Claims involving both the cervical spine and the thoracolumbar spine are rated under the same general rating formula. VA.gov Home | Veterans Affairs Do You Have Long-Term Disability Insurance Coverage? Since a musculoskeletal disability can significantly inhibit your movement, aspects of life that used to come easily may now be nearly impossible for you. 0000003299 00000 n Apply passive range of motion techniques to the lower extremity + + + OVERVIEW + + Physiologic motions are joint and soft tissue movements that can be produced actively or passively. If yes, is the muscle atrophy due to the claimed condition in the diagnosis section? Topics include shoulder surgeries and replacements, amputation, range of . This DCprovides a 20% rating when thigh flexion is limited to 30 degrees. Your shoulder is made up of many different moving parts. Does the Veteran report having any functional loss or functional impairment of the joint or extremity being evaluated on this questionnaire, including but not limited to after repeated use over time? Specifically, VA proposes to assign a 40 percent rating for a major joint, or 30 percent for a minor joint, where flexion and/or abduction is limited to 25 degrees from the side. If ROM is outside of normal range but is normal for the Veteran (for reason other than a knee/lower leg condition, such as age, body habitus, neurologic disease), please describe. Does the Veteran report or have a history of instability or recurrent subluxation of the knee? (If yes, please explain). It is often referred to as wear and tear arthritis. What is the Reasonable Doubt Rule for Knee Pain? A VA rating for knee pain or joint pain is determined based on multiple factors such as instability, reduced range of motion, movement without pain, and knee replacements. DOC Section A. Musculoskeletal Conditions (U.S - Veterans Affairs The acromioclavicular joint is where the shoulder blade or scapula meets the collar bone or clavicle. Specifically, if the entire arm is amputated from the shoulder joint down, including the scapula, clavicle, and/or ribs, it is rated 100 percent regardless of whether it is the dominant or non-dominant arm (Diagnostic Code 5120). 1A. Describe below. If your claim has been approved, you will be given a, Certain disabilities can correspond with a specific disability score from the VA. The glenohumeral joint is where the ball at the top of the upper arm bone or humerus fits into the glenoid joint socket. According to the Mayo Clinic, symptoms of Knee Pain include: To be eligible for a Knee Pain VA Rating, a veteran must meet three (3) criteria by law: If you think you have a knee condition, but dont have a medical diagnosis,pick-up the phone and call the VA health facility nearest youto make an appointment right away! (Check all that apply). #3: Unfavorable Ankylosis of the Knee with a rating of 30%, 40%, 50%, or 60%. Is the Veteran being examined immediately after repeated use over time? The VA does allow veterans to file for shoulder pain if it was caused by their time in the service. Yes or no. Degenerative disc disease PO Box 96503Dept. However, when this is not feasible, an as clear as possible description of that loss should be provided. Normal Shoulder Range of Motion - Healthline The VA assigns a percentage rating for disabilities stemming from limited use of shoulder muscles according to severity. Specifically, the VA examines ranges of motion for the cervical spine, or the neck and upper back, and the thoracolumbar spine or lower back. If yes, is the frequent effusion a result of a diagnosis in Section I? Specifically, veterans will be assigned a 100 percent rating until intensive treatment is over. Shoulder (Abduction - Adduction) 12. VA disability ratings can range from 0% up to 100% total disability depending on the severity of one's range of motion injury. PDF Department of Veterans Affairs 4 - GovInfo Disclaimer: This information is not legal advice. The Schedule also provides charts to help assist with understanding what these degrees mean. tation of motion of the specific joint or joints in-volved is noncompensable under the codes a rating of 10 percent is for application for each such major joint or group of minor joints af-fected by limitation of motion, to be combined, not added under diagnostic code 5002. Ensure the security of your data and transactions USLegal fulfills industry-leading security and compliance standards. Does the Veteran have muscle atrophy? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Lawyers 6940 O St, Suite 400 Lincoln, NE 68510. Tell Your C&P Examiner Everything You Can About Your Symptoms, Including Flare-Ups. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. Learn about the Normal Joint Range of Motion Study | CDC Range of joint motion evaluation chart. Dear Veteran, Heres the brutal truth about VA disability claims: According to our data, 8/10 (80%) of veterans reading this message right now are underrated by the VA. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. For example, a veteran can be entitled to multipledisability ratings for a knee conditionif they experience instability in addition to limitation of motion. Under 38 CFR 4.73, injuries to neck muscles are compensated differently depending on the severity of the impairment and the muscles affected. How does VA rate shoulder injury? | Physical Evaluation Board Forum 1B. If testing cannot be performed or is medically contraindicated (such as it may cause the Veteran severe pain or the risk of further injury), an explanation must be given below. Veterans who have a disability resulting from a shoulder injury during service may be entitled to VA benefits. From the VA, you will receive a monthly payment as well as full medical care from the VA for the qualifying conditions. Additionally, after the exam, veterans should be sure to request that a copy of the examiners report be sent to them. Range of Motion (ROM) test: Perform active and/or passive range of motion and provide the ROM values. 