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Whole decision: Denied

The Board denied service connection for neurological disabilities of the upper and lower extremities, hypertension, diabetes mellitus, hammer toe of the left fifth digit, right knee disability, and left knee disability as secondary to a service-connected left ankle disability.,Service connection was granted for a left great toe disability with arthritis.

The deciding factor: The evidence does not show any neurological disabilities in service or within one year after separation from service. The Veteran's STRs are silent for reports of or treatment for these conditions, and the earliest post-service medical evidence is dated no earlier than 2000.,There is no competent opinion linking the bilateral knee conditions to military service or a service-connected disability.

Claimed conditions
neurological disability of the right upper extremity, neurological disability of the left upper extremity, neurological disability of the right lower extremity, neurological disability of the left lower extremity, hypertension, diabetes mellitus, hammer toe of the left fifth digit, right knee disability, left knee disability
How they argued it
Direct service connection
Exposure basis
None
Rating
Not verified here — check the original decision
Decision date
December 11, 2018
Citation
18156593

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. Read the original VA decision (opens in a new tab) using citation 18156593.

What this means for you

A final Board denial may be appealed to the U.S. Court of Appeals for Veterans Claims, generally within 120 days of the Board mailing date. A Supplemental Claim with new and relevant evidence is a separate option. Another Higher-Level Review of the Board decision is not available. Check your own notice: this historical decision does not set your deadline.

What you can do next

Use your own notice and decision stage. A remanded issue is not a final court-appealable denial. VA review guidance and CAVC filing instructions (U.S. federal; reviewed October 7, 2026).

Related decisions

Other Board decisions on a similar condition or argued the same way.

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