The Veteran's claim for an initial rating in excess of 10 percent for service-connected left lower extremity tarsal tunnel syndrome is being remanded due to the need for a new VA examination.,The Veteran's claim for service connection for diabetes mellitus type II (diabetes) is being remanded as there is insufficient evidence to determine its onset during service.,The Veteran's claim for service connection for a heart disorder is being remanded as there is insufficient evidence to determine its onset during service.,The Veteran's claim for residuals of stroke is being remanded due to the inextricability with her other claims, including service connection for a heart disorder and sarcoidosis.,The Veteran's claim for service connection for migraine headaches is being remanded as there is insufficient evidence to determine its onset during service.,The Veteran's claim for right lower extremity disability, to include as secondary to service-connected LLE tarsal tunnel syndrome, is being remanded due to the need for a new VA examination and opinion on etiology.,The Veteran's claim for sinusitis is being remanded as there is insufficient evidence to determine its onset during service.,The Veteran's claim for sarcoidosis is being remanded due to the inextricability with her other claims, including service connection for a heart disorder and sarcoidosis.,The Veteran's claim for left hand carpal tunnel syndrome (CTS) is being remanded as there is insufficient evidence to determine its onset during service.,The Veteran's claim for left shoulder rotator cuff (RTC) tendonitis is being remanded due to the need for a new VA examination and opinion on etiology.

The deciding factor: A more contemporaneous VA examination is required to provide a current picture of the Veteran’s LLE tarsal tunnel syndrome.,Given her current diagnosis and evidence that it may be related to service, a VA examination to address the question of etiology is warranted.,As delineated in 38 C.F.R. § 3.159 (c)(4), a VA examination to address the question of etiology as related to service is required when there was a pertinent event, injury, or disease in service; there is evidence of current disability; and the Veteran indicates that the claimed disability or symptoms may be associated with service.,Remand is necessary due to insufficient medical evidence to determine if the Veteran's heart disorder had its onset during service.,The Veteran’s lay testimony, coupled with the medical evidence warrant a VA examination to determine the nature and etiology of the Veteran’s heart disability.,As delineated in 38 C.F.R. § 3.159 (c)(4), a VA examination to address the question of etiology as related to service is required when there was a pertinent event, injury, or disease in service; there is evidence of current disability; and the Veteran indicates that the claimed disability or symptoms may be associated with service.,Remand is necessary due to insufficient medical evidence to determine if the Veteran's sinusitis had its onset during service.,The Veteran’s STRs show that she had a history of sinusitis, but no diagnosis was given. The current VA examination did not provide an opinion on this condition.,Given her current diagnosis and evidence that it may be related to service, a VA examination to address the question of etiology is warranted.,Remand is necessary due to insufficient medical evidence to determine if the Veteran's sarcoidosis had its onset during service.,The Veteran’s STRs show that she had a history of sarcoidosis, but no diagnosis was given. The current VA examination did not provide an opinion on this condition.

Claimed conditions

left lower extremity tarsal tunnel syndrome, diabetes mellitus type II (diabetes), heart disorder, residuals of stroke, migraine headaches, right lower extremity disability, sinusitis, sarcoidosis, left hand carpal tunnel syndrome (CTS), left shoulder rotator cuff (RTC) tendonitis

How they argued it

Not specified

Exposure basis

None

Rating assigned

None in this decision

Decision date

November 8, 2019

Citation

19184824

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 19184824.