The Board remands the claims for an earlier effective date for a 100 percent rating of loss of use both hands, special monthly compensation based on loss of use of both hands, and allowance for an automobile or other conveyance and adaptive equipment to correct pre-decisional duty to assist errors.

The deciding factor: The September 2022 examinations report was found inadequate due to the ameliorative effects of medications not being considered; a remand is necessary to obtain an addendum opinion regarding such effects retrospective throughout 2016.

Claimed conditions

loss of use both hands with Dupuytren's contracture both thumbs, both index fingers, both long fingers, both ring fingers, both little fingers, diabetic neuropathy and bradykinesia, tremors, muscle rigidity and stiffness both upper extremities

How they argued it

Reopened with new and material evidence

Exposure basis

None

Rating assigned

None in this decision

Decision date

December 11, 2025

Citation

A25107288

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