BVA9500595 DOCKET NO. 93-06 592 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in Montgomery, Alabama THE ISSUE Entitlement to an increased rating for mechanical low back pain, rated as 10 percent disabling. REPRESENTATION Appellant represented by: Disabled American Veterans INTRODUCTION The veteran had active service from February 1958 to February 1962. This matter came before the Board of Veterans' Appeals (Board) on appeal from a November 1992 rating decision of the aforementioned regional office (RO). During the course of this appeal, the veteran has claimed that he is unable to work because of the back disability. This claim, for a total disability rating, is referred to the RO for appropriate action. REMAND Department of Veterans Affairs (VA) medical records show that the veteran has recently been treated for low back and left leg pain. He has argued that it is his back which has caused pain and swelling in the legs. He has not been afforded VA examination in connection with the current claim. An examination is necessary in order to: (1) determine the severity of the service connected mechanical low back pain, and (2) determine the relationship, if any, between the service connected low back disability and symptomatology affecting either of the lower extremities. The Board also notes that the Statement of the Case did not include the rating criteria for the low back. In view of the foregoing, the case is REMANDED for the following action: 1. The RO is to obtain copies of all of the veteran's treatment records from the VA Medical Center, Birmingham, Alabama, and the VA Outpatient Clinic, Huntsville, which date from October 1992 to the present time. These records should be associated with the claims file. 2. The RO is to schedule the veteran for VA examination to determine the nature and severity of the service connected mechanical low back pain. In addition, the examiner is to determine whether the service connected low back disability affects either or both of the lower extremities; and to identify the signs and symptoms in either or both lower extremities which are part of, or related to, the mechanical low back pain. The examination is to be conducted in accordance with the Physician's Guide. The claims file must be made available for the examiner's review prior to the examination, and it is requested that the examiner state whether this has been done. 3. When this development has been completed, the RO should review the claim. In its adjudication, the RO should address the question of whether the veteran has disability of the lower extremities which is part of, or related to, or caused by, the mechanical low back pain. 4. After completion of the usual adjudicative procedures, if all the benefits sought are not granted, the veteran and his representative should be furnished a supplemental statement of the case which includes the criteria for rating the service connected back disorder, if in order. The case should then be returned to the Board for further appellate review. NANCY I. PHILLIPS Member, Board of Veterans' Appeals (CONTINUED ON NEXT PAGE) 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).