Enter your email for updates and we'll send them straight to your inbox! VA Disability Benefits for Arthritis in the Ankle. Hear from fellow Veterans just like you, with many of our Veteran Success Managers having gone through our programs. Once processed, you will start receiving payments in 1-3 months. Visit our website at cck-law.com. 3 Also entitled to special monthly compensation. The VA awards disability compensation for each Ankle condition that isservice-connected. VA Disability for knee pain can range from 10 to 30% in the interim, depending on the severity of the injury, with a 20% interim break. History : Injured ankle in 1987. This documentation may include medical records, notes from a medical practitioner, or physical evidence like x-ray images. yet assertive representation for our clients. We wont charge a fee unless we win your appeal. This 100% rating will remain in place for a year then will be examined to receive a permanent rating. Paralysis of the Sciatic Nerve #8. The cartilage in an injured joint wears out more quickly than in a non-injured joint. The diagnosis must be confirmed by X-ray. How to Get VA Benefits for Ankle Arthritis. Copyright 2023 VA Claims Insider, LLC. The VA official site states that 20% and 10% ratings mentioned above cannot be combined with ratings based on limitation of motion. The VA rating schedule for joint problems, including ankle instability, is based on the range of motion as well as other specific criteria that affect the joints and musculoskeletal system. Arthritis affects one out of every five Americans. The VA rates ankle arthritis under the Schedule for Rating Disabilities for the musculoskeletal system. To find out more, view our Privacy Policy. I'd have to guess that your foot condition was called flat foot at some point so that you could receive the ratings of 0% and then 30%. Gardeners around the world have been growing these varieties for the past 8-10 years and are sharing their experiences with others. Copyright 2023 Woods and Woods, LLC | PO Box 1287 Evansville, IN 47706. Should be interesting. This may also be true if you had an existing ankle injury that was aggravated by active duty service. Early Sweet Pepper Varieties: Which is Best for Your Climate and Taste? If there remains a continual weakness or severe pain with motion, a 40% rating will be permanently assigned. Well also cover some common secondary conditions to ankle disabilities for which Veterans can receive VA disability compensation. BOARD OF VETERANS' APPEALS: APPEALS REGULATIONS, BOARD OF VETERANS' APPEALS: RULES OF PRACTICE. In this video from one of our VA disability lawyers, we explain how to service connect your disability that was caused by your military service. During an ankle sprain, the ligaments in the ankle may have been stretched out or torn. pain and multiple limitation of motion evaluations for a joint example 1: compensable limitation of two joint motions example 2: compensable limitation of one motion with pain in another example 3: noncompensable limitation of two motions with pain separate evaluations for knee instability evaluating manifestations of spine diseases and injuries 2020 MilitaryDisabilityMadeEasy.com - All rights reserved, The Integrated Disability Evaluation System (IDES), Combat Related Special Compensation (CRSC), Concurrent Retirement & Disability Pay (CRDP). Make regular appointments with a physical therapist. The VA assigns rating percentages based on the frequency of incapacitating episodes. According to the Department of Veterans Affairs, arthritis is the number one cause of disability in America, and most who suffer from the condition are working adults. Now that we understand that, let's jump into arthritis. There are many reasons why veterans would want to obtain a current VA disability letter with Today, well explore whether its possible for veterans to get Free Nexus Letters for their VA disability claims. The content on Veteran.com is produced by Three Creeks Media, its partners, affiliates and contractors, any opinions or statements on Veteran.com should not be attributed to the Dept. The VASRD offers ratings for the following musculoskeletal conditions of the Ankle: In reality, the majority ofAnkleconditions will be rated on limitation of motion since that is the most common symptom of these conditions that results in a measurable disability, but other rating options exist to rate theconditions that cause other forms of disability. Since that time, we have provided compassionate This can help manage functional limitations, stick with an exercise program designed to help with the condition, etc. Today, VA announced its next update: The musculoskeletal system and muscle injuries. A C&P exam is a basic medical exam focused on your ankle instability. Arthritis, degenerative (hypertrophic or osteoarthritis). If you do not allow these cookies, you will experience less targeted advertising. The content offered on Veteran.com is for general informational