Citation Nr: 0600049 Decision Date: 01/04/06 Archive Date: 01/19/06 DOCKET NO. 04-26 634 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in No. Little Rock, Arkansas THE ISSUES 1. Entitlement to service connection for sciatica. 2. Entitlement to service connection for depression. WITNESS AT HEARING ON APPEAL Appellant ATTORNEY FOR THE BOARD Robert A. Leaf, Counsel INTRODUCTION The veteran had active military service from January 1982 to May 1992. This matter comes before the Board of Veterans' Appeals (Board) on appeal from a rating decision of the Department of Veterans Affairs (VA) Regional Office that denied the benefits sought on appeal. A video conference hearing was held in June 2005 before the undersigned Veterans Law Judge of the Board. A transcript of the proceeding is of record. FINDINGS OF FACT 1. Sciatica cannot be dissociated from service-connected residuals of a lumbar spine injury. 2. Depression cannot be dissociated from service-connected residuals of a lumbar spine injury. CONCLUSIONS OF LAW 1. Sciatica is proximately due to or the result of service- connected residuals of a lumbar spine injury. 38 U.S.C.A. § 1110, 1131 (West 2002); 38 C.F.R. § 3.310 (2005). 2. Depression is proximately due to or the result of service-connected residuals of a lumbar spine injury. 38 U.S.C.A. § 1110, 1131 (West 2002); 38 C.F.R. § 3.310 (2005). REASONS AND BASES FOR FINDINGS AND CONCLUSIONS Procedural Due Process, Preliminary Duties to Notify and Assist The Veterans Claims Assistance Act of 2000 (VCAA) describes VA's duty to notify and assist claimants in substantiating a claim for VA benefits. 38 U.S.C.A. §§ 5100, 5102, 5103, 5103A, 5107, 5126 (West 2002 & Supp. 2005); 38 C.F.R. §§ 3.102, 3.156(a), 3.159 and 3.326(a) (2005). As explained below, the Board has found the evidence and information currently of record to be sufficient to grant the appellant's claims for secondary service connection for depression and sciatica. To the extent that there may be any deficiency of notice or assistance, there is no prejudice to the appellant in proceeding with these issues given the favorable nature of the Board's decision. Legal Criteria In order to establish service connection for a claimed disability, the facts must demonstrate that a disease or injury resulting in current disability was incurred in the active military service or, if pre-existing active service, was aggravated therein beyond its natural progression. 38 U.S.C.A. §§ 1110, 1131. Service connection may be granted for disability that is proximately due to or the result of a service-connected disease or injury. 38 C.F.R. § 3.310(a). This includes situations when there has been aggravation of a veteran's nonservice-connected condition that is proximately due to or the result of a service-connected disability, but the veteran shall be compensated only for the degree of disability over and above the degree of disability existing prior to the aggravation. See Allen v. Brown, 7 Vet. App. 439 (1995). Analysis With respect to sciatica, service medical records substantiate that the veteran experienced low back pain and lumbar muscle spasm following an episode of heavy lifting, and the assessment was lumbar strain. The RO has granted service connection for residuals of a lumbar spine injury. Postservice diagnostic imaging by VA and private medical sources demonstrates spurring and disc space narrowing involving the lumbar spine, and a VA orthopedist diagnosed lumbar strain with degenerative disc disease. Joe W. Crow, M.D., in a report dated in October 2000, noted the presence of sciatica, clinically, but added that the veteran had no neurologic deficit. Laura B. Trigg, M.D., in a statement dated in August 2002, observed that that the veteran currently had sciatica. She went on to state that the veteran's sciatica and spine symptoms were attributable to a service-related back injury. Additionally, a VA physician, in June 2005, reported a diagnosis of lumbar injury with resultant sciatic nerve damage. Competent, probative medical evidence demonstrates that sciatica, whether or not involving a demonstrable neurologic deficit, cannot be dissociated from service-connected residuals of a lumbar spine injury. There is no competent medical evidence controverting that conclusion. Service connection is warranted for sciatica as secondary to service- connected residuals of a lumbar spine injury. With respect to depression, Dr. Trigg's August 2002 statement attributes the veteran's depressive symptoms to her service- related back injury. There is no competent medical evidence in the claims file that controverts that examiner's conclusion. Service connection is warranted for depression as secondary to service-connected residuals of a lumbar spine injury. ORDER Service connection for sciatica is granted. Service connection for depression is granted. ____________________________________________ Gary L. Gick Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs