The Board found that the veteran's right wrist condition with arthritis was not incurred in or aggravated by active service, and denied his claim for service connection. For his left wrist arthritis, while there is current disability, the evidence does not establish a nexus to service, and thus service connection cannot be granted.

The Board remands all service connection claims for further development and to correct a pre-decisional duty to assist error.

The Board has determined that the Veteran's home modifications and equipment purchases are necessary to enable him to function more independently in his family and community without assistance, or with a reduced level of assistance.,However, additional equipment purchases and/or home modifications, such as an overhead cover for a wheelchair lift at the front of the home, a cover over the front walk, installation of a central air conditioning system, an addition to the home to include installation of a new bathroom downstairs, extension of the rear of the main bedroom to create space for a walk-in closet and a work-out room on the floor below; and creating access to an existing outdoor kitchen located near the pool area, are not necessary.,The Veteran's service-connected conditions do not necessitate these additional modifications.

The Veteran's low back disability, left wrist arthritis, and hypertension have been granted service connection. The low back disability is directly related to the in-service motorcycle accident. Left wrist arthritis is presumed due to continuous symptomatology since service. Hypertension has been aggravated by chronic pain from other service-connected disabilities.

The Board denied the Veteran's claim of service connection for a left wrist disorder, finding that there was no evidence linking his current condition to his military service or any service-connected disability.