Factors in CCPS as at 18 July 2007 (N038)
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Important Information
- The investigation questions displayed here are based on factors that were current at the time that they were incorporated into the CCPS application.
- There may have been new instruments for this SOP condition issued after they were added to the CCPS application.
- Please ensure that you refer to and use the latest instruments for this SOP condition (achilles tendinopathy and bursitis).
Current Statements of Principles
- Please refer to the Repatriation Medical Authority (RMA) Website to confirm the most recent instruments for this SOP condition (achilles tendinopathy and bursitis).
- The achilles tendinopathy and bursitis instruments at the RMA Website (Page 'A' [2]) will contain the latest SOP Factors.
The following achilles tendinopathy and bursitis factors were last reviewed for CCPS on 18 July 2007.
A renal transplant
Achilles tendinopathy and bursitis - A renal transplant Factor
Renal transplantation means surgical replacement of a kidney with a kidney from another person.
If a veteran or member had undergone renal transplantation, this would be recorded in doctors' notes and/or hospital records. However, if these records have been destroyed or can no longer be obtained and there is a reliable history of renal transplantation at a particular time, this generally will be accepted, unless there is contradictory evidence.
Last reviewed for CCPS 18 July 2007.
Preliminary questions [20027]
21867 there is some evidence that a renal transplant may be a factor in the development or worsening of the condition under consideration.
12229 the veteran has had a renal transplantation at some time.
20052 the renal transplant was for an illness or injury which is identifiable. [Default true]
20053 the veteran has established the causal connection between the renal transplant and operational service for Achilles tendinopathy or bursitis.
20062 for the identified illness or injury, the veteran had a renal transplant within the 10 years before the clinical onset of the condition under consideration.
20058 the veteran has established the causal connection between the renal transplant and operational service for the clinical onset of Achilles tendinopathy or bursitis.
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.
20064 for the identified illness or injury, the veteran had a renal transplant within the 10 years before the clinical worsening of the condition under consideration.
20060 the veteran has established the causal connection between the renal transplant and operational service for the clinical worsening of Achilles tendinopathy or bursitis.
Clinical onset and operational service [20058]
25040 the identified illness or injury which required the renal transplant is causally related to operational service.
Clinical worsening and operational service [20060]
25040 the identified illness or injury which required the renal transplant is causally related to operational service.
20068 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that required the renal transplant is causally related.
A specified biomechanical abnormality involving the foot
Achilles tendinopathy and bursitis - A specified biomechanical abnormality involving the foot Factor
The RMA defines a specified biomechanical abnormality to mean 'overpronation or underpronation, or decreased ankle or forefoot flexibility'. Medical input will be needed to establish if any of these abnormalities of the foot are present.
Last reviewed for CCPS 18 July 2007.
Investigative Documents
| Type | Title | PDF Format | Word Format |
|---|---|---|---|
| Medical Report | A Specified Biomechanical Abnormality Involving the Foot |
 MR9377.pdf [3] |
 MR9377.docx [4] |
Preliminary questions [38315]
37768 there is some evidence that a specified biomechanical abnormality involving the affected foot may be a factor in the development or worsening of the condition under consideration.
37769 the veteran has had a specified biomechanical abnormality involving the affected foot at some time.
38324 the veteran had the specified biomechanical abnormality involving the affected foot as a consequence of an illness or injury which is identifiable.
38316 the veteran has established the causal connection between a specified biomechanical abnormality and VEA service for Achilles tendinopathy or bursitis.
38325 as a consequence of the identified illness or injury, the veteran had the specified biomechanical abnormality involving the affected foot at the time of the clinical onset of the condition under consideration.
38317 the veteran has established the causal connection between a specified biomechanical abnormality and VEA service for the clinical onset of Achilles tendinopathy or bursitis.
38319 the veteran has established the causal connection between a specified biomechanical abnormality and operational service for the clinical onset of Achilles tendinopathy or bursitis.
or
38320 the veteran has established the causal connection between a specified biomechanical abnormality and eligible service for the clinical onset of Achilles tendinopathy or bursitis.
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.
38326 as a consequence of the identified illness or injury, the veteran had the specified biomechanical abnormality involving the affected foot at the time of the clinical worsening of the condition under consideration.
38318 the veteran has established the causal connection between a specified biomechanical abnormality and VEA service for the clinical worsening of Achilles tendinopathy or bursitis.
38321 the veteran has established the causal connection between a specified biomechanical abnormality and operational service for the clinical worsening of Achilles tendinopathy or bursitis.
or
38322 the veteran has established the causal connection between a specified biomechanical abnormality and eligible service for the clinical worsening of Achilles tendinopathy or bursitis.
