jd101proof
PEB Forum Regular Member
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Outcomes for FAI with and without laberal tears?
- Thread starter jd101proof
- Start date
Dang if i know lol
Update with my case, I signed my NARSUM on 09 JULY, and signed my DA 199 on 29 September.
Does anybody know the current timelines for receiving your orders. I was told two to three weeks after I signed my DA199 my orders would be published through TRANSPROC or whatever it is. Although I have heard rumors that their system is backed up to almost two months. Anyone with any news on this it would be greatly appreciated.
Does anybody know the current timelines for receiving your orders. I was told two to three weeks after I signed my DA199 my orders would be published through TRANSPROC or whatever it is. Although I have heard rumors that their system is backed up to almost two months. Anyone with any news on this it would be greatly appreciated.
No clue on orders, i would guess 3 weeks+ from current trends ive seen on here. How did you conditions go? rating etc?
TSGT Twitch and all others concerned my ratings are as follows.
DOD: 10% for FAI with residuals of an early Labral tear in the right hip.
VA: 30% for adjustment disorder which includes insomnia ADHD and minor depression.
20% for lumbar strain.
10% for right knee (I forget the technical jargon for it)
10% for left knee
10% Tinitus
10% for TMJD
0% for Eustacian tube damage.
0% for left ear hearing loss.
Not rated for right ear hearing loss
Deferred rating for left hip FAI (further evaluation needed by VA)
DOD: 10% for FAI with residuals of an early Labral tear in the right hip.
VA: 30% for adjustment disorder which includes insomnia ADHD and minor depression.
20% for lumbar strain.
10% for right knee (I forget the technical jargon for it)
10% for left knee
10% Tinitus
10% for TMJD
0% for Eustacian tube damage.
0% for left ear hearing loss.
Not rated for right ear hearing loss
Deferred rating for left hip FAI (further evaluation needed by VA)
Well, I hate to say it, but that is what i expected. The sad state of our government agencies is that for a condition that the only recommended fix for is a baseline of 30% disabling you get 10% for not letting them "fix you" which would give you at minimum the 30. The good news if there is any to the condition is that the VA follows tricare and will pay to replace your hips once they get bad enough and you can collect 100% for 13 months after each hip surgery. Personally, id rather have my healthy hip back. I am almost curious as to what the torn labrum plays into it, because my left hip (non replaced) is not only severely torn, it is also detached and woudl require 3 "anchors" to repair it.
I am almost curious what the otucome would be, if one were to contend against the VA board that the labrum is a soft tissue injury similar to a muscle injury and evidence of tearing/debridement etc. would be a higher/more accurate rating.
I am almost curious what the otucome would be, if one were to contend against the VA board that the labrum is a soft tissue injury similar to a muscle injury and evidence of tearing/debridement etc. would be a higher/more accurate rating.
Also to add, if you think you are in bad enough condition now, and can get a doc to sign off on it, I would almost push to have the worse hip replaced while on the 6 months of tri-care, anything we can do to bleed that piece of shit company dry, I am for.
A long time in coming update:
MY MEB package is supposedly finished, I am awaiting a PEBLO and med appointments. SSDI is sendign me to a medical exam next week.
MY MEB package is supposedly finished, I am awaiting a PEBLO and med appointments. SSDI is sendign me to a medical exam next week.
what do you mean lock up, sometimes I get like mega whole leg charley horses'. like a huge leg cramp. is that what you mean?
Have not seen JD on in quit awhile, but I can describe the FAI lock up just fine, imagine your pulling a wrech, and there is that moment that everything is tight, then the nut finally breaks, thats the feeling FAI causes in the hip socket. a whole leg charlie horse is certainly a symptom to have checked out, and at times ive gotten something similar which is like a strong desire to pull my knee to my chest or somethign ebcause the leg hurt so bad, but that would last hours and not as bad as a cramp pain wise but pretty close.
what is ddd and OA? I am bilateral. one surgery down. surgeon said I had severe FAI with one X-ray and that it prompted immediate surgery as soon as possible and that my life has completely changed forever and to get use to the idea of hip replacements when I am old enough. I was told about this IMPACT program by a civilian co worker that she thought would be good for me. So I went into my clinic thinking that I was going to get a referral for this alternative pain management program and the major (who is not my PCP or anything in my custody chain of care) pretty much turned the conversation into how I was trying to cheat the system, asking if I was trying to get more VA benefits (what he meant by this I am really unsure), and if I was trying to use it to get out of the Army because "the army isn't for everyone" and "this is a one way ticket out". I responded that I only had ten months left and that I have 3 and 1/2 months leave saved and that it would be counter productive if I wanted to get out to start a MEB. I am only 4 weeks post op as of today. The Physical therapist told me to stay on the crutches even though I was suppose to be off of them today (I am still really tight and painful in the joint when applying full body weight). This Major accusing me of malingering told me I shouldn't be on them and that he had the same surgery and was off crutches in three days and only took two percocet (he was shocked that I was still taking the narcotics at night to get to sleep because of the pain(even though I was there for alternate pain management and the surgeons were the ones who told me to finish out the meds given for the surgery at night). This major said he completely destroyed his labrum and there is nothing left after 7 and half years of abuse (he is at least 10 years older than me in the age range of actually getting a hip replacement). The surgeon that did my right hip told me that I would get a replacement if I was old enough. I am only 27. Reading this question I was just wondering how I would get more VA benefits out of my actions? Because I am pretty sure that FAI is FAI is FAI bilaterally. I am thinking of going to patient advocacy.
