One of the most common reasons for a doctor's office visit is knee pain or injuries from osteoarthritis. However, the physician indicated that he had not reviewed the Veteran's service treatment records. A nexus letter can be a good part of your claim if it is written correctly. This may include medical records from while you were in-service. at 248. Feb 01, 2011 · Proven Tips #2: Evidence, Nexus Letters and VSO's. While a veteran or other non-medical witnesses can say what seems obvious (i. 2%) males and 70(77. Almost every Veteran can relate to a scenario like the following: “Hey Doc, my back hurts” or “Hey Doc, I have this pain in my knee. A decrease in the reflexes at the ankle or knee. 21-0960M-11 Osteomyelitis. 21-0960M-12 Shoulder and Arm Conditions. Oct 20, 2017 · Knee pain with no obvious x-ray or physical exam findings should bring up a red flag to automatically check the hip. Chronic Pain; In an 8-hour work day, Ms. Variances in bowel and bladder function. List the symptoms, not the diagnosis (back pain with numbness down the legs, for example). I had a limp, limited use and pain in the right knee from 1986 until 2016. All of that worked! Another common reason a doctor's nexus letter would be rejected by the VA would be if the doctor when describing the nexus between the current disability and the in-service injury, disease or incident does not use the "proper" language recognized by the VA. Check out our Hip and Thigh Conditions Ratings page for the exact codes and ratings. Most of the time, this will be your treating physician, a specialist (like an oncologist), or a psychologist or psychiatrist; someone who has expertise in your condition or type of injury. Sciatica. 38 CFR 3. This is why many veterans flounder for years in the VA system with no relief or success. A nexus letter can be submitted with an initial application, during claim development, or after an adverse C&P exam. Shields About An IMO, DBQs . Make sure your doctor has all records necessary to build your case. at 247-52), a February The Fundamentals of Service Connection Obtaining Disability Compensation for Disabled Veterans. · Patellar tendonitis: Inflammation of the tendon connecting the kneecap (patella) to the shin bone. Are knee pain and injuries from your active military service making daily living difficult? You may be eligible to receive a monthly veterans disability check if your team at Woods and Woods can prove that it is a service-connected disability. ” Then the response is, “Here. Sep 19, 2018 · To be rated the condition only needs to be caused or aggravated by an already service connected condition even if that service connected condition is rated at 0%. R. Dec 18, 2019 · What is a Nexus Letter? A Nexus Letter is an evidence-based document prepared by a competent and credible medical professional that helps to establish a “connection” between the veteran’s current disability and their active duty military service. Knee keeps jarring back, knee, ankle & foot very painful, swollen & foot very cold, do have old meniscus & acl injury, recent pain for unknown reason? 1 doctor answer • 2 doctors weighed in 90,000 U. sufficient to prove nexus to VA. Dec 11, 2019 · Plantar fasciitis (PLAN-tur fas-e-I-tis) is one of the most common causes of heel pain. For our example above, the expert would need to explain why the spinal injury caused obesity as opposed to obesity simply stemming from a poor diet or other causes. In most cases, knee pain is accompanied by swelling, redness and warmth around the knee joint, making movement difficult. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. e. Hooper may: stand less than two hours, sit less than four hours, require the ability to change position at will, require frequent breaks to rest, occasionally lift less than 10 pounds, avoid lifting more than 10 pounds, frequently be off-task due to difficulty concentrating, be capable of low work stress May 24, 2019 · The nexus between your primary condition and your secondary condition must be clearly established in order to be granted secondary service connection. In order to “prove” this, however, the veteran needs their physician to write a NEXUS letter detailing this connection. Jun 14, 2019 · A buddy letter is a statement in support of a VA Disability Claim, written by someone 18 years of age or older, who has direct, first-hand knowledge of an event or injury, and offers an account of what they witnessed in support of a veteran's claim. • A service member injures her knee while pl i f tb ll b ft l laying football on base after normal working hours. 