Citation Nr: 18147964
Decision Date: 11/06/18	Archive Date: 11/06/18

DOCKET NO. 16-32 666
DATE:	November 6, 2018
REMANDED
The claim for a rating higher than 10 percent for left knee patellar tendonitis is remanded.
The claim for a rating higher than 10 percent for right knee patellar tendonitis is remanded.
REASONS FOR REMAND
The Veteran had active service from November 1973 to November 1977.
This matter comes before the Board of Veterans’ Appeals (Board) on appeal from an April 2013 rating decision of the Department of Veterans Affairs (VA) Regional Office (RO). 
The Veteran contends that higher ratings are warranted for bilateral knee disability.  Review of the most recent VA examination, dated in August 2018, reveals that it does not adequately address functional impairment.  The examiner indicates that the Veteran reported flare-ups, but this report does not document the functional impairment caused during such flare-ups.
The appeal is remanded to obtain another VA examination and obtain updated VA treatment records.
The matters are REMANDED for the following action:
1. Obtain updated VA treatment records.
2.  Thereafter, schedule the Veteran for a VA examination to address the severity of his service-connected bilateral knee disabilities.  The examination should be conducted by an examiner different that the examiner who conducted the August 2018 examination, if possible.  The examiner should fully address functional impairment, noting the range of motion when considering pain and flare-ups.  If the examination is conducted when the Veteran is not experiencing a flare-up, the examiner should document to the extent possible the degree of impairment caused during such a flare-up based on the Veteran’s lay statements and description of impairment during a flare-up.
 
Nathaniel J. Doan
Veterans Law Judge
Board of Veterans’ Appeals
ATTORNEY FOR THE BOARD	A.D. Jackson, Counsel