BVA9502913 DOCKET NO. 93-11 345 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in St. Petersburg, Florida THE ISSUE Entitlement to service connection for a low back disability. REPRESENTATION Appellant represented by: Veterans of Foreign Wars of the United States ATTORNEY FOR THE BOARD B. Anderson, Counsel REMAND The appellant had Vietnam Era and post Vietnam Era active duty which terminated in August 1991. REMAND This appeal arises from a June 1992 rating decision of the St. Petersburg, Florida, regional office (RO). In that decision, service connection for residuals of lumbar strain was denied. On review of the evidence of record, the Board of Veterans' Appeals (Board) observes that, although the appellant complained of chronic low back pain on service discharge examination, no back disability was clinically documented. Examination showed that the appellant was 5 feet 10 inches tall and weighed 245 pounds. He earlier had been referred to Overeaters Anonymous. Postservice evidence essentially consists of a report of examination at a naval air station in October 1991. Particularly as it relates to the back, this report is largely illegible, but it does seem to indicate chronic low back pain. X-ray examination of the appellant's lumbar spine was negative, as it was on examination by the Department of Veterans Affairs (VA) in February 1992. However, the Board agrees with the appellant's contention that he was given an inadequate examination for purposes of his low back claim inasmuch as the back appartently was not physically examined. Although the diagnoses included low back strain, limitations of function, if any, or other findings to support the diagnosis were not recorded. The physical examination in February 1992 did show that the appellant was morbidly obese at 281½ pounds, but no opinion as to the etiology of the low back strain was included with the examination report. In the Board's judgment, such an opinion is warranted in this case, particularly in view of the relatively close proximity of the diagnosis to service. To ensure that VA has met its duty to assist the appellant in developing the facts pertinent to the claim, the case is REMANDED to the RO for the following development: The appellant should be afforded a VA orthopedic examination to determination the nature and extent of any low back disability. The claims folder should be made available to the examiner for review before the examination. Clinical findings should be reported in detail and, to the extent possible, the etiology of any low back disability should be clearly identified. Specifically, the examiner should be requested to provide an opinion as to the degree of probability, if any, that low back strain or any current low back disorder is causally related to the veteran's back complaints during service. The rationale for such opinion should be included. After the development requested above has been completed to the extent possible, the RO should again review the record. If the benefit sought on appeal remains denied, the appellant and representative should be furnished a supplemental statement of the case and given the applicable opportunity to respond thereto. Thereafter, the case should be returned to the Board, if in order. The Board intimates no opinion as to the ultimate outcome of this case. The appellant need take no action until he is so notified. CHARLES E. HOGEBOOM 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 action has been taken in accordance with the Veterans' Benefits Improvements Act of 1994, Pub. L. No. 103-446, § 303, 108 Stat. 4645, ___ (1994), and 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).