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The examiner will usually either be a VA physician or a VA contracted physician. 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. Estimate range of motion in degrees for this joint immediately after repeated use over time based on information procured from relevant sources including the lay statements of the Veteran. This involves moving your arms from palms against the side of your body to the highest point you can raise your arms over your head. VA Rating for Unfavorable Ankylosis of the Knee: What Are Some Common VA Secondary Conditions to Knee Pain? Function: Elevation and abduction of arm to level of shoulder; act with 1 and 2 of Group II in forward and backward swing of arm. The shoulder also contains ligaments, the fibrous tissues that connect one bone to another bone. Our lawyers are committed to helping veterans get disability compensation. This information is not a substitute for legal advice. Disclaimer: This information is not legal advice. For instance, the following chart accompanies the Schedule of Ratings for ankle, knee, and hip disabilities: Each subcategory under the Rating Schedule includes numerous diagnostic codes, which represent specific disabilities. PDF Department of Veterans Affairs 4 - GovInfo Hip range of motion is variable. The VA knee rating chart is broken out into two separate categories based on "Pain" or "Unfavorable Ankylosis." For example, Knee Pain (DC 5257) only has VA ratings of 10%, 20%, or 30% while Unfavorable Ankylosis of the Knee (5256) has VA ratings of 30%, 40%, 50%, or 60%. Veterans should be sure to attend a Compensation and Pension exam once it has been scheduled, as failure to attend can stand as the basis for a denial of the veterans claim. An issue with just one of these parts can affect your range of motion. disability that limits your range of motion, you are entitled to disability compensation. . You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes both an assistive device (, (a) Sprain, incomplete ligament tear, or repaired complete ligament tear causing persistent instability, and a medical provider prescribes a brace and/or assistive device (, (b) Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes either an assistive device (, Sprain, incomplete ligament tear, or complete ligament tear (repaired, unrepaired, or failed repair) causing persistent instability, without a prescription from a medical provider for an assistive device (, Extremely unfavorable, in flexion at an angle of 45 or more, Favorable angle in full extension, or in slight flexion between 0 and 10. VA proposes to clarify the terminology used in these criteria by adding ranges of motion of the shoulder. Neck Conditions: How To Get VA Disability - The Veterans Law Office Copyright 2023 VA Claims Insider, LLC. (If yes, please explain). Like I had thought, they only gave me 20% for my shoulder. endstream endobj 354 0 obj <>/Metadata 25 0 R/PieceInfo<>>>/Pages 24 0 R/PageLayout/OneColumn/StructTreeRoot 27 0 R/Type/Catalog/Lang(EN-US)/LastModified(D:20100525154543)/PageLabels 22 0 R>> endobj 355 0 obj <>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 356 0 obj <> endobj 357 0 obj <> endobj 358 0 obj <> endobj 359 0 obj <> endobj 360 0 obj <> endobj 361 0 obj <> endobj 362 0 obj <>stream endstream endobj startxref Is range of motion the only thing VA considers or do they actually look at what you can and cannot do for daily living purposes? Select diagnoses associated with the claimed condition(s) (check all that apply): 2A. If the entire shoulder joint has been replaced by a prosthetic device, the condition is rated at 100 percent for one month after being discharged from the hospital following the replacement. The Schedule of Ratings for the musculoskeletal system is found at 38 C.F.R 4.71a, and it contains numerous subcategories. For Reservists, the condition must have occurred in or resulted from an injury in the Line of Duty to qualify. Each movement has a different range of motion. 12 Stretches to Help Relieve Tight Shoulders, Everything You Need to Know About Muscle Stiffness, What You Should Know About Primary Lateral Sclerosis. This is Military service can lead to many types of bone and ligament damage. What is the VA Knee Rating Chart? The first subset is based on observed repetitive use, and the second is based on functional loss associated with repeated use over time. They may be used by those companies to build a profile of your interests and show you relevant advertisements on other websites. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. By asking the right questions and keeping tabs on a Veterans symptoms, the VA should get a more accurate sense of a Veterans disability and how its severity can vary from day-to-day. All of this is documented in my NARSUM. Get the free normal range of motion chart form - pdfFiller figures below, showing the maximum possible range of motion or by notating the chart in degrees. Range of Motion (ROM) test: Perform active and/or passive range of motion and provide the ROM values. For example, if the veteran lacks 10 degrees of full knee extension and has normal flexion, show the range of motion as extension to minus 10 degrees (or lacks 10 degrees of extension) and flexion 10 to 140 degrees. You can struggle with aches and pains of varying severity throughout any given week, and your condition can even improve or worsen throughout the day. For shoulder disabilities that result from bone, tendon, or ligament issues, the VA assigns a percentage based on the severity of the range of motion limitation (see tables below). Range of motion refers to the directions and limits of movement in each joint of the body. Please cite and discuss evidence. The information these cookies collect will not personally identify you, and they cannot track your browsing activity on other websites. (Must be specific to the case and based on all procurable evidence.). If there is pain noted on examination, it is important to understand whether that pain itself contributes to functional loss. Flexion endpoint (140 degrees): _____ degrees. Range of Motion on VA C & P ExamWe are retired #VA raters and we educate veterans on the VA claims process.You have VA claim questions? They said they considered the Deluca v. Brown case but it was not warranted. 