Second, VA will expect documentation of an in-service event that caused or aggravated the knee condition. This means VA will assign additional compensation for a bilateral knee pain VA rating. Severe headaches, even migraines, can be a common side effect of many physical and psychological disabilities for veterans. If a Veteran is suffering from a physical or psychological disability, this condition can have a massive negative impact on their life. When it happened, how it impacted your pain, whether the condition got worse or better following the incident, and any medical attention you got should be included in these documents. You need a diagnosis of a medical condition in the left knee and a medical opinion that it (arthritis, or whatever) is as likely as not due to the old (s/c) right knee injury. Gastrointestinal Conditions (GERD, IBS, and Acid Reflux): It is common for veterans taking pain medications to experience gastrointestinal issues such as constipation, diarrhea, and heart burn. Watch on. It could also be a condition that developed as a result of a service-related injury in some circumstances, a Veterans disability makes them more susceptible to other problems that stem directly from their service-related injury or experience. Although secondary conditions may not directly result from service-related events or injuries, if the VA can establish a connection between these problems and a service-related disability, secondary conditions can make a Veteran eligible to receive more benefits each month. MzU3YjQxYTU3ODQwM2Y3MTRkNTIxYWYyOWY1ODcxMjZkNmNhYjJhMzFlNmQ0 VA assigns a 0, 10, 20, or 30 percent disability rating for this knee condition based on the amount of instability present in the knee. Use tab to navigate through the menu items. You can file for an increase if your condition worsens and you are not yet receiving maximum compensation. The presence of a medical nexus can make or break a VA disability claim for knee pain. The changes that come from the military transition can be extremely hard for veterans, especially disabled veterans, to get used to. I've tried over a dozen times and they always say "I don't want to get involved". R. at 92. A bilateral VA disability rating for both knee replacements is treated the same way. This can be from the same doctor that diagnosed your condition or a separate VA-approved medical professional. The VA refers to these problems as secondary conditions. Learn the most common secondary conditions to knee pain that Veterans experience, and how they are related.VA Secondary Conditions Related to Knee Pain: https://cck-law.com/blog/va-secondary-conditions-to-knee-pain/VA Rating for Knee Pain: https://cck-law.com/blog/va-disability-benefits-for-knee-pain/ Secondary Service Connection: https://cck-law.com/blog/what-is-a-secondary-service-connected-disability/Learn More About CCK: https://cck-law.com/why-hire-cck-for-your-va-disability-appeal/0:00 Introduction0:30 Common Knee Disabilities Among Veterans2:05 VA Secondary Service Connection Explained and How to File3:02 Orthopedic Conditions Secondary to Knee Pain (e.g. However, it can be difficult to prove a service connection for this disability because it is so common. YmM1YjVjZWVkMzhkYzU2ZTAxZWFmODA3N2YyMzg3ZTZlMzUxNjdmMGMwYWVi VA also is expected to look at the veterans functional loss due to knee pain as well. Even when a veteran experiences full range of motion, severe pain that prevents them from functioning normally should be taken into account when determining a VA rating for knee pain. MWNkMGQxNTNhNTg0ZGM3NDljMDJmZDZlODg4MjZjNjViZDQyZDk2OTIxMzA1 VA Rating for Knee Pain: VA Knee Rating Chart and VA Secondary Conditions to Knee Pain, The fifth most commonly-claimed disability in 2018 was the limitation of flexion to the knee according to VAs, Knee pain is rated under different diagnostic criteria according to, Many veterans will consult a legal representative for help determining whether their disabilities can both be rated or if they would be. These statements help communicate to the C&P examiner how your service-connected knee condition affects your daily activities. For example, if a veteran has a 20 percent rating in their left knee for instability and a 30 percent rating in their right knee for limitation of extension, VA will combine those ratings to get a 44 percent disability rating. The information you obtain on this website is not, nor is it intended to be, legal advice. The less you can move or bend your knee, the higher your VA rating will likely be. Its not uncommon for veterans to develop VA disability hip pain secondary to knee pain, because they must move or sit in uncomfortable ways to keep their knees from hurting. It may be beneficial to hire a legal representative who understands what your condition will qualify for. Meniscus issues are also a common