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Active exercise should be started as soon as tolerated. Nevertheless, if you have medical treatment records or a doctor’s written opinion that reflects that the condition has remained static or has worsened, you may submit such evidence to the VA in support of maintaining the existing rating. In the multivariate analysis, differences in the PS MCSA at the L4–5 and L5–S1 segments remained significant (p=0.048, 0.043 and odds ratio=1.098, 1.169).

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