I would go to patient advocatcy regardless with the treatment your receiving. FAI is and is not FAI in regards to the VA. A rating for FAI itself does bot exist, therefor it is treated as Osteo-arthritis and/or painful motion in the joint. the existance of it is a default 10% with or without labral tears, as long as there is evidence it exists and there is pain. Now if the pain is severe and limits your range of motion moreso than most ( I would say 95% or more folks have full range of motion with FAI, BUT IT HURTS) so complaining to your PCM or PT etc. really would do nothing for your VA rating, as it depends on your range of motion, and that is almost exclusively your VA C and P exam.
New hips know no age, I know a 25 year old with a neww hip and 2 teenagers with new hips (for other issues like birth defects etc.) but doctors like to say that. Bottom line, you have FAI/HAD degeneration before they fixed it, you will need new hips at some point, continuing to live an active life OR gaining too much weight, OR an accident can quickly land you in the operating room with a reamer in your femur. Accept that and the rest is gravy, now with that said, I would say you should push for the MEB and let it be done, it is an unfitting condition, and if your getting out anyway, then the severance vs retirement does not matter as much to you. In civilian "normal" activity adults FAI may never manifest itself into the pain/degeneration levels, it useally only appears in runners, dancers etc. basically anyone who does impact activities that include twisting/pivoting. So it would be safe to say that your service has contributed to the advanced progression of a condition that may/may not have existed prior to service.
New hips know no age, I know a 25 year old with a neww hip and 2 teenagers with new hips (for other issues like birth defects etc.) but doctors like to say that. Bottom line, you have FAI/HAD degeneration before they fixed it, you will need new hips at some point, continuing to live an active life OR gaining too much weight, OR an accident can quickly land you in the operating room with a reamer in your femur. Accept that and the rest is gravy, now with that said, I would say you should push for the MEB and let it be done, it is an unfitting condition, and if your getting out anyway, then the severance vs retirement does not matter as much to you. In civilian "normal" activity adults FAI may never manifest itself into the pain/degeneration levels, it useally only appears in runners, dancers etc. basically anyone who does impact activities that include twisting/pivoting. So it would be safe to say that your service has contributed to the advanced progression of a condition that may/may not have existed prior to service.
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Thank you for the response. My NCOIC was with me and my wife this morning in the meeting that was scheduled with the PCM to explain himself. He was not very professional at all and became verbally agitated when questioned about his unprofessional actions that day prior. We went to patent advocacy right after this meeting because of the very unprofessional actions. He was rude and aggressive. He didn't answer any of the legitimate questions raised. The PA said that this complaint would most definitively be going higher. I told her that I found out there are others who have had similar altercations with the same person. She said to give them her card and they could proceed forward with it. I cannot believe this has happened to me. I can not fathom how a higher ranking medical officer could accuse me of being a drug seeker (when I have never ask for drug but instead was asking for alternative pain therapy), trying to game the system, trying to seek more VA benefits, etc.... when I was approached by a civilian co-worker about an alternative pain management program offered at the hospital here. My wife got him to admit he never spoke with my surgeons, physical therapist, or who I consider my PCM (the guy I actually complain to because I guess this officer is actually the PCM for the entire unit even though I have never met him till this interaction). He actually stood there and told me that I would have to get use to the idea of hip replacement and chronic pain for the rest of my life but when asked why he refused the referral to alternative pain management said that he is the one that makes the distinction about how resources are used (the program is in the hospital, this guy is in charge of one units sick call clinic and some other stuff), but that is all he said. He then was asked how he made that distinction without consulting the providers who are actually involved in my care he became visible and verbally upset and left angry muttering that he didn't have to sit here and take this from us and said he had patients to see. I am blown away by this. Yes, I believe that when I first found out about this bad diagnosis I read into FAI and saw that it was unfitting. I read all the regulations about medical situations AR 40-501the one that tells what is fitting/unfitting.. I have not one but many unfitting conditions. So when I informed my chain of command and NCO support channel I told them that there is a possibility of MEB and that I wasn't sure what was happening or how it worked. I talked to a case manager and asked if I was going to have to go through and MEB and what was warrior transition