 2: Spondylosis of the Spine and Spurring on L5
Lumbosacral Strain
Radiculopathy
Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve) - Right
Spondylosis of the spine
Initial ROM: Forward Flexion (normal range 0-90) results 0-75, Extension (0-30) 0-30, Right Lateral Flexion (0-30) 0-30, Left Lateral Flexion (0-30) 0-10, Right Lateral Rotation (0-30) 0-10, Left Lateral Rotation (0-30) 0-20
After repeated ROM: Forward Flexion (normal range 0-90) results 0-50, Extension (0-30) 0-30, Right Lateral Flexion (0-30) 0-30, Left Lateral Flexion (0-30) 0-20, Right Lateral Rotation (0-30) 0-10, Left Lateral Rotation (0-30) 0-15
Pain on rest Left Lateral Rotation
Interference with sitting and standing
Passive ROM of the spine was not performed as it is not feasible to do this in a safe and reasonable manner.
I did not get an C&P for bilateral Plantar Fasciitis, but this has been well documented in my Military, VA and Private Medical Records. I did submit all of it when I filed the NOD, except for the shots that I received from the VA after filing. I have a Doctor's (Private) appointment tomorrow for Plantar Fasciitis and he said that he would do a DBQ but at this point, would submitting a DBQ delay, help or hurt my Claim? Or should I wait until the NOD is complete and if the claim is denied for Plantar Fasciitis, reopen it with new evidence (I.E. the shots and DBQ)?
What rating do you think I should receive? How is the Bilateral factor and pyramiding going to affect my claim? Is a secondary condition going to affect my rating?
Any thoughts on my outcome is appreciated and hopefully put my mine at ease!
Question
Patton
I filed a NOD in January 2017 for limitation of ankle (Right) motion , left Knee strain, lower Back pain, bilateral Plantar Fasciitis and Insomnia (they listed as dysthymic disorder). Since I filed the NOD, I received 30% for persistent depressive disorder (dysthymia) with anxious distress which includes chronic sleep impairment. I currently have a rating of 40% (VA math of 43%). On eBenefits it shows a completion date in November. The wait is driving me crazy.
In April I had a C&P Exam for my Ankle, Knee and Back. I received a copy of my C-File that included my C&P results. She directly SC my Ankle stating:
She stated that my knee condition is secondary to my ankle and the results are:
She also stated that my lower back condition is secondary to my Ankle and the results are:
I did not get an C&P for bilateral Plantar Fasciitis, but this has been well documented in my Military, VA and Private Medical Records. I did submit all of it when I filed the NOD, except for the shots that I received from the VA after filing. I have a Doctor's (Private) appointment tomorrow for Plantar Fasciitis and he said that he would do a DBQ but at this point, would submitting a DBQ delay, help or hurt my Claim? Or should I wait until the NOD is complete and if the claim is denied for Plantar Fasciitis, reopen it with new evidence (I.E. the shots and DBQ)?
What rating do you think I should receive? How is the Bilateral factor and pyramiding going to affect my claim? Is a secondary condition going to affect my rating?
Any thoughts on my outcome is appreciated and hopefully put my mine at ease!
Thank you,
Patton
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