Raynaud’s disease and Raynaud’s phenomenon or syndrome, can significantly impact veterans, particularly those seeking VA disability benefits. Leah Bucholz explores what Raynaud’s disease and syndrome are, how they relate to military service, and the VA’s disability rating criteria for this condition.
Understanding Raynaud’s Disease
What Is Raynaud’s Disease?
Raynaud’s disease is a condition that causes spasms in the small blood vessels of the fingers and toes. These spasms, known as vasospastic attacks, limit blood flow, leading to symptoms such as:
- Skin color changes (white, blue, then red)
- Cold or numb sensations
- Tingling or “pins and needles” feelings
These symptoms are often triggered by cold weather or emotional stress. While primarily affecting fingers and toes, Raynaud’s can also impact the nose, lips, and earlobes.
Types of Raynaud’s Disease
Raynaud’s disease is classified into two types:
- Primary Raynaud’s Disease:
- Occurs without any underlying medical condition.
- Typically affects women under the age of 30 and those with a family history of the condition.
- Secondary Raynaud’s Disease (Raynaud’s Phenomenon):
- Associated with other medical conditions, such as autoimmune diseases or side effects of certain medications.
How Does It Manifest?
During an episode, the small arteries in the affected areas tighten excessively, cutting off blood supply and oxygen. The lack of circulation causes the skin to turn white, then blue. When the blood flow returns, the skin may turn red and feel warm, tingling, or even painful. These attacks generally last about 15 minutes but can vary in duration and severity.
Raynaud’s Disease and Military Service
Service Connection for Raynaud’s Disease
Veterans may develop Raynaud’s disease during or after military service. The condition can be service-connected in two main ways:
- Primary Service Connection:
- If Raynaud’s is diagnosed during active duty and persists after separation from the military, it can be directly linked to service.
- For example, service members exposed to extreme cold or stressful environments may develop symptoms.
- Secondary Service Connection:
- Raynaud’s can develop as a secondary condition due to other service-connected issues, such as:
- Post-traumatic stress disorder (PTSD)
- Anxiety or depression
- Medications prescribed for service-connected conditions
- Raynaud’s can develop as a secondary condition due to other service-connected issues, such as:
Stress and Raynaud’s Disease
Stress is a well-documented trigger for Raynaud’s attacks. Veterans with PTSD, anxiety, or depression may experience heightened emotional stress, which exacerbates Raynaud’s symptoms. Studies, including articles from Cleveland Clinic and StatPearls, confirm that emotional stress and cold temperatures are major contributors to vasospasms in Raynaud’s disease.
Case Examples
During her time as a U.S. Army physician assistant, Leah Bucholz, encountered cases of severe Raynaud’s. One soldier’s condition was so debilitating that it required medical separation from service. Such cases illustrate the profound impact Raynaud’s can have on a service member’s life and career.
VA Disability Ratings for Raynaud’s Disease
The VA evaluates Raynaud’s disease based on the frequency and severity of vasospastic attacks, as well as the presence of complications like digital ulcers or amputations. Ratings range from 10% to 100%, as follows:
- 10% Rating: Characteristic attacks occur 1-3 times per week.
- 20% Rating: Characteristic attacks occur 4-6 times per week.
- 40% Rating: Characteristic attacks occur at least daily.
- 60% Rating: Two or more digital ulcers and a history of characteristic attacks.
- 100% Rating: Two or more digital ulcers plus auto-amputation of one or more digits and a history of characteristic attacks.
It is important to note that VA disability ratings are subject to change based on the progression or improvement of the condition.
Seeking Medical Opinions and Documentation
The Role of Medical Opinion Letters
While not mandatory, medical opinion letters can support a veteran’s claim by linking Raynaud’s disease to service or a secondary condition. These reports are often prepared by medical professionals like Leah Bucholz, who work closely with accredited claims agents and attorneys.
Working with Accredited Representatives
Veterans pursuing VA disability claims should consider consulting accredited representatives, such as claims agents or attorneys. These professionals can provide guidance and ensure that claims are thoroughly documented. Veterans can find accredited representatives using the search tool on the VA’s official website.
Conclusion
Raynaud’s disease can be a debilitating condition for veterans, particularly when compounded by the stresses of military service. Understanding the condition, its triggers, and the VA’s rating criteria is essential for obtaining appropriate disability benefits. By seeking medical documentation and working with accredited representatives, veterans can build a strong case for service connection and achieve the support they deserve.
Also read: Gulf War Illness and VA Disability
At Prestige Veteran Medical Consulting, a veteran-owned company, we specialize in Independent Medical Opinions (IMOs) known as Nexus letters.
Our purpose is to empower YOU, the veteran, to take charge of your medical evidence and provide you with valuable educational tools and research to guide you on your journey.
Understanding the unique challenges veterans face, our commitment lies in delivering exceptional service and support.
Leveraging an extensive network of licensed independent medical professionals, all well-versed in the medical professional aspects of the VA claims process, we review the necessary medical evidence to incorporate in our reports related to your VA Disability Claim.
Prestige Veteran Medical Consulting is not a law firm, accredited claims agent, or affiliated with the Veterans Administration or Veterans Services Organizations. However, we are happy to discuss your case with your accredited VA legal professional.
