The Board remands the claims for service connection for a bilateral knee disability, cervical spine disability, obstructive sleep apnea (OSA), and gastroesophageal reflux disease (GERD) as there has not been substantial compliance with previous remand directives.
The deciding factor: The medical opinions obtained on remand are inadequate and did not comply with the April 2023 Board remand directives, specifically regarding the consideration of the Veteran's competent and credible lay testimony of continuity of symptoms since service for the knee and neck disabilities, and the use of the correct standard for secondary aggravation for OSA and GERD.
- Claimed conditions
- bilateral knee disability, cervical spine disability, obstructive sleep apnea (OSA), gastroesophageal reflux disease (GERD)
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- November 18, 2025
- Citation
- 25014124
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