factor in disability ratings for the knee. ZGEzYzMyOTQ1YTM4MTg0NTdhY2RmYmY1NWM3MGE1ODFjNDdlNWE2ZGRiNDll If the diagnosis only partially explains your knee pain, VA will not accept it. It doesn't make sense. Many veterans who served in the military develop pain in their knees and lower legs due to their time in active service. For this reason, right knee secondary to left knee and left knee secondary to right knee are common secondary conditions that result in a bilateral VA rating. Any veteran who gets a total knee replacement will automatically receive a temporary 100 percent VA disability rating for surgery. A veteran with recurrent episodes of locking, pain, and effusion (fluid on the knee) are eligible for a 20% rating. The technical storage or access that is used exclusively for anonymous statistical purposes. If you have one or more highly rated knee disabilities that prevent you from working, you may be eligible for TDIU. Over 80,000 veterans received service-connected compensation for this condition. Diagnostic Code 5256, Knee, ankylosis of: Extremely unfavorable, in flexion at an angle of 45 or more: 60%, Favorable angle in full extension, or in slight flexion between 0 and 10: 30%. ZWU5MTA1OGUwNTgyMzRhNzU5OTc2MmY2ZDY4NWQyMGFhODE1ZjhiNzkyOTc4 The less you can move or bend your knee, the higher your VA rating will likely be. The DBQ for knee and lower leg impairments includes the following as potential diagnoses for compensable conditions: -Knee fracture (including patellar fracture), -Shin splints (including tibia and or fibula stress fracture and/or exertional compartment syndrome). Secondary Conditions Caused by Plantar Fasciitis. The right knee over time required three cleanout surgeries and numorous injections of artificial lubricants and cortisone injections. Arthritis is another cause of knee pain in veterans. Patellofemoral pain (PFP) is one of the most common disorders of the knee [1, 2, 3]. To prove service connection to the VA, assembling your service medical records, VA medical records, military personnel files reflecting an in-service accident, diagnosis, or change of duty due to knee issues, and any other private medical records you have will help you establish a connection between your condition and your military service. However, the VA also acknowledges that a Veterans disability can give way to other issues, which may not be directly service-related. This communication with the firm or any member of the firm does not establish an attorney-client relationship. VA disability rating for knee tendonitis & VA disability rating for patellar tendonitis: Swelling of tendons in the knees, including the patellar tendons. Its important to have a diagnosis that connects your knee pain directly to an illness or knee condition. ZTczNjM1NDUxMGY5Y2RmNGJhMGJiMzRiZjVmNDFhMmM5ODI1Yjc5MDVlYTA1 If the Veterans GERD was caused by a medication they were taking for another service connected condition, they can get a secondary service connection for GERD. To properly assess your knee pain and the effects it has on your life, VA uses compensation and pension (C&P) exams and disability benefits questionnaires (DBQs). Y2MzMmUwODhjNzY3NDliMDdjYmJkYWQzZTFhOTU1NTQyYTUxNWJhNTRmZTQ3 NmIxNDY1OTYifQ== If you have an opinion from a private medical expert, you may be able to establish that the second injury, the low back pain, is connected to the original knee problem. Between 2002 and 2012 I also had injections applied to my left knee when I had injections on the right knee. Depending on the nature of a veterans knee issues, it may be possible for them to receive multiple VA ratings for knee pain. VA Secondary Conditions to Knee Pain Chisholm Chisholm & Kilpatrick LTD 61.4K subscribers Subscribe 187 Share 17K views 2 months ago Knee pain is one of the most prevalent conditions among. Depending on the nature of a veterans knee issues, it may be possible for them to receive multiple VA ratings for knee pain. Having at least one disability rated at 60 percent or more, or having two or more disabilities where at least one is rated at 40 percent or more and they add up to a combined total of 70% or more. VA will only look past the range of motion tests to arthritis criteria in the case of arthritis in the knees. The ratings of each condition on the two sides of the body will be combined. I have filed for a reexamination of the right knee and to have the left knee secondary SC. Such evidence usually comes from an orthopedic specialist or primary care physician who has been treating your condition. The higher the limitation of the knee, the higher the disability rating. 