Multiple sclerosis decisions — 2018

The Veteran's hypothyroidism was granted a rating of 30 percent from June 24, 2011 to July 27, 2015. From July 28, 2015 to July 30, 2018, the Veteran received a 60 percent rating for hypothyroidism. Since July 31, 2018, he has been granted a 100 percent rating. For his right upper extremity muscle weakness associated with multiple sclerosis, the Veteran was initially granted a 20 percent rating from June 24, 2011 to March 28, 2017 and then increased to 50 percent in September 2015. The Veteran received a 70 percent rating for this condition starting from June 24, 2011.

The Veteran's current diagnosis of Multiple Sclerosis was not established during or within seven years after service, and the Board finds that direct service connection is not warranted due to inconsistencies in the Veteran's statements regarding when he first noticed symptoms.

The Board has determined that an effective date earlier than November 24, 2010 for the award of SMC based on aid and attendance is not warranted as it was not factually ascertainable that the need for aid and attendance was warranted at any time within the one-year prior to November 24, 2010.

The Veteran's service connection claims for multiple sclerosis, optic neuritis, chronic fatigue, joint and muscle pain, bowel incontinence, bladder incontinence, and chronic migraines have been granted. The claim for bilateral lower extremity numbness (neuralgia) is pending.