The most trusted name in education-based resources for Veterans. The VA Schedule of Rating Disabilities provides a basis for service connection and rating each disability. The information you obtain on this website is not, nor is it intended to be, legal advice. 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. 353 15 Veterans may be eligible to receive as much as 50% disability compensation. The ball of your upper arm fits into your shoulder socket. Cookies help us deliver the best experience on our website. Sometimes, though, increases in the severity of your symptoms can be more unpredictable. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veterans level of disability. Whether your shoulder issues started immediately after leaving the military or decades later, you may be eligible for disability compensation. 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. By using our website, you agree to the use of certain cookies. VA Disability Rating for Rotator Cuff Repair and Shoulder Bursitis There are several separate parameters requested for describing function of a joint. There are several types of range-of-motion exercises. If a veterans shoulder or arm condition results in an amputation, then it will be rated differently. By using this information, you understand that there is no attorney-client relationship created by you reading or using the information contained on this website or in this newsletter, article, or blog. 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. Disclaimer: This information is not legal advice. Thanks. If range of motion was normal for all joints, please comment in . Osteoarthritis (OA) is a degenerative joint disease. 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. . The Department of Veterans Affairs says of this condition that, when established via X-rays, the VA disability rating will be made "on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved. 5301 Group I. Sometimes, though, increases in the severity of your symptoms can be more unpredictable. Apply passive range of motion techniques to the upper extremity. Does the Veteran report or have a history of frequent effusion of the knee? An issue with just one of these parts can affect your range of motion. Heres the brutal truth about VA disability claims: We use cookies to ensure that we give you the best experience on our website. The less you can move or bend your knee, the higher your VA rating will likely be. They can help you find a treatment plan or recommend you to an orthopedist. Stiffness and loss of range of motion can pop up due to consistent use of a certain muscle group or body part. The shoulder moves with every arm motion. If yes, document the Veterans description of functional loss or functional impairment in his/her own words. Keeping your elbows against your body swing your forearms away from your body. Your shoulder range of motion is, basically, how far you can move each shoulder in different directions without major joint pain or other issues. 5A. Range of Motion - Physiopedia 0 )cz+}+7TRExDwGneyI\y9iv~ 6> VA also proposes to assign a 30 percent rating for a major . In more serious cases, however, your knee may require surgery. Vairo GL, et al. va range of motion chart for shoulder range of motion norms chart normal rom joint range of motion If you believe that this page should be taken down, please follow our DMCA take down process here. 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. (Must be specific to the case and based on all procurable evidence.). #34938Washington, D.C. 20090-6503, Phone: (888) 878-9350 A normal range of motion for shoulder flexion is 180 degrees. List the claimed conditions that pertain to this questionnaire. This DCprovides a 20% rating when thigh flexion is limited to 30 degrees. Hear from fellow Veterans just like you, with many of our Veteran Success Managers having gone through our programs. Shoulder (Abduction - Adduction) 12. When in doubt, the benefit is ALWAYS given to the veteran. Function: Extension of the elbow (long head of triceps is the stabilizer of shoulder joint). If yes, what was the Flexion degree endpoint (if different than above)? Get the free normal range of motion chart form - pdfFiller Gates DH, et al. The VA awards disability compensation for each Shoulder and Upper Arm condition that isservice-connected. But if you have other symptoms, you may have an underlying condition. Claims involving both the cervical spine and the thoracolumbar spine are rated under the same general rating formula. PDF Joints (Shoulder, Elbow, Wrist, Hip, Knee, and Ankle) Examination Okay Brian, let's get right to it: Is age a factor in VA claims? 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 . You are using an out of date browser. 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. The question Does this ROM contribute to functional loss? asks if there is functional loss that can be ascribed to any documented loss of range of motion; and, unlike later questions, does not consider the numerous other factors to be considered. 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. PDF Functional Loss Veteran Services Office - Ventura County, California If you continue to use this site we will assume that you are happy with it. 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? If yes, is the frequent effusion a result of a diagnosis in Section I? Please cite and discuss evidence. If yes, document the Veterans description of instability/ recurrent subluxation in his/her own words. See VASRD Plate I. d. VASRD DC 5252, limitation of thigh flexion. How to File a Claim on VA.gov (step-by-step)! Make an appointment for a no-obligation consultation with us now online or by phone at 888.878.9350. VeriSign secured The VA wants to . You can learn more about how we ensure our content is accurate and current by reading our. 