BVA9501518 DOCKET NO. 93-06 301 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in No. Little Rock, Arkansas THE ISSUE Entitlement to service connection for a back disability. REPRESENTATION Appellant represented by: Veterans of Foreign Wars of the United States WITNESSES AT HEARINGS ON APPEAL Appellant and his wife INTRODUCTION The veteran served on active duty from January 1953 to November 1954.. Entitlement to service connection for a back disability was denied by prior final rating decision. This appeal arose from a May 1990 rating decision of the Department of Veterans Affairs (VA) Regional Office (RO) in Little Rock which determined that there had not been submitted new and material evidence to reopen the claim. A June 1990 rating decision, effectuating a VA Hearing Officer's decision, determined that there had been submitted new and material evidence, and the claim was reopened. The issue of whether there was clear and unmistakable error in a January 1955 rating decision denying service connection for the back disability was addressed in the Hearing Officer's decision of August 1992. However, the veteran was not informed of this decision or apprised of his appellate rights. This matter is addressed below. REMAND The veteran claims, and has testified under oath, that he had had constant back pain between the time he injured his back in service and the time he underwent surgery for herniated nucleus pulposus at L4-L5 approximately nine years later. The medical records show that he reportedly sustained back injury in service and was treated for lumbosacral strain. When he underwent VA examination approximately one month after service he complained of back pain, but no orthopedic disease or disability was found. Approximately nine years later he presented with severe back pain. He reported as history that he had had recurrent episodes of this type of backache since injury in service. The Board is of the opinion that additional medical opinion is necessary on the relationship between the in-service back problems and the post-service herniated disc at L4-L5. Accordingly, the case is REMANDED for the following action: 1. The RO should schedule the veteran for examination by a VA orthopedic specialist, Board certified, if possible, for the purpose of determining whether he has a chronic back disability, to include residuals of herniated nucleus pulposus at L4-L5, which is related to service. The examiner must answer the following question: Was the herniated disc at L4-L5, which was diagnosed in 1964, caused by, or related to, or did it represent a progression of, the low back problems in service. The reasoning which forms the basis of the opinion should be set forth in detail. The claims file must be made available for review prior to the examination, and the examiner should affirmatively indicate that this was in fact the case. 2. When this development is completed the RO should consider the issue of service connection for the back disability. In addition, the RO should undertake a rating decision which carries out the Hearing Officer's decision of August 1992 with respect to clear and unmistakable error in the initial disallowance of service connection for the back disability and inform the veteran of the decision and of his appellate rights. If the benefits sought are not granted, and after completion of the usual adjudicative procedures, the veteran and his representative should be furnished an appropriate supplemental statement of the case and given an opportunity to respond. (CONTINUED ON NEXT PAGE) The case should then be returned to the Board if in order. NANCY I. PHILLIPS Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. Under 38 U.S.C.A. § 7252 (West 1991), only a decision of the Board of Veterans' Appeals is appealable to the United States Court of Veterans Appeals. This remand is in the nature of a preliminary order and does not constitute a decision of the Board on the merits of your appeal. 38 C.F.R. § 20.1100(b) (1993).