7%) females, and 80(47%) in the control group having 18(22. Favoring one side will cause poor posture and thus unusual strain on joints, muscles and tendons. The ordering individual will review and approve the draft. You should support a direct service-connected condition and a secondary condition with medical documentation. Medical Evidence to Prove Sleep Apnea VA Disability Is Linked to Another Service Connected Disability. health. at 16. This overcompensation can cause problems with the veteran’s good right knee and other joints. The VA uses the rules of the VASRD to rate thigh conditions based on pain, damage to the bones or muscles, and how it affects the hip and knee joints, etc. • A service member injures his knee during an IED blast in Iraq. He has chronic lower back pain, chronic neck pain, chronic pain in both shoulders, sleep difficulties, anxiety and migraine headaches. It could be argued that, through the effects of the knee injury on gait, the hip arthritis is exacerbated to a level beyond what would have been had there not been a service-connected knee injury. Generally, according to the law, three elements are necessary and therefore required to obtain a favorable A VA physician offered a nexus opinion between the Veteran's left knee disability and service in a letter dated December 4, 2002. Some of these records you may already have. of the Spine, Hip Pain or Weakness, Shoulder Pain or Weakness. At some point you have seen this phrase in a VA Ratings Decision or the decision of a BVA Judge: “Your obesity is not an injury or disease for VA purposes”. Talk With Dr. We provide comprehensive, winning nexus letters! Knee pain Elbow pain Neck conditions Hip impairments. How do I prove this "nexus"? Nexus is defined as "the means of connection between things linked in series. 310(b) provides that… Visit this page So for a knee, you would list what you experience. VA doctors will prescribe medications and discuss with veterans their side effects, but most veterans are unaware that they may be entitled to compensation for these side effects. 5%) females. QUESTION 4 OF 4::PLEASE COMPLETE SECTION FOUR AND THE EVIDENCE REVIEW IN THE MEDICAL OPINION DBQ AND STATE WHETHER THE VETERAN’S SKIN CONDITIONS ON THE FEET, IF FOUND, WAS AT LEAST AS at 471-72. For example, it may be that your condition is a secondary service-connected disability. " The task you face now is to seek an expert physician who will review your complete medical records and write a letter stating that it it his or her opinion that your injury (condition) today is related to the NEXUS letter is simply a letter from a qualified specialist that medically establishes a link between two conditions. I’ve given up skydiving, skiing, basketball, and (regrettably) taekwondo. May 01, 2019 · Letter seven: Follow up to letter six; Letter eight: Bipolar, back pain, hernia, asthma; Letter nine: Psychiatric; Letter ten: Psychiatric; More Options The Social Security Blue Book. VDA provides comprehensive nexus letters based on a one on one evaluation with the veteran. I already get compensation for bladder cancer for Camp Lejeune Water issue, now that it is added to Agent Orange does it mean that the VA should pay me the difference between Camp Lejeune and 1992 when I retired from the Marine Corps or do I have to re-apply for it for Agent Orange, or will the VA look at at current cases already receiving bladder cancer compensation. · Sep 04, 2019 · So for a knee you would list what you experience. " R. If there is not enough evidence to clearly connect the two conditions, service-connection may be denied. The doctor can potentially tie a knee problem to a service-connected hip condition only if the knee problem has a diagnosis. Any pain in the affected knee can cause an individual to favor the less painful side, further exacerbating the poor biomechanics and leading to more pain. After it is approved, it will be signed by the Medical Expert(s). Sometimes the knee is stuck in midrange for days at a time. Jun 12, 2019 · This nexus letter must also state the expert’s well-explained reasoning as to why the service-connected is the cause of the other new claimed conditions. Weight issues, muscle imbalances and posture problems can all cause or worsen knee pain. Aug 28, 2020 · The VA will rate knee pain and conditions under many different diagnostic codes, depending on the specific problem, or problems, caused by a knee condition. • A service member injures her knee while navigating an obstacle course during mandatory physical training. More than 30 million Americans have osteoarthritis, the most common kind of arthritis. However, most VA doctors will try to prove your claim should not be service connected. For example, if a Veteran is service-connected for a right knee problem and this produces a limp when he walks, then over time, the altered gate may cause his low back to be