Citation Nr: 18157728
Decision Date: 12/13/18	Archive Date: 12/13/18

DOCKET NO. 16-58 524A
DATE:	December 13, 2018
REMANDED
Service connection for a pelvic disorder, to include osteitis pubis and pubic bone pain.
REASONS FOR REMAND
In June 2016 and December 2016 statements, the Veteran asserted that since separation from service, she continuously experienced the symptoms of osteitis pubis.  She explained that she continued to experience regular pelvic pain that was aggravated by physical activity, including that associated with pregnancy.  
Additionally, in January 2016 she submitted medical treatment records from a private clinician which diagnosed pubic bone pain, identified a history of osteitis pubis, and noted that she had pain from it during both her second and her most recent pregnancies but offered no current diagnosis  
In a May 2016 VA examination, the examiner opined that osteitis pubis was at least as likely as not related to in-service treatment; however, a current diagnosis was not identified.  In light of the Veteran’s June 2016 and December 2016 statements regarding ongoing symptoms, she should be afforded an examination to consider this evidence and express whether a current diagnosis of osteitis pubis or other pubic bone pain. 
The matter is REMANDED for the following actions:
1. Identify and obtain any pertinent, outstanding VA and private treatment records not already of record. 
2. Schedule the Veteran for an examination to determine the nature and etiology of any current pelvic disorder, to include osteitis pubis and pubic bone pain.  The claims file must be made available to and reviewed by the examiner.  Any indicated studies should be performed.  
Based on the examination results and review of the record, the examiner should provide an opinion as to whether it is at least as likely as not that any current pelvic symptoms are etiologically related to the Veteran’s active service.  
In forming the opinion, the examiner should address the Veteran’s June 2016 and December 2016 statements and the January 2016 private medical treatment records.
The Board notes that the Veteran attended the United States Military Academy.  The examiner is advised that under 38 C.F.R. § 3.6(b)(4), service as a cadet at the United States Military Academy is considered active duty service and must be considered when assessing the relationship between any current pelvic disorder and active service.  
The rationale for all opinions must be provided.
3. Then, readjudicate the claim on appeal.  If a decision is adverse to the Veteran, issue a supplemental statement of 
 
the case and allow the appropriate time for response.  Then, return the case to the Board.  
 
L. HOWELL
Veterans Law Judge
Board of Veterans’ Appeals
ATTORNEY FOR THE BOARD	A. Spigelman, Associate Counsel