Reviewed NARSUM today. Helps on possible ratings... if any, please.

jkwalker86

jkwalker86

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I reviewed my NARSUM today and just want to get some educated opinions on possible ratings for disability. I am going to list out some information from my paperwork ... and if you need any additional information, let me know. Thanks in advance for the help.

MEDICALLY UNACCEPTABLE CONDITIONS
1. Thoracolumbar Degenerative Disc Disease with L4-L5, L5-L6 Disc bulges with nerve root impingement, facet lumbar spondylosis and thoracolumar scoliosis.
2. Right lumbar lower extrimity radiculpathy
3. left lumbar lower extrimity radiculpathy

MEDICALLY ACCEPTABLE CONDITIONS
4. Headaches Syndromes [P2]
5. Left ear frequency sensorineural hearing loss with recurrent Tinnitus [H2J1]
6. Epidermal Inclusion Cyst [P1]
7. Xerosis Cutis [P1]
8. Verruca Vulgaris [P1]
9. Unspecified Anxiety Disorder [S1]

Here are the results from my ROM test:
Forward Flexion (0 to 90): 0 to 70 degrees
Extension (0 to 30): 0 to 18 degrees
Right Lateral Flexion (0 to 30): 25
Left Lateral Flexion (0 to 30): 25
Right Lateral Rotation (0 to 30): 0 to 30
Left Lateral rotation (0 to 30): 0 to 30

Any information would be great. If you need any additional information let me know. Thanks again.

Josh
 
Possibly 10% for forward flexion at 70 degrees and combined being less than 235? Just now sure how to rate the other stuff?
 
You should also get 10% each leg aside from the ROM. Each leg is rated seperately from what I have been researching. Also, did this occur during combat?
 
Vanalynn86 said:
You should also get 10% each leg aside from the ROM. Each leg is rated seperately from what I have been researching. Also, did this occur during combat?
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It happened deployed, but the injury occured during PT. Was not combat related. During the C&P they had me lay on my back and lifte my legs, while straight, into the air. When she lifted my left leg, I got this tingle feeling in my foot. When she lifted my right leg, no tingle feeling. Does that mean I might only get 10% for the left leg and nothing for the right? I know I am cutting it close to the disability/severence pay line.
 
If you have sciatica in your medical records for each individual leg it should still count -10% each leg. I'm not certain about with the C&P exam - possibly to see if you are in pain. I got injured in combatives last year which triggered by sciatica and I was told that can count towards getting tax free severence for that specific claim - I'm not sure exactly, still reseraching. But keep that in mind. When you did your flexion/extension did you only go as far as pain or did you keep going? I've heard some docs ask you to keep going - I plan on stopping as soon as I have any amount of pain. I just started my MEB.
 
Vanalynn86 said:
If you have sciatica in your medical records for each individual leg it should still count -10% each leg. I'm not certain about with the C&P exam - possibly to see if you are in pain. I got injured in combatives last year which triggered by sciatica and I was told that can count towards getting tax free severence for that specific claim - I'm not sure exactly, still reseraching. But keep that in mind. When you did your flexion/extension did you only go as far as pain or did you keep going? I've heard some docs ask you to keep going - I plan on stopping as soon as I have any amount of pain. I just started my MEB.
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I will have to look back through my records here in a few minutes and see if sciatia is mentioned. Thanks!
 
Remember, just because the MEB found condition not medically acceptable does not mean the PEB will find them unfitting.

Mike
 
Well, that's not what I want to hear right now.... but I appreciate the info. How often do they change conditions from unfit to fit? Is it common?
 
The MEB does not find things fitting or not. They determine on a global standard if a condition meets retention standards or not (Army speak). The PEB determines if the condition is unfitting for you based on rank, MOS and specific duties. Also, the PEB can deem conditions that meet retention standards unfitting, either independently or due to combined effect.

Mike
 
maparker said:
The MEB does not find things fitting or not. They determine on a global standard if a condition meets retention standards or not (Army speak). The PEB determines if the condition is unfitting for you based on rank, MOS and specific duties. Also, the PEB can deem conditions that meet retention standards unfitting, either independently or due to combined effect.

Mike
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Good deal. Thank you for the info!

Josh
 
I don't know about DoD disability ratings, but for VA disability ratings for an anxiety disorder, it will depend largely on the symptoms listed in Section III: Symptoms of the DBQ (exam report), and the social & occpuational impairment caused by those symptoms (usually described in other parts of the report). The General Rating Formula for Mental Disorders (38 C.F.R. § 4.130) will give you an idea.

Thank you for your service and sacrifices on our behalf,

Mark
 
So if one of the main reasons you get med boarded is because you cannot do a sit-up or carry any weight on your back, the MEB can find those unfitting and the PEB can find you fitting? Is that scenario common?
 
MEB talks to retention standards. PEB talks to job standards. If PEB says your service has a place for you with those restrictions because you can perform the other tasks they really care about, fit would be the right answer. So all depends of your job at your rank needs abdominal strength and to lift things.

You have to wrap your head around that the meb does not say fit or unfit, despite the words they may have choosen. Docs say what you can do, service secretary (through the peb) says what you need to do.
 
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