Clinical onset and operational service [38319]
38327 the identified illness or injury, which resulted in the specified biomechanical abnormality involving the affected foot, is causally related to operational service.
Clinical onset and eligible service [38320]
38328 the identified illness or injury, which resulted in the specified biomechanical abnormality involving the affected foot, is causally related to eligible service.
Clinical worsening and operational service [38321]
38327 the identified illness or injury, which resulted in the specified biomechanical abnormality involving the affected foot, is causally related to operational service.
38329 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, which resulted in the specified biomechanical abnormality involving the affected foot, is causally related.
Clinical worsening and eligible service [38322]
38328 the identified illness or injury, which resulted in the specified biomechanical abnormality involving the affected foot, is causally related to eligible service.
38330 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, which resulted in the specified biomechanical abnormality involving the affected foot, is causally related.
A systemic arthritic disease for Achilles tendinopathy and bursitis
Achilles tendinopathy and bursitis - A systemic arthritic disease for Achilles tendinopathy and bursitis Factor
The RMA has specified the following list of systemic arthritic diseases:
- Ankylosing spondylitis
- Behcet syndrome
- Crystal-induced arthropathy [includes Gout]
- Enteropathic spondyloarthropathy
- Psoriatic arthropathy [commonly known as Psoriatic arthritis]
- Reactive arthropathy [includes Reiter's syndrome]
- Rheumatoid arthritis
- Undifferentiated spondyloarthropathy
Last reviewed for CCPS 18 July 2007.
Investigative Documents
| Type | Title | PDF Format | Word Format |
|---|---|---|---|
| Medical Report | A Systemic Arthritic Disease |
MR9380.pdf [5] |
MR9380.docx [6] |
Preliminary questions [20026]
21866 there is some evidence that a systemic arthritic disease may be a factor in the development or worsening of the condition under consideration.
20033 the veteran has had a systemic arthritic disease at some time.
38314 a systemic arthritic disease for Achilles tendinopathy and bursitis means ankylosing spondylitis, Behcet syndrome, crystal-induced arthropathy, enteropathic spondyloarthropathy, psoriatic arthropathy, reactive arthropathy, rheumatoid arthritis or undifferentiated spondyloarthropathy.
20039 the veteran has established the causal connection between the systemic arthritic disease and VEA service for Achilles tendinopathy or bursitis.
20046 the veteran had the identified illness or injury, a systemic arthritic disease, at the time of the clinical onset of the condition under consideration.
20040 the veteran has established the causal connection between the systemic arthritic disease and VEA service for the clinical onset of Achilles tendinopathy or bursitis.
20042 the veteran has established the causal connection between the systemic arthritic disease and operational service for the clinical onset of Achilles tendinopathy or bursitis.
or
20043 the veteran has established the causal connection between the systemic arthritic disease and eligible service for the clinical onset of Achilles tendinopathy or bursitis.
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.
20048 the veteran had the identified illness or injury, a systemic arthritic disease, at the time of the clinical worsening of the condition under consideration.
20041 the veteran has established the causal connection between the systemic arthritic disease and VEA service for the clinical worsening of Achilles tendinopathy or bursitis.
20044 the veteran has established the causal connection between the systemic arthritic disease and operational service for the clinical worsening of Achilles tendinopathy or bursitis.
or
20045 the veteran has established the causal connection between the systemic arthritic disease and eligible service for the clinical worsening of Achilles tendinopathy or bursitis.
Clinical onset and operational service [20042]
20047 the identified illness or injury, a systemic arthritic disease, is causally related to operational service.
Clinical onset and eligible service [20043]
20049 the identified illness or injury, a systemic arthritic disease, is causally related to eligible service.
Clinical worsening and operational service [20044]
20047 the identified illness or injury, a systemic arthritic disease, is causally related to operational service.
20050 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, a systemic arthritic disease, is causally related.
Clinical worsening and eligible service [20045]
20049 the identified illness or injury, a systemic arthritic disease, is causally related to eligible service.
20051 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, a systemic arthritic disease, is causally related.
Extended weight bearing exercise
Achilles tendinopathy and bursitis - Extended weight bearing exercise Factor
The RMA does not define ‘weight bearing exercise’, but it means exercise when weight is being borne through the joint. The factor requires such exercise to be at a rate of at least 5 METs, and involve repeated movement of the ankle joint of the affected leg.
