Need advice about FPEB

Scottydo

PEB Forum Regular Member
Registered Member
I received my ratings today which DOD rating is 20% for Cervicalgia and 80% from the VA. Question is that DOD only rated me for the Cervicalgia but the VA rated me 20% for Cervicalgia and 20% for Cervical Radiculopathy and carpal tunnel syndrome of the left upper extremity, upper/middle radicular groups and median nerve involvement(non dominant). I am wondering if it would do any good to request a FPEB?
 
I received my ratings today which DOD rating is 20% for Cervicalgia and 80% from the VA. Question is that DOD only rated me for the Cervicalgia but the VA rated me 20% for Cervicalgia and 20% for Cervical Radiculopathy and carpal tunnel syndrome of the left upper extremity, upper/middle radicular groups and median nerve involvement(non dominant). I am wondering if it would do any good to request a FPEB?
Welcome to the PEB Forum! :)

Well, what's your overall expectation from the DoD IDES MEB/PEB process at this point (e.g., a military disability retirement, a military disability separation with severance, or a "fit for duty" determination)?

As such, based upon your response to the aforementioned question should initially help assistance to guide you as to whether a FPEB hearing is most appropriate at this particular point in time; at least in my experienced-based opinion.

Of course, there needs to be available medical evidence and/or medical documentation to potentially support and validate whatever decision for a request of a FPEB hearing while in the DoD IDES process. Take care!

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!"

Best Wishes!
 
What could be lost? Look at your services' retention standards. Hold their feet to the fire for following their guidance, all of it!
 
@Scottydo, I too went through PEB for Cervicalgia and Cervical Radiculopathy. My findings came back in May, with 20% DoD as well and 100% VA. With my two referred conditions receiving 20% for the Cervicalgia and 30% for the Cervical Radiculopathy from the VA. I requested an FPEB May 20th to request that the DoD separate my conditions, as they were initially sent up separately by my Neurosurgeon. I've pretty much gotten an overwhelming response from those that I've asked that I should definitely go through with the FPEB. Let me know if you have any questions for me and take every last day to make your mind up.
 
@Scottydo, I too went through PEB for Cervicalgia and Cervical Radiculopathy. My findings came back in May, with 20% DoD as well and 100% VA. With my two referred conditions receiving 20% for the Cervicalgia and 30% for the Cervical Radiculopathy from the VA. I requested an FPEB May 20th to request that the DoD separate my conditions, as they were initially sent up separately by my Neurosurgeon. I've pretty much gotten an overwhelming response from those that I've asked that I should definitely go through with the FPEB. Let me know if you have any questions for me and take every last day to make your mind up.
Definitely appreciate the information, I just requested my formal board this morning as well so now just have to wait for them to call me back. Like yourself I feel they should have rated both issues separate and I don't even think that the DOD looked at my Radiculopathy at all as all it had on my rating was for the cervical fusion. I am just gathering as much medical evidence to present at the FPEB by continuing to go to appointments and requesting all medical documentation so that I have everything I need to make my case solid.
 
Welcome to the PEB Forum! :)

Well, what's your overall expectation from the DoD IDES MEB/PEB process at this point (e.g., a military disability retirement, a military disability separation with severance, or a "fit for duty" determination)?

As such, based upon your response to the aforementioned question should initially help assistance to guide you as to whether a FPEB hearing is most appropriate at this particular point in time; at least in my experienced-based opinion.

Of course, there needs to be available medical evidence and/or medical documentation to potentially support and validate whatever decision for a request of a FPEB hearing while in the DoD IDES process. Take care!

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!"

Best Wishes!
I have no issue with the findings of unfit as I am an engineer with the navy and with the issues that I have had since I first had my first neck surgery it has become impossible to do my job on a day to day basis. I do feel that I should be medically retired and not medically separated since I have to now completely change careers and I will have to deal with the nerve damage and receive treatment for it for the rest of my life. I actually listened to the disability attorney and went ahead and requested a FPEB this morning so now I will wait to hear when I will be heard. Thank you for the response as any advice with this process is greatly appreciated.
 
