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pyrotaz

Groin Tear

Question

Time Frame 1987:

When I was in boot camp while running are first PT a fellow recruit tripped in front of me causing me to twist and land hard on my left hip. I remember  when attempting to get up being in extreme pain and vomiting due to the pain. There was a  Corpsman who was there in the building and he quickly examined me and a decision was made to send me back to the barracks and ice over night and to see how it will be in the morning. I could not walk at that moment and was driven back to the barracks. I remember getting helped undressed and placed in my bottom rack.  It was a rough night any movement caused very severe pain and have a bunk mate and his moving around caused even more pain.  About 2 in the morning my Company Commander who happened to be on duty moved my bunk mate to an empty rack and slipped my some Tylenol. First think the next morning I was sent in and was seen by a Doctor, his diagnoses was a severe pulled muscle was given a light duty chit and required to rest and pain meds note he was a general medical doctor and not a specialist.  No X-ray was taken. After daily trips back in forth to the Hospital and not really making any improvement about 4 weeks I was sent to a specialist. I met this female orthopedic doctor, who was very concerned. After some test she concluded that severally tore my muscle, but what was more interesting was she found that my left leg is shorter than my right by over an inch.  I was given decision I either could stay behind to recover and move with a new recruit company, Get medically discharged or attempt to run the last PT test. I chose to run the PT test although did  very heavily medicated. This is all well documented in my records. I also have a few accounts of left ankle and hip pain during my Reserve time that is documented. 

Fast Forward to 2013: While working as a Paramedic was involved in accident that caused very severe left hip and groin pain. Was sent to physical therapy who noticed the hip/groin was very tight and asked if I had any past injuries, after explaining he suggested to the doctor that he thought I had a labral tear and refused to do many of the exercises assigned because of my pain level and the groin kept locking up. After being screw around by work place health and being sent back to work I was walking into a patients home in Dec 2014 and my hip gave out. Again got screwed around with workplace health and finally told them to pound sand and had my personal doctor set me up with an Orthopedic surgeon. In May 2015 The Orthopedic surgeon sent me in for an MRI with contrast and I was found to have a very severe labral tear. I was sent to another surgeon for surgery to repair the tear, which failed. In November 2015 I had a complete left hip replacement. I still have limited range of motion, and continued pain on the left side due to muscle issue. My pelvis has been tilted and I feel the fall started it all. Do you think I have a case? 

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No, it is a zero percentage rating. 

The Ilioinguinal Nerve leaves the spinal cord in the low back, curves around the hips to the abdomen, and ends in the groin. This nerve does not directly control any movements. Instead, it provides feeling to the skin in the upper thigh and groin.

A condition of the ilioinguinal nerve is rated under one of the following codes with the corresponding ratings.

Code 8530: Paralysis of the ilioinguinal nerve. Complete paralysis or Incomplete, severe paralysis is rated 10%. Incomplete, moderate or mild paralysis is rated 0%.

Code 8630: Neuritis of the ilioinguinal nerve. If the condition causes severe symptoms, it is rated 10%. If it causes moderate or mild symptoms, it is rated 0%.

Code 8730: Neuralgia of the ilioinguinal nerve. This condition, regardless of severity, is rated 0%.

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Pyrotaz Ocanbound has a pretty convincing response and his opinion is valued here. Depending on how much is documented in your str's and your private medical records, I think it would be a difficult case to pursue, but not impossible. You would have to do a cost analysis of what your potential disability rate could be compare to the appropriate diagnostic code(s) and your symptoms, and then compare to what it would cost you to get a very good IMO from an expert. Do the math, and if it is feasible, go out and ask a few docs and see what they say. Your upfront research will cost you nothing but time, but it will possibly lead to peace of mind knowing you checked it out. I would recommend checking further because it is obvious after all this time it still eats away at you. Go ahead and give it a try. 

Edited by GBArmy
typo

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As always, you need these 3 things for SC:

Diagnosis (current).

In service event or aggravation documented

Nexus, or doc opinion that the above 2 are related.  

Now, if you have all these docuemented, you should get SC.  

I dont know the disability percentage.  The disability percentage will be determined by your symptoms, once you have a diagnosis.  

I have no idea if your condition has anything to do with The Ilioinguinal Nerve or not or one of the DC codes listed.  A doctor would have to make that determination.  You indicated it was some sort of a muscle tear, not a nerve issue, but I have no idea.  

If a doctor indicated your (leg length discrpency) was "at least as likely as not" due to your in service event, then you should be able to get compensated for issues related to the leg length discrpency.  

I say file.  Get it service connected and dispute the percent if you feel your symptoms more closely approximate a higher rating .

Its possible you more than JUST nerve damage (The Ilioinguinal Nerve) along with other muscle/skeletal/ or nerve damages.  A doctor will have to diagnose, treat, document your symptoms, and then the VA will determine a percentage, based upon the evidence.  

For the reasons above, I humbly disagree with ocean bound.  The OP did not indicate his only diagnosis was The Ilioinguinal Nerve.  What did the doctors report say??

 

Edited by broncovet

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