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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). Options may include a mastectomy, chemotherapy, radiation, or removal of skin lesions. A normal range of motion for shoulder extension to the highest point you can lift your arm behind your back starting with your palms next to your body is between 45 and 60 degrees. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Major joints include the shoulder, elbow, wrist, hip, knee and ankle. You MAY be entitled to a separate evaluation for any muscle injuries as a result of the shoulder impairment if they are not based on the same symptoms as the shoulder itself. If you injured your shoulder during your military service, you might be eligible for disability benefits. Shoulder range of motion for Adduction is normally 50-75. 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? The secondary adductors of the shoulder joint are: the Teres major the Anterior portion of the deltoid. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. To find out more, view our Privacy Policy. 2020 MilitaryDisabilityMadeEasy.com - All rights reserved, The Integrated Disability Evaluation System (IDES), Combat Related Special Compensation (CRSC), Concurrent Retirement & Disability Pay (CRDP), Limitation of Motion of the Shoulder and Upper Arm, Injuries to the Clavicle and Scapula Bones. Tendons are fibrous tissues that connect muscle to bone. 1A. (If yes, please explain). 5. This places your hands above your head with your arms straight. How to File a Claim on VA.gov (step-by-step)! In instances where range of motion of the neck needs to be measured, the examiner will typically use a goniometer to obtain a precise measurement. Your range of motion may be better than normal on the day you take your C&P exam if so, communicate with your VA physician about the fact that your symptoms can get better and worse unpredictably. A normal range of motion for your shoulder depends on your flexibility and the overall health of your shoulder. Select factors that cause this functional loss: (check all that apply). 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. It may not display this or other websites correctly. Estimate range of motion in degrees for this joint during flare-ups based on information procured from relevant sources including the lay statements of the veteran. 0000006279 00000 n
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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%. 1B. The strain of military service can lead to wear and tear on the spine, not to mention the risk of traumatic injuries in training or combat. 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. Limited range of motion is a reduction in the normal range of motion of any joint. Random flare-ups are common in musculoskeletal disabilities, making each day a different experience for Veterans with these conditions. Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. Measuring ROM. #2: Secondary Service Connection for Knee Pain with a rating of 10%, 20%, or 30%. Imagine your body is a cabinet, your arms are the cabinet doors and youre shutting the doors. Strain and disabilities to the shoulders are common during deployment, training, and combat. What if you went to your C&P examination on a great day with minimal symptoms? For example, a veteran would need to show diagnosis and treatment records for a medical condition, such as a shoulder disability. If yes, is the frequent effusion a result of a diagnosis in Section I? If any limitation of motion is specifically attributable to pain, weakness, fatigability, incoordination, or other; please note the degree(s) in which limitation of motion is specifically attributable to the factors identified and describe. Range of motion (ROM) assessment is usually performed directly after postural assessment. For any muscle atrophy due to a diagnosis listed in Section I, indicate specific location of atrophy, providing measurements in centimeters of normal side and corresponding atrophied side, measured at maximum muscle bulk. After the one-year period, the condition is then given a permanent rating. There are several separate parameters requested for describing function of a joint. The shoulder joints are surrounded by muscles that keep the bones fitted tightly together. The first subset is based on observed repetitive use, and the second is based on functional loss associated with repeated use over time. Does the Veteran report or have a history of instability or recurrent subluxation of the knee? If the amputation involves the complete removal of the humerus only, it is rated at 90 percent. Like I had thought, they only gave me 20% for my shoulder. The technical storage or access that is used exclusively for anonymous statistical purposes. In accordance with CFR Title 38, Part 4 How to Get a Knee Pain VA Rating: Basic Eligibility Criteria. Easy to use charts: 30: 114: Hours of streamable audio: 30: 50: Assessment Tests: 40: 200 . The rotator cuff is a network of four tendons that connect the humerus to the scapula. Whenever a Veteran applies to receive disability benefits from the VA, they are asked to visit their regional VA office for a Compensation & Pension examination. An issue with just one of these parts can affect your range of motion. C&P examiners are instructed to ask about both repetitive motion and flare-ups for musculoskeletal conditions. 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. 0
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. For flare-ups, the examiner should ask whether a Veteran deals with flare-ups and ask them to describe their functional loss as a result. Shoulder popping, also known as crepitus, has several possible causes. 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 HWn}W4f rS2o& f0}q\,+_jJyM6{vw~f_~pdCsn3vni:l3|=;3%&v3a_N7/v>fv>m;^m ~_5YYY0m=:bd0n[m#h[d#. Below are some common examples of shoulder and arm conditions: Generally speaking, VA rates shoulder and arm conditions under both 38 CFR 4.71a Schedule of Ratings Musculoskeletal System and 4.73, Schedule of Ratings Muscle Injuries. Range-of-motion exercises stretch stiff joints. Is Age a Factor in VA Claims? See 38 C.F.R. This DCprovides a 20% rating when thigh flexion is limited to 30 degrees. The attorneys at Berry Law Firm are dedicated to helping injured Veterans. The VA is looking for the impact that your disability has on your life on your ability to work, maintain relationships with family and friends, and carry out simple tasks. you viewed to avoid repetition. By using our website, you agree to the use of certain cookies. If range of motion was normal for all joints, please comment in . 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. Injuries to the shoulder and arm commonly occur while performing both combat and non-combat duties during service. Contacting us does not create an attorney-client relationship. Eric Gang is an award-winning lawyer with a national law practice focused on Veterans Disability Appeals on behalf of U.S. veterans wrongfully denied medical and disability benefits. It only provides that VA policy is to recognize actually painful motion as entitled to at least the minimum compensable rating for the joint. (B) The client's right thigh is being passively moved into flexion by the therapist. Today, we examine VA ratings for conditions affecting Veterans' shoulders and arms. representing common disabilities of that body part. With the help of an attorney, you can present additional evidence to the VA that can influence the VAs decision regarding your claim. VA Knee Disability Rating: Is Knee Pain a VA Disability? Knee painis a very common condition that affects veterans of all ages. 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. Other exceptions, if any, are noted in specific rating codes found on the Shoulder and Upper Arm Condition Ratings page. Payment amounts vary depending on factors like the number of dependents. Many activities in service, such as lifting heavy objects, transporting heavy supplies, or forms of physical training, can often cause shoulder and arm injuries. VA disability ratings for back pain go from 10% to 100% depending on how severe your symptoms are, including your range of motion and pain frequency and level. Ankylosis of the Knee means you cant bend it past certain degrees, as measured by a Goniometer. The VA assigns a percentage rating for disabilities stemming from limited use of shoulder muscles according to severity. Physical therapy and knee braces also can help relieve pain. Is there evidence of pain? Veterans who are granted TDIU are paid at the one hundred percent rate, which is the highest form of compensation VA awards. 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. 353 0 obj
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Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. The examiner will usually either be a VA physician or a VA contracted physician. Veterans may be eligible to receive as much as 50% disability compensation. 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. They do not store directly personal information, but are based on uniquely identifying your browser and internet device.