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Email: [hidden email], National Organization of Veterans Advocates. Veterans may be eligible to receive as much as 50% disability compensation. This considers not only the objective findings noted on the examination, but also the subjective history provided by the claimant, as well as review of the available medical evidence. Optimally, a description of any additional loss of function should be provided such as what the degrees of range of motion would be opined to look like after repetitive use over time. The following are a list of five sections and common questions asked at a VA C&P exam for Knee Pain, based on the DBQ for Knee and Lower Leg conditions. Veterans need to have evidence establishing that a disabling disease or injury was incurred coincident with service in the Armed Forces, or if preexisting such service, was aggravated therein.. VA Rating for Unfavorable Ankylosis of the Knee: What Are Some Common VA Secondary Conditions to Knee Pain? Shoulder (Flexion - Extension) Left Left : Abduction 150: O . With OA, the tissues in the joint break down over time or have an alteration in their structure. A normal range for abduction, starting with your palms at your sides, is around 150 degrees in a healthy shoulder. Read about causes, seeing a doctor. hb``b``g`e`X8f0>P ]` A4@:"A&^oB`l>+"-p33p.0uR!x 3#K c)WH[287;lbfaG81 RggHLdefrr\Y. 0000003068 00000 n Random flare-ups are common in. For instance, under the subcategory for The Knee and Leg, there are eight diagnostic codes: Several of these disabilities are rated based on the degree of motion, but we will look specifically at limitation of extension for an example. endstream endobj 366 0 obj <>/Size 353/Type/XRef>>stream Whenever a Veteran applies to receive disability benefits from the VA, their claim will either be approved, deferred, or denied. The VA awards disability compensation for each Shoulder and Upper Arm condition that isservice-connected. For Reservists, the condition must have occurred in or resulted from an injury in the Line of Duty to qualify. Is there ankylosis of the knee and/or lower leg? It is often referred to as wear and tear arthritis. Please cite and discuss evidence. Knee painis a very common condition that affects veterans of all ages. Yes or no. The shoulder is two different joints and a network of connective tissue and muscles. The latter considers medical probability of additional functional loss as a global view. These four stretches can help relieve. (B) The client's right thigh is being passively moved into flexion by the therapist. specific disability rating between ten and 100 percent. 2E. This field is for validation purposes and should be left unchanged. If there are occasional periods of weakness, pain, or limited motion then the condition should be rated analogously either under Diagnostic Code 5002 (i.e., rheumatoid arthritis) or 5203 (i.e., impairment of the clavicle or scapula), whichever most closely describes the veterans symptoms. If you are rated 20% or less from the DoD, then you will receive a single separation payment. %PDF-1.6 % If, after evaluation of the procurable and assembled data, the examiner determines that it is not feasible to provide this estimate, the examiner should explain why an estimate cannot be provided. Last medically reviewed on September 13, 2018. Treatment for Pagets disease depends on the type. #34938Washington, D.C. 20090-6503, Phone: (888) 878-9350 Vike 17 Epeen 272 3 Jan 03, 2014 #7 What's funny.. During the c & p exam. Condition. Amputations: Lower Extremity 2 Also entitled to special monthly compensation. Importantly, the minimum rating for any total shoulder replacement is 30 percent for the dominant arm and 20 percent for the non-dominant arm. 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. Once it ends, the 100 percent rating will continue for a period of 3 months (unless otherwise specified). Vairo GL, et al. It only provides that VA policy is to recognize actually painful motion as entitled to at least the minimum compensable rating for the joint. Range of Motion We should then test the range of motion (ROM) of the shoulder in different directions. That's why so many people turn to experienced law firms like Jan Dils, Attorneys at Law. Neck muscle injuries. 0 The VASRD's 15 body systems had seen periodic updates, but this continuing effort reflects the first comprehensive review in 70+ years. If you have a disability claim with the VA that you would like to appeal, please contact our team at (888) 682-0786 to schedule a free case evaluation. The VA appeals process starts at your regional Department Of Veterans Affairs Office. (If yes, please explain). There are several types of range-of-motion exercises. Does the Veteran report or have a history of frequent effusion of the knee? 4.71, Plate I. The Essentials on VA Disability Ratings for Bulging Disc, Total Disability Individual Unemployability, Unfavorable, abduction limited to 25 from the side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach the mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90), With frequent episodes and guarding of all arm movements, With infrequent episodes and guarding of movement only at shoulder level (flexion and/or abduction at 90 ). 