Loss of pain sensation or proprioception

The only requirement here is that the disorder leading to loss of pain sensation or proprioception must involve the joint affected with the osteoarthritis.

Loss of pain sensation

There are a number of conditions and injuries that can lead to loss of pain sensation such as:

•  Acroosteolysis neurogenic
•  Acute intermittent porphyria
•  Blood clots
•  Cerebrovascular accidents
•  Diabetes mellitus
•  Leprosy
•  Polyneuritis
•  Refsum syndrome
•  Spinal cord fracture
•  Spinal cord infection
•  Spinal cord tumor
•  Variegate porphyria

Proprioception

Proprioception is the sense of the relative position of neighboring parts of the body. Unlike the senses we use to perceive the outside world, or those with which we perceive the pain and movement of internal organs, proprioception is a third distinct sensory modality that provides feedback solely on the status of the body internally.  It is the sense that indicates whether the body is moving with required effort, as well as where the various parts of the body are located in relation to each other.

General Information

There are a number of disorders or factors that can lead to proprioception within a joint which can include:

•  Amputation
•  Viral infections
•  Growth spurts (in adolescents)
•  A large increase or decrease in body weight or size
•  Epilepsy
•  Migraine
•  Tinnitus
•  Joint hypermobility or Ehlers-Danlos Syndrome
•  Overtiredness, or exhaustion
•  Overdose of Vitamin B6
•  Chemotherapy
•  Over extension, stretching or overuse of limbs
•  Fluctuations in body fat or muscle content (such as with liposuction, body building, and steroid use)

Last reviewed for CCPS 10 June 2012.

Preliminary questions [41765]

41766 there is some evidence that the loss of pain sensation or proprioception may be a factor in the development or worsening of the condition under consideration.

41767 the veteran had a disorder associated with loss of pain sensation or proprioception at some time.

41768 the veteran has had the disorder associated with the loss of pain sensation or proprioception to the side and site of the body at some time.

41769 the veteran had the loss of pain sensation or proprioception for an illness or injury which is identifiable.

41770  the veteran has established the causal connection between the loss of pain sensation or proprioception and VEA service for osteoarthritis.

41771 the veteran had the illness or injury which caused the loss of pain sensation or proprioception, before the clinical onset of the condition under consideration.

41772   the veteran has established the causal connection between the loss of pain sensation or proprioception and VEA service for the clinical onset of osteoarthritis.

41775  the veteran has established the causal connection between the loss of pain sensation or proprioception and operational service for the clinical onset of osteoarthritis.

or

41776  the veteran has established the causal connection between the loss of pain sensation or proprioception and eligible service for the clinical onset of osteoarthritis.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

41773 the veteran had the illness or injury which caused the loss of pain sensation or proprioception, before the clinical worsening of the condition under consideration.

41774   the veteran has established the causal connection between the loss of pain sensation or proprioception and VEA service for the clinical worsening of osteoarthritis.

41777  the veteran has established the causal connection between the loss of pain sensation or proprioception and operational service for the clinical worsening of osteoarthritis.

or

41778  the veteran has established the causal connection between the loss of pain sensation or proprioception and eligible service for the clinical worsening of osteoarthritis.

Clinical onset and operational service [41775]

41779  the identified illness or injury which caused the loss of pain sensation or proprioception is causally related to operational service.

Clinical onset and eligible service [41776]

41780  the identified illness or injury which caused the loss of pain sensation or proprioception is causally related to eligible service.

Clinical worsening and operational service [41777]

41779  the identified illness or injury which caused the loss of pain sensation or proprioception is causally related to operational service.

41781 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury which caused the loss of pain sensation or proprioception is causally related.

Clinical worsening and eligible service [41778]

41780  the identified illness or injury which caused the loss of pain sensation or proprioception is causally related to eligible service.

41782 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury which caused the loss of pain sensation or proprioception is causally related.