Entitlement to an evaluation in excess of 10 percent for right shoulder impingement syndrome prior to February 14, 2011, and in excess of 20 percent thereafter, is remanded.

Board reasoning

The Board remands both the right shoulder and lumbar spine issues for current disability evaluations, including retrospective opinions for each appeal period and separate consideration of any neurological complications. The opinions must address functional impairment without ameliorative medication effects, and must include retrospective range-of-motion and pain assessments, as well as potential flare-ups and repetitive-use limitations; if testing cannot be completed, the examiner must explain why. The remand cites Stegall v. West and related cases to ensure compliance with prior remand directives and proper application of medical opinions.