They call it Polyneuropathy. Could it be based upon multiple level nerve compressions as opposed to a single level? So no pyramiding because the sciatic is off l4-l5 l5-s1 and femoral off l2-l3 l3-l4?
Found in M21-1 Unlike the upper extremities, separate evaluations of the lower extremities may be assigned for symptoms that are separate and distinct, do not overlap, and are attributed to different lower extremity nerves. This means that separate evaluations are warranted when symptoms arise from any of the five nerve branches listed in the table in M21-1, Part III, Subpart iv, 4.N.4.e. If symptoms arise from within the same nerve branch of any of the five individual nerve branches in the lower extremity, assigning separate evaluations for those symptoms are not warranted as this would constitute pyramiding.
What about Depression caused by Chronic Pain from Herniated Disc at L5 S1 of lower back. Filing a claim for Somatic Disorders Symptoms secondary to Chronic Pain from Herniated Disc at L5,S1 be pyramiding?? Why? Why not?
I am not trying to call out a wrong, just possibly show a potentially better outcome based on diagnosis, specifically with the femoral nerve and sciatic nerve scenario. In my case, my sciatic nerve is the cause of my lower leg neuropathy/radiculopathy, but my femoral nerve is the cause of the topical numbness in my thighs, and both were rated separately based on being able to differentiate the causes. It may be that someone let this go on accident, but it is how they accepted it in my case.
If one is rated for CFS, can one also be rated for Migraines separately? Or is that considered pyramiding? And thanks for your always informative videos.
I'm rated at 50% disability for PTSD...I have planned for my suicide and was placed on a 72-hour hold...Is this grounds for an increase to a 70% rating?
We are sorry, we understand that the subject of "Pyramiding" can be confusing. I have linked more information from our written blog here www.hillandponton.com/the-vas-rule-against-pyramiding/
@@HillAndPonton no, I was making a joke. Because you gave so many examples. The video was perfect. I've actually watched all your videos as I am starting the med board process you have given me so much help. Thank you so much for everything
They seperate ratings. However the VA can only give you one rating or it is considered pyramiding. They will give you the higher rating of the two though.
I am already 100% unemployablity.... but I've been dealing with G6PD so I'm constantly anemic and have to receive iron through IV for three months of the year. I have PTSD and I wanted to know more about types wassistance I can ask for.
Starting the initial steps of my appeal from my original claim decision...thank you for this
We are glad you found this helpful and we wish you the best!
Rachael does a very good job of making all this understandable .
Thank you...
Rachel was great , let's have her on more videos...
Thank you ladies! Sometimes the VA, for whatever reason, they do rate for both the sciatic and femoral nerve.
They call it Polyneuropathy. Could it be based upon multiple level nerve compressions as opposed to a single level? So no pyramiding because the sciatic is off l4-l5 l5-s1 and femoral off l2-l3 l3-l4?
Found in M21-1
Unlike the upper extremities, separate evaluations of the lower extremities may be assigned for symptoms that are separate and distinct, do not overlap, and are attributed to different lower extremity nerves. This means that separate evaluations are warranted when symptoms arise from any of the five nerve branches listed in the table in M21-1, Part III, Subpart iv, 4.N.4.e.
If symptoms arise from within the same nerve branch of any of the five individual nerve branches in the lower extremity, assigning separate evaluations for those symptoms are not warranted as this would constitute pyramiding.
I'm rated for sciatica and femoral nerve pain in my left leg.
What about Depression caused by Chronic Pain from Herniated Disc at L5 S1 of lower back.
Filing a claim for Somatic Disorders Symptoms secondary to Chronic Pain from Herniated Disc at L5,S1 be pyramiding??
Why?
Why not?
Thank you ladies for this informative video.
Sounds like a good way to get an “unmistakable error” letter later on.
I am not trying to call out a wrong, just possibly show a potentially better outcome based on diagnosis, specifically with the femoral nerve and sciatic nerve scenario. In my case, my sciatic nerve is the cause of my lower leg neuropathy/radiculopathy, but my femoral nerve is the cause of the topical numbness in my thighs, and both were rated separately based on being able to differentiate the causes. It may be that someone let this go on accident, but it is how they accepted it in my case.
My TDIU was app based on 80% combined SC. Can I add more claims under TDIU to Incrase my combine SC?
Why do Vets that served in Thailand have to jump through so many hoops when the VA knows that A.O. was used?
Great info...thanks ladies..
Thanks for watching!
Great information thank you.
If one is rated for CFS, can one also be rated for Migraines separately? Or is that considered pyramiding? And thanks for your always informative videos.
Rachel is super pretty.
I'm rated at 50% disability for PTSD...I have planned for my suicide and was placed on a 72-hour hold...Is this grounds for an increase to a 70% rating?
Well, I know which one of you I want representing MW!
Rated 50% for PTSD and moderate depression. I have an appeal for sleep apnea. Would that be considered pyramiding?
Hi David, thank you for your question. It has been submitted to hopefully be answered by our attorney in an upcoming video. Please stay tuned!
I know this comment is rather late but no this wouldn't be pyramiding because though sleep apnea can be caused by PTSD it's not a ( mental disorder)
Good
I like the video I just wish they gave an example lol.
We are sorry, we understand that the subject of "Pyramiding" can be confusing. I have linked more information from our written blog here www.hillandponton.com/the-vas-rule-against-pyramiding/
@@HillAndPonton no, I was making a joke. Because you gave so many examples. The video was perfect. I've actually watched all your videos as I am starting the med board process you have given me so much help. Thank you so much for everything
Are gerd and ibs rated separately?
They seperate ratings. However the VA can only give you one rating or it is considered pyramiding. They will give you the higher rating of the two though.
Anemic disorders... can we get it examples.
By the way...You guys look like sister. 😍
Thank you for reaching out to Hill and Ponton. Some common anemia types would include Iron Deficiency Anemia, Sickle Cell Anemia, and Aplastic Anemia.
I am already 100% unemployablity....
but I've been dealing with G6PD so I'm constantly anemic and have to receive iron through IV for three months of the year. I have PTSD and I wanted to know more about types wassistance I can ask for.
@@i_n_sist8641 did you ever get an answer to this my husband has G6PD
Thyroid