09-22 963
09-22 963
| Board of Vet. App. | Oct 31, 2017Background
- Veteran served 1976–1988; service connection for degenerative disc disease (DDD) with degenerative joint disease (DJD) of the lumbar spine was granted with an initial 10% rating effective October 4, 2004, and an increased 20% effective June 1, 2009.
- Board previously awarded service connection effective November 3, 1988, and remanded twice for development of an increased-initial-rating claim.
- Multiple VA and private examinations (2003–2017) documented intermittent pain on motion, forward flexion measurements varying mostly between 60°–80°, occasional spasms/guarding but no consistent abnormal gait or spinal contour, and IVDS found only at the 2017 exam without incapacitating episodes requiring prescribed bed rest.
- Applicable rating criteria changed during the appeal (new IVDS rules effective 9/23/2002 and new spine rating formula effective 9/26/2003); Board applied the version(s) most favorable for each period.
- Board found competent medical exam evidence outweighed the Veteran’s lay reports and concluded no higher rating was supported by objective findings for any relevant period.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether entitlement to >10% rating prior to 6/1/2009 for lumbar DDD/DJD | Veteran contended symptoms/functional loss justify higher rating | VA relied on exam findings (flexion ≥70°, limited spasms/guarding) showing only 10% criteria met | Denied — evidence shows characteristic pain on motion but not greater functional loss |
| Whether entitlement to >20% rating on/after 6/1/2009 for lumbar DDD/DJD | Veteran argued progression/flare-ups warrant ≥40% or higher under new criteria | VA pointed to flexion typically ≥60°, no ankylosis, no incapacitating IVDS episodes | Denied — forward flexion no worse than 60° and no IVDS incapacitating episodes to justify >20% |
| Applicability of post-2002/2003 rating rules retroactively | Veteran sought benefit from revised rules where favorable | VA applied rule that revisions have stated effective dates and not retroactive; used most favorable version when applicable | Board applied appropriate rules by period and used the most favorable applicable criteria |
| Adequacy of VA development and reliance on exam evidence vs lay reports | Veteran and rep claimed further development or weight to lay testimony | VA asserted it satisfied VCAA and duty to assist; medical exams were competent and controlling | Board found VA complied with duties and gave greater weight to competent medical evidence |
Key Cases Cited
- AB v. Brown, 6 Vet. App. 35 (clarifies effect of partial grant and continued Board jurisdiction)
- Goodwin v. Peake, 22 Vet. App. 128 (limits §5103(a) notice requirements after service connection is established)
- Stegall v. West, 11 Vet. App. 268 (remand compliance standard)
- Fenderson v. West, 12 Vet. App. 119 (staging ratings; consider entire appeal period for initial rating disputes)
- DeLuca v. Brown, 8 Vet. App. 202 (requirement to consider functional loss from pain, weakness, fatigability)
- Burton v. Shinseki, 25 Vet. App. 1 (painful, unstable, or malaligned joints and minimum compensable ratings)
- Mitchell v. Shinseki, 25 Vet. App. 32 (pain constitutes functional loss only when it limits normal working movements)
- Kuzma v. Principi, 341 F.3d 1327 (apply most favorable regulation version when multiple are potentially applicable)