purposes only and may not be relevant to any consumers specific situation, this content should not be construed as legal or financial advice. For example, the physical requirements of military service, like training and combat, could have make an existing ankle injury worse. You have a limited amount of time to appeal your decision and preserve the effective date of your claim. In the rare cases where the ankle is damaged to the point of being frozen in place, a higher rating is available. Ankle instability is usually rated under 38 CFR 4.71, Schedule of Ratings - Musculoskeletal System, Diagnostic Code (DC) 5271. Rating Major Minor Note (1): When an evaluation is assigned for joint resurfacing or the prosthetic replacement of a joint under diagnostic codes 5051-5056, an additional rating under 4.71a may not also be assigned for that joint, unless otherwise directed. Seattle, WA: 506 2nd Ave,Suite 1400,Seattle, WA 98104. The VASRD's 15 body systems had seen periodic updates, but this continuing effort reflects the first comprehensive review in 70+ years. This variety grows best when grown alone and can reach up to 12 feet tall. The most trusted name in education-based resources for Veterans. These cookies allow the website to remember choices you make to give you better functionality and preferences such as text size, fonts and other customizable website elements. 10:04 Service Connection for Ankle Instability Ankle arthritis is most commonly rated under diagnostic code 5270, ankylosis of the ankle, or 5271, limited motion of the ankle. An important thing to note along these lines is the VAs stance on arthritis as a condition. [10/27/21] VA Benefits Hill and Ponton Live | VA-Accredited Lawyers, Can Veterans Get Benefits After Withdrawing VA Claim? Once service connection is established, VA will assign a disability rating depending on the severity of the condition. A 2015 study by researchers at the San Francisco VA Medical Center found that more than 666,000 Iraq and Afghanistan veterans who had PTSD were also more likely to have an autoimmune disorder like rheumatoid arthritis. We'll also cover some common secondary conditions to ankle disabilities for which Veterans can receive VA disability compensation. Early sweet peppers are a great addition to any garden. If you were asked to name the top 10 most common VA disabilities, the odds are that you wouldnt choose Ankle Disabilities and the VA. The key to obtaining a VA disability rating for ankle instability is to prove service connection. Tom Wagner's varieties of tomatoes have been a hit among gardeners for years. Furthermore, as to case summaries, reports of past results, individual lawyer biographies, news posts and other information pertaining to past and present cases, these descriptions are meant only to provide information to the public about the activities and experience of our law firm. Many veterans suffer from ankle instability due to the physical demands of military service and training. Arthritis and ankle instability together might lead to a higher disability rating. L. Code L-1 h, i (38 CFR 3.350(b)). Our VA disability attorneys have dedicated their careers to helping Veterans wrongfully denied by VA. The VA Ratings Schedule for Rheumatoid Arthritis One or two painful flare-ups a year: 20% Rating Clear impairments to daily living and health diagnosed by a doctor or 3 or more incapacitating episodes a year: 40% Rating VA Disability Ratings for Arthritis Under the schedule of ratings in the VA regulations, arthritis may be rated under degenerative arthritis or rheumatoid arthritis. San Jose, CA: 2880 Zanker Road, Ste. Once service connection is established, VA will assign a disability rating depending on the severity of the condition. Stay up with current research and developments in arthritis care. Richmond, VA: 7400 Beaufont Springs Drive, Suite 300, Richmond, VA, 23225 If you were diagnosed with ankle instability before you entered active service, it may still be possible to prove service connection to receive VA disability benefits. These cookies are necessary for the website to function and cannot be switched off in our systems. Phoenix, AZ: One Renaissance Tower, Two North Center Avenue, 18th & 19th Floor, Phoenix, AZ 85004 Veterans most commonly develop arthritis from overuse or traumatic injuries during their time in service, but the VA recognizes some other possible causes of arthritis in veterans. These cookies are also used to let affiliates know if you came to one of our websites from an affiliate and if your visit resulted in the use or purchase of a product or service from us, including details of the product or service purchased. Do You Have Long-Term Disability Insurance Coverage? CCK Recognized for Donations to American Veterans Disabled For Life Memorial, CCK Successfully Argues for a Precedential Decision About Protected Work Environment, A Day in the Life of a Paralegal (Claims Advocate) at CCK. Ankle instability is usually rated