Allergic Rhinitis And Sinusitis
Posted 06 April 2010 - 08:30 AM
I am SC for allergic rhinitis (max rating, with polyps, -10% for pre-existing condition) and also have a very long documented history of sinusitis while on active duty and have had periodic flare ups annually ever since.
Condition is visible on x-rays. I require near constant medication to keep the allergic rhinitis and sinusitis under a resemblance of control. They both are pretty bad all the time, but it becomes much more of a problem during pollen season.
It impacts all of my sinus regions. I also have enlarged turbinates and a deviated septum, which add to the problem.
Symptoms: Sinus congestion, white-yellow drainage, headaches, pain/tenderness, periodic bleeding, upper respiratory/sinus infections
Daily medication: Loratadine, Nasonex steorid spray, Phenylephrine antihistamine spray, Saline spray, Saline rinse
Periodic treatments: Benadryl, presnisone steroid cycles, 2-4 week courses of antibiotics (bactrim, augmentin, septra, etc...), pain medication for accompanying headaches
Bed rest: Not typically required
1. Is it possible to also be SC for sinusitis or would that be considered pyramiding?
2. Based on the description of my sinus history and treatments, what estimated rating would I fall under?
Schedule of Ratings tables for Sinusitis and Allergic Rhinitis:
6510 Sinusitis, pansinusitis, chronic.
6511 Sinusitis, ethmoid, chronic.
6512 Sinusitis, frontal, chronic.
6513 Sinusitis, maxillary, chronic.
6514 Sinusitis, sphenoid, chronic.
General Rating Formula for Sinusitis (DCís 6510 through 6514):
50% Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries
30% Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting
One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting 10
0% Detected by X-ray only
Note: An incapacitating episode of sinusitis means one that requires bed rest and treatment by a physician.
6522 Allergic or vasomotor rhinitis:
30% With polyps
10% Without polyps, but with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side
Posted 08 April 2010 - 11:37 PM
The Deviated Septum causes a malformation of the air passages and can cause Symtoms that are alike in nature to the symtoms of Rynitis and/or Sinusitis.
You will need good evidence and an IME and IMO to give weight to the IMO and Nexus statement. I wish you luck as I am going through the same problems, My claim is at the DRO and has been their for about a year now or maybe less but not by much.
Posted 09 April 2010 - 09:27 AM
I hope your DRO claim goes well.
Posted 09 April 2010 - 08:02 PM
Posted 10 April 2010 - 06:48 AM
Posted 19 April 2010 - 08:01 AM
Posted 19 April 2010 - 09:36 AM