09-17 958
09-17 958
| Board of Vet. App. | Jun 15, 2017Background
- Veteran served 1980–1980 and 1982–1991; service‑connected right foot chronic plantar fasciitis with calcaneal spur rated 10% since 1997 (temporary increases noted earlier).
- Claim for increased rating on appeal from August 2006 RO decision; NODs and SOCs filed; Board hearings and remands occurred; VA examinations in 2007, 2010, 2015 considered.
- Medical evidence shows intermittent but documented pain, tenderness, occasional swelling, flare‑ups, and radiographic calcaneal spur; several treatments (injections, ESWT, orthotics); periods of asymptomatic findings in records.
- VA exam August 19, 2015 documented extreme plantar tenderness, pain with weight‑bearing, interference with standing, lack of endurance, and flare‑ups impacting function.
- Board applied Diagnostic Code 5284 (other foot injuries by analogy) and staged ratings per Hart, finding the preponderance of evidence supports 10% before Aug 19, 2015 and 20% beginning Aug 19, 2015.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether rating >10% is warranted for period before Aug 19, 2015 | Veteran: pain, functional limitation, flare‑ups justify higher rating | VA: objective records show intermittent/asymptomatic periods and only moderate findings supporting 10% | Denied — preponderance shows moderate injury; 10% affirmed |
| Whether rating >20% is warranted from Aug 19, 2015 onward | Veteran: August 2015 symptoms (extreme tenderness, interference with standing) warrant >20% | VA: evidence still does not show severe residuals required for 30% | Granted 20% effective Aug 19, 2015; 30% denied |
| Whether extraschedular evaluation or TDIU referral is warranted | Veteran: collective impact and functional limits may justify extraschedular/TDIU | VA: schedule contemplates symptoms; no exceptional factors or unemployability shown | Denied — no extraschedular referral; no TDIU warranted |
Key Cases Cited
- DeLuca v. Brown, 8 Vet. App. 202 (1995) (higher rating may be based on greater limitation from pain on use)
- Hart v. Mansfield, 21 Vet. App. 505 (2007) (staged ratings appropriate when distinct time periods show different severity)
- Thun v. Peake, 22 Vet. App. 111 (2008) (three‑step extraschedular referral inquiry)
- Johnson v. McDonald, 762 F.3d 1362 (Fed. Cir. 2014) (consideration of extraschedular referral for collective impact of multiple disabilities)
- Yancy v. McDonald, 27 Vet. App. 484 (2016) (Board need only address extraschedular referral for collective impact when raised or reasonably raised)
- Rice v. Shinseki, 22 Vet. App. 447 (2009) (claim for higher evaluation may include claim for TDIU when evidence of unemployability is present)
- Layno v. Brown, 6 Vet. App. 465 (1994) (veteran competent to report symptoms)
- Gilbert v. Derwinski, 1 Vet. App. 49 (1990) (benefit‑of‑the‑doubt rule)
- Stegall v. West, 11 Vet. App. 268 (1998) (requirement that adjudicatory duty on remand be substantially complied with)
- Scott v. McDonald, 789 F.3d 1375 (Fed. Cir. 2015) (VCAA notice and procedural considerations)
