Bierman v. Brown

6 Vet. App. 125, 1994 U.S. Vet. App. LEXIS 1, 1994 WL 1104
CourtUnited States Court of Appeals for Veterans Claims
DecidedJanuary 4, 1994
DocketNo. 92-1444
StatusPublished
Cited by6 cases

This text of 6 Vet. App. 125 (Bierman v. Brown) is published on Counsel Stack Legal Research, covering United States Court of Appeals for Veterans Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bierman v. Brown, 6 Vet. App. 125, 1994 U.S. Vet. App. LEXIS 1, 1994 WL 1104 (Cal. 1994).

Opinion

FARLEY, Judge:

This is an appeal from a March 16, 1992, decision of the Board of Veterans’ Appeals (BVA or Board) which denied entitlement to a disability rating for neurological deficits of the right external popliteal nerve separate from and in addition to appellant’s current 60% rating under diagnostic code (DC) 5293 of VA’s rating schedule for intervertebral disk syndrome (IDS). For the reasons discussed below, the Court will vacate the BVA decision and remand the matter for readjudi-cation consistent with this opinion.

[126]*126I. FACTUAL BACKGROUND

Appellant served in the United States Army from October 1942 until his discharge in March 1944 due to a herniated disk between the fourth and fifth lumbar vertebrae which resulted in intractable low back pain and right sciatic radiation. (R. at 13, 30-31, 89-91, 100-01). The past VA adjudications relevant to our review may be summarized as follows:

• A VA regional office (RO) rating decision dated April 20, 1944, awarded appellant a 40% disability rating for service-connected “LIMITATION OF MOTION ANALOGY FOR RUPTURED INTERVERTEBRAL disc” under DC 1830 of VA’s then controlling 1933 rating schedule, effective the day after his separation from service. R. at 115.

• In January 1948, the RO, using the VA’s 1945 Schedule of Ratings, continued his 40% rating under DC 5292, for “limitation of motion, LUMBAR SPINE, SEVERE, RESIDUAL OF HERNIATED DISC, WITH HYPERTROPHIC ARTHRITIS, [right] sacro-iliac.” R. at 142.

• In May 1962, following the surgical excision of a herniated disk at the L4-L5 level, the RO reduced to 10% appellant’s service-connected rating for his back condition, again under DC 5292, effective July 1962. R. at 152.

• In November 1962, appellant submitted to the RO a statement from a private physician who indicated that appellant still had a noticeable back disability and that there was a definite possibility that a measurable degree of disability would continue after the normal one-year convalescent period for his disk surgery. R. at 155-56. Shortly thereafter, appellant submitted a December 1962 statement of a private neurologist who indicated that appellant had residuals of S-l radiculitis and that there might also be an underlying osteoarthritis of the lumbar spine. R. at 162. (Radiculitis is an “inflammation of the root of a spinal nerve, especially of that portion of the root which lies between the spinal cord and the intervertebral canal,” see Dorland’s Illustrated Medical Dictionary (Dorland’s) 1405 (27th ed. 1988); osteoarthritis is “noninflammatory degenerative joint disease occurring chiefly in older persons, characterized by degeneration of the articular cartilage, hypertrophy of bone at the margins, and changes in the synovial membrane.” Id. at 1197.) In a decision dated December 18, 1962, the RO restored appellant’s 40% rating based on the findings of the two private physicians, but the diagnostic code for the rating was changed from 5292 (limitation of motion, lumbar spine) to 5293 (IDS). R. at 166. (According to The Merck Manual (16th ed. 1992), the etiology of IDS may be described as follows:

Spinal vertebrae are separated by cartilaginous disks that consist of an outer annulus fibrosus and an inner nucleus pulposus. Degenerative changes (with or without trauma) result in protrusion or rupture of the nucleus through the annulus fibrosus in the lumbosacral or cervical area; the nucleus moves posterolaterally or posteri-orly into the extradural space. When the herniated nucleus compresses or irritates the nerve root, sciatica results. Posterior protrusion can compress the cord or cauda equina, especially in a patient with a developmentally narrow spinal canal (spinal stenosis).
In the lumbar area, [more than] 80% of disk ruptures affect L5-S-1 nerve roots. Severe L-5 radiculopathies cause foot drop with weakness of the anterior tibial, posterior tibial, and peroneal muscles and sensory loss over the shin and dorsal foot....

