Since PFME is an issue which is usually never revisited, as it is interlocutory, it is important to be aggressive at the outset of the claim and recognizing that just because a diagnosis is given with statement of <a href="https://thelomad.com/getmad.today/wp-contentwww.getmad.today/blog/2021/06/third-deparment-decision-disputing-causal-relationship/">causal relationship</a>, that diagnosis may not be an actual “injury,” and a finding of PFME should be argued against accordingly.