The Veteran's claim for service connection of chronic fatigue syndrome is denied as his symptoms do not meet the criteria for a diagnosed disability.,The Veteran's hypertension claim is remanded to provide an addendum opinion addressing whether it is a diagnosable, but medically unexplained chronic multi-symptom illness or if it has a known etiology. The examiner should also address whether exposure to environmental factors during Gulf War service caused the condition.,The Veteran's bilateral knee claims are remanded for an examination opinion regarding whether his arthritis manifested within one year of separation from active service and whether his right knee disability was aggravated by his third period of active service.
The deciding factor: The Veteran's chronic fatigue syndrome symptoms do not meet the criteria for a diagnosed disability as determined by VA examiners.,The hypertension claim requires clarification on whether it is a diagnosable, but medically unexplained condition or if there is a known etiology. The examiner should also address exposure to environmental factors during Gulf War service.,The bilateral knee claims require an examination opinion regarding the manifestation of arthritis within one year of separation from active service and whether the right knee disability was aggravated by his third period of active service.
- Claimed conditions
- Chronic Fatigue Syndrome, Hypertension, Left Knee Arthritis with Degenerative Joint Disease, Right Knee Chondromalacia and Degenerative Joint Disease
- How they argued it
- Presumptive (no nexus needed)
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- October 4, 2022
- Citation
- 22056122
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 22056122.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Partly granted
The Board granted service connection for PTSD, generalized anxiety disorder, and somatic symptom disorder, as well as presumptive service connection for basal cell carcinoma under the PACT Act. Service connection was denied for chronic fatigue syndrome, irritable bowel syndrome, right restless leg syndrome, left restless leg syndrome, an increased rating for psychiatric disorder, bilateral hearing loss, a left forehead surgical scar, and allergic rhinitis.
- Remanded (sent back)
The Board remands the claims for service connection for diabetes mellitus type II and hypertension, to include as secondary to left orchiectomy, for further development in accordance with the PACT Act.
- Remanded (sent back)
The Board denied the Veteran's claim for specially adapted housing and remanded the claim for service connection for fatigue (claimed as chronic fatigue syndrome) due to insufficient evidence.
- Partly granted
The Board granted readjudication of previously denied claims for service connection for PTSD and COPD, while remanding other issues including entitlement to service connection for an eye disorder, hypertension, tinnitus, a compensable rating for bilateral hearing loss, TDIU, and an initial rating for PTSD.
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