The second subset provides a more global picture of functional loss associated with repetitive use over time. 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). For example, a veteran would need to show diagnosis and treatment records for a medical condition, such as a shoulder disability. Thus, a single injury to the shoulder and/or upper arm can cause multiple issues. PEB and Disability Evaluation System Overview, Physical Evaluation Board System Overview. In many cases, Veterans may find their claims denied even though their disabilities are related to their service in the military. Your shoulder joint is a complex system made up of five joints and three bones: This system of joints and bones allows your shoulder to move in different directions. 5B. If no, provide rationale. Okay, lets jump into this Insiders Guide for getting a service connected disability rating for Knee Pain. For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. All rights reserved. #2: Secondary Service Connection for Knee Pain with a rating of 10%, 20%, or 30%. It is often referred to as wear and tear arthritis. SECTION III RANGE OF MOTION (ROM) AND FUNCTIONAL LIMITATION. Neck muscle injuries. His eBook, the9 Secrets Strategies for Winning Your VA Disability Claimhas been downloaded more than 300,000 times in the past three years and is the #1 rated free VA disability claims guide for veterans. 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. VeriSign secured If yes, indicate the severity of ankylosis. Heres a list of common Knee Pain secondary conditions: A C&P exam for Knee Pain involves a series of verbal questions, to include a physical examination, and Range of Motion (ROM) test with a Goniometer. Right lower extremity (specify location of measurement such as 10cm above or below the knee): Circumference of more normal side: _____ cm. If the arm is amputated below the shoulder but above the point where the deltoid attaches to it, then it is rated 90 percent for the dominant arm, and 80 percent for the non-dominant arm (Diagnostic Code 5121). 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). What if you went to your C&P examination on a great day with minimal symptoms? Easy to use charts: 30: 114: Hours of streamable audio: 30: 50: Assessment Tests: 40: 200 . The VA uses the rules of the VASRD to rate shoulder conditions based on how they affect the ability to use the shoulder and arm. If range of motion was normal for all joints, please comment in . The Schedule of Ratings for the musculoskeletal system is found at 38 C.F.R 4.71a, and it contains numerous subcategories. 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. Flexion endpoint (140 degrees): _____ degrees. 0000001029 00000 n Knee painis a very common condition that affects veterans of all ages. Describe the history (including onset and course) of the Veterans knee and/or lower leg condition (brief summary). These cookies dont collect information that identifies you. Without these cookies, services you have asked for cannot be provided. 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.. We avoid using tertiary references. 5A. Certain disabilities can correspond with a specific disability score from the VA. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. Apply passive range of motion techniques to the upper extremity. Recurrent subluxation or instability: Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes both an assistive device (e.g., cane(s), crutch(es), walker) and bracing for ambulation. 353 15 Okay Brian, let's get right to it: Is age a factor in VA claims? startxref xbbb`b``3 Other medical conditions, such as arthritis, gout, and infections can also cause knee pain. If youre concerned about the rotation or range of motion of your shoulder or youre feeling pain during normal movement, you should consult with your doctor. Shoulder injuries in the military are a common source of VA disability compensation. Since 2008, we've helped thousands of Veterans get the VA Disability benefits they deserve. #1. 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). We have updated our Privacy Policy. (2015). Our lawyers are committed to helping veterans get disability compensation. List the claimed conditions that pertain to this questionnaire. 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. When each qualifying joint motion is painful but motion is not actually limited to a compensable degree under its applicable 52XX-series DC, only one compensable evaluation can be assigned. This same information (minus the three repetitions) is asked to be provided with regards to flare-ups. 