battalion (I didn't know it was for injured soldiers who cannot make their own appointments, etc). The reason I was asking was because the unit I am in needed my spot for a functional solider that can deploy. I was told that moving to another unit on post was a possibility by my first line. It didn't happen because the army is getting rid of my position and authorizing less slots for my unit so it doesn't matter how long I stay here. It is just really upsetting to be blind sided by this and that I have to deal with this at all. I told them that if I had private insurance this wouldn't be an issue and I would just go seek alternative pain management. My wife and I are starting here insurance from her job for exactly this reason. Because of the way it works with her work and the new health care law she is going to have to explain why she needs to opt for the insurance outside of the specified time frame in the beginning of every year and she will have to explain that military health care is so terrible that she needs to put me! (active duty combat veteran) on her insurance. This is so bizarre. If this wasn't bad enough they have not paid me for over a month. why? because I apparently do not exist in DEFAS anymore. Why? because I thought i was ETSing per ERB,LES,DEFAS, MEDICAL, and every other system the army uses telling me my ETS date. went through the entire ETS acap process was about to receive my DD214 and was told that there was a discrepancy in my file with my ETS date and that it was calculated wrong in the system and that my contract shows a different amount of time (contract only says how long your suppose to be in, no soldier looks at the damn thing and says let me calculate my own ETS date. My sergeants major said he has never heard of that in his time in which is along time. The shit storm that ensued from that was bad enough. I was enrolled in classes at a local college getting my pre reqs for my Masters degree! so I had to go tell my NCO and chain of command that I wasn't leaving and that they would have to deal with my medical issues that I kept to myself until after I was done deploying in this/ for this unit. I prided myself in not being this shitbag who showed up on this units doorstep fucked up unable to deploy. I did that for uncle sam and now all of this, fuck me right?
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I got my findings for my hip!
DOD: 30% VA: 90%
Category I- Unfitting conditions which are compensable and ratable:
1. Snapping Hip Syndrome-Bilateral; DVA rated as left snapping hip syndrome, Snapping Joint Pain, Pelvis(Left), Left Acetabular Labral Tear, Limitation of Flexion of the thigh. 20% 5003-5252
2. Snapping Hip Syndrome-Bilateral; DVA rated as Left Snapping Hip Syndrome, Snapping Joint Pain, Pelvis (left), Left Acetabular Labral Tear, Impairment of the Left thigh. 10% 5003-5252
2. Snapping Hip Syndrome-Bilateral; DVA rated as Right Snapping Hip Syndrome, Snapping Joint Pain, Pelvis (Right) 0% 5251
Combined Compensable Rating: 30%
It’s been a long road but I’ll be done within 90 days. I never would have thought I would get more than 20%. I saw one Doc and he said I had FAI and wanted to do surgery. Then I got a second opinion and that Doctor said I had intra articular snapping hip syndrome and he said it would do me more harm then good to get surgery. He told me I would need a total hip replacement before I’m 40 years old. Then he MEB’d me. My MEB started May 2013 and I just my decision on 1 April.
DOD: 30% VA: 90%
Category I- Unfitting conditions which are compensable and ratable:
1. Snapping Hip Syndrome-Bilateral; DVA rated as left snapping hip syndrome, Snapping Joint Pain, Pelvis(Left), Left Acetabular Labral Tear, Limitation of Flexion of the thigh. 20% 5003-5252
2. Snapping Hip Syndrome-Bilateral; DVA rated as Left Snapping Hip Syndrome, Snapping Joint Pain, Pelvis (left), Left Acetabular Labral Tear, Impairment of the Left thigh. 10% 5003-5252
2. Snapping Hip Syndrome-Bilateral; DVA rated as Right Snapping Hip Syndrome, Snapping Joint Pain, Pelvis (Right) 0% 5251
Combined Compensable Rating: 30%
It’s been a long road but I’ll be done within 90 days. I never would have thought I would get more than 20%. I saw one Doc and he said I had FAI and wanted to do surgery. Then I got a second opinion and that Doctor said I had intra articular snapping hip syndrome and he said it would do me more harm then good to get surgery. He told me I would need a total hip replacement before I’m 40 years old. Then he MEB’d me. My MEB started May 2013 and I just my decision on 1 April.
Im confused. really I think the doctors are confused or there is some large debate as to what causes FAI,etc. I was diagnosed snapping hip syndrome then the doc did a MRI with that dye and said it was FAI. I am 6 weeks post op for hip arthroscopy on my right side. The surgeons nor the doctors will entertain the idea of surgery on the other side unless the right is healed. I am concerned about it because it still locks, clicks, or whatever so I am not sure the surgery was a total success. I am curious about your rating because I do not understand the information you provided that well. what is the break down. I am most likely not going to have a MEB so I will be filing a claim with the VA once I leave the military or in transition. Why did the VA give you 90%? I am confused. Why does the rating from the ARMY matter as opposed to the VA rating?