Id. at 1515.)

• Appellant underwent a VA special orthopedic examination in February 1965. The examiner noted, inter alia, that there was limitation of motion of the lumbar spine amounting to about 80% in all directions; that there was a partial foot drop on the right; that there seemed to be some weakness of the peroneal muscles, causing the foot to have the tendency to invert; that the right foot seemed to be insensitive to touching; and that the left leg was about one inch shorter than the right, resulting in a tilting of the pelvis and scoliosis. R. at 180. (Foot drop is defined as “a condition in which the foot hangs in a plantar-flexed position, due to lesion of the peroneal nerve.” Dorland’s at 648.)

[127]*127• During a February 1968 VA special neurological examination, appellant was diagnosed with residuals of a herniated disk at the L4-L5 level with marked weakness of the dorsal flexures of the foot, producing foot drop and hypesthesia of the foot and leg. R. at 192. A VA special orthopedic examination conducted on the same date revealed that appellant had low back pain with 90% limitation of motion of the lumbar spine in forward bending but only 50% in lateral bending, and muscle spasms and foot drop in the right leg. R. at 193. The examiner noted that in order to walk, appellant had to lift his right foot up to prevent dragging of his toes. Id. Based on the findings of the February 1968 examinations, in a rating decision dated March 20, 1968, appellant’s service-connected rating was increased from 40% to 60% under DC 5293 for “[post-opeRative] Residuals herniated INTERVERTEBRAL disc,” effective February 15, 1968. R. at 195. Appellant also was awarded special monthly compensation for loss of use of his right foot under 38 U.S.C.A. § 314(k) (now § 1114(k) (West 1991)). R. at 196.

• In January 1971, appellant underwent a VA special neurological examination. The examiner diagnosed appellant with residuals of a herniated disk L4-L5 level, with nearly complete paralysis of the dorsiflexors of the foot and with the muscles of eversion in the foot resulting in an inversion injury and with extensive anesthesia of the leg below the knee, unresponsive to pinprick, vibration, and position sense. R. at 202-03. The RO confirmed its previous rating decision in February 1971. R. at 206.

In March 1990, appellant’s service representative requested that appellant be awarded a separate 40% evaluation under DC 8521 (paralysis of the external popliteal nerve (common peroneal)), in addition to his 60% rating for IDS, in order to compensate him for the secondary neurological residuals of his IDS affecting his external popliteal nerve and resulting in his foot drop. R. at 259. The service representative annexed to the letter a copy of a BVA decision in another case in which such separate evaluations had been granted on the basis that the 60% rating for pronounced IDS encompassed some neurological pathology of the lower extremity but not the full level of impairment evident in that ease. R. at 260-64. In a rating decision dated April 1990, the RO denied appellant’s claim for an increased rating on the grounds that compensation for appellant’s right leg condition already was encompassed by the 60% rating under DC 5293. R. at 267. Appellant filed a Notice of Disagreement with the RO in September 1990, a Statement of the Case was timely issued, and appellant perfected an appeal to the BVA the following month. R. at 269-76.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

13-06 493
Board of Veterans' Appeals, 2016
06-06 732
Board of Veterans' Appeals, 2011
Dunn v. West
11 Vet. App. 462 (Veterans Claims, 1998)
Boutwell v. West
11 Vet. App. 387 (Veterans Claims, 1998)
DeLuca v. Brown
8 Vet. App. 202 (Veterans Claims, 1995)
Holland v. Brown
6 Vet. App. 443 (Veterans Claims, 1994)

Cite This Page — Counsel Stack

Bluebook (online)
6 Vet. App. 125, 1994 U.S. Vet. App. LEXIS 1, 1994 WL 1104, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bierman-v-brown-cavc-1994.