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Confused by this medical statement


dwbell99

Question

Anyone know what this means or where I can find information to decipher this medical jargon?

Veteran has diffuse, symmetric polyjoint arthritis of the small. Medium, and large joints. Although osteoarthritis can be found in bilateral joints, but is not consistent with degenerative arthritis to be a symmetric, polyjoint arthritis. 

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dwbell99 I'm not a doc and I'd bet you aren't either. So do your research. Look up the arthritis terms and symptoms. Also go to http://www.militarydisabilitymadeeasy.com and check out the different arthritis symptoms and see what criteria is called out for ratings. You then probably will want to see if the VA is using medical terms as a smoke screen to confuse instead of using common and modern terms, which they do often. No disrespect meant but once you sift thru that confusion, you may be in a better position to ask additional questions we have a shot of answering for you.

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Osteoarthritis is not always symmetrical (affecting both sides) and can be diffuse (all over in different places). Rheumatoid arthritis is generally symmetrical in that if one side is affected, the other is also. It sounds like you have two different things going on. What exactly are you claiming? 

 

https://www.medicalnewstoday.com/articles/326840.php#types 

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Seems the VA changed my claim from lower bilateral knee strain and painful range of motion to knee degenerative osteoarthritis.

Here is a short summary of what happened.

Claimed lower bilateral knee strain and painful range of motion are more likely than not > 50% secondary connected (due to abnormal gait caused by service connected left ankle disability).

Reasons for Decision in Rating Decision states:

that the VA medical opinion is more reliable as the rationale is better supported; the condition in the VA medical opinion is more accurately described as osteoarthritis, whereas the medical opinion provided by Veteran  lists strain and painful range of motion, which, per DBQ is not a current diagnosis. Rather, patellofemoral pain syndrome and knee joint osteaoarthritis are shows as disabilities. 

Decision from Rating Decision lists:

1. The previous denial of service connection for left knee degenerative osteoarthritis is confirmed and continued.

2. The previous denial of service connection for right knee degenerative osteoarthritis is confirmed and continued. 

 

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Unfortunately which seems to happen more often than not with the VA, they did not like your DBQ/medical opinion. I have had that happen to me when I filed for OSA, it took an appeal to the BVA to win it. You may need to get an IMO where it shows the reason why they feel you have degenerative osteoarthritis in both knees and how it is service connected either or is secondary to a connected disability. Always make sure when you do get an IMO that is clearly states their rationale as to why its service connected or secondary and that they have reviewed all your medical records (that is important). Also include their CV so it will clearly demonstrate that the doctor is qualified to render the IMO.

Good luck but don't give up. Get the IMO and file a NOD, remember it must be filed within 12 months of the denial date.

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