VA ROM vs. PT ROM

S

Sharifa

PEB Forum Regular Member
PEB Forum Veteran
I am trying to figure out the VA rating by ROM. On my physical therapy consult the ROM says Trunk ROM. Would that be cervical or theracumbular (sp?). My original ROM (27 Oct 08) was:
Flexion: 9 deg
Extension: 5 deg
Side bend left: 23 deg
Side bend right: 22

I had a new ROM done when my package was resubmitted but I don't have those numbers yet. I hope to get them tomorrow.

I'd appreciate it if someone could tell me how to decipher Trunk ROM vs VA ROM.

Thanks,
Sharifa
 
Yes, but I don't know which measurements to use. Cervical or Thoracumbular. On the PT sheet she wrote trunk rotation. Would that be Thoracumbular? It doesn't say one or the other just trunk rotation.
 
Okay, I finally got my new ROM numbers but I am still confused on how to figure out the rating. Can someone with more experience help me please? When I look at it it seems that it would rate at 20%??

Intervertebral Disc Degeneration
Spinal Fusion L4-L5
Lumbago

Thoracolumbar Spine ROM: (average rounded to nearest 5 degree)
Flexion: 55
Extension: 20
Side Bend Right:20
Side Bend Left:20
Rotation right:20
Rotation left:20
Total: 155

Nuerosurgeon comment: I believe the patient will be unable to return to full duty given her functional limitations.

PCM comment: I have some hope that her pain can be improved; but given her past history, her previous responses to treatment, and her present medical pathology, I do not believe that her above limitations will be adequately improved enough to meet the full physical demands of the military.

Commander's Recommendation: (please note that this is from Dec 09, he did not read new narrative he just recycled the letter). I recommend she be retained on active duty. She is fully capable of continuing her service and is a valuable asset. There has been no effect on unit mission and no impact of her medical condition on her ability to perform her job.

Any help would be greatly appreciated!

Sharifa
 
Sharifa,

Yes, if unfit, those measurements should result in a 20% rating.

It sounds like your doctor and commander have different opinions on your ability to perform your duties. Do you take and pass PT test? What result do you want?
 
I want to retire. I have 21 years but have a year ADSC before I can retire normally. I only do the waist measurement and yes I can pass that. My profile is no impact activity, no push-ups, no sit-ups, ergo cycle only if I want to (which I don't). I am not worldwide qualified. I've also had three wrist surgeries and have received a script from civilian doctor for permanent restriction from weight bearing on right wrist. I gave this this script to the PEBLO to include in my package. I think they may come back and ask for ROM on wrist flexion and extension. The commander's letter is a joke. I sit at a computer all day and he says I can't sit for prolonged periods. Like I said, they didn't even look at the new narrative to see what the doctor's were saying.
 
Would the board look skeptically at a CC letter that lists the wrong PCMs name? They basically reused the letter they wrote in Dec 08, they just changed the date. I have a different PCM who initiated this MEB but they left the old PCM on the letter.

I also received my sleep study results today and I have chronic insomnia and a movement disorder. I've been referred to neurology for testing to determine what is causing the movement disorder. Should I inform the PEBLO of this finding? Can this be added to the current IPEB package?
 
Would the board look skeptically at a CC letter that lists the wrong PCMs name?
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I don't think so.


I also received my sleep study results today and I have chronic insomnia and a movement disorder. I've been referred to neurology for testing to determine what is causing the movement disorder. Should I inform the PEBLO of this finding? Can this be added to the current IPEB package?
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I would definitely recommend informing your PEBLO of the finding. This condition should be included in your IPEB.
 
Just talked to the PEBLO. She said package was going to meet the local board today. She went in and printed the diagnosis from the sleep study to put in the package. She is calling my civilian doctor to get a copy of my last visit for my wrist. The board may hold up the package until I have my neurosurgery consult. The drama continues!
 
Update for anyone who cares. The board held my record over in order to add my other issues. Besides the back and wrist, it will include depression, bursitis, insomnia, diverticulosis, and any neurological findings for the movement disorder. I have crammed all these appointments in to the next two weeks. Final appt is with neurology on 4 Nov. I am so glad I got with the nurse case manager to get all this included even though it will hold up my package for several more weeks. I think that will put the results out until Jan - Feb time frame. I think this will get me to April - May which will get me to 22 years...yah! This would have been a lot easier if they would just have approved my ADSC waiver. :rolleyes: Oh well, what can you do?

Sharifa
 
Sharifa,

Sounds like some good developments! I hope all goes well. Best of luck!
 
Got my final diagnosis from neurologist yesterday so package should be ready for local board today at 1400!! Diagnosis was essential myoclonus which I believe would be rated as a tic. All doctors comments seem to indicate I am not fit for duty so we will see. I am not expecting any response from IPEB until March. Today is the day I become eligble for retirement. I applied for it even though I know the MEB will hold it up. I just wanted the feeling of actually applying and kind of sticking it to those who refused to waiver me.
 
Update - My package met the local board on 8 Dec. I signed on 17 Dec and it should have mailed out 18 Dec. I am not even going to start to count down until after the holidays are over. Hopefully, I will hear something by March. I will give any updates as they come along.
 
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