1/12/2020: Official IDES Notification yesterday: IDES or LDES?

I’m a ARNG member and my unit officially received IDES notification yesterday. The injury (LOD) was from while on active duty and I have the completed DA2173 to prove it.

“intervertebral disc degeneration, lumbosacral region; Patellofemoral disorder right knee, effusion right knee”

I’ve been in physical therapy for months and it has gotten worse. Pain now goes up and down my back and into my legs. I don’t sleep well because of the pain, have headaches all the time and am also dealing with mental health issues/complications of not being able to be as physically active without pain. I’ve had some days where I can’t get out of bed for half the day after doing lawn work. I used to flip homes full time and now am not supposed to lift more than 30lbs which is now part of my permanent

How do I decide if I should pick IDES or LDES progress?

Will either process evaluate all the issues and not just the original LOD? - I’ve been telling my physical therapist all the issues but haven’t seen the paperwork. One AF doctor told me I needed suck it up and take more pain meds because “we all are getting old” and everyone takes meds.

My life has forever changed and I want to do what I can to secure my future family/kids. I don’t want to loose my change to appeal or request a increase of my VA rating if it’s not rated right or if things keep getting worse - what are the benefits/downsides of going though each?
 
I couldn't disagree more with, "take more pain meds." Pain medicine is great for acute injuries and post surgical pain, but it is not a good long term strategy. Our bodies quickly become habituated and then we need more to ease the pain. The problem with narcotics is they have to be processed out of the body, usually via the liver. Over time the liver is damaged. You only get one liver. Additionally the effects of pain meds cause other organs to adapt in ways that are long term bad.

There are ways to deal with chronic pain other than narcotics. Western medicine is beginning to use those methods. I'm not unsympathetic to living with pain, but whoever told you that is uninformed. I hope you will find a provider that is open to addressing your pain in more helpful way.

The IDES process is slow, but usually fair. I recommend you consider the IDES process.
 
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