affected, and may put extra stress on the left knee causing him to develop an arthritic condition in the left knee. Read our guide to Nexus Letters here: https://www. Jan 27, 2015 · Knee pain around the kneecap results. For more than 20 years, Stone Mountain, Ga. The Nexus Letter is made available in digital format for submission to the VA. Continuous or sporadic pain in the back. It must be clear that the condition is unlikely to have developed without the original Because there is plentiful medical studies to show that injuries in a limb can cause wear and tear on the joints in that limb, it is medically logical that the arthritis was caused by the broken bone. My lung capacity is down to 70% but (frighteningly) that’s considered “normal for a man of my age”. Successful claims are most often represented by law firms who have access to the right experts to help your claim. , resident Lamar Johnson sought back pay for the post-traumatic stress disorder suffered while serving in the Marine Corps during the Vietnam War. A torn meniscus usually produces well-localized pain in the knee. Nexus Letters. For example, have a primary care podiatrist write the letter for injuries with your knees/feet, etc. If so, the rating you receive for this will impact Sep 15, 2016 · This is particularly true in a VA C&P Exam to rate a knee injury: the doctor must consider so many things (range of motion, instability, functional loss, pain, flareups, and more) that knowing what the doctor did and did not ask you to do during a VA C&P exam can be critical to challenging it later. The Board found that the evidence failed to establish any continuity of symptomatology in his right knee after service, and the lengthy gap between his service and the first evidence of a right knee disorder in 1993 is "a factor against a finding that the disability was incurred 4 Jun 11, 2019 · My knee pain is reduced with exercise (surfing, walking, squats, lunges) and ibuprofen. I have been a student since and when my symptoms are bad my grades show it. For example, if you are serviced-connected for flat feet and it eventually wears on your ankles and causes ankle pain then you can claim ankle pain secondary to the flat feet. Facebook helped a little due to being connected with several of my old shipmates there that provided lay letters for me. Here’s an advanced method you don’t have to use. See full list on hillandponton. I can only move my knee so far. This doctor that wrote this letter for you never specifically stated that "in his medical opinion" your secondary conditions were in fact related to your already service connected conditions. A causes B. Now that you know you need personnel and medical records, the next question is how to get them. so this is what I sent to my doc at the VA for the Nexus letterDo you think this is suffecient? You can have a doctor who specializes in your area of injury perform the NEXUS letter. I can only move me knee so far. Medical evidence is the key to finding success in a VA claim. Weakened muscles in the legs. , there were no breathing problems during sleep before the broken nose, so it is obviously related), that is not. His claims relating to bilateral pes planus, bilateral plantar fasciitis, and a bilateral knee disorder were denied in a September 2005 regional office (RO) rating decision (R. Climbing up and down steps causes pain. So I submitted a request to re-open my sleep apnea claim due to new evidence that included lay letters, articles, and a NEXUS letter. I have a page on my web site that instructs you on how the letter must appear and what it has to say. Things such as follows: My symptoms are sharp pains when I bend my knee (on a 1 to 10 it’s a 7). Jan 26, 2011 · Anxiety, moderate depression and knee pain. Results: Of the 170 patients, 90(53%) were in the case group having 20(22. Additionally, lay evidence, such as statements, letters, and photographs can be helpful but are generally not as strong as personnel or medical records. Depression Various forms of cancer Diabetes Blood disorders Nexus letter is required, it is advisable to seek the overwhelming number of three individual and concurring Nexus letters if possible. May 18, 2017 · As stated earlier, a nexus letter should be written by an expert. A claim for a Veterans Benefits Administration (VBA) disability compensation award must be based on irrefutable evidence. It is an inflammation of the area just below the knee where the tendon from the kneecap (patellar tendon) attaches to the shinbone (tibia). While magnetic resonance imaging (MRI) is widely used by doctors to diagnose problems like torn knee ligaments and cartilage, a study in the September 2016 issue of the Journal of the American Academy of Orthopaedic