Sir, I think I understand when you say the VA will only give you a single rating for the cervical spine as a whole, no matter how many diagnosed conditions you have. So, if you have arthritis in your knee, and you cannot bend it all the way, then it is rated once on limited motion of the knee. A doctor can determine if your service had a causal relationship with your arthritis by looking at your injuries or overuse of the joints. impressions. Talk to your doctor (or our in-house nexus doctor) about your symptoms to see if they are connected. So I take this as they will grant SC for the synovial hypertrophy but not the arthritis? ", For the arthritis of bilat hands/fingers/wrists the examiner stated the following:"b. The VA opened this claim up and I'm not sure why because I did not make a request a Cue. Today, VA announced its sixth update: The musculoskeletal system and muscle injuries. So with my recent diagnosis of moderate spinal canal stenosis I cant say that is secondary to my cervical degenerative disc disease (currently rated at 10%), correct? My iimited duty post was to security call in hourly at a 5 story barracks full of guys all awaiting boards. If there is insufficient documentation, the C&P examiner may order additional tests. Were here for disabled veterans exploring eligibility for increased VA disability benefits and who wish to learn more about that process. Well I got a letter today stating THEY made a calculation error when I submitted a claim for two painful scars. For one scar they did a 10% as a secondary condition to my service connected ankle. For the purposes of this blog, the primary focus will be on VA disability for degenerative arthritis, which affects 27 million Americans. If you hear from the VA, give us a call to make sure we got the information too. During the course of finalizing this rulemaking, VA received comments from various Veterans Service Organizations and Veterans to ensure fair evaluations are established. I had issues with PTSD over the years from my time in the Army. Similarly, the VA may award a temporary 100% disability rating for convalescence. Sir, I was recently diagnosed with multilevel cervical facet arthropathy or as the VA calls it "cervical spondylosis." The process can be overwhelming and confusing thats where your attorney steps in. I'm thinking about doing a secondary claim for the cervical spondylosis to the DDD. Any claimed joint conditions will be rated as degenerative arthritis if there is not a significant measurement of limited range of motion to rate under those applicable diagnostic codes. The Rhumetologist, Epidemiologist have all determined that yes I have arthritis that exhibits psoriasis in most of the areas that are affected by arthritis. Let's talk about your VA disability benefits. I was diagnosed with Chondromalacia Patella when I separated from the service in 1978. Factors including frequency and severity of joint swelling, stiffness, tenderness should all be reported and discussed to achieve a full picture of the severity. Because most of the people are complaining about their system. Does the VA look at and rate arthrosis the same as arthritis? Today, VA announced its next update: The musculoskeletal system and muscle injuries. After graduation, Kirsten sought a position in the legal field that would allow her to continue advocating for those in need. Normal MRI study of the cervical and thoracic spine. Finally this year my doctor mentioned a sleep study because it's causing me to have more migraines (service-connected). Different from degenerative arthritis, rheumatoid arthritis is an, For some veterans, the objective criteria in the disability rating schedule may not accurately reflect their true level of disability. http://www.militarydisabilitymadeeasy.com/kneeandleg.html#i. I submitted a Workmens Comp Claim at CPO (Civilian Personnel Office) six years after surgery I was told that the time limitation had expired and I could not prove the Cause / Effect . Over the years my knees have become worst and was recently diagnosed with degenerative arthritis in both knees. Thanks for the quick reply, I currently have a rating of 10% for the lateral collateral ligament sprain with degenerative arthritis of the left ankle. Active cases of rheumatoid arthritis can receive up to a 100% VA disability rating for shoulder arthritis if the condition is debilitating. Also my ankle hurts when I move it so can I apply the painful motion principle to my already existing ankle rating to get an increase? Active cases of Moderate-to-severe right and moderate left neuroforaminal narrowing. If it isn't too late to request the change, you can submit it as secondary, but if it would delay things too much, you will probably still be fine as is. Copyright 2023 VA Claims Insider, LLC. This has happened about 3 times since that first occurrence. In contrast torheumatoid arthritis a chronic, inflammatory, autoimmune disorder that can affect more than your joints degenerative arthritis results from the wearing down of the protective cartilage that cushions the ends of your bones. I was so demotivated for so many years that I stayed away from care centers until I could not function. If we hear from the VA, well contact you as soon as we can to follow up with our next steps. It does mention in my rating paperwork arthritis in my back as well. Sir, you sent me a reply to my question about Administrative Decision For Cue the VA initiated. However, both are still rated under the musculoskeletal system conditions. http://www.militarydisabilitymadeeasy.com/thespine.html#conditions. http://www.militarydisabilitymadeeasy.com/theankle.html#joint, Dear DR Johnson, I am currently a 50% disabled veteran. For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. Under