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. Stretching is usually most effective and least painful when tissue temperature is raised to about 43 C (see Heat ). Indeed good sir, ROM is all that matterssupposedly. Thats good, my VA doctor said he was rating my shoulder at 70 degrees on my C&P exam and he ended up writing 140 degrees. When taking your C&P exam, tell your VA physician everything you can about your condition, including how your symptoms may vary from day-to-day. Tendons are rated on how they affect the motion of the connected joint(s). Estimate your 2023 VA Rating & Compensation for FREE! Last medically reviewed on September 13, 2018. These symptoms can be extremely painful, and they can most definitely contribute to the VAs rating of your disability. A normal range of movement for shoulder adduction is 30 to 50 degrees depending on flexibility and body composition. #3. Today, we examine VA ratings for conditions affecting Veterans' shoulders and arms. The acromioclavicular joint is where the shoulder blade or scapula meets the collar bone or clavicle. The shoulder's anatomy is complex, but all the different moving parts allow a wide range of motion in the joint. Range-of-motion exercises stretch stiff joints. After the exam, the examiner will use the findings to issue an opinion, which will either be favorable or unfavorable. These cookies collect information about how you use our website. The VA appeals process starts at your regional Department Of Veterans Affairs Office. The latter considers medical probability of additional functional loss as a global view. Your doctor will diagnose a potential issue through a series of tests, which may include: If youre worried about the range of motion of your shoulder, you should mention the issue to your doctor. The VA assigns a percentage rating for disabilities stemming from limited use of shoulder muscles according to severity. Separate ratings occur when there is another distinct manifestation of a disability that is not currently rated. Does the Veteran report flare-ups of the knee and/or lower leg? 5. 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. In the exam, either a VA physician or VA contracted physician will generally ask questions about the shoulder or arm condition and the veterans time in service. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. 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. Extensor muscles of the elbow: (1) Triceps; (2) anconeus. 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. Many activities in service, such as lifting heavy objects, transporting heavy supplies, or forms of physical training, can often cause shoulder and arm injuries. 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. If your claim has been approved, you will be given a, Certain disabilities can correspond with a specific disability score from the VA. 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). 0000003068 00000 n Range of motion refers to the directions and limits of movement in each joint of the body. These cookies may be set through our website by our advertising partners. (2013). All of the criteria include severe, moderately severe, moderate, or slight and corresponds to a disability rating ranging from 0 to 40 percent. The shoulder joints are surrounded by muscles that keep the bones fitted tightly together. 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! This means an in-service event, injury, or disease related to your military service caused you to develop Knee Pain. Osteoarthritis (OA) is a degenerative joint disease. Yes, as long as the shoulder pain is service-connected, you can qualify for VA Disability. Your Knee Pain was caused or made worse by your active-duty military service. With OA, the tissues in the joint break down over time or have an alteration in their structure. With the help of an attorney, you can present additional evidence to the VA that can influence the VAs decision regarding your claim. Extrinsic muscles of shoulder girdle: (1) Trapezius; (2) levator scapulae; (3) serratus magnus, 5302 Group II. Have you been affected by Camp Lejeune water contamination? The information these cookies collect will not personally identify you, and they cannot track your browsing activity on other websites. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! Measuring ROM. Show each measured range of motion separately rather than as a continuum. (Must be specific to the case and based on all procurable evidence). They are not intended as a guarantee that we will obtain the same or similar results in every case we undertake. VA also proposes to assign a 30 percent rating for a major . They do not store directly personal information, but are based on uniquely identifying your browser and internet device. To obtain an official measurement of range of motion, the examiner will typically use a tool called a goniometer. Did the veteran have pain on ROM? VA may request a Compensation and Pension (C&P) exam to examine the veterans shoulder or arm condition. Specifically, veterans will be assigned a 100 percent rating until intensive treatment is over. representing common disabilities of that body part. In this guide, well explore how to get a VA Rating for Knee Pain even if youve already filed, been denied, or gave up. If you injured your shoulder during your military service, you might be eligible for disability benefits. 