Citation Nr: 0003453 Decision Date: 02/10/00 Archive Date: 02/15/00 DOCKET NO. 97-28 460 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Des Moines, Iowa THE ISSUE Entitlement to service connection for a low back disorder. REPRESENTATION Appellant represented by: The American Legion ATTORNEY FOR THE BOARD Howard M. Scott, Associate Counsel INTRODUCTION The veteran had active service from January 1973 to March 1975. This matter comes before the Board of Veterans' Appeals (BVA or Board) on appeal from a July 1996 rating decision of the Department of Veterans Affairs (VA) Regional Office (RO) in Chicago, Illinois, which denied the veteran's claim on appeal. The veteran appealed that decision to the BVA and the case was referred to the Board for appellate review. During the course of this appeal, the veteran moved his residence from the State of Illinois to the State of Iowa, and the claim was transferred to the jurisdiction of the RO in Des Moines, Iowa. In statements dated in December 1998 and January 1999, the veteran requested that his personal hearing be canceled, and that the case be forwarded to the Board. FINDING OF FACT Low back pain/strain has not been shown by competent medical evidence to be causally or etiologically related to service. CONCLUSION OF LAW The veteran's claim of entitlement to service connection for low back pain is not well grounded. 38 U.S.C.A. § 5107(a) (West 1991). REASONS AND BASES FOR FINDING AND CONCLUSION The veteran contends that he suffered an unspecified back disorder in service in 1973, and that he still suffers from such a disorder. Service connection may be established for disability resulting from personal injury suffered or disease contracted in line of duty or for aggravation of a preexisting injury or disease contracted in line of duty. 38 U.S.C.A. § 1110 (West 1991). Regulations also provide that service connection may be granted for any disease diagnosed after discharge, when all the evidence, including that pertinent to service, establishes that the disease was incurred in service. 38 C.F.R. § 3.303(d) (1999). Before reaching the merits of the veteran's claim, the threshold question which must be answered in this case is whether the veteran has presented a well grounded claim for service connection. A well grounded claim is a plausible claim, one which is meritorious on its own or capable of substantiation. In this regard, the veteran has "the burden of submitting evidence sufficient to justify a belief by a fair and impartial individual that the claim is well grounded." 38 U.S.C.A. § 5107(a) (West 1991); Grivois v. Brown, 6 Vet. App. 136, 140 (1994); Murphy v. Derwinski, 1 Vet. App. 78, 81 (1990). If the evidence presented by the veteran fails to meet this threshold level of sufficiency, no further legal analysis need be made as to the merits of the claim. Boeck v. Brown, 6 Vet. App. 14, 17 (1993). In order for a claim to be well grounded, there must be competent evidence of current disability (established by medical diagnosis); evidence of incurrence or aggravation of a disease or injury in service (established by medical, or in some cases lay, evidence); and competent evidence of a nexus between the in-service injury or disease and the current disability (established by medical evidence). See generally Epps v. Gober, 126 F.3d 1464 (Fed. Cir. 1997) cert. denied sub nom. Epps v. West, 118 S. Ct. 2348 (1998). Service medical records noted no complaints of, or treatment for, any disorder of the back. The veteran's separation examination report indicated that there were no abnormalities of the veteran's spine. VA treatment records from October 1993 reported that the veteran had fallen while taking out the garbage at home. The assessment was lumbosacral strain. Treatment records from November and December 1993 continued to report a diagnosis of chronic low back pain. An undated entry noted that the veteran had slipped the week before and hurt his back. In May 1995, the veteran complained of chronic pain in the feet, knees and back. A March 1998 VA examination report contained a diagnosis of chronic low back pain/strain. Following a careful review of all the evidence in this case, the Board finds that the veteran has not met all of the elements of a well grounded claim. There is no evidence of a back disorder in service, and none of the post-service medical records contain a medical opinion that his current back disorder is related to service. Given the absence of medical evidence of a back disorder in service, and of a nexus between the veteran's current back pain/strain and service, a plausible claim for service connection for low a back pain disorder not been presented. See Grottveit v. Brown, 5 Vet. App. 91 (1993). Consequently, such claim is not well grounded and must, therefore, be denied. 38 U.S.C.A. § 5107(a). Furthermore, the Board is unaware of any information in this matter that would put the VA on notice that any additional relevant evidence may exist, which, if obtained would well ground the veteran's claim. See generally McKnight v. Gober, 131 F.3d 1483 (Fed. Cir. 1997). The Board views its discussion as sufficient to inform the veteran of the elements necessary to complete his application for a claim for service connection for the claimed disability. Id. ORDER Evidence of a well grounded claim for service connection for a low back disorder not having been submitted, the appeal is denied. MILO H. HAWLEY Acting Member, Board of Veterans' Appeals