under 38 CFR 4.71, Schedule of Ratings Musculoskeletal System, Diagnostic Code (DC) 5271. leading cause of work disability in the U.S. most common foot joints affected by arthritis, common symptoms of arthritis in the ankle include, is an autoimmune and inflammatory disease, other possible causes of arthritis in veterans, 2015 study by researchers at the San Francisco VA Medical Center, Schedule for Rating Disabilities for the musculoskeletal system, we can help you file an initial claim at no charge, Totally incapacitating with whole-body symptoms associated with active joint involvement, Weight loss and anemia producing severe impairment of health orseverely incapacitating episodes occurring four or more times a year or a lesser number over prolonged periods, Symptom combinations producing definite impairment of health objectively supported by exam findings orincapacitating episodes occurring three or more times a year, One or two episodes a year in a well-established diagnosis, Trouble walking, moving, or putting weight on the ankle, Tenderness or pain when the joint is touched, More pain and swelling after rest, such as sleeping or sitting. 3 Entitled to special monthly compensation. For Reservists, the condition must have occurred in or resulted from an injury in the Line of Duty to qualify. Ankle instability is a condition characterized by a recurring giving way of the outer (lateral) side of the ankle. Post-Traumatic Stress Disorder #5. By using our website, you agree to the use of certain cookies. Back and knee injuries caused by ankle arthritis are common because it causes limping, which is hard on your knees and back. Without these cookies, services you have asked for cannot be provided. They may be used by those companies to build a profile of your interests and show you relevant advertisements on other websites. Always consult the VA about your condition, possible rating percentages, and qualifying criteria. WHAT DO I DO IF I DISAGREE WITH MY RATING? The Rating Schedule does not set forth a specific Diagnostic Code for instability of the ankle. VA guidelines for this type of arthritis condition state that any diagnosed arthritis-related limited range of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. In cases where there is no limited motion, VA ratings are as follows: Degenerative arthritis with X-ray evidence of involvement of two or more major joints or minor joint groups, with occasional incapacitating exacerbations. Veterans will likely have to attend a Compensation & Pension (C&P) exam to obtain a medical nexus opinion. My left ankle was reconstructed while in the Navy in 1971. We guide our clients through the most difficult times in their lives with courtesy, respect, and professionalism. Joe Wallace is a 13-year veteran of the United States Air Force and a former reporter for Air Force Television News. Ajvarski, Donkey's Ear, Gatherer's Gold, Jimmy Nardello, Lipstick, Melrose, Gypsy F1 hybrid, Mareko Fana, Stocky Red Roaster, Red Wonder, Little Bells and Sirenevyi are all discussed here. Now I'm also going for kidney desease due to pain meds, Naproxin and VIOXX, that I was given for my service connected disability. 4:43 VA Disability Rating for Arthritis in Ankle The information these cookies collect will not personally identify you, and they cannot track your browsing activity on other websites. To commemorate this special occasion, KarenO, a registered nurse with 35 years of experience, has started The Nightingale Project. Historically, the VA combined several factors when rating arthritis as a disability. Brooklyn, NY: 300 Cadman Plaza West, One Pierrepont Plaza, 12th Floor, Brooklyn, NY, 11201 Limitation of Range of Motion of the Ankle #10. Do You Qualify for Long Term Disability Benefits? As a fellow disabled Veteran this is shameful and Im on a mission to change it. If a nerve condition also exists in the Ankle, then that can be rated separately under one of the Lower Nerve codes since the Nervous System is separate and distinct. Proving a direct service connection is the most common way to do this. Any type of arthritis can make everyday activities difficult, including climbing stairs, bending or kneeling, and doing housework. This changed my life. 4.29 - Ratings for Service-Connected Disabilities Requiring Hospital Treatment or Observation 4.30 - Convalescent Ratings 4.31 - A No-Percent Rating return to top Subpart B - Disability Ratings The Musculoskeletal System 4.40 - Functional Loss 4.41 - History of Injury 4.42 - Complete Medical Examination of Injury Cases 4.43 - Osteomyelitis Pittsburgh, PA: 201 Penn Center Boulevard, Suite 400, Pittsburgh, PA, 15235 Sleep Apnea #13. Post-traumatic arthritis is a form of osteoarthritis caused by a past physical injury to any joint. In many cases, ankle instability itself would receive a rating of between 0 and 20% on the rating schedule. Cookies help us deliver the best experience on our website. Inability to walk without fear of rolling the