5261 Limitation of extension of the knee: The knee is not frozen, but cannot straighten all the way. I am glad I found it. NDM5MzViZmFkODBhZjNjYWU4OTZjYWNhMmZlM2I0N2QzODRjOTdhZmJmZTJj Functional loss or impairment refers to the effect of a knee condition on the veterans everyday life. Veterans disability for knee pain can cover a wide range of injuries and symptoms: Torn ACL Knee replacement Wear and tear Instability of the knee Tendinitis (or tendonitis) Limitation of flexion Arthritis Rheumatoid arthritis Decreased range of motion Ankylosis of your joints In Aug us t 1945 , a VA re gion al of fi ce (R O) awa rd ed h im s erv ic e con ne ctio n f or re sid ua ls of a left-knee injury, rated at 30% disabling. If youre missing the necessary medical evidence or your service records have been lost, buddy and lay statements can help push your case through. , multiple forms of cancer, and other major health issues. This is standard practice when ordering from Ukraine, according to customers wh, Prevent & Address Internal White Tissue in Tomatoes | How to Maximize Potassium Uptake and Reduce Fungal Diseases, Tomatoes are a popular and nutritious vegetable that can be grown in gardens around the world. 2. 10 percent VA rating for each leg. I filed in Pittsburgh unfortunatly I cannot find a doctor who will supply the written statements that Ineed it's almost like they are afraid to write a statement that might make another doctor look bad. Within one year of the VA decision, you must file a Notice of Disagreement (NOD), supplemental claim, or take the higher review lane. It's known as the Deluca criteria. Currently, the VA is required to take at least three measurements of the range of motion in a paticular joint to assess how much pain, weakness and fatigue are effected by repeated use. And don't forget to SUBSCRIBE so you wont miss future videos. A VA rating for knee pain or joint pain is determined based on multiple factors such as instability, reduced range of motion, movement without pain, and knee replacements. If you suffer from any of these conditions, make sure you are getting the support you deserve from the VA. 5258: dislocated semilunar cartilage OR. Then, because the rating affects both sides of your body, VA will take 10 percent of the 44 (4.4) and add it on. The DBQ for knee and lower leg impairments includes the following as potential diagnoses for compensable conditions: -Knee strain. ZTFkMTExZjUwODMyZWE3MDIwYWU0NDM1ZWJkYjE5NzM4ODI0NWIyNmUwMGFj Additionally, there will be another 10% of that combined rating added. One popular hybrid tomato is the Big Beef variety, known for its productivity, disease tolerance, and adaptability. If a veteran is suffering from a service-related back injury, there is significant potential for this disability to end up causing foot problems in the form of overcompensation. Zack Evans, a VA-certified disability benefits lawyer, said veterans should be honest about their knee pain and instability during compensation and pension (C&P) exams. R. at 149. During the exam, the doctor will ask you to demonstrate an extension or flexion of the knee. The left knee arthritus worsened over time and in 2002 I had left knee cleanout surgery to remove a slightly torn miniscus. If you need help filing a VA disability claim, the team at Woods and Woods is happy to help you navigate the application process and help you file at no cost to you. As evidenced by the rating schedules below, the highest possible schedular disability rating for any given lower leg condition is 40 percent, and the highest possible schedular disability rating for any knee impairment in 60 percent. They are measuring your functional loss. A decision review can have a positive outcome for your claim, but sometimes it will still not be enough to get you the rating you deserve. NjlmYWU1MWU1ZDg5NDEwODUxMDJjNWM3M2UxZDZlNDlmMjlkZDc3MGJjNjIx This article will explore the conditions and VA ratings related to knee pain. Fortunately, there are a few steps you can take to prevent and, Co-Existing with Nature: Protect Your Garden from Pests Easily, Protecting Your Garden from Pests document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Lawyers 6940 O St, Suite 400 Lincoln, NE 68510. MDUyOWQwOGUyYzEwMTdhMWIwNWYzN2Q3ZTQ1ZjBhNmUxMjA2NjUwMDdmMzUw You may be owed compensation. If the VA has ruled inaccurately regarding your disability claim, you can dispute their decision with a decision review or an appeal. One notable exception to this rule is in the case of a total knee replacement, which is rated as 100 percent disabling for one year following the procedure. ZGRhMzU2Y2FkYjYyZjcxM2EyM2E1Yzg2NDM5ODFjYzFmZDFlMWRhNGQ3YjM2 Feel free to call us at (866) 232-5777 anytime. The highest rating available for post-surgery symptoms after one year is 60 percent. The VA uses the rules of the VASRD to rate knee and lower leg conditions based on pain, limited motion, damage to the bones, diseases like arthritis, etc. All of our attorneys are VA-certified. MjhiMGNiNDAxYTViYmE2OTAyZWYzYWE5NGI0NjE4N2E2MTkzYzkyN2M4Nzdk How will the VA rate my knee or lower leg conditions? In 2012 I had both knees replaced due to severe arthritic pain and joint erosion. Complications may depend on the cause . Chronic pain can result in mood disorders, problems with focus and concentration, and difficulty with decision making, as well as other secondary conditions and symptoms. 