The Veteran's service connection claim for tailbone or coccyx pain is denied as there is no current disability related to the in-service injury.,The Veteran's low back disability is rated at 10 percent, which is the maximum rating available under the General Rating Formula for Diseases and Injuries of the Spine.,The Veteran's left knee patellofemoral syndrome and right knee patellofemoral syndrome are both rated at 10 percent.,The Veteran's left calf strain is rated at 10 percent.,The Veteran's mixed-type headaches are rated at 30 percent.,No effective date was provided in the decision.

The deciding factor: There is no current disability related to the tailbone or coccyx pain, as there is no diagnosis and the Veteran’s reports of pain do not meet the criteria for a compensable disability under VA regulations. The service records are silent on any current diagnosis.,The low back disability has been rated at 10 percent since its initial grant in March 2014 based on forward flexion limited to 60 degrees or less, with pain and tenderness noted during motion testing. This is the maximum rating available under the General Rating Formula for Diseases and Injuries of the Spine.,The left knee patellofemoral syndrome and right knee patellofemoral syndrome have been rated at 10 percent since their initial grants in March 2014 based on pain and limited motion. These are the maximum ratings available under the General Rating Formula for Diseases and Injuries of the Knee.,The left calf strain has been rated at 10 percent since its grant in March 2014 based on a moderate level of disability of Muscle Group XI, which is the maximum rating available under the General Rating Formula for Diseases and Injuries of the Musculoskeletal System.,The mixed-type headaches have been rated at 30 percent since their initial grant in March 2014 based on characteristic prostrating migraine attacks occurring once a month over several months. This is the maximum rating available under Diagnostic Code 8100 for headache disorders.,No effective date was provided in the decision.

Claimed conditions

Tailbone or coccyx pain, Low back disability, Left knee patellofemoral syndrome, Right knee patellofemoral syndrome, Left calf strain, Mixed-type headaches

How they argued it

Direct service connection

Exposure basis

None

Rating assigned

10%

Decision date

April 8, 2019

Citation

19126828