A MET is defined by the RMA to mean 'a unit of measurement of the level of physical exertion. 1 MET=3.5ml of oxygen/kg of body weight per minute or, 1.0 kcal/kg of body weight per hour, or resting metabolic rate'. At least 5 METs in this context would include brisk walking, running, marching and most sports involving repeated movement of the ankle joint.
MET ratings for common activitiesLast reviewed for CCPS 18 July 2007.
Investigative Documents
| Type | Title | PDF Format | Word Format |
|---|---|---|---|
| Claimant Report | Undertaking Weight Bearing Exercise - Achilles Tendinopathy and Bursitis |
CR9109.pdf [7] |
CR9109.docx [8] |
Preliminary questions [20025]
20089 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and VEA service for Achilles tendinopathy or bursitis.
20090 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and VEA service for the clinical onset of Achilles tendinopathy or bursitis.
20092 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and operational service for the clinical onset of Achilles tendinopathy or bursitis.
or
20093 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and eligible service for the clinical onset of Achilles tendinopathy or bursitis.
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.
20091 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and VEA service for the clinical worsening of Achilles tendinopathy or bursitis.
20094 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and operational service for the clinical worsening of Achilles tendinopathy or bursitis.
or
20095 the veteran has established the causal connection between extended weight bearing exercise involving repeated movement of the ankle joint and eligible service for the clinical worsening of Achilles tendinopathy or bursitis.
Clinical onset and operational service [20092]
20096 the veteran has undertaken weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical onset of the condition under consideration.
20097 operational service made a material contribution to the veteran undertaking weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical onset of the condition under consideration.
20098 the weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical onset of the condition under consideration, to which operational service made a material contribution, was due to the veteran's serious default, wilful act or serious breach of discipline.
Clinical onset and eligible service [20093]
20099 the veteran has undertaken weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical onset of the condition under consideration.
20100 eligible service made a material contribution to the veteran undertaking weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical onset of the condition under consideration.
20102 the weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical onset of the condition under consideration, to which eligible service made a material contribution, was due to the veteran's serious default, wilful act or serious breach of discipline.
Clinical worsening and operational service [20094]
20103 the veteran has undertaken weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical worsening of the condition under consideration.
38345 the clinical onset of the condition under consideration occurred before the veteran undertook weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical worsening of the condition under consideration.
20104 operational service made a material contribution to the veteran undertaking weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical worsening of the condition under consideration.
21946 the weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least ten hours within the 14 days before the clinical worsening of the condition under consideration, to which operational service made a material contribution, was due to the veteran's serious default, wilful act or serious breach of discipline.
Clinical worsening and eligible service [20095]
20107 the veteran has undertaken weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical worsening of the condition under consideration.
38346 the clinical onset of the condition under consideration occurred before the veteran undertook weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical worsening of the condition under consideration.
20108 eligible service made a material contribution to the veteran undertaking weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical worsening of the condition under consideration.
21947 the weight bearing exercise at a rate of at least five METs, that involved repeated movement of other relevant side and site of the body, for a total of at least 20 hours within the 14 days before the clinical worsening of the condition under consideration, to which eligible service made a material contribution, was due to the veteran's serious default, wilful act or serious breach of discipline.
No appropriate clinical management for Achilles tendonitis or bursitis
Achilles tendinopathy and bursitis - No appropriate clinical management for Achilles tendonitis or bursitis Factor
Treatment might include applying icepacks, taking non-steroidal anti-inflammatory drugs, and putting the foot in a cast or a restrictive ankle-boot to minimise movement, and as part of rehabilitation, doing specific exercises. Surgery may be appropriate where other treatment options have not improved the condition.
Inability to obtain appropriate clinical managementLast reviewed for CCPS 18 July 2007.
Investigative Documents
| Type | Title | PDF Format | Word Format |
|---|---|---|---|
| Medical Report | Inability to Obtain Appropriate Clinical Management |
GQACM.pdf [9] |
GQACM.docx [10] |
Preliminary questions [20028]
11109 the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7066 there is some evidence that an inability to obtain appropriate clinical management for the condition under consideration may be a factor in the worsening of the condition under consideration.
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.
7378 the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration.
11234 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration.
11235 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration.
or
11236 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration.
Clinical worsening and operational service [11235]
7384 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service.
21084 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service, as a causal result of operational service.
7387 the veteran's inability to obtain appropriate clinical management for the condition under consideration during operational service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7390 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service.
7392 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
Clinical worsening and eligible service [11236]
7385 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service.
7386 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service, as a causal result of eligible service.