@Scottydo, Nice! Same exact situation as me. I've had 3 cervical spine surgeries, with two fusions and an artificial disc replacement from my C4-C7. So it sounds like we are extremely similar in conditions. I'm also not contesting the unfit finding, I too would like to be medically retired because of possibly needing life long medical attention for my conditions. I requested my FPEB on May 20th and just got a call today that my formal hearing will be August 25th, so brace yourself for the long haul since you're Navy too. I too am an a physically demanding rate that I can no longer perform my duties in, so life for me will have to change drastically career wise. Ttys.
 
I have no issue with the findings of unfit as I am an engineer with the navy and with the issues that I have had since I first had my first neck surgery it has become impossible to do my job on a day to day basis. I do feel that I should be medically retired and not medically separated since I have to now completely change careers and I will have to deal with the nerve damage and receive treatment for it for the rest of my life. I actually listened to the disability attorney and went ahead and requested a FPEB this morning so now I will wait to hear when I will be heard. Thank you for the response as any advice with this process is greatly appreciated.
Alright, indeed; good deal for sure and you are welcome! :)

As such, I hope for much success with your forthcoming FPEB hearing upon completion. Take care!

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer!"

Best Wishes!
 
@Scottydo, I am in a similar situation. The DoD rated me 20% for cervicalgia and 20% for trapezius strain and radiculopathy. My situation is they rated me as non-dominant when it's my dominant side that's affected and getting worse. I recently went through my FPEB. It made a difference to be there in person to show and demonstrate how much the conditions have affected me. I had two additional unfitting conditions added as well. I'm just waiting for the results of it. As anyone else would say, start gathering your evidence. The more the better. I had added a large amount of new evidence since my IPEB. Please message me if you have questions.
 
@Scottydo, Nice! Same exact situation as me. I've had 3 cervical spine surgeries, with two fusions and an artificial disc replacement from my C4-C7. So it sounds like we are extremely similar in conditions. I'm also not contesting the unfit finding, I too would like to be medically retired because of possibly needing life long medical attention for my conditions. I requested my FPEB on May 20th and just got a call today that my formal hearing will be August 25th, so brace yourself for the long haul since you're Navy too. I too am an a physically demanding rate that I can no longer perform my duties in, so life for me will have to change drastically career wise. Ttys.
Yes we have had very similar situations, I had 2 cervical spine surgeries with 2 fusions and 2 artificial disc replacement from C2-C7 the last of which they put a titanium rod and 5 screws to ensure my spine stayed straight and reduce the risk of further injury. Since that time when I was cleared back to active duty and returned to a ship in 2013, I injured my neck 3 separate times and after finally receiving an MRI after constant complaints of numbness in my left arm and hand now have moderate to severe stenosis. They wanted to go back in and burn the nerves which I refuse to have done after learning it is not a permanent cure and you have to constantly go back every 1-3 years after the nerves grow back, which I feel isn't worth it. Because of my degenerative disc disease in both my neck and lower back I also now am about to have nerve block therapy on my lower back and am asking for something like Lyrica or Gabapentin to ease the pain and muscle spasms. Let me know how your hearing goes as well.
 
@Scottydo, I am in a similar situation. The DoD rated me 20% for cervicalgia and 20% for trapezius strain and radiculopathy. My situation is they rated me as non-dominant when it's my dominant side that's affected and getting worse. I recently went through my FPEB. It made a difference to be there in person to show and demonstrate how much the conditions have affected me. I had two additional unfitting conditions added as well. I'm just waiting for the results of it. As anyone else would say, start gathering your evidence. The more the better. I had added a large amount of new evidence since my IPEB. Please message me if you have questions.
I am continuing to add things as well before I go to my FPEB. When I started the process I had not started getting the treatments that I am getting now because I was on a ship and getting the proper care was almost impossible at that time. Currently I have an appointment to see about getting medication for my radiculopathy as I do not want to have a third procedure on my neck at this point and the procedure of burning the nerves is not a permanent fix anyways so I would rather take medication that may ease my symptoms instead. I also am now taking medication for the headaches (Fiorcet) that I have suffered from since the two surgeries on my neck since they have become almost a daily occurance at this point and tylenol or excedrin really do nothing for me anymore. I also am not planning to take any of my medication when I go before the board so that they can see how it affects me without having treatment. At this point I really just want what is fair and I believe that 30% from DOD so that I can have medical retirement and keep my Tri-Care benefits is not too much to ask considering how this will affect me and I will need to continue medication and treatment for the rest of my life. Thank you for the information and it just reaffirms to me that I have proceeded in the right direction.
 