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). Spinal muscles: Sacrospinalis (erector spinae and its prolongations in thoracic and cervical regions). Joint pain can also be a factor that can increase the severity of a Veterans disability. Finally, veterans must show a connection between in-service injury or disease and the present disability. Tight shoulders can affect your daily life. Appeals to the Board of Veterans Appeals, Appeal to the Court of Appeals for Veterans Claims, Increase Veterans Affairs Disability Rating, Total Disability Based on Individual Unemployability (TDIU), VA Mental Health: Legal Help for Veterans, Veterans Affairs Compensation for Sleep Apnea, VA Rating for Traumatic Brain Injury (TBI), Camp Lejeune Water Contamination Symptoms, 2023 Veterans Affairs Disability Rate Increase. Here are 12 stretches to help relieve tension and things you can do to prevent tightness. Specifically, the VA examines ranges of motion for the cervical spine, or the neck and upper back, and the thoracolumbar spine or lower back. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. . 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. 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. 38 cfr 4 va schedule of ratings title 38 part 4 code of. 2005-2023 Healthline Media a Red Ventures Company. The Schedule of Ratings for the musculoskeletal system is found at, , and it contains numerous subcategories. If accepted into our ELITE membership program, youll get free up-front access and permission to use $13,119 worth of proprietary VA claim resources, including access to our network of independent medical professionals for medical examinations, disability evaluations, and credible Medical Nexus Letters, which could help you get a HIGHER VA rating in LESS time. This rating will grant you a specific amount of monthly compensation from the VA. Range of Motion. Stiffness and loss of range of motion can pop up due to consistent use of a certain muscle group or body part. Okay, lets jump into this Insiders Guide for getting a service connected disability rating for Knee Pain. 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. One of the most important aspects of qualifying for disability benefits from the VA is establishing a connection between your disability and your military service. Is Age a Factor in VA Claims? The Schedule of Ratings lists disabilities under different categories based on the part of the body affected. If the veteran is unable to obtain substantially gainful employment as the result of a shoulder or arm condition, they may be eligible for total disability based on individual unemployability (TDIU). 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. Minor knee pain usually responds well to self-care measures. Brand new claims usually take 3-6 months to process. If yes, is the frequent effusion a result of a diagnosis in Section I? Second, the veteran must be able to show that something happened in service There must be an in-service occurrence of something that led to the shoulder disability. DOI: Werner BC, et al. 0000000844 00000 n 5306 Group VI. 5B. The observed repetitive use section initially asks for objective findings after three or more repetitions of range of motion testing. 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. This DCprovides a 20% rating when thigh flexion is limited to 30 degrees. Each movement has a different range of motion. The VA Compensation & Pension Physical Examination County of Ventura Veteran Services Office Human Services Agency 855 Partridge Drive, Ventura, CA 93003 www.vchsa.org To make an appointment, call: 805-477-5155 Functional Loss - Disability of the musculoskeletal system is primarily the inability, due to damage or You are using an out of date browser. Intrinsic muscles of shoulder girdle: (1) Supraspinatus; (2) infraspinatus and teres minor; (3) subscapularis; (4) coracobrachialis, 5305 Group V. Function: Elbow supination (1) (long head of biceps is the stabilizer of shoulder joint); flexion of the elbow (1, 2, 3). See 38 C.F.R. 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. We have updated our Privacy Policy. If you can't talk now, fill out this form so we can contact you at a better time. Pro Tip: For any joint condition, examiners should address pain on both passive and active motion, and on both weight-bearing and nonweight-bearing. If you continue to use this site we will assume that you are happy with it. All information these cookies collect is aggregated and therefore anonymous. In addition to or instead of the standard disability compensation for Shoulder and Upper Arm conditions, amputations or loss of use of the Shoulder and Upper Arm may also qualify for Special Monthly Compensation. This information is made available for educational purposes only and to provide general information and a general understanding of the law. you viewed to avoid repetition. Range of motion of a joint is gauged during passive ROM (assisted) or active ROM (independent)). The shoulder moves with every arm motion. Your Knee Pain was caused or made worse by your active-duty military service. Range of motion measurements for any body part should be clearly measured with a goniometer. The glenohumeral joint is where the ball at the top of the upper arm bone or humerus fits into the glenoid joint socket. Did the veteran have pain on ROM? Contacting us does not create an attorney-client relationship. I am able to lift my arm to 80 degrees but cannot carry ANYTHING with my left shoulder/arm. This data may be used to help optimize our websites and make them easier for you to navigate. endstream endobj startxref The VA assigns a percentage rating for disabilities stemming from limited use of shoulder muscles according to severity. (Check all that apply). 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 Range of motion (ROM) means the extent or limit to which a part of the body can be moved around a joint or a fixed point; the totality of movement a joint is capable of doing.