ankle. All information is completely confidential.By clicking Get Discounts you agree to our Privacy Policy. Claim for left ankle synovitis in 2008. Have you been affected by Camp Lejeune water contamination? Limitation of Flexion of the Knee #4. Recently I found out was of my walking on mostly the right foot I now have degenerative disk disease on the back. Limitation of Motion of the Arm #11. The doctor in charge of the exam will assess your injury, talk to you about your medical history as it relates to this case, and determine if its service connection applies. In this post, well reveal and explain how to download copies of your VA benefit letters online. At Woods and Woods, we want to help veterans like you get the benefits they deserve. We consistently provide experienced, compassionate and ethical representation to our clients. If the ankle is frozen at 30 to 40 degrees plantarflexion or at 0 to 10 degrees in dorsiflexion then you will receive a 30% rating. Contact us today by either filling out our online contact form or calling us. Aj, Get Free Seeds & Taste the Delicious Flavor of Estler's Mortgage Lifter with Edweather's Generous Offer, Estler's Mortgage Lifter is an heirloom tomato variety developed by William Estler in the mid-1920s. However, it is common for Veterans to receive a lower rating. Veterans might not realize that they can get VA disability for ankle arthritis. This storage is often necessary for basic functionality of the web site or the storage may be used for the purposes of marketing, analytics, and personalization of the web site such as storing your preferences. If you are struggling to obtain adequate veterans benefits, contact the team at Hill & Ponton. PTSD VS Somatic Symptom Disorder, Know the Difference! More than 100,000 joint Acute, Subacute, or Chronic Diseases Prosthetic Implants The Shoulder and Arm The Elbow and Forearm The Wrist The Spine The Ankle Shortening of the Lower Extremity 3 Also entitled to special monthly compensation. From the VA, you will receive a monthly payment as well as full medical care from the VA for the qualifying conditions. Because of this complexity, the VA simplified the rating system for musculoskeletal conditions to focus on the resulting disability from a condition or group of conditions existing in the same body part. A study by the U.S. National Library of Medicine studied ankle injuries among active service members. For example, 90.7% of Veterans were rated at 30% or higher for mental health, while 41.1% of Veterans were rated at 70% or higher. This project aims to create a new white tomato variety that hono, This website uses cookies for functionality, analytics and advertising purposes as described in our. Specifically, veterans may have engaged in fitness-related activities and jobs that required physical exertion while serving. 2020 marks both the International Year of the Nurse and Florence Nightingale's 200th birthday, making it the perfect time to recognize and celebrate the brave and selfless nurses all over the world. These cookies do not store any personal information. Please leave us your questions or comments, and we hope you enjoy the broadcast! SC 10%. The most common signs and symptoms of instability of the ankle include the following: Again, this condition usually develops following an ankle sprain that has not adequately healed or was not rehabilitated completely. The Musculoskeletal System is vast and complex, consisting of muscles, tendons, ligaments, joints, and bones. Note that you generally receive separate ratings for your lumbar spine and your cervical spine, unless the severity of your overall spine disorder warrants a 100-percent evaluation. Updated: April 21, 2020. When naming a rated disability that may not be perfectly noted in The Schedule For Rating Disabilities, VA is allowed and often does use a known and named condition that is similar. The normal range for the ankle is between 45 to 0 degrees for plantar flexion (when the top of your foot points away from your leg) and between 20 to 0 degrees for dorsiflexion (moving your foot up toward the shin). Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. If the appeal process moves forward, you will have the chance to provide additional evidence supporting your claim. Hit the red button above for a free case evaluation. Yes, the VA will increase ratings over time if conditions worsen and qualify for higher ratings. This communication with the firm or any member of the firm does not establish an attorney-client relationship. Hill & Ponton P.A. If a ranking or list has a company noted to be a partner the indicated company is a corporate affiliate of Veteran.com. Bone and Joints Disability Ratings Table 4.71a Schedule of ratingsmusculoskeletal system. VA Disability Ratings for Ankle Conditions Chisholm Chisholm & Kilpatrick LTD 60.1K subscribers 349 19K views 1 year ago Ankle conditions are common disabilities among Veterans. Camp Lejeune Lawsuit. How to Get a 100 Percent VA Rating (if deserved)! Paraplegia with loss of use of both lower extremities and loss of anal and bladder sphincter control qualifies for subpar. #2: Direct Service Connection for Post-Traumatic Arthritis rated under DC 5010 with a rating of 10 percent or 20 percent. The Department of Veterans Affairs does not assign a single disability rating for arthritis. Veterans that have current disabilities that were a result of their military service are entitled to compensation, and there is a long list of disabilities that a Veteran could claim disability benefits for. However, both are still rated under the musculoskeletal system conditions. These cookies are essential so that you can move around the website and use its features. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. Want 30+ Military / Veteran Discounts to use today? we represent clients nationwide. The VA statistics in this area for veterans? The VA can only rate conditions that meet some type of service-connection requirement. The ankle finally got to the point I could not walk on it and the V.A. It is caused by high levels of uric acid in the blood. Please leave us your questions or comments, and we hope you enjoy the broadcast!VA Disability for Arthritis in Ankle: https://cck-law.com/blog/va-disability-for-arthritis-in-ankle/ VA Disability for Ankle Tendonitis: https://cck-law.com/blog/va-disability-for-ankle-tendonitis/ VA Disability for Ankle Instability: https://cck-law.com/blog/va-disability-rating-for-ankle-instability/ Learn More About CCK: https://cck-law.com/why-hire-cck-for-your-va-disability-appeal/ 0:00 Introduction1:37 Service Connection for Arthritis in Ankle4:43 VA Disability Rating for Arthritis in Ankle7:25 Service Connection for Ankle Tendonitis8:45 VA Disability Rating for Ankle Tendonitis10:04 Service Connection for Ankle Instability11:44 VA Disability Rating for Ankle Instability12:12 VA Secondary Conditions to Ankle Disabilities13:30 Closing Thoughts and Tips for VeteransFeel free to ask questions, give us feedback, or request new veterans' law topics below! For some veterans, the objective criteria in the disability rating schedule may not accurately reflect their true level of disability. Ankle conditions are common disabilities among Veterans. By using this information, you understand that there is no attorney-client relationship created by you reading or using the information contained on this website or in this newsletter, article, or blog. Fill out the short form below to contact us. You must be able to show proof of service-connection for each condition. The VA considers rheumatoid arthritis to be a disabling condition. The DoD will also rate service-connected conditions as long as they also make the service memberUnfit for Duty. The most common foot joints affected by arthritis include the joint of the big toe and foot bone, the joint where the ankle and shinbone meet, and the three joints in the foot that involve the outer and inner mid-foot bone and heel bone. You will not be able to work a physical job and keep your ankle. History : Injured ankle in 1987. Washington, D.C.: 1776 I Street, NW, 9th Floor, Washington, D.C 20006 It occurs when the protective cartilage that cushions the ends of bones wears down over time. What you read here is current at the time of this writing, according to the VA, but disability percentage rating procedures, criteria, and amounts are always subject to change through legislation, VA policy, etc. It is vitally important that you show up to your scheduled C&P exam or reschedule if you are unable to attend. Each major joint is covered by its owndiagnostic code. Contact Chisholm Chisholm & Kilpatrick LTD, VA Disability Ratings for Ankle Conditions, VA Conditions Secondary to Ankle Disabilities, VA Disability For Knee Conditions And Pain, 10 Most Common Disabilities for Veterans and How Theyre Rated, A repeated turning of the ankle, especially on uneven surfaces or when participating in sports or other activities, Persistent (chronic) discomfort and swelling, Physical therapy exercises to strengthen the ankle, improve balance, and range of motion, and retrain the muscles, Bracing wearing an ankle brace gives support to the ankle and keeps it from turning; can also prevent additional sprains, Medications nonsteroidal anti-inflammatory drugs (NSAIDs) (e.g., ibuprofen), may be prescribed to reduce pain and inflammation. You need evidence that your ankle arthritis caused your back or knee injury. Houston, TX: 2925 Richmond Ave, 12th Floor, Houston, TX 77098 Learn more about us, Veterans Disability Claim Muscles do have their own rating system (see the Foot and Lower Leg Muscles page), but cannot be rated in addition to another musculoskeletal rating for the Ankle since they often result in similar symptoms (limitation of motion, etc.). Proposed Changes to Ears, Nose and Throat, Combat Related Special Compensation (CRSC), Dependency and Indemnity Compensation (DIC), Hepatitis, Cirrhosis and Other