Citation Nr: 19166396 Decision Date: 08/27/19 Archive Date: 08/27/19 DOCKET NO. 18-55 055 DATE: August 27, 2019 . REMANDED A rating higher than 10 percent for a right knee disability is remanded. A rating higher than 20 percent for a right shoulder disability is remanded. A rating higher than 10 percent for a low back disability is remanded. Service connection for a right shoulder neurological component, to include as secondary to service-connected right shoulder disability and/or low back disability is remanded.   REASONS FOR REMAND Increased ratings In a May 2019 statement, the Veteran’s representative indicated that the Veteran’s service-connected disabilities have worsened since the last VA examinations in August 2017. As such, new VA examinations are necessary. Service connection As the claim for service connection for right shoulder neurological component is part and parcel of the claims for increased ratings for right shoulder and low back disabilities, the Board is also remanding this issue to be included in the Veteran’s new VA examinations. The matters are REMANDED for the following actions: 1. Obtain updated VA treatment records. 2. Schedule the Veteran for a VA examination to ascertain the current severity of his right knee, right shoulder and low back disabilities. The claims file should be made available to the examiner. All indicated tests and studies should be performed, including range of motions measurements. For each disability, the examiner must test the Veteran's active motion, passive motion, and pain with weight-bearing and without weight-bearing. The examiner must also attempt to elicit information regarding the severity, frequency, and duration of any flare-ups, and the degree of functional loss during flare-ups. To the extent possible, the examiner should identify any symptoms and functional impairments due to right knee, right shoulder and low back disabilities alone and discuss the effect of each disability on any occupational functioning and activities of daily living. If it is not possible to provide a specific measurement, or an opinion regarding flare-ups, symptoms, or functional impairment without speculation, the examiner must state whether the need to speculate is due to a deficiency in the state of general medical knowledge (no one could respond given medical science and the known facts), a deficiency in the record (additional facts are required), or the examiner (does not have the knowledge or training). 3. Schedule the Veteran for a VA peripheral nerves examination; the claims folder must be reviewed in conjunction with the examination. The examiner must state whether any diagnoses of a neurological disorder of the right shoulder is warranted, and if so, whether such is at least as likely as not (50 percent or greater probability) caused or aggravated by the Veteran’s service-connected right shoulder and/or low back disability. JOHN Z. JONES Veterans Law Judge Board of Veterans’ Appeals Attorney for the Board A. Hemphill, Associate Counsel The Board’s decision in this case is binding only with respect to the instant matter decided. This decision is not precedential, and does not establish VA policies or interpretations of general applicability. 38 C.F.R. § 20.1303.