Welcome to the PEB Forum!
Indeed, congratulations of the recent receipt of DoD and DoVA proposed ratings!
To that extent, enjoy your forthcoming military disability retirement to include all post-military endeavors!
Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."
Best Wishes!
Thank you Warrior 644!
I had left hip pain for two years and got x-rays done and did physical therapy. Finally I got a MRI and had both hips checked out an I had a very small tear in my right hip and a sizeable tear in my left hip. The Ortho Doctor said I had FAI and wanted to do surgery on my left hip. It causes me daily pain and clicks/locks up on me. I then requested a second opinion and the new Doctor did a bunch of different injections and said that I had snapping hip syndrome. I trusted the new doctor more. I’m in worse shape than I was two years ago, but I’m happy to be done with this. I think the only way I have a chance of living without pain would be to get a total hip replacement, but I’m 26 years old and I don’t want to. This forum has helped me a lot with this process.
VA ratings are below. As you can see it adds up to more than 90% but the VA has weird math. Also notice that the VA doesn’t count my hip ratings. I’m not sure why they do that.
The Air Force gave me 30% for my hips. If the AF would have given me less than 30% then they would give me a separation package with severance pay. 30% is a big deal because that gives me a retirement.
Adjustment disorder w/ anxiety-30%
Painful scars-20%
Lumbar strain-20%
Sciatic Nerve-20%
Nonunion of Metatarsal bones left foot-20%
Tinnitus-10%
Allergic rhinitis-10%
Ulnar neuropathy left elbow-10%
Left medial epicondylitis-10%
Left bunionectomy-10%
Right Bunionectomy-10%
I had left hip pain for two years and got x-rays done and did physical therapy. Finally I got a MRI and had both hips checked out an I had a very small tear in my right hip and a sizeable tear in my left hip. The Ortho Doctor said I had FAI and wanted to do surgery on my left hip. It causes me daily pain and clicks/locks up on me. I then requested a second opinion and the new Doctor did a bunch of different injections and said that I had snapping hip syndrome. I trusted the new doctor more. I’m in worse shape than I was two years ago, but I’m happy to be done with this. I think the only way I have a chance of living without pain would be to get a total hip replacement, but I’m 26 years old and I don’t want to. This forum has helped me a lot with this process.
VA ratings are below. As you can see it adds up to more than 90% but the VA has weird math. Also notice that the VA doesn’t count my hip ratings. I’m not sure why they do that.
The Air Force gave me 30% for my hips. If the AF would have given me less than 30% then they would give me a separation package with severance pay. 30% is a big deal because that gives me a retirement.
Adjustment disorder w/ anxiety-30%
Painful scars-20%
Lumbar strain-20%
Sciatic Nerve-20%
Nonunion of Metatarsal bones left foot-20%
Tinnitus-10%
Allergic rhinitis-10%
Ulnar neuropathy left elbow-10%
Left medial epicondylitis-10%
Left bunionectomy-10%
Right Bunionectomy-10%
Indeed, you are welcome!
Hmm, it does seem procedurally out of standard that the DoVA D-RAS potentially didn't combine your hip medical conditions with the overall DoVA proposed rating!
To that extent, did your DoVA rating decision with rationale documentation mention anything about not including the DoD PEB referred unfitting conditions into the overall combined DoVA proposed rating?
Based upon my DoVA combined rating calculations, it seems that the DoVA D-RAS did include both of your rateable hip conditions in their overall DoVA proposed rating.
As such, I performed VA math on 30% + 20% + 20% + 20% + 20% + 20% + 10% + 10% + 10% + 10% + 10% + 10% + 10% = 89% rounded up to an overall DoVA proposed rating of 90%.
Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."
Best Wishes!
I have Bilat FAI. I was told that it might be from a combo of Retroverted hips and military life. Will they try to pull this congenital crap on me were I am not eligible for a rating due to the retroverted part or is the damage my service has caused going to be covered?
for something that existed prior to service but aggravated by service they are supposed to give you a rating for the condition before you joined (usually 0%, since it didn't stop you from joining) and then a rating now, the difference is what they owe you.
the biggest hurdle to overcome though is them saying its natural progression instead of aggravated by service. From what you say about your condition, you should be ok there.
They have a few hurdles to go through to say it existed prior, since you are assumed to be healthy on entrance. The doc saying it might be congenigtal might not be strong enough of an opinion for it to even be considered prior.
the biggest hurdle to overcome though is them saying its natural progression instead of aggravated by service. From what you say about your condition, you should be ok there.
They have a few hurdles to go through to say it existed prior, since you are assumed to be healthy on entrance. The doc saying it might be congenigtal might not be strong enough of an opinion for it to even be considered prior.