5A. All of this is documented in my NARSUM. representing common disabilities of that body part. This field is for validation purposes and should be left unchanged. The most trusted name in education-based resources for Veterans. Keeping your elbows against your body swing your forearms away from your body. Joint pain can also be a factor that can increase the severity of a Veterans disability. Under each category is a list of. Your shoulder range of motion is, basically, how far you can move each shoulder in different directions without major joint pain or other issues. 0 The technical storage or access that is used exclusively for anonymous statistical purposes. Function: Depression of the arm from vertical overhead to hanging at the side (1, 2); downward rotation of scapula (3, 4); 1 and 2 act with Group III in forward and backward swing of the arm. Over time, the joint disease results in decreased mobility of the joints. Is there evidence of pain? Okay Brian, let's get right to it: Is age a factor in VA claims? Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. Knee painis a very common condition that affects veterans of all ages. With OA, the tissues in the joint break down over time or have an alteration in their structure. These cookies allow the website to remember choices you make to give you better functionality and preferences such as text size, fonts and other customizable website elements. VA does not send copies of the report unless specifically requested, so in order to receive a copy, the veteran must request one. To prove service connection, a veteran must satisfy three basic criteria. Describe the history (including onset and course) of the Veterans knee and/or lower leg condition (brief summary). Email: [hidden email], National Organization of Veterans Advocates. From there, it is easy to see where each degree listed in the diagnostic code lies. Range of motion refers to the directions and limits of movement in each joint of the body. The rating number correlates with the monthly payment amount veterans are entitled to receive. That's why so many people turn to experienced law firms like Jan Dils, Attorneys at Law. We have updated our Privacy Policy. 367 0 obj <>stream For a free consultation, call us at 1-877-526-3457. Favorable angle in full extension or in slight flexion between 0 and 10 degrees. The shoulder also contains ligaments, the fibrous tissues that connect one bone to another bone. If your conditions have worsened since you last applied and now qualify for a higher rating, you can submit a new claim, checking the box for an increased evaluation. With your arms at your sides, turn your palms towards your body and bend your elbows 90 degrees so your hands are pointing in front of you. Stiffness and loss of range of motion can pop up due to consistent use of a certain muscle group or body part. 0000003068 00000 n Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! Is the Veteran able to perform repetitive-use testing with at least three repetitions? Find out why it is sometimes accompanied by pain while other times it's not, as, Few would suspect the cause of shoulder pain to be something as typical and inactive as sitting at our desks. For example, a veteran cannot receive two disability ratings to compensate them for their back pain caused by a single condition.14:05. The shoulder joints are surrounded by muscles that keep the bones fitted tightly together. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. Examiners should also test the contralateral joint (unless medically contraindicated). Independent providers and C&P examiners must consider and give weight to the veterans self-reported symptoms when completing their DBQ for Knee Pain. Specifically, if there is weakness and severe pain with motion, then it is rated 60 percent for the dominant arm and 50 percent for the non-dominant arm. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veteran's level of disability. If you are already a veteran, you can submit a VA Disability Claim along with evidence of service-connection and all medical records regarding the conditions on the claim. If youre trying to increase your VA disability for knee pain, you need to prove to the VA that your symptoms are now worse and warrant the higher rating criteria by law. Finally, if the amputation is below the deltoid but above the elbow, it is rated 80 percent for the dominant arm and 70 percent for the non-dominant arm (Diagnostic Code 5122). Even without significant injuries, the strain of physical work puts pressure on the body, which leads to a risk of repetitive Back pain is a common problem for veterans. 0000000844 00000 n If you reach your hands behind you think about putting something in your back pocket youre practicing extension. The VA appeals process starts at your regional Department Of Veterans Affairs Office. To determine the extent to which your musculoskeletal disability affects your range of motion, youll need to visit a doctor and get your condition evaluated. PEB and Disability Evaluation System Overview, Physical Evaluation Board System Overview. Does the Veteran report flare-ups of the knee and/or lower leg? See 38 C.F.R. This is lateral rotation also referred to as external rotation and the normal range of motion for a healthy shoulder is 90 degrees.