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 2E. However, establishing service connection for shoulder and arm conditions can be difficult. Contacting us does not create an attorney-client relationship. The 10% rating is met when f lexion is . Importantly, the minimum rating for any total shoulder replacement is 30 percent for the dominant arm and 20 percent for the non-dominant arm. Make an appointment for a no-obligation consultation with us now online or by phone at 888.878.9350. For example, I cannot lift any weight, carry bags on my shoulder or in my hands, use it to support myself, etc. For instance, which pages you go to most. To find out more, view our Privacy Policy. 0000006040 00000 n Chronic Knee Pain can have considerable debilitating effects on veterans, especially due to the side effects of medications taken to manage your pain, which can lead to a variety of other disabling conditions such as variousOrthopedic Conditions,Plantar Fasciitis,Arthritis,GERDandIBS, andDepressionandAnxiety. Understanding How Flare-Ups Impact Range of Motion Claims, Alternatively, they might suffer from more stiffness and loss of range of motion throughout the day. The primary adductors are: The Pectoralis major the Lattisimus dorsi. Pro Tip: For any joint condition, examiners should address pain on both passive and active motion, and on both weight-bearing and nonweight-bearing. 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. Whether your shoulder issues started immediately after leaving the military or decades later, you may be eligible for disability compensation. If yes, is the frequent effusion a result of a diagnosis in Section I? With extensive experience working with VA disability claims, Berry Law can help you with your disability appeals. Information regarding joint function on repetitive use is broken up into two subsets. There are 3 primary ways a veteran can get a VA disability rating for Knee Pain: #1: Direct Service Connection for Knee Pain with a rating of 10%, 20%, or 30%. Copyright 2023 VA Claims Insider, LLC. A normal range for abduction, starting with your palms at your sides, is around 150 degrees in a healthy shoulder. Is the examination being conducted during a flare-up? The technical storage or access that is used exclusively for statistical purposes. CCK Recognized for Donations to American Veterans Disabled For Life Memorial, CCK Successfully Argues for a Precedential Decision About Protected Work Environment, A Day in the Life of a Paralegal (Claims Advocate) at CCK. Is there ankylosis of the knee and/or lower leg? Pro Tip: Ankylosis is the immobilization of a joint due to disease, injury, or surgical procedure. The Musculoskeletal System is vast and complex, consisting of muscles, tendons, ligaments, joints, and bones. Va range of motion chart for back fillable online ; ffxi skillchain chart 2012 . Degenerative disc disease PO Box 96503Dept. Stiffness and loss of range of motion can pop up due to consistent use of a certain muscle group or body part. Shoulder range of motion. 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. If your knees are significantly inhibited in their range of motion to the point that they can only extend to more than 45 degrees of being completely straight, your disability score is likely to be as high as possible. I'm not really sure what that means- hopefully the lawyer can explain it to me. The Schedule also provides charts to help assist with understanding what these degrees mean. 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. Omaha 402-933-5405. . All information these cookies collect is aggregated and therefore anonymous. Select diagnoses associated with the claimed condition(s) (check all that apply): 2A. Subsequent questions consider additional factors such as pain, fatigue, weakness, lack of endurance, or incoordination. Like I had thought, they only gave me 20% for my shoulder. 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? Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veterans level of disability. (If yes, please explain). 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. Injuries to the shoulder and arm commonly occur while performing both combat and non-combat duties during service. What is the Reasonable Doubt Rule for Knee Pain? If yes, what was the Extension degree endpoint (if different than above)? Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. The VA rates shoulder conditions based on how they affect the use of shoulders and arms. These cookies are also used to let affiliates know if you came to one of our websites from an affiliate and if your visit resulted in the use or purchase of a product or service from us, including details of the product or service purchased. 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. Range of Motion. The VA wants to . All Rights Reserved. If yes, document the Veterans description of the flare-ups he/she experiences, including the frequency, duration, characteristics, precipitating and alleviating factors, severity and/or extent of functional impairment he or she experiences during a flare-up of symptoms. The shoulder is two different joints and a network of connective tissue and muscles. Hip flexion averages 110-120 degrees, extension 10-15 degrees, abduction 30-50 degrees, and adduction 25-30 degrees.
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