Surgeons found that a simple x-ray may be a better diagnostic tool as it So you filed a VA Obesity claim. This occurs mostly in athletes from repeated jumping. A claimant is not required to submit a nexus letter, but such a letter can make the difference between an award and a denial. . His opinion was based upon the Veteran's report that he was initially injured while serving in the Marine Corps in 1974. The nexus letter is the key to overturning the denial. It is perhaps the ultimate exercise catch-22: it's hard to move with knee osteoarthritis, but moving helps relieve osteoarthritis knee pain. Soldier's Medical history including his service medical records from July 2009 to May 2013 and his ratings decision C-file and C&P final repoert for service connection for degenerative Nexus letters can be essential to a veteran's VA benefits claim. Veteran Spine Pain, Weakness, Stiffness, Neck or Cervical Pain, Fibromyalgia, Intervertebral Disk Syndrome, Decreased Range of Motion, Degenerative Arthritis . " An Independent Medical Opinion (IMO) is the key to winning your appeal and showing how your injury or illness is linked to your service, though you also have the option of a "nexus letter" if you can't afford an IMO. Mar 05, 2015 · On March 9, 2012, the veteran was seen for a severe case of allergic rhinitis, sinus pain, cough, congestion, and nasal drainage. It is critical that the right doctor who knows how to address all aspects of your claim and knows what the VA requires is in your Nexus Letter. THE NEXUS LETTER: Nexus Letter and how to make it work for you. Pain. for bilateral knee pain and diagnosis of osgood-schlatter's disease. A nexus letter can help tie the two conditions together. S. 21-0960M-10 Muscle Injuries. He initially applied for benefits for foot and knee conditions in February 2005. A nexus letter How Foot Pain Impacts Your Overall Compensation. my gait was off and I walked with a limp that time. From there, it is easy to see where each degree listed in the diagnostic code lies. A doctor or medical professional should measure the extension in a C&P examination and express the extension in degrees for rating purposes. . For example, a DD-214 form is a basic piece of Apr 26, 2020 · Inherently, the unit medical professional might have offered a generic assessment of the pain and issued an anti-inflammatory such as Motrin (Ibuprofen). Your VA disability rating for foot pain from pes planus or plantar fasciitis can affect your overall disability rating and compensation in a number of ways. Now, if you believe you have something I posted a few things and got a lot of great advice. Aug 14, 2017 · Arthritis is often originally caused by poor walking biomechanics. The coincidence of knee pain and lumbar disorders were assessed and compared between the two groups SPSS 15 was used for statistical analysis. Osgood-Schlatter Disease (Knee Pain) Osgood-Schlatter disease is a common cause of knee pain in growing adolescents. It is well known and taught in medical schools, that the same nerve-the obturator nerve-innervates both joints. Numbness in the foot and/or the leg. Therefore, an elderly patient commonly can present to an emergency room complaining of knee pain after a fall. Bursitis often occurs from overuse or injury. Many veterans are taking medications to treat their service connected PTSD or manage the pain for their back, ankle, and knee conditions. For example, there are ratings available for instability of the knee, limitation of extension, knee replacements, etc. A letter that includes information from the Social Security blue book can be an enormous help. This pain may worsen with movement, sneezing, coughing or standing for an extended period of time. or a Nexus Letter For Your Claim or Appeal A Nexus Letter written by Valor 4 Vet will follow the veteran through the claim. I injured my right knee in Basic Training in 1986 and had my 1st surgery on the knee in 1991. I personally reveiwed Mr. At times my knee gives out and I have fallen. Sleep apnea is a big issue as we age. I have been on medication since 2012 (after my deployment OEF). While osteoarthritis can affect the hips, lower back, neck, and fingers, it occurs most often in the knees. com Nexus Letters are one of the most important parts of a claim for VA benefits. Nexus is defined as "the means of connection between things linked in series. For example, if a veteran has a service-connected knee condition that causes them to favor one side when walking, they might develop an altered gait. Sometimes the patient can "unlock" the knee by bending and twisting it before trying to straighten it. [EXHIBIT 6] The veteran’s military service separation physical on April 5, 2012, shows that he again complained of problems with breathing and allergies, “had septoplasty but c/o recurrent sinus pain and Feb 16, 2016 · The examiner may then make the medical nexus that it is as likely as not that the veteran has low back pain with degenerative changes secondary to the left leg/ankle condition. Jun 21, 2019 · As the chart above shows, extending the knee straight out, parallel to the ground, is a 0 degree extension. For the period October 2004 through September 2006, approximately 41,000 claims were granted service connection based on aggravation of a nonservice Sep 04, 2019 · Importantly, you must provide a medical nexus in support of the causal relationship between your knee and foot conditions. 