Liver Conditions, Respiratory Conditions (other than TB and Sleep Apnea). Departments of Defense or Veterans Affairs. The VA uses the rules of the VASRD to rate musculoskeletal conditions based on limited motion, pain, deformities, and other disabilities caused by the condition. Our firm was founded in 1986 in Orlando, Florida. Last year I was given a 40% rating for the ankle plus special compensation for "loss of use of foot". The left ankl;e has partially fused itself. Dont let years pass you by of not claiming what you deserve! (The Insiders Guide). My left ankle was broken and I had a head injury. If you have questions about Veteran programs offered through or by the Dept. O. Range in motion - Dorsiflexion limited to 10 degrees and left platarflexion 30 degrees with efusion and tenderness. Under DC 5271, ankle instability is rated according to limited motion of the ankle. Box 449, Deland, FL 32721, Orlando, FL: 605 E. Robinson Street Suite 635, Orlando, FL 32801 This website adheres to the W3Cs AA Accessibility guidelines. However, later on, you may have developed ankle instability on the left ankle. The ratings are based on how severely movement is affected by arthritis in a specific joint (called limitation of motion), which is indicated by swelling, muscle spasms, or painful motion. For example, veterans involved in parachuting accidents often report ankle injuries later in life, such as ankle instability. Dr's and documented in my records as such. To honor the Pyramiding Principle, only a single rating can be given for conditions of the Ankle with a few exceptions. Some ankle injuries will also cause frozen ankle joints, limitation of motion, or interference with normal range of motion. These are: Another way of obtaining a VA rating for ankle instability is by proving a secondary service connection. How Does VA Rate Ankle Instability? The situation will not get better. All other types of arthritis or similar conditions are rated analogously as degenerative or rheumatoid, whichever is the most similar. Conclusion on Ankle Disabilities and the VA. Heres the brutal truth about VA disability claims. One of the often-overlooked disability claims that a Veteran can file is for osteoarthritis. You may be owed compensation. Editorial Disclosure: Editorial content on Veteran.com may include opinions. This information is not a substitute for legal advice. For help with your disability claims go to vaclaimsguide.com The fruits of this plant are large and can weigh over one pound. The VASRD rates two main types of arthritis: Degenerative Arthritis (code 5003), and Rheumatoid Arthritis (code 5002). Such activities and jobs may have resulted in ankle sprains and injuries throughout service, thereby leading to instability of the ankle later on. It found that they experienced ankle sprains at a rate five times greater than those in the civilian population.This is notable due to the fact that ankles that have been sprained have a high rate of re-injury. The VA rates ankle arthritis using the Schedule for Rating Disabilities for the musculoskeletal system. Gout usually occurs in flare-ups, meaning that symptoms will sometimes be worse and will sometimes be in remission. As reported in the VA's most recent Annual Benefits Report, musculoskeletal disabilities are the most commonly claimed condition in the VA disability benefits system, making up 36.9 percent of all disability claims. Here we discuss some of the most popular early sweet pepper varieties, their characteristics, and how they fare in different climates. For Reservists, the condition must have occurred in or resulted from an injury in the Line of Duty to qualify. It is a low acid tomato with a unique flavor that has been described as sweet, yet slightly tangy. The Department of VA has active arthritis research projects, from lab studies to new medications and therapy programs. To determine the rating for your ankle injury the VA will focus on two factors: flexion (limitation of range and motion) and pain. The DoD will also rate service-connected conditions as long as they also make the service member Unfit for Duty. Brand new claims usually take 3-6 months to process. The most common symptoms of arthritis in the ankle include: Here are the most common types of ankle arthritis: Osteoarthritis, also called degenerative arthritis, is the most common form of arthritis, affecting millions of people globally. Speak to your VSO first. It is often called wear and tear arthritis. Check out the other resources we have to set you up to WIN! We have updated our Privacy Policy. They will have the most information to determine if a rating may be incorrect. VA gave me 10% left ankle, 10% right ankle and 10% back. We use cookies to ensure that we give you the best experience on our website. of Veterans Affairs, please visit their website atva.gov. So go to a radiologist and get a full scan of the left and right ankles and back.

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