I filed an HLR for a previous denial for my hips issues. I filed it as a secondary to my currently service connected knees (Left and right knees). My process was, Denied, filed an HLR, error identified by the reviewer and sent back for a new medical opinion. Well, apparently they don't think your knee injuries can affect your hips. Here is a copy of my denial. Thoughts and or advice for my next step? This is twice I've been denied for this.
"Service connection for left hip strain as secondary to the service-connected disability of
left knee strain with arthritis (limitation of flexion).
The evidence does not support a change in our prior decision. Therefore, we are confirming the
previous denial of this claim.
Service connection may be granted for a disease or injury which resulted from a service connected
disability or was aggravated thereby. The evidence does not show that left hip strain is
related to the service-connected condition of left knee strain with arthritis (limitation of flexion),
nor is there any evidence of this disability during military service. (38 CFR 3.303, 38 CFR 3.304,
38 CFR 3.310)
VA examiner of April 29, 2023, opined that there is no clear evidence from review of orthopedic
literature to suggest that an injury to one joint would have any significant impact on another or
opposite uninjured joint or limb, unless the injury resulted in a major muscle or nerve damage
causing partial or complete paralysis, or shortening of the injured limb resulting in length
discrepancy of more than 5 cm so that the individual's gait pattern has been altered to the extent
that clinically there is an obvious Trendelenburg gait. This level of severity is not supported
based on record review, history or exam. It is not unusual for two joints to share properties in the
same person, but one joint's disease does not 'spread' to another or cause damage to it. Therefore
the left hip strain is less likely than not related to the left knee strain with arthritis.
Your service treatment records do not contain complaints, treatment, or diagnosis for this
condition. The evidence does not show an event, disease or injury in service. We did not find a
link between your medical condition and military service. (38 CFR 3.303, 38 CFR 3.304)
Favorable Findings identified in this decision:
You have been diagnosed with a disability. VA examination received January 21, 2022,
diagnosed left hip strain.
The claimed primary disability is service-connected. You are service-connected for left and right
Question
Ranmic
I filed an HLR for a previous denial for my hips issues. I filed it as a secondary to my currently service connected knees (Left and right knees). My process was, Denied, filed an HLR, error identified by the reviewer and sent back for a new medical opinion. Well, apparently they don't think your knee injuries can affect your hips. Here is a copy of my denial. Thoughts and or advice for my next step? This is twice I've been denied for this.
"Service connection for left hip strain as secondary to the service-connected disability of
left knee strain with arthritis (limitation of flexion).
The evidence does not support a change in our prior decision. Therefore, we are confirming the
previous denial of this claim.
Service connection may be granted for a disease or injury which resulted from a service connected
disability or was aggravated thereby. The evidence does not show that left hip strain is
related to the service-connected condition of left knee strain with arthritis (limitation of flexion),
nor is there any evidence of this disability during military service. (38 CFR 3.303, 38 CFR 3.304,
38 CFR 3.310)
VA examiner of April 29, 2023, opined that there is no clear evidence from review of orthopedic
literature to suggest that an injury to one joint would have any significant impact on another or
opposite uninjured joint or limb, unless the injury resulted in a major muscle or nerve damage
causing partial or complete paralysis, or shortening of the injured limb resulting in length
discrepancy of more than 5 cm so that the individual's gait pattern has been altered to the extent
that clinically there is an obvious Trendelenburg gait. This level of severity is not supported
based on record review, history or exam. It is not unusual for two joints to share properties in the
same person, but one joint's disease does not 'spread' to another or cause damage to it. Therefore
the left hip strain is less likely than not related to the left knee strain with arthritis.
Your service treatment records do not contain complaints, treatment, or diagnosis for this
condition. The evidence does not show an event, disease or injury in service. We did not find a
link between your medical condition and military service. (38 CFR 3.303, 38 CFR 3.304)
Favorable Findings identified in this decision:
You have been diagnosed with a disability. VA examination received January 21, 2022,
diagnosed left hip strain.
The claimed primary disability is service-connected. You are service-connected for left and right
knee strain with arthritis."
Link to comment
Share on other sites
Top Posters For This Question
3
3
1
1
Popular Days
Jul 28
6
Jul 31
1
Aug 6
1
Top Posters For This Question
brokensoldier244th 3 posts
Ranmic 3 posts
broncovet 1 post
Rattler 1 post
Popular Days
Jul 28 2023
6 posts
Jul 31 2023
1 post
Aug 6 2023
1 post
7 answers to this question
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now