the VAs schedule of ratings, they can rate arthritis as degenerative arthritis or rheumatoid arthritis several criteria affect that decision. In those days I did not want a disciplinary action aftet getting just 3 months from my EOS. They found a bump I had on my right hairline area. In addition to the methotrexate I'm now taking Plaquenil and Voltaren gel. Correlation for radicular symptoms. Chondromalacia patella is rated on either limited motion of the knee or a minimum 10% analogously under arthritis. To receive veterans benefits for your Acromioclavicular Joint Separation, you mustprove a service connection for the condition. About 6 months ago I started to have severe pain and swelling in my hands and wrists. The VA evaluates shoulder replacements under Diagnostic Code 5051. Given this information, do you believe I will be rated under 5002 for wrist arthralgia (claimed as bilateral proliferative synovium/synovial hypertrophy) or will I be rated for limited ROM? You can file a Notice of Disagreement, take the higher review lane, orsubmit a supplemental claim. If the entire arm is amputated, it will change to a 90% rating whether it is your dominant arm or not. My med board was done twice I appealed because the nuerologist would not allow me access to ENT examination and wrote up an inconclusive report stating ehivh tesrs haf not worked. WebWhen there is an award based on pain with motion with movement of the shoulder. Dr. Johnson, I currently have a service connected disability rating for a lateral collateral ligament sprain with degenerative arthritis of the left ankle. C3/C4: Posterior disc osteophyte complex in contact with the anterior spinal cord. In order to strengthen your case that your spine is the cause of the headaches, you'll need to get a NEXUS letter from your physician linking the conditions. For a veteran experiencing occasional periods of weakness, pain, or limited motion, the condition will be rated under Diagnostic Code 5002 (i.e., rheumatoid arthritis) or 5203 (i.e., impairment of the clavicle or scapula), depending on which most closely describes the symptoms. I recently had an MRI done of my cervical spine which indicated mild multilevel degenerative changes of the cervical spine, most pronounced at C4-C7. them are Veterans themselves. If you have one or more disability ratings, you can view your VA combined disability rating and your individual ratings online. Only one. Correlation for radicular symptoms. A Veteran with arthritis might receive either a 10 or a 20 percent rating, depending on the specifics of their condition. Hello Dr. Johnson. There is no significant medical evidence to correlate the build up of fat to abnormal gate. VA claims processors will use this update to make consistent decisions with greater ease.. You're not alone. This injury is typically caused by a fall directly on the shoulder point or a direct blow from contact. 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. I'm really not sure what to expect and wondering if I'm wasting my time with this secondary claim. The second review, in May 2018, was for gynecological conditions. Yes, the examiner basically stated that in their opinion the synovial hypertrophy is SC while the arthritis is not. Also would Cervical Radiculopathy be a possible secondary condition to cervical degenerative disc disease (two separate ratings). Kirsten Hirt, Claims Advocate Updated: August 25, 2021. I went to have the swelling checked and a large Baker's cyst was found behind my left knee as well as arthritis. I got handed to psych people instead of medical people. If you have service-connected shoulder pain or injury, reach out to the VA disability lawyers at Woods and Woods, The Veterans Firm. Check out our range of motion rating info on our website. If you need help with a service-connected claim for arthritis, feel free to give us a call for a free case evaluation! Box 449, Deland, FL 32721, Orlando, FL: 605 E. Robinson Street Suite 635, Orlando, FL 32801 My question to you is should I open a new claim for the cervical spondylosis and not try to tie it to an existing secondary condition? VA Ratings for Spine Issues are Based on Movement, Pain, and X-Rays Different Types of Arthritis Can Get Different VA Ratings Bone Spurs Cause Burning or Tingling in Your Hands or Feet Dont Wait Until Arthritis and Back Pain is Unbearable Get a Free Consultation from our Certified VA Lawyer Team A locked padlock Learn more about us, Veterans Disability Claim Arthritis has now developed secondary to your shoulder condition. Under the VArating schedule, there is a standard 20% disability rating if there is x-ray evidence of involvement of two or more major joints, or minor jointgroups, with occasional incapacitating exacerbations. Under the schedule of ratings in the VA regulations, arthritis may be rated under degenerative arthritis or rheumatoid arthritis. 