0000006279 00000 n Veterans must (1) have a current, diagnosed shoulder or arm condition; (2) have experienced an event, injury, or illness during service; and (3) provide a medical nexus linking their shoulder or arm condition to their in-service event. All rights reserved. Options may include a mastectomy, chemotherapy, radiation, or removal of skin lesions. The most trusted name in education-based resources for Veterans. 38 cfr 4 va schedule of ratings title 38 part 4 code of. In many cases, Veterans may find their claims denied even though their disabilities are related to their service in the military. This DCprovides a 20% rating when thigh flexion is limited to 30 degrees. The VA appeals process starts at your regional Department Of Veterans Affairs Office. 38 CFR 4.73 - Schedule of ratings - muscle injuries. The Schedule of Ratings expresses range of motion in degrees, making it easy for disabilities to be rated and categorized. Back Pain VA Rating: A Guide to Spinal Injuries - Hill & Ponton, P.A. Thanks. Other medical conditions, such as arthritis, gout, and infections can also cause knee pain. #3: Unfavorable Ankylosis of the Knee with a rating of 30%, 40%, 50%, or 60%. Make an appointment for a no-obligation consultation with us now online or by phone at 888.878.9350. Sometimes, though, increases in the severity of your symptoms can be more unpredictable. If the amputation involves the complete removal of the humerus only, it is rated at 90 percent. 353 0 obj <> endobj Just got my MEB packet with NARSUM. 1A. Arthritis, degenerative (hypertrophic or osteoarthritis). Because the severity of musculoskeletal disabilitys symptoms can vary from day to day, a Veteran might wake up in the morning unable to touch their toes when they could the day before. For example, a veteran would need to show diagnosis and treatment records for a medical condition, such as a shoulder disability. Military disability ratings for elbow and forearm conditions. All rights reserved. 2E. All Rights Reserved. The VA wants to . 0000003377 00000 n So I got my ratings back relatively fast. Its possible for your Knee Pain to be caused or made worse by another service connected disability for secondary service connection. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veterans level of disability. VA Range of Motion Chart for Back The code used for back and spine conditions are primarily based on range of motion (ROM) measurements, thoracolumbar strain, and the range of flexion and extension. 0000001936 00000 n I'm not really sure what that means- hopefully the lawyer can explain it to me. DOI: Common conditions affecting range of motion, ncbi.nlm.nih.gov/pmc/articles/PMC4690598/, dshs.wa.gov/sites/default/files/FSA/forms/pdf/13-585a.pdf, medlineplus.gov/shoulderinjuriesanddisorders.html, Pendulum and Codman Exercises for Shoulder Rehabilitation. This website adheres to the W3Cs AA Accessibility guidelines. Hip external rotation averages 40-60 degrees and internal rotation averages 30-40 degrees. Heres the brutal truth about VA disability claims: We use cookies to ensure that we give you the best experience on our website. For example, I cannot lift any weight, carry bags on my shoulder or in my hands, use it to support myself, etc. These cookies collect information about how you use our website. Circumference of atrophied side: _____ cm. It only provides that VA policy is to recognize actually painful motion as entitled to at least the minimum compensable rating for the joint. In the exam report, the examiner is requested to provide an estimate of decreased range of motion (in degrees) that reflect frequency, duration, and during flare- -ups even if not directly observed during a flare-up and/or after repeated use over time. 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. This storage is often necessary for basic functionality of the web site or the storage may be used for the purposes of marketing, analytics, and personalization of the web site such as storing your preferences. If abnormal, does the range of motion itself contribute to a functional loss? It will be rated the minimum 10% unless there is limited motion that qualifies for a higher rating. Pro Tip: When pain is associated with movement, the examiner must give a statement on whether pain could significantly limit functional ability during flare-ups and/or after repeated use over time in terms of additional loss of range of motion. For example, a total shoulder replacement shoulder result in a 24% upper extremity rating if it is done as an implant or a 30% upper extremity rating if done as a resection. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veteran's level of disability. In addition to testing for initial range of motion, your VA physician should also check your repetitive motion to see if there is a higher degree of functional loss afterward. Since flare-ups can frequently make your symptoms worse, make sure that you do not accidentally give the VA the impression that your condition is milder than it is. