Posterior adventitial heel bursitis

Posterior adventitial heel bursitis — DVA SoP factors

Every factor in the Repatriation Medical Authority Statements of Principles for Posterior adventitial heel bursitis. DVA can only accept a claim for Posterior adventitial heel bursitis if at least one of these factors is met and connected to your service. Reasonable Hypothesis (RH) applies to operational service; Balance of Probabilities (BoP) applies to peacetime service.

Source: Repatriation Medical Authority Statements of Principles as held by the Veterans Health Centre. SoPs are amended and replaced regularly; always confirm the current instrument at rma.gov.au before relying on it.

Posterior adventitial heel bursitis

RH No. 47 of 2019 · BoP No. 48 of 201910 factors

Meaning of posterior adventitial heel bursitis: For the purposes of this Statement of Principles, posterior adventitial heel bursitis: (a) means inflammation of the superficial retro-Achilles bursa located between the skin and the distal Achilles tendon; and (b) is characterised by a painful and tender swelling of the posterior aspect of the heel; and (c) excludes retrocalcaneal bursitis and plantar calcaneal bursitis.

Reasonable Hypothesis (RH) — Statement of Principles No. 47 of 2019

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting posterior adventitial heel bursitis or death from posterior adventitial heel bursitis with the circumstances of a person's relevant service:

(1)
wearing footwear that causes friction or pressure on the posterior aspect of the heel of the affected foot, at the time of the clinical onset of posterior adventitial heel bursitis;
(2)
having a Haglund deformity at the time of the clinical onset of posterior adventitial heel bursitis;
Note: Haglund deformity is defined in the Schedule 1 - Dictionary.
(3)
wearing footwear that causes friction or pressure on the posterior aspect of the heel of the affected foot, at the time of the clinical worsening of posterior adventitial heel bursitis;
(4)
having a Haglund deformity at the time of the clinical worsening of posterior adventitial heel bursitis;
Note: Haglund deformity is defined in the Schedule 1 - Dictionary.
(5)
inability to obtain appropriate clinical management for posterior adventitial heel bursitis;

Aggravation-only factors: the factors in subsections 9(3) to 9(5) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.

Balance of Probabilities (BoP) — Statement of Principles No. 48 of 2019

5 factors

At least one of the following factors must exist before it can be said that, on the balance of probabilities, posterior adventitial heel bursitis or death from posterior adventitial heel bursitis is connected with the circumstances of a person's relevant service:

(1)
wearing footwear that causes friction or pressure on the posterior aspect of the heel of the affected foot, at the time of the clinical onset of posterior adventitial heel bursitis;
(2)
having a Haglund deformity at the time of the clinical onset of posterior adventitial heel bursitis;
Note: Haglund deformity is defined in the Schedule 1 - Dictionary.
(3)
wearing footwear that causes friction or pressure on the posterior aspect of the heel of the affected foot, at the time of the clinical worsening of posterior adventitial heel bursitis;
(4)
having a Haglund deformity at the time of the clinical worsening of posterior adventitial heel bursitis;
Note: Haglund deformity is defined in the Schedule 1 - Dictionary.
(5)
inability to obtain appropriate clinical management for posterior adventitial heel bursitis;

Accepted — what is it worth?

A Statement of Principles decides one thing only: whether DVA accepts liability for posterior adventitial heel bursitis. It says nothing about how much you are paid. Compensation is worked out separately, from impairment points under the GARP — so a condition can be accepted and still rate few points, or rate more than you expect once it is combined with everything else on your file.