98104-2205 In the world of tomatoes, there are countless varieties that offer unique flavors, textures, and growth habits. -Knee posterior cruciate ligament tear. The U.S. Department of Veterans Affairs (VA) handles compensation and military disability rating for knee pain. A buddy statement is written by another service member, while a lay statement is from a family member or peer. is another common secondary condition that many Veterans struggle with. ZjFhYjY3ZWQxZWE5MTYzZDc1YzdiZWJjZWRiZjdiYzQ1ODIwOWVlZGRiZjM5 As stated earlier, if your knee or leg condition(s) began during or were made worse by your military service, you may be eligible for service connection and VA disability benefits. Please complete this form to send us your message. If VA discovers that the veteran has a normal range of motion but experiences pain, VA will then refer to Diagnostic Code 5003 for arthritis. You will be expected to fill out a DBQ before attending a C&P exam. My time is running out on this appeal on my claim. There isn't a time limit on secondary claims. This is the only time a veteran can receive a temporary rating. For disabilities that naturally worsen, such as arthritis getting more severe over time, you must prove that the deterioration was accelerated beyond a natural level as a result of military service. Ratings for knee conditions abide by a diagnostic code and are usually based on range of motion and a C&P examination. The VA rates knee pain and conditions under the musculoskeletal and muscle systems in the Schedule of Ratings, which are the rules the VA uses when rating disabilities. After one year passes, the knee will be reevaluated based on the remaining conditions. OWJhNzQyMTc1YjNkOGMzZDE2MjMyMzI1ZDQwMGQxZWJlYzM1NDVhYjM1YjEz Within one year of the VA decision, you must file a Notice of Disagreement (NOD), supplemental claim, or take the higher review lane. The specific criteria for TDIU include: If you have one or more highly rated knee disabilities that prevent you from working, you may be eligible for TDIU. List of the Top 5 VA Secondary Conditions to Knee Pain #1. The experienced attorneys at Tuley Law Office will work with you in any way possible to improve your interactions with VA. Our team has years of knowledge built up from helping veterans get the compensation they deserve. During the C&P exam, you will have time to explain your knee injury and how your life has changed as a result of it. Sometimes, the VA will also allow you to request for your claim to be passed on to a senior VA official for reevaluation. YTc2MDkxNGUxZjAzOWZlYjg2ODU4YThhNDAwYWFhMTM3YjFmMmYzYTAwMzYy When service connection is thus established for a secondary condition, the secondary condition shall be considered a part of the original condition. Knee pain is one of the most common health issues among veterans. There are 3 primary ways a veteran can get a VA disability rating for Knee Pain: #1: Direct Service Connection for Knee Pain with a rating of 10%, 20%, or 30%. Each of these are viable options under the AMA legislation. 113 Cherry Street, Suite 96647, -----END REPORT-----. A buddy statement is written by another service member, while a lay statement is from a family member or peer. Pain itself does not receive a rating by the VA. 20%. This is the only time a veteran can receive a temporary rating. The highest rating a veteran can receive for a knee condition is 60%. Many of the VA ratings for knees involve a measurement of flexion (how much the knee can bend) and extension (how much the knee can straighten). A veterans military service may not directly cause these headaches, but they are often a secondary condition brought on by a service-related disability. a flare-up of knee pain swelling in the surrounding area noticeably worse pain in the morning when you wake up worse pain after activity buckling of the knee inability to straighten your. S. The VA evaluates a secondary condition separately. NTMxMTYxZWM0OGYzNGIyMmRiMmM4OWNkNzQwZjc4NDcyMzVlNmEwYmJmYTE4 In a VA appeal, an attorney will present your case to the VA on your behalf. However, there is no need to prove that the new knee issue occurred during service. If you developed knee problems due to military service, you may be entitled to financial compensation from VA. ZGU1M2RlNjEwMjdmODcwMDYwYzVhMGUxNjcyYzNmZmIwMmU3ODUyNmYxMTM3 Make sure to have a physician use a goniometer as soon as possible in order to gain an accurate measurement of any mobility loss in your knee, as the degree of