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Statements of Principles

Carpal tunnel syndrome - Haemorrhage Factor

Haemorrhage means bleeding.

Haemorrhage involving the carpal tunnel is not common but may result from trauma, coagulation disorders such as haemophilia, disorders such as acute myeloid leukaemia or synovitis of the wrist or spontaneous bleeding as a result of anticoagulant therapy such as warfarin.

If the veteran had suffered from haemorrhage involving the carpal tunnel, this history would have been identified by the doctor who diagnosed carpal tunnel syndrome.

LAST REVIEWED FOR CCPS 21 FEBRUARY 2014.

PRELIMINARY QUESTIONS [31857]

31879 there is some evidence that haemorrhage may be a factor in the development or worsening of the condition under consideration.

31880 the veteran has had haemorrhage involving the carpal tunnel at some time.

31881 the veteran has had haemorrhage involving the carpal tunnel of side and site of the body at some time.

31882 the veteran had haemorrhage involving the carpal tunnel of side and site of the body as a consequence of an illness or injury which is identifiable.

31883  the veteran has established the causal connection between the haemorrhage involving the carpal tunnel of side and site of the body and VEA service for the condition under consideration.

31890 the veteran was suffering from haemorrhage involving the carpal tunnel of side and site of the body which was caused by the identified illness or injury at the time of the clinical onset of the condition under consideration.

31884   the veteran has established the causal connection between the haemorrhage involving the carpal tunnel of side and site of the body and VEA service for the clinical onset of the condition under consideration.

31886  the veteran has established the causal connection between the haemorrhage involving the carpal tunnel of side and site of the body and operational service for the clinical onset of the condition under consideration.

or

31887  the veteran has established the causal connection between the haemorrhage involving the carpal tunnel of side and site of the body and eligible service for the clinical onset of the condition under consideration.

or

31891 the veteran was suffering from haemorrhage involving the carpal tunnel of side and site of the body which was caused by the identified illness or injury at the time of the clinical worsening of the condition under consideration.

31885   the veteran has established the causal connection between the haemorrhage involving the carpal tunnel of side and site of the body and VEA service for the clinical worsening of the condition under consideration.

31888  the veteran has established the causal connection between the haemorrhage involving the carpal tunnel of side and site of the body and operational service for the clinical worsening of the condition under consideration.

or

31889  the veteran has established the causal connection between the haemorrhage involving the carpal tunnel of side and site of the body and eligible service for the clinical worsening of the condition under consideration.

CLINICAL ONSET AND OPERATIONAL SERVICE [31886]

31892  the identified illness or injury, which caused the haemorrhage involving the carpal tunnel of side and site of the body, is causally related to operational service.

CLINICAL ONSET AND ELIGIBLE SERVICE [31887]

31893  the identified illness or injury, which caused the haemorrhage involving the carpal tunnel of side and site of the body, is causally related to eligible service.

CLINICAL WORSENING AND OPERATIONAL SERVICE [31888]

31892  the identified illness or injury, which caused the haemorrhage involving the carpal tunnel of side and site of the body, is causally related to operational service.

31894 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 haemorrhage involving the carpal tunnel of side and site of the body, is causally related.

CLINICAL WORSENING AND ELIGIBLE SERVICE [31889]

31893  the identified illness or injury, which caused the haemorrhage involving the carpal tunnel of side and site of the body, is causally related to eligible service.

31895 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 haemorrhage involving the carpal tunnel of side and site of the body, is causally related.