The Veteran's unauthorized medical expenses for treatment of muscle strain and pain were denied as the condition was not deemed an emergent situation, and VA facilities were considered feasibly available.
The deciding factor: The emergency nature of the Veteran's condition was not established given the 5-day interval between his fall and seeking treatment, with no evidence of fracture or dislocation found on X-rays.
- Claimed conditions
- Muscle strain, Pain
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- June 18, 2014
- Citation
- 1427696
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation 1427696.
What this means for you
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What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
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The Veteran's eligibility to enroll in the Program of Comprehensive Assistance for Family Caregivers (PCAFC) is denied because he does not require personal care services due to an inability to perform ADLs or a need for supervision, protection, or instruction. The Board found that the evidence shows the Veteran is generally independent and able to complete his ADLs without hands-on assistance.
- Remanded (sent back)
The Board has determined that there was a pre-decisional duty to assist error and the case is being remanded for an adequate medical decision regarding eligibility for PCAFC benefits.
- Remanded (sent back)
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- Remanded (sent back)
The Veteran's claim for an increased rating of her back disability is denied. The Board finds that the evidence does not support a finding of forward flexion greater than 30 degrees but not greater than 60 degrees or combined range of motion less than 120 degrees, despite considering pain and fatigue. Her PTSD due to MST claim is remanded as there was an error in failing to obtain an adequate addendum opinion.
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