1 Feb 2011. If the claim leaves any doubt in the mind of the ratings specialist who makes that award decision, you may be denied. Your claim should explain that you have never stopped having symptoms, and so your disability is connected to your Overusing the knee can further increase the risk of injury, especially when playing sports or doing high-impact exercises. That is now different with VDA. 21-0960M-9 Knee and Lower Leg Conditions. Effects on Joints Your doctor’s statement, also called a nexus statement or nexus letter, bridges the gap and establishes the continuation of symptoms from your time of service, to your current diagnosis of sleep apnea, and now to your claim. Doctors that write nexus letters can be hard to find. Plantar fasciitis commonly causes stabbing pain that usually occurs with your first steps in the morning. The pain often is worse during twisting or squatting motions. It involves inflammation of a thick band of tissue that runs across the bottom of your foot and connects your heel bone to your toes (plantar fascia). My doctor says I have arthritis and when it is cold my knee aches. I can run if I must, but no triathlons or even 5Ks for me. The Nexus letter may require a lot of effort on the part of the veteran, but the return is indispensable. nexus. com/va-disability-benefits-nexus-letter/ Veteran’s attorney Zack Evans describes why a missing Knee Pain Veterans Disability Benefits Details. The expert should review all of your related medical records, including service medical records, before drafting a nexus letter. Similarly, if you have a service-connected foot condition that causes or aggravates another condition, then that disability can be service-connected as well. 5%) males and 62(77. In this scenario, compensation may be warranted for both the right knee, left knee and any other affected joints. May 06, 2011 · He was then under the scrutiny of the DEA, and what ever agencies that work with the DEA, so his knee jerk reaction a was to lower everybody's dosages, no matter what the chronic pain condition was, so I was kind of back to square one, looking for quality care, not just someone who writes like a robot. A "nexus letter" is a document prepared for a claimant by a medical professional that explicitly connects an in-service event to the current medical condition for which a claimant is seeking compensation. Apr 29, 2012 · If your doctor will write a nexus letter that clearly states that there is a relationship of the 2nd knee to the rated knee, that may be all you need to establish service connection. Words that are quite common in a medical opinion letters are "most likely Nov 27, 2019 · A nexus letter for a secondary condition is an evidence-based document prepared by a qualified medical professional, such as a PA-C or an MD, that helps to establish a connection between the current primary disability and the claimed secondary condition. Jul 16, 2016 · After leaving active duty, sometimes several years after, they attempted to file a claim with the VA for service-connected disabilities such as knee, hip, feet or spine injuries and are denied For example, a veteran with a left knee problem may overcompensate with their right knee to take pressure and pain off their left knee. woodslawyers. *Valor 4 Vet does not send the report to the VA. Without competent medical evidence your claim will fail. · Knee bursitis: Pain, swelling, and warmth in any of the bursae of the knee. Note, the diagnosis can come from any medical professional. This means that if our Medical Expert has written a Nexus Letter and for some reason the veteran is denied due to a lack of medical merit, we will modify the Nexus Letter to re-emphasize the medical link and relationship to service for a small fee. com/va-disability-benefits-nexus-letter/ Veteran’s attorney Zack Evans describes why a missing A "nexus letter" is a document prepared for a claimant by a medical professional that explicitly connects an in-service event to the current medical condition for which a claimant is seeking compensation.