Citation Nr: 1035131 Decision Date: 09/17/10 Archive Date: 09/21/10 DOCKET NO. 07-25 614 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Phoenix, Arizona THE ISSUES 1. Entitlement to service connection for peripheral neuropathy of the right lower extremity. 2. Entitlement to service connection for peripheral neuropathy of the left lower extremity. REPRESENTATION Appellant represented by: Disabled American Veterans WITNESSES AT HEARING ON APPEAL Appellant, B.C., and R.M. ATTORNEY FOR THE BOARD L. J. Vecchiollo, Counsel INTRODUCTION The Veteran served on active duty from March 1965 to January 1969. This matter came before the Board of Veterans' Appeals (Board) on appeal from an April 2006 rating decision from the Phoenix, Arizona, Department of Veterans Affairs (VA) Regional Office (RO). The Veteran testified at a hearing at the RO before the undersigned in August 2009. A transcript of the proceeding is of record. FINDINGS OF FACT 1. The Veteran served on active duty in the Republic of Vietnam during the Vietnam era. 2. The Veteran's peripheral neuropathy of the right lower extremity is due to inservice herbicide exposure. 3. The Veteran's peripheral neuropathy of the left lower extremity is due to inservice herbicide exposure. CONCLUSIONS OF LAW 1. The criteria for service connection for peripheral neuropathy of the right lower extremity have been met. 38 U.S.C.A. §§ 1101, 1110, 1112, 1113, 1116 (West 2002 & Supp. 2010); 38 C.F.R. §§ 3.303, 3.307, 3.309 (2009). 2. The criteria for service connection for peripheral neuropathy of the left lower extremity have been met. 38 U.S.C.A. §§ 1101, 1110, 1112, 1113, 1116 (West 2002 & Supp. 2010); 38 C.F.R. §§ 3.303, 3.307, 3.309 (2009). REASONS AND BASES FOR FINDINGS AND CONCLUSIONS The Veteran's service treatment records are negative for any findings, complaints, or treatment of peripheral neuropathy. The Veteran has stated that his peripheral neuropathy, which started in the 1980's, is the result of his exposure to herbicides in Vietnam. Regarding veterans who served in Vietnam, certain diseases are presumed to have been incurred in or aggravated by service due to herbicide exposure if they have manifested to a compensable degree at any time after service. 38 U.S.C.A. § 1116; 38 C.F.R. §§ 3.307(a)(6)(ii), (iii). Personnel records show that the Veteran served in the Republic of Vietnam. Therefore, exposure to herbicides is presumed. The determinative issue is whether any his peripheral neuropathy and associated symptoms are related to this exposure. Acute and subacute peripheral neuropathy shall have become manifest to a degree of 10 percent or more within one year after the last date on which the veteran was exposed to an herbicide agent during active military, naval, or air service. 38 C.F.R. § 3.307(a)(6)(ii). There is no competent evidence that acute or subacute peripheral neuropathy became manifest to a degree of 10 percent or more within one year after the last date on which the Veteran was exposed to an herbicide agent. See 38 C.F.R. § 3.307(a)(6)(ii). Therefore, service connection is denied on a presumptive basis under 38 U.S.C.A. § 1116. Even where, as here, service connection is claimed and denied on a presumptive basis, consideration must be given to whether the Veteran is entitled to service connection on a direct incurrence basis regarding his bilateral peripheral neuropathy. Combee v. Brown, 34 F.3d 1039, 1043-44 (Fed. Cir. 1994). Service connection may be granted for a disability resulting from personal injury suffered or disease contracted in line of duty or for aggravation of preexisting injury suffered or disease contracted in line of duty. 38 U.S.C.A. §§ 1110, 1153; 38 C.F.R. §§ 3.303, 3.304. Service connection may be granted for any disease diagnosed after discharge, when all the evidence, including that pertinent to service, establishes that the disease was incurred in service. 38 C.F.R. § 3.303. To establish service connection for a disability, a claimant must submit: (1) medical evidence of a current disability, (2) medical evidence, or in certain circumstances lay testimony, of in- service incurrence or aggravation of an injury or disease, and (3) competent evidence of a nexus between the current disability and the in-service disease or injury. Pond v. West, 12 Vet. App. 341, 346 (1999). A VA progress note in November 2007 diagnosed neuropathy due to Agent Orange. There is no contradictory medical evidence of record. As the three elements of the Pond test, (a current diagnosis of a disability and a competent medical opinion finding that the current disability is related to an inservice event, exposure to herbicides) have been met, service connection for peripheral neuropathy of the right and left lower extremities is warranted. As all the issues on appeal have been resolved in favor of the Veteran, it is not necessary to consider whether all applicable requirements of the VA's duties to notify and assist the Veteran have been satisfied. ORDER Entitlement to service connection for peripheral neuropathy of the right lower extremity is granted. Entitlement to service connection for peripheral neuropathy of the left lower extremity is granted. ____________________________________________ RONALD W. SCHOLZ Veterans Law Judge, Board of Veterans' Appeals Department of Veterans Affairs