Citation Nr: 20006325 Decision Date: 01/28/20 Archive Date: 01/24/20 DOCKET NO. 19-12 460 DATE: January 28, 2020 REMANDED A rating higher than 10 percent for right lower extremity shin splint, including on an extraschedular basis, is remanded. A rating higher than 10 percent for left lower extremity shin splint with knee strain, including on an extraschedular basis, is remanded. REASONS FOR REMAND The Veteran served on active duty from October 1983 to April 1984. In her March and November 2019 statements in support of her claims, the Veteran has asserted that her shin splints are more severe and have increase in severity since her last VA examinations in November 2017. Additionally, the Veteran has stated that her shin splints result in functional limitations not otherwise contemplated by the rating criteria and warrant extraschedular consideration. As such, the Board finds that a new examination is warranted. The matters are REMANDED for the following action: 1. Associate with the record any outstanding VA clinical records pertaining to treatment of the Veteran. 2. Thereafter, schedule the Veteran for an examination with an appropriate medical professional to determine the current severity of her service-connected bilateral shin splints. The claims file should be made available to and reviewed by the examiner and the examination report should state a review of the file was completed. The examiner should identify all bilateral shin splint pathology found to be present. The examiner should conduct all indicated tests and studies, to include range of motion studies. The joints involved should be tested in both active and passive motion, in weight-bearing and non-weight-bearing and, if possible, with range of motion measurements of the opposite undamaged joint. If the examiner is unable to conduct the required testing or concludes that the required testing is not necessary in this case, he or she should clearly explain why that is so. The examiner should describe any pain, weakened movement, excess fatigability, instability of station and incoordination present. If pain is noted, the point during range of motion at which pain starts must be clearly indicated. The examiner should also state whether the examination is taking place during a period of flare-up. If not, the examiner should ask the Veteran to describe the flare-ups she experiences, including: frequency, duration, characteristics, precipitating and alleviating factors, severity and/or extent of functional impairment she experiences during a flare-up of symptoms and/or after repeated use over time. Based on the Veteran’s lay statements and the other evidence of record, the examiner should provide an opinion estimating any additional degrees of limited motion caused by functional loss during a flare-up or after repeated use over time. The examiner is also asked to identify any additional functional limitations not otherwise contemplated by the rating criteria JOHN Z. JONES Veterans Law Judge Board of Veterans’ Appeals Attorney for the Board A. Parrish, 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.