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Range of motion ratings. Anyone?

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Rivet62

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Rivet62 Proficient

Rivet62

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I need someone keen on range of motion ratings.  I'm updating my back issues with physical therapy findings. VA sees records dated 4 years ago, but things have changed.

I've had recent physical therapy. The files are below. I've got to be more than 10% now, but when I look at the CCK infographic on back pain issues, and range of motion (https://cck-law.com/infographic/va-ratings-for-back-pain-infographic/) it has me swimming on how to interpret my own physical therapist's observations. 

I have service-connected underlying conditions and according to the SOC I just received, they're relying on range of motion from years ago (which. according to them, has me at 10%).

The physical therapist has notes sprinkled throughout the files. To me it looks like 20% at least. Anyone have an opinion otherwise? I'm about to file supplemental claims in about 30 days.

 

Edited by Rivet62
Deleted uploads to save space on server

80% combined (rounded).  82% actual.

70% - Major depressive disorder with anxious distress (claimed depression), Service-connected disability? Yes. Effective date:19/08/2016
10% - Degenerative disc disease thoracolumbar spine, Service-connected disability? Yes. Effective date:19/08/2016
10% - Radiculopathy, left lower extremity, Service-connected disability? Yes. Effective date:19/08/2016
10% - Sciatic nerve radiculopathy right lower extremity, Service-connected disability? Yes. Effective date:26/02/2020
10% - Bilateral temporomandibular joint syndrome (claimed TMJ), Service-connected disability? Yes. Effective date:19/08/2016
10% - Tinnitus, Service-connected disability? Yes. Effective date:19/08/2016
0% - Right ear hearing loss, Service-connected disability? Yes. Effective date:19/08/2016
Left ear hearing loss, Service-connected disability? No
Cognitive impairment (claimed due to major depressive disorder), Service-connected disability? No

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Carl the Engineer
Carl the Engineer

First, when you see your doc or theropist, they don't use a tool for measuring you motion, they do their own thing.  They use their own language to gauge your improvement, or lack there of, to compare

Vync
Vync

@HamsliceI have had VA physical therapy and some used the goinometer to measure range of motion, while others did not. My non-VA physical therapists always used a goinometer and made very careful note

Vync
Vync

@Rivet62I remember when the Gadsden CBOC opened around 1996. Needed an x-ray and had to drive all the way to Birmingham simply because they didn't have a machine there at the time. The CBOC records ha

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Vync Grand Master

Vync

Posted
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Posted
3 minutes ago, Rivet62 said:

No I haven't, but it would be great if they were there. If I find it I'll update this thread.

I know that before the AMA changes in 2019, they were usually there a week or so after the exam was completed. I heard that after the changes, they eventually bumped up the release window to 30 days after the exam, but do not know if they are still there after the 30 day window expired.

"If it's stupid but works, then it isn't stupid."
- From Murphy's Laws of Combat

Disclaimer: I am not a legal expert, so use at own risk and/or consult a qualified professional representative. Please refer to existing VA laws, regulations, and policies for the most up to date information.

 

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Rivet62 Proficient

Rivet62

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5 hours ago, Vync said:

I know that before the AMA changes in 2019, they were usually there a week or so after the exam was completed. I heard that after the changes, they eventually bumped up the release window to 30 days after the exam, but do not know if they are still there after the 30 day window expired.

👍👍👍👍👍 Excellent.  That will definitely be helpful because I'm asking for increases and it will be helpful to know.

80% combined (rounded).  82% actual.

70% - Major depressive disorder with anxious distress (claimed depression), Service-connected disability? Yes. Effective date:19/08/2016
10% - Degenerative disc disease thoracolumbar spine, Service-connected disability? Yes. Effective date:19/08/2016
10% - Radiculopathy, left lower extremity, Service-connected disability? Yes. Effective date:19/08/2016
10% - Sciatic nerve radiculopathy right lower extremity, Service-connected disability? Yes. Effective date:26/02/2020
10% - Bilateral temporomandibular joint syndrome (claimed TMJ), Service-connected disability? Yes. Effective date:19/08/2016
10% - Tinnitus, Service-connected disability? Yes. Effective date:19/08/2016
0% - Right ear hearing loss, Service-connected disability? Yes. Effective date:19/08/2016
Left ear hearing loss, Service-connected disability? No
Cognitive impairment (claimed due to major depressive disorder), Service-connected disability? No

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Carl the Engineer

Carl the Engineer

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6 hours ago, Vync said:

@HamsliceDefinitely worth appealing. It could take six to twelve months to get your c-file. Have you checked to see if your C&P exam findings were placed in your My Health eVet progress notes?

Vync,

My exams were with LHI and the QVC (?).  And they are not in my MyhealthyVet notes.  I just won my audit finally from my hearing in August, so as soon as I get my letters in hand I am going to request my cfile.  Then appeal, unless I see something I don't know.

Thanks,

Hamslice

 

“There is no hook my friend. There's only what we do.”  Doc Holiday 

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blahsaysme2u Mentor

blahsaysme2u

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Posted

anyone know-

and maybe this needs to be new thread. let me know and ill start one-

anyone know if you can call the 800 and have them mail you all the C&P exams? 

what about all your denial letters or claim forms submitted?? i am missing some from my first claim- not in my c-file. 

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Rivet62 Proficient

Rivet62

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6 minutes ago, blahsaysme2u said:

anyone know-

and maybe this needs to be new thread. let me know and ill start one-

anyone know if you can call the 800 and have them mail you all the C&P exams? 

what about all your denial letters or claim forms submitted?? i am missing some from my first claim- not in my c-file. 

I'll bet you can get a copy, maybe, by calling whoever provided it (QTC or MSLA or whoever maybe). 

80% combined (rounded).  82% actual.

70% - Major depressive disorder with anxious distress (claimed depression), Service-connected disability? Yes. Effective date:19/08/2016
10% - Degenerative disc disease thoracolumbar spine, Service-connected disability? Yes. Effective date:19/08/2016
10% - Radiculopathy, left lower extremity, Service-connected disability? Yes. Effective date:19/08/2016
10% - Sciatic nerve radiculopathy right lower extremity, Service-connected disability? Yes. Effective date:26/02/2020
10% - Bilateral temporomandibular joint syndrome (claimed TMJ), Service-connected disability? Yes. Effective date:19/08/2016
10% - Tinnitus, Service-connected disability? Yes. Effective date:19/08/2016
0% - Right ear hearing loss, Service-connected disability? Yes. Effective date:19/08/2016
Left ear hearing loss, Service-connected disability? No
Cognitive impairment (claimed due to major depressive disorder), Service-connected disability? No

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