The Board has denied service connection for bilateral hand tremors and granted a total disability rating based on individual unemployability (TDIU). The Veteran's current hand tremors are not related to his military service, but he is unable to secure or maintain substantially gainful employment due to his service-connected disabilities.
The deciding factor: The evidence does not support finding that the Veteran's hand tremors began during active service or were caused by an in-service injury. The Board found that the Veteran's current hand tremors are unrelated to service and granted a TDIU based on his service-connected disabilities, including bilateral hearing loss, unspecified trauma and related stressor disorder, tinnitus, asbestosis with COPD, atrial fibrillation, chronic systolic heart failure, arthritis, radiculopathy, diabetes mellitus, diabetic neuropathy, and hypertension.
- Claimed conditions
- bilateral hand tremors
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating
- Not verified here — check the original decision
- Decision date
- November 1, 2023
- Citation
- 23059000
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 23059000.
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.
- Whole decision: Remanded (sent back)
The Veteran's appeal is remanded for further examination and analysis regarding his service-connected migraines, IBS, respiratory insufficiency, and bilateral hand tremors.
- Whole decision: Dismissed
The Veteran withdrew his appeal for an increased disability evaluation for bilateral hand tremors before the Board could make a decision.
- Whole decision: Granted
The Board has granted service connection for skin cancer, Osteopenia, and bilateral hand tremors due to ionizing radiation exposure in service.,Reasonable doubt is resolved in favor of the Veteran on all three claims.
- Whole decision: Partly granted
The Board granted service connection for a chronic undiagnosed illness manifested by bilateral leg pain, bilateral hand tremors, sinus problems, shortness of breath and recurrent transient ear noise due to Gulf War service. Service connection was denied for CFS.
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