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. With extensive experience working with VA disability claims, Berry Law can help you with your disability appeals. This is Military service can lead to many types of bone and ligament damage. Vike 17 Epeen 272 3 Jan 03, 2014 #7 What's funny.. During the c & p exam. Once service connection is granted, VA will assign a disability rating based on the severity of the veterans condition. Shoulder replacements are evaluated under Diagnostic Code 5051. It is my non-dominant shoulder. Return to Top Accurate Measurements ( 4.46): Measurements are essential to proper ratings. Subsequent questions consider additional factors such as pain, fatigue, weakness, lack of endurance, or incoordination. Just got my MEB packet with NARSUM. xb```b``a`a`` @1" P. 38 CFR 4.73 - Schedule of ratings - muscle injuries. VA disability ratings can range from 0% up to 100% total disability depending on the severity of one's range of motion injury. 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. Attorney Gang is frequently in the news with commentary on issues affecting veterans. Answer: No, your age cannot affect your service connected VA disability benefits! 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. Often shoulder and arm conditions are rated based on range of motion. Range of Motion | Musculoskeletal Key Range of motion of a joint is gauged during passive ROM (assisted) or active ROM (independent)). Shoulder (Flexion - Extension) Left Left Abduction 150O Adduction 30O Extension 50O Flexion 150O Degrees . 20%. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. Circumference of atrophied side: _____ cm. Without service connection, you will not be able to qualify for compensation the VA can only provide financial support to Veterans with verifiable, service-connected disabilities. 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. From there, it is easy to see where each degree listed in the diagnostic code lies. Our monthly newsletter features about important and up-to-date veterans' law news, keeping you informed about the changes that matter. While theres no cure, treatments can help improve quality of life. Medical diagnosis of Knee Pain, in a medical record (Service Treatment Records, VA medical records, or private medical records). The latter considers medical probability of additional functional loss as a global view. 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. 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. Here are 12 stretches to help relieve tension and things you can do to prevent tightness. 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. C&P examiners are instructed to ask about both repetitive motion and flare-ups for musculoskeletal conditions. Copyright 2023 VA Claims Insider, LLC. The final diagnostic code for this rating will either look like 5051-5002 or 5051-5203, where the first four-digit code defines the condition as a shoulder replacement, and the second code tells how the condition is rated. HWn}W4f rS2o& f0}q\,+_jJyM6{vw~f_~pdCsn3vni:l3|=;3%&v3a_N7/v>fv>m;^m ~_5YYY0m=:bd0n[m#h[d#. Thus, its possible for to get various conditions service connected Secondary to Knee Pain. It only provides that VA policy is to recognize actually painful motion as entitled to at least the minimum compensable rating for the joint. This can make it tough to present the VA with an accurate representation of the severity of your disability because you may often be dealing with varying levels of pain or limited range of motion. If the amputation involves the complete removal of the humerus only, it is rated at 90 percent. Shoulder adduction occurs when you move your arms towards the middle of the body. Extrinsic muscles of shoulder girdle: (1) Trapezius; (2) levator scapulae; (3) serratus magnus, 5302 Group II. Check out our Shoulder and Upper Arm Condition Ratings page for the exact codes and ratings. 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. This places your hands above your head with your arms straight. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. The Schedule of Ratings for the musculoskeletal system is found at 38 C.F.R 4.71a, and it contains numerous subcategories. Learn about the Normal Joint Range of Motion Study | CDC People with bleeding disorders, such as hemophilia and Von Willebrand Disease, may develop chronic joint disease from repeated bleeding into their joints. 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. Many. Spinal muscles: Sacrospinalis (erector spinae and its prolongations in thoracic and cervical regions). 4C. PDF Range of Joint Motion Evaluation Chart - Washington Flexion endpoint (140 degrees): _____ degrees. Range of Joint Motion Evaluation Chart NAME OF PATIENT SOCIAL SECURITY NUMBER INSTRUCTIONS: For each affected joint, please indicate the existing limitation of motion by drawing a line(s) on the . Copyright 2023 Chisholm Chisholm & Kilpatrick LTD. All Rights Reserved. 12 Stretches to Help Relieve Tight Shoulders, Everything You Need to Know About Muscle Stiffness, What You Should Know About Primary Lateral Sclerosis. Since 2008, we've helped thousands of Veterans get the VA Disability benefits they deserve. 5306 Group VI. VA may request a Compensation and Pension (C&P) exam to examine the veterans shoulder or arm condition. . These symptoms can be extremely painful, and they can most definitely contribute to the VAs rating of your disability. If your claim has been approved, you will be given a, Certain disabilities can correspond with a specific disability score from the VA. Indeed good sir, ROM is all that matterssupposedly. Stretching is usually most effective and least painful when tissue temperature is raised to about 43 C (see Heat ). 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). 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. (2015). Your VA benefits will be tax-free, and they can help you support yourself and your loved ones if your disability has made it difficult for you to work and live normally. Rotator cuffs, dislocations, and poorly healed bones all contribute to long-term disabilities in veterans. Ankylosis of the Knee means you cant bend it past certain degrees, as measured by a Goniometer. In that case, the VA would have the impression that your range of motion was much higher than it might be. Yes, as long as the shoulder pain is service-connected, you can qualify for VA Disability. 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). 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.