immobility is important for the disability rating process. Service members are constantly conditioning to stay prepared for action. Confidential or time-sensitive information should not be sent through this form. 2023 The Veterans Law Office | Phone: 800.448.5423 United States. The VA grants disability benefits to Veterans suffering from service-related disabilities physical and mental problems that are directly linked to an event or injury that happened during a Veterans time in the military. sakonnet golf club dues; frisco news shooting today; famous actors who played zombies in the walking dead; katy funeral home obituaries; NTkwMTllMDRkZDRhYWM5NTQzNWEzY2UzMGEzYjIxYzQzNDBiZDMwMDYzYTQ3 The major joint rule states that when a veteran has arthritis of the knees, VA will perform the normal range of motion tests and determine a rating based on Diagnostic Codes 5260 or 5261. I now live in Waynesboro, PA does anyone know a doctor near my location who might be able to help? Each of these are viable options under the AMA legislation. This test, commonly referred to as range of motion testing, will demonstrate how much pain you are in and how much your condition may affect your day-to-day life and help the VA determine what rating to assign you. Knee pain can be measured by the limitation of flexion, limitation of extension of the knee, instability of the knee, and knee replacements. Website developed in accordance with Web Content Accessibility Guidelines 2.1. This field is for validation purposes and should be left unchanged. Using Natural Predators 10 Common Secondary Disabilities Copyright 2023 Woods and Woods, LLC | PO Box 1287 Evansville, IN 47706. Diagnostic Code 5257, Knee, other impairment of: Recurrent subluxation or lateral instability: Diagnostic Code 5258, Cartilage, semilunar, dislocated: locking, pain, and effusion into the joint: 20%, Diagnostic Code 5259, Cartilage, semilunar, removal of, symptomatic: 10%. If you continue to use this site we will assume that you are happy with it. ZDI5OWFhNTllMTQ4NTI0OTFmNDkyNmRkMTU4OWVkNTYyYzgxYWRiMzNkNWJk : A mental health problem that is common among Veterans is depression. Under the Appeals Modernization Act (AMA) of 2017, the accepted forms of evidence for knee pain include the following: Documentation of surgeries, injuries, or other conditions with a secondary symptom of knee pain. Individuals who were diagnosed with knee pain before their time in service are also eligible for VA compensation if their condition is worsened by their time in the military. You can file for an increase if your condition worsens and you are not yet receiving maximum compensation. Enter your email address and we'll send you a link you can use to pick a new password. SFSD, If you can get your doctor to agree in writing that your bad knee was more likely than not the cause of your good knee going bad then you could have a case for Secondary Service Connection. YWM3ZjcwNmVkMmMzMWJhMjM3NjQ3ZDQwYzRhZWFlMDViNzAyMzM5MjgyNGZi VA knee replacement compensation allows veterans to recover without having to work and damage their knees during the healing process after surgery. When you attend your C&P exam the doctor will ask you questions about your DBQ, so its important that you fill it out completely and honestly. You can take this time to discuss flare-ups and episodes or spend time describing why the condition is service-connected. Even when a veteran experiences full range of motion, severe pain that prevents them from functioning normally should be taken into account when determining a VA rating for knee pain. Recording your symptoms with your physician can help create a record of the conditions timeline, which is important even if you dont yet have a formal diagnosis from a specialist. This field is for validation purposes and should be left unchanged. You will be expected to fill out a DBQ before attending a C&P exam. If your knee pain was caused by a singular incident, VA will want to see as much relevant information as possible about the occurrence. OTUzNzVlM2Y3ZGUwYTIzNjE1MmFhNmVmNzk3MDJlNzc4NzIxM2UwNGQ3NjBk They upgraded my right knee and denied the left knee so I filed an appeal through the Pittsburgh DAV office to reconsider the left knee results and supplied two statements and medical records from those doctors who trweated me which again was denied with their explanation being that the statements were not relevant or new and that my military medical records did not have any entries for treatment of the left knee when reviewed by one of their doctors at the Butler VA facility. If you developed knee problems due to military service, you may be entitled to financial compensation from VA. Without an underlying condition, claims based on pain are some of the most difficult to prove. sardine lake fishing report; ulrich beck risk society ppt; nascar