7388 the veteran's inability to obtain appropriate clinical management for the condition under consideration during eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7391 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service.
7393 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
Treatment with fluoroquinolone antibiotics
Achilles tendinopathy and bursitis - Treatment with fluoroquinolone antibiotics Factor
Fluoroquinolone antibiotics include: norfloxacin (Noroxin), ciprofloxacin (Ciprol, Ciproxin), gatifloxacin (Tequin), and moxifloxacin (Avelox). These antibiotics can be given either orally, topically or intravenously. They are most commonly used for treatment of lower respiratory tract infection, ear infections, urinary tract infection, bacterial gastroenteritis, infectious diarrhoea, enteric fever and bone infections.
Last reviewed for CCPS 18 July 2007.
Preliminary questions [38331]
38332 there is some evidence that treatment with fluoroquinolone antibiotics may be a factor in the development or worsening of the condition under consideration.
38340 the veteran has Achilles tendinopathy of side and site of the body.
34374 the veteran underwent treatment with fluoroquinolone antibiotics at some time.
34375 the veteran underwent treatment with fluoroquinolone antibiotics for treatment of an illness or injury which is identifiable.
38333 the veteran has established the causal connection between treatment with fluoroquinolone antibiotics and VEA service for Achilles tendinopathy or bursitis.
38334 the veteran has established the causal connection between treatment with fluoroquinolone antibiotics and VEA service for the clinical onset of Achilles tendinopathy or bursitis.
38337 the veteran has established the causal connection between treatment with fluoroquinolone antibiotics and eligible service for the clinical onset of Achilles tendinopathy or bursitis.
or
38336 the veteran has established the causal connection between treatment with fluoroquinolone antibiotics and operational service for the clinical onset of Achilles tendinopathy or bursitis.
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.
38335 the veteran has established the causal connection between treatment with fluoroquinolone antibiotics and VEA service for the clinical worsening of Achilles tendinopathy or bursitis.
38339 the veteran has established the causal connection between treatment with fluoroquinolone antibiotics and eligible service for the clinical worsening of Achilles tendinopathy or bursitis.
or
38338 the veteran has established the causal connection between treatment with fluoroquinolone antibiotics and operational service for the clinical worsening of Achilles tendinopathy or bursitis.
Clinical onset and operational service [38336]
34379 for the identified illness or injury, the veteran underwent treatment with fluoroquinolone antibiotics within the fourteen days before the clinical onset of the condition under consideration.
34381 the identified illness or injury, for which the veteran underwent treatment with fluoroquinolone antibiotics, is causally related to operational service.
Clinical onset and eligible service [38337]
34380 for the identified illness or injury, the veteran underwent treatment with fluoroquinolone antibiotics within the seven days before the clinical onset of the condition under consideration.
34382 the identified illness or injury, for which the veteran underwent treatment with fluoroquinolone antibiotics, is causally related to eligible service.
Clinical worsening and operational service [38338]
38341 for the identified illness or injury, the veteran underwent treatment with fluoroquinolone antibiotics within the fourteen days before the clinical worsening of the condition under consideration.
34381 the identified illness or injury, for which the veteran underwent treatment with fluoroquinolone antibiotics, is causally related to operational service.
38343 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, for which the veteran underwent treatment with fluoroquinolone antibiotics, is causally related.
Clinical worsening and eligible service [38339]
38342 for the identified illness or injury, the veteran underwent treatment with fluoroquinolone antibiotics within the seven days before the clinical worsening of the condition under consideration.
34382 the identified illness or injury, for which the veteran underwent treatment with fluoroquinolone antibiotics, is causally related to eligible service.
38344 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, for which the veteran underwent treatment with fluoroquinolone antibiotics, is causally related.
Links
[1] https://clik.dva.gov.au/user/login?destination=comment/reply/63176%23comment-form
[2] http://www.rma.gov.au/SOP/alpha_ind/a.htm
[3] https://clik.dva.gov.au/system/files/media/MR9377.pdf
[4] https://clik.dva.gov.au/system/files/media/MR9377.docx
[5] https://clik.dva.gov.au/system/files/media/MR9380.pdf
[6] https://clik.dva.gov.au/system/files/media/MR9380.docx
[7] https://clik.dva.gov.au/system/files/media/CR9109_0.pdf
[8] https://clik.dva.gov.au/system/files/media/CR9109_0.docx
[9] https://clik.dva.gov.au/system/files/media/GQACM_13.pdf
[10] https://clik.dva.gov.au/system/files/media/GQACM_13.docx