The Veteran's avascular necrosis left hip, right foot pain, and left foot pain are all granted as service-connected.,Service connection is also granted for right ankle sprain, left ankle arthralgia, right shoulder pain, lumbago (lower back pain), and systolic heart murmur. Service connection for abnormal skin pigmentation and OSA (sleep apnea) is denied.

The Board has granted service connection for the Veteran's right ankle disability, finding that it had its onset during service and is related to service. The decision was made after considering both lay and medical evidence.

The Veteran's appeal is remanded for a VA-scheduled aid and attendance/housebound examination to determine eligibility for special monthly compensation based on the need for aid and assistance due to his service-connected disabilities. The examiner must address specific questions regarding the Veteran's ability to perform daily activities, including dressing, feeding, attending to personal hygiene, protection from environmental hazards, and confinement.

The Veteran's claim for service connection for migraine headaches, as secondary to tinnitus, is granted. The claims for service connection for hearing loss disability and a disability manifested by shortness of breath other than chronic sinusitis and allergic rhinitis are denied. The claims for service connection for an intestinal disability (diverticulitis), fatigue, hypertension, neck disability, right upper extremity radiculopathy, left upper extremity radiculopathy, right shoulder disability, left shoulder disability, upper and lower back disability, right lower extremity radiculopathy, left lower extremity radiculopathy, right hip disability, left hip disability, right foot pain, left foot pain, gastroesophageal reflux disease (GERD), and an acquired psychiatric disorder are all denied.

The Board has determined that the Veteran's current right and left ankle disabilities are related to repetitive parachute jumps during service, granting service connection for these conditions.