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Analysis generated March 24, 2026
A 2014 IED blast in Kandahar Province is the anchor event driving the majority of claims — directly responsible for the documented lumbar fracture, TBI, and bilateral hearing loss. The hearing and TBI claims are the strongest in the file given multiple specialist visits, formal audiogram failure, and neuropsychology documentation. Sleep apnea with a severe Epworth score of 21/24 represents the single highest-rated potential claim at 50% if CPAP is required.
L2 compression fracture sustained in IED blast (Sep 2014) with continuous treatment documented across three commands. X-ray, CT, and MRI imaging all on file. Persistent pain rated 6/10 at final separation physical. Treated with physical therapy, naproxen, and cyclobenzaprine throughout remainder of service.
Diagnosed with mild TBI following loss of consciousness at blast site. Neuropsychological evaluation at BAMC confirmed cognitive deficits in processing speed and working memory. Persistent headaches documented at 3–4 per week in follow-up notes. No prior head injury documented at accession.
Baseline audiogram on entry (Jan 2010) was within normal limits. Annual hearing conservation audiogram in 2016 documented a positive Standard Threshold Shift bilaterally. MOS 11B Infantry involves continuous exposure to weapons fire, explosives, and heavy vehicle noise — a qualifying occupational exposure under VA adjudication guidelines.
Tinnitus reported at post-deployment health reassessment following 2014 deployment and again at separation physical. Combined with MOS noise exposure and IED blast history, this is among the most consistently granted VA claims for combat infantry veterans. Rated at 10% as a standalone condition.
Referred to sleep clinic with Epworth Sleepiness Scale score of 21/24. Witnessed apneic events documented by provider. Home sleep study ordered at separation. If CPAP is required, VA rates this at 50% — making it the single highest-rated potential claim in this record. Can also be claimed as secondary to TBI.
Diagnosed in 2016 following a training run injury. MRI confirmed chondromalacia patella and joint effusion. Physical therapy notes document functional limitations with prolonged standing, stairs, and load-bearing. Continuity of care is solid but the injury was not tied to combat, making the nexus slightly softer than blast-related claims.
PCM notes reference anxiety and sleep disturbance following 2014 deployment. Formal PTSD diagnosis not present in this record, but PHQ-2 was positive on two post-deployment screenings. A formal PTSD diagnosis via a C&P exam with a documented in-service stressor (IED blast) would substantially strengthen this claim.
Headaches documented as a TBI residual, but frequency and severity records are inconsistent — some visits show 1–2/week, others show 3–4/week. If a nexus letter from a treating neurologist links the migraines directly to the TBI, this secondary claim strengthens considerably. As-is, the inconsistency may limit the rating.
Two episodes of shooting pain down the right leg documented in physical therapy notes in 2017. EMG was not performed. A formal EMG/NCV study showing radiculopathy would convert this to a strong secondary claim. Without it, the claim relies on clinical documentation alone which is viable but will likely require a nexus letter.