@Scottydo, I am in a similar situation. The DoD rated me 20% for cervicalgia and 20% for trapezius strain and radiculopathy. My situation is they rated me as non-dominant when it's my dominant side that's affected and getting worse. I recently went through my FPEB. It made a difference to be there in person to show and demonstrate how much the conditions have affected me. I had two additional unfitting conditions added as well. I'm just waiting for the results of it. As anyone else would say, start gathering your evidence. The more the better. I had added a large amount of new evidence since my IPEB. Please message me if you have questions.
By the way what was your overall rating from DOD since they rated 2 separate issues at 20%
 
@Scottydo I tried to PM you my #, but I keep getting errors. But I am on my phone. Can you message me?
 
They rated me at 20% and grouped the issues as one.
 
Be aware of 10 USC 1222a. It requires PEB to address your concerns and questions in an orderly and itemized fashion. In your appeal, list your questions and concerns and specifically cite 10 USC 1222a requesting these questions and concerns be addressed. Your first question should be why they rated you differently than the VA for the unfitting conditions.

Mike
 
Be aware of 10 USC 1222a. It requires PEB to address your concerns and questions in an orderly and itemized fashion. In your appeal, list your questions and concerns and specifically cite 10 USC 1222a requesting these questions and concerns be addressed. Your first question should be why they rated you differently than the VA for the unfitting conditions.

Mike
Thank you for the information I will make sure I list that as a question for when I go to the board.
 
@Scottydo. My overall rating was 20%, I got 90% from the VA. In one of your previous messages you talked about getting the nerve burning. I had the RFA done on C2-C6 on the left side of my neck in March. I have not had a lot of benefit from this procedure. Its given me a little more control over large flare ups of pain, but my range of motion is still quite limited. Feel free to PM me if you have more questions. It's been 2 weeks since I had my FPEB, and now I'm just waiting for the results.
 
@Scottydo I tried to PM you my #, but I keep getting errors. But I am on my phone. Can you message me?
@Scottydo. My overall rating was 20%, I got 90% from the VA. In one of your previous messages you talked about getting the nerve burning. I had the RFA done on C2-C6 on the left side of my neck in March. I have not had a lot of benefit from this procedure. Its given me a little more control over large flare ups of pain, but my range of motion is still quite limited. Feel free to PM me if you have more questions. It's been 2 weeks since I had my FPEB, and now I'm just waiting for the results.
That is what I was afraid of as well with the burning of the nerves is that most people I have spoken with said they really didn't get much relief from the procedure. I am talking with my doctor on the 14th about trying Lyrica or Gabapentin since I have heard that those do help with the nerve damage and muscle spasms. Also curious if you experience the same pressure headaches that I get on almost a daily basis since the last surgery. I will be very interested in learning what your results are when you get them back.
 
They have me on Gabapentin, the 600mg pill, 3x per day. I would be careful about the Lyrica. They put me on Lyrica, and I had some significant side effects. I gained over 10lbs in less than 2 weeks with that medication and caused significant swelling in my legs with being foggy headed and nauseous constantly. Needless to say, they switched me back to the Gabapentin. I do get bad pressure headaches everyday from the headaches have. They also have me get botox injections every 3 months for my headaches/migraines, however when you get a nasty pressure headache/migraine those injections only go so far. I will definitely let you know about my results when they come in.
 
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