Success and Failure. Need help with migraines and back pain.

chronicLBP

Well-Known Member
PEB Forum Veteran
Registered Member
Good and bad news...



The wonderful news is that someone at the DAV just let me know my claim is currently rated at 80%!! I am very happy and shocked to see that. The total claim is still not finalized, so some are still pending, but the finalized ones are Mental Health for 70%, Sleep Apnea for 30%, Right Knee Meniscal tear and Tinnitus/Hearing loss 10%. IBS, Hemorrhoids, ED, and Migraines all four rated at 0%.



The migraine rating at 0%, as well as my back pain claim being flat out denied, is the bad news. First off, I am quite shocked about my migraine rating. My symptoms clearly line up at 50% -- I get multiple migraines a month that are completely debilitating and prostrating (which I made sure to say at my C&P exam. Which the examiner then marked down that I have very unfrequent, non-prostrating migraines.) They caused me to miss work a LOT. Whether that be hiding in dark and quiet room for the rest of day, driving home if I could stand it, not coming in at all or going to the ER/Urgent Care. Someone clearly missed something.



Also quite upset about the back pain claim. I clearly made a mistake when I was a brand new airman; being scared of getting in trouble for saying I am brand new airman with back pain -- I feared trouble and questioning for saying my back hurts immediately after joining, I said I sometimes had a little back pain before service. However, now, my back hurts every single day with a night and day difference of debilitation and a limit to my activity level (from working out, lifting weights, running, hiking, camping, and going out socially; to now I am literally unable to workout or be active.)



Obviously, as things are still pending and are not FINAL FINAL, things could still change, but I do want to get out ahead of things because I need to fight this as I am completely unable to work -- I cannot even leave my house most days.



I live in the Saint Louis area if anyone has any recommendations. Any and all help is appreciated, and please ask questions if I missed anything or if I may provide more insight, etc. The person at the DAV suggested I get a private doctor's opinion about my back, and to start logging my migraines (again).



Thank you all for your time to read this and your help if you choose to comment.
 
Good and bad news...



The wonderful news is that someone at the DAV just let me know my claim is currently rated at 80%!! I am very happy and shocked to see that. The total claim is still not finalized, so some are still pending, but the finalized ones are Mental Health for 70%, Sleep Apnea for 30%, Right Knee Meniscal tear and Tinnitus/Hearing loss 10%. IBS, Hemorrhoids, ED, and Migraines all four rated at 0%.



The migraine rating at 0%, as well as my back pain claim being flat out denied, is the bad news. First off, I am quite shocked about my migraine rating. My symptoms clearly line up at 50% -- I get multiple migraines a month that are completely debilitating and prostrating (which I made sure to say at my C&P exam. Which the examiner then marked down that I have very unfrequent, non-prostrating migraines.) They caused me to miss work a LOT. Whether that be hiding in dark and quiet room for the rest of day, driving home if I could stand it, not coming in at all or going to the ER/Urgent Care. Someone clearly missed something.



Also quite upset about the back pain claim. I clearly made a mistake when I was a brand new airman; being scared of getting in trouble for saying I am brand new airman with back pain -- I feared trouble and questioning for saying my back hurts immediately after joining, I said I sometimes had a little back pain before service. However, now, my back hurts every single day with a night and day difference of debilitation and a limit to my activity level (from working out, lifting weights, running, hiking, camping, and going out socially; to now I am literally unable to workout or be active.)



Obviously, as things are still pending and are not FINAL FINAL, things could still change, but I do want to get out ahead of things because I need to fight this as I am completely unable to work -- I cannot even leave my house most days.



I live in the Saint Louis area if anyone has any recommendations. Any and all help is appreciated, and please ask questions if I missed anything or if I may provide more insight, etc. The person at the DAV suggested I get a private doctor's opinion about my back, and to start logging my migraines (again).



Thank you all for your time to read this and your help if you choose to comment.

I thought sleep apnea should be 50% ? Do you have a cpap machine?
 
I thought sleep apnea should be 50% ? Do you have a cpap machine?
I do not have a CPAP. My sleep apnea is diagnosed as "mild" sleep apnea and I was prescribed some type of mouthpiece as opposed to the full-blown CPAP. Thanks for asking that, as I may try to see about getting another sleep study done; when I had mine, I unfortunately slept better than normal so they weren't able to see how I normally sleep.
 
Is editing the original post not allowed?

Edit for OP: TLDR: migraines rated at 0% despite symptoms and evidence aligning to 50% -- symptoms are completely prostrating and high frequency; evidence included medication history, neurology appointments and history, ER/urgent care notes, MANY buddy statements as well as a personal statement. Back pain straight out denied despite several years worth of physical therapy, chiro, and pain management records (including 4-5 procedures) with no improvement.
 
You can appeal the decision via E-benefits. I recommend you attach highlighted documents that support a higher percentage.
 
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