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Lawyers 6940 O St, Suite 400 Lincoln, NE 68510. ROM is the predominant rating criteria, BUT under Deluca case, functional impairment (including pain, against resistance/with weight, loss of coordination, lack of endurance) MUST be considered. However, establishing service connection for shoulder and arm conditions can be difficult. Can I get VA Disability for shoulder pain? Veterans who have a disability resulting from a shoulder injury during service may be entitled to VA benefits. A normal range of movement for shoulder adduction is 30 to 50 degrees depending on flexibility and body composition. The less you can move or bend your knee, the higher your VA rating will likely be. This means an in-service event, injury, or disease related to your military service caused you to develop Knee Pain. The normal shoulder range of motion is 157 -162 for Forward Flexion Is an upgoing movement from the front side or the sagittal plane facilitated by the pectorals, anter More, 148-152 for Abduction Is a sideways upgoing movement in the frontal plane brought about by the supraspinatus and the mid, and 53 - 59 for External Rotation The range of shoulder external rotation is one of . 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? Our website services, content, and products are for informational purposes only. However, if you have Unfavorable Ankylosis of the Knee, its rated under DC 5256 instead, which has VA ratings of 30%, 40%, 50%, and 60% depending on the frequency, severity, and duration of symptoms to include limitation of range of motion and functional impairment. DOC Section A. Musculoskeletal Conditions (U.S - Veterans Affairs 0000001300 00000 n Shoulder popping, also known as crepitus, has several possible causes. )cz+}+7TRExDwGneyI\y9iv~ 6> Range of motion requirements for upper-limb activities of daily living. Tight shoulders can affect your daily life. VA Knee Disability Rating: Is Knee Pain a VA Disability? Shoulder adduction occurs when you move your arms towards the middle of the body. With the help of an attorney, you can present additional evidence to the VA that can influence the VAs decision regarding your claim. Range of motion in va disability claims ptsd lawyers. A fluid-filled sac called a joint capsule surrounds the joint and provides lubrication to ease movement in the shoulder. VA Disability Rating. Joint Range of Motion Chart Form Use a shoulder range of motion chart template to make your document workflow more streamlined. According to Title 38, for a minor shoulder that can raise between 25 and 90 degrees is 20% disability. Pro Tip: The examiner should provide the estimated range of motion based on a review of all procurable information to include the Veterans statement on examination, case-specific evidence (to include medical treatment records when applicable and lay evidence), and the examiners medical expertise. The examiner may ask questions about the condition or time in service, as well as physically examine the veteran. The VA does allow veterans to file for shoulder pain if it was caused by their time in the service. The Schedule also provides charts to help assist with understanding what these degrees mean. Flexion is a movement that decreases the angle between the two parts that the joint is connecting. If range of motion was normal for all joints, please comment in . Expand Table The Shoulder and Arm Expand Table The Elbow and Forearm Expand Table The Wrist Expand Table Evaluation of Ankylosis or Limitation of Motion of Single or Multiple Digits of the Hand Expand Table The Spine Expand Table The Hip and Thigh Answer: No, your age cannot affect your service connected VA disability benefits! The Soldier may be rated with reference to shoulder abduction or shoulder forward elevation (flexion) - whichever provides the higher rating. Learn about the Normal Joint Range of Motion Study | CDC Learn about its causes and home exercises that can help. His victories for veterans are often featured in mainstream news, including the Miami Herald, Dallas Morning News, Sacramento Bee, and others, as well as in many military publications. This is medial rotation also referred to as internal rotation and the normal range of motion for a healthy shoulder is 70 to 90 degrees. Active and passive ROM. JavaScript is disabled. eCFR :: 38 CFR 4.71a -- Schedule of ratings - musculoskeletal system. Learn more about the causes and what you can do about it. Relevant disabilities should be documented in military service treatment records. Function: Extension of the elbow (long head of triceps is the stabilizer of shoulder joint). In contrast, pyramiding is a practice prohibited by VA, and refers to when a veteran has two disability ratings for a single manifestation of their disability. If you do not allow these cookies, you will experience less targeted advertising. SECTION III RANGE OF MOTION (ROM) AND FUNCTIONAL LIMITATION. As a fellow disabled Veteran this is shameful and Im on a mission to change it. Today, Brian Reese the VA Claims Insider reveals the Top 8 VA Benefits for Surviving Spouse this year. Keep in mind all joints (shoulder, elbow, knee, and back) are based on a range of motion, not the amount of pain it causes or the amount of medication needed for relief. Whether your shoulder issues started immediately after leaving the military or decades later, you may be eligible for disability compensation. They stretch and contract during movement. Please select all that apply and describe: 4A. All of the criteria include severe, moderately severe, moderate, or slight and corresponds to a disability rating ranging from 0 to 40 percent. It may not display this or other websites correctly. :#5$o 9j g`,,8QGD?1g`4K10/a ;"iD&` Om Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. The experienced VA disability attorneys on our team understand how VA claims work and are dedicated to helping Veterans get the compensation they are entitled to. The examiner may also perform a physical exam on the veteran. Yes or no. VA Range of Motion Rating: A Guide to Disability Claims - Berry Law I cannot put pressure on it (including sleep), cannot sit w/o my shoulder hurting, cannot use my left hand when driving, pretty much that arm is useless and is dead weight.