pinty's series cars for sale; how to buy pallets from victoria secret However, the VA does not always make a decision that accurately reflects a Veterans condition. MGUyMzQ4MzE3Nzc5OWE1NjRmYzMyYmExNjRmOGI4NjFmMjI4NzE0YjExNzg3 Medications for these conditions tend to decrease sex drive which, in turn, leads to ED. Thanks. Many veterans will begin keeping records of their pain before they leave the military for this reason. Over 80,000 veterans received service-connected compensation for this condition. You can submit a new claim for a secondary condition that will result in a new VA rating. If you file a disability claim based on exposure to Agent Orange or other toxic substances, any diseases that you suffer from can be ruled to be secondary conditions. The right knee (covered) was done first in January at the Pittsburgh VA. This means an in-service event, injury, or disease related to your military service caused you to develop Knee Pain. VA will only look past the range of motion tests to arthritis criteria in the case of arthritis in the knees. The doctor will use a device called a goniometer to measure range of motion. A secondary condition, according to the VA, is any physical or psychological problem that is worsened by a service-related disability. Ratings will typically fall around 10 percent per leg. Common knee conditions in veterans include: Veterans can also receive disability benefits for knee problems on a secondary basis. MGRjMGI4Mjc4YzBlY2YzZTA3NjY3YTAwMThkZGIzY2FiNjVmYTIyMDY5MDFm With extensive experience working with VA disability claims, Berry Law can help you with your disability appeals. Below are some of the most common secondary conditions recognized by the VA. In a decision review, the VA may request that you provide additional medical evidence or other information to verify that you are suffering from a diagnosable secondary condition. Lastly, VA will want to see a medical nexus letter for knee pain. However, some gardeners prefer heirloom tomatoes due to their historical significance, seed-saving capabilities, and diverse characteristics. There are also additional documents that can help prove service connection and increase disability rating. If you are suffering from a secondary condition in addition to your service-related disability, your disability rating from the VA could likely be higher than it currently is. We use cookies to ensure that we give you the best experience on our website. The Veteran can claim the new knee issue as a secondary condition. If there is too much wear and tear on the knee and it requires surgery, a veteran may be granted a temporary 100% rating following surgery. Here are the available ratings for knee conditions based on limited range of motion, which are listed under the musculoskeletal system in the Schedule of Ratings. For many veterans, service-related back injuries can end up causing issues with posture and mobility, which can qualify a veteran to have their rating raised by the VA. ED is a very common side effect to psychotropic medications (medications used to treat mental health problems). This means that their knee problems are related to another service-connected disability. Veterans who are taking pain medication for back conditions, knee conditions, or joint pain may develop GERD as a result. Buddy and lay statements should be submitted to the C&P doctor to strengthen your claim. The Quest for the Perfect Heirloom Tomato Variety 3. 5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. lvacjoub wrote:You need a diagnosis of a medical condition in the left knee and a medical opinion that it (arthritis, or whatever) is as likely as not due to the old (s/c). Many Veterans experience secondary conditions related to their knee pain, qualifying them for a higher VA rating and therefore more VA disability compensation. Knee pain is rated under different diagnostic criteria according to 38 CFR 4.71a, Schedular Ratings, Musculoskeletal System. All of this information will be included in a report with the examiners opinion and sent to VA for the decision-making process. Instances of marginal employment (odd jobs) do not count. Many veterans will consult a legal representative for help determining whether their disabilities can both be rated or if they would be pyramiding. MmJhZWM4MDUwMTI5Nzk1NGM4MzIwYTliNDA0YzI3MjA0MzI1MTRhZDhkMjM0 A secondary condition, according to the VA, is any physical or psychological problem that is worsened by a service-related disability. VA Disability Ratings for Knee Joint Pain and Arthritis Knee pain is rated by the VA under various diagnostic codes depending on the condition causing the pain. VA understands that disability that affects both knees limit your day-to-day ability to function more than single-knee conditions.
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