2. Never hurts to strengthen your case by getting a NEXUS letter from your physician, however. Web4.30 - Convalescent Ratings 4.31 - A No-Percent Rating return to top Subpart B - Disability Ratings The Musculoskeletal System 4.40 - Functional Loss 4.41 - History of Injury 4.42 - A lock ( If your shoulder aches from time to time when it rains, youre likely to get 10 percent disability. A NEXUS letter from your physician would strengthen your claim for the hypertrophy as a secondary condition. From rotator cuffs and dislocations to poorly healed bones, shoulder and arm injuries are common among soldiers and all these injuries can lead to long-term disabilities in veterans. The VASRDs 15 body systems had seen periodic rating criteria updates, but this continuing effort reflects the first comprehensive review since 1945. Additionally, while there are other forms of arthritis under the VA codes, such as pneumococcic or traumatic, these specific forms are rated within one of the two main umbrellas: degenerative or rheumatoid. Washington, D.C.: 1776 I Street, NW, 9th Floor, Washington, D.C 20006 yet assertive representation for our clients. Portland, OR: 650 N. E. Holladay Street, Suite 1600, Portland, OR, 97232 The key is that the VA will initially look at each joint independently to decide whether there is limited motion and if there is joint pain with motion. That is an estimate, of course. Please complete this form to send us your message. I called my parents doctor -got a referral and paid for a workup with xrays that were better than the sectionals at LBRMC. Another example is if you were diagnosed with high blood pressure while on active duty and later developed complications from it, you may be entitled to further review and/or compensation. Since it was their error, they often will decide to let it slide, but they do have the legal right to request the funds be returned. No matter how many ranges of motion are impacted! No sacroiliac joint fusion to suggest ankylosing spondylitis. If it causes significantly new or progressed symptoms, it could contribute to having your overall cervical spine condition increased. Degenerative arthritis may also be referred to as osteoarthritis and is the most common form of arthritis. The combined rating of the veterans bilateral conditions (right foot and left knee) is 28%. It takes about 125 days to get an answer to your initial claim. Under the VAs schedule of ratings, they can rate arthritis as degenerative arthritis or rheumatoid arthritis several criteria affect that decision. As a federal employee, file the appropriate claim through your employing agency. This is making me very nervous. You can compare your current symptoms to the spinal ratings to determine what you currently qualify for: Since your issues are mainly disc-related, they'll be rated under code 5243: Painful motion only comes into play if the ankle doesn't qualify for any other rating. 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? Degenerative arthritis will be rated at 10 or 20 percent based upon the number of joints/joint groups affected and the level of incapacitation. http://www.militarydisabilitymadeeasy.com/vasrdprinciples.html#pyram. Therefore, the C&P examiner ought to test for active and passive, weightbearing and non-weightbearing, motion pain. My question is what about the Department of Army Civilians who spent multiple Deployments in Iraq and Afghanistan? How to Get a 100 Percent VA Rating (if deserved)! Web: A Veterans degenerative disc disease of the lumbar spine warrants a 20 percent based on limitation of motion under the General Rating Formula and his mild radiculopathy of the left You can file your claimonline, by mail, in person, or with the help of a trained and accredited representative like Woods and Woods, The Veterans Firm. Note that you are not required to submit evidence with your Acromioclavicular Joint Separation VA disability application, but you will find it helpful for your case. Next possible rating for arthritis is 40%, followed by a 20% rating, which involves one or two exacerbations annually with a well-established diagnosis. Your treatments may also vary depending on your other conditions. You cant hold down a steady job that supports you financially (known as substantially gainful employment) because of your service-connected disability. What is the highest rating I can get for Achilles Tendonitis/Tenosynovitis and is that solely based on the range of motion of the ankle? Veterans granted TDIU receive payment at the 100% rate the highest compensation for VA disability awards. Side Note: Because limited motion is so vital to rating arthritis, it is essential that your physicians record the exact range of motion measurements for your affected joints. Worth a shot to apply. I touched land about 2 days in 5 months as I fought continual exhaustion and numbness that had started at a previous ship after a fall on the quarterdeck of the Uss Sperry AS-12. All Rights Reserved. Woods and Woods, LLC, Veterans Disability Lawyer, Veterans Disability Benefits Attorneys Helping Veterans Nationwide, Published on June 25, 2021 by Neil Woods Last Updated on February 14, 2023. -Amber, Dr. George P Johnson I have been officially diagnosed with chandramalicia patella I am receiving 10% on my VA for it but now I am gonna be in a knee brace and using a tens unit how much will my rating go up to due to having those items to use. Odd jobs (marginal employment), dont count. I have a 60% rating for dermatomyositis (40% for Raynauds secondary to the DM). This means you do NOT currently have the VA disability rating and compensation YOU deserve, and you could be missing out on thousands of dollars of tax-free compensation and benefits each month. I've taken methotrexate for a few years. The key to Degenerative Arthritis is that if there is any limited motion AT ALL in the affected joint, then the condition MUST be rated on limited motion of that joint. VA medical records and hospital records relating to your Acromioclavicular Joint Separation or that show it has gotten worse. Degenerative arthritis of the spine is listed as one of the most prevalent service-connected medicalconditions in the 2018 VA benefits report, with 505,553 disability benefits recipients for the condition. As for the rating under code 5002, the VA will rate either by these rating requirements (which would rate you 20% for the 2 incapacitating episodes) or as limited motion, whichever gives you the higher rating. I keep getting we can not locate letters from the St Louis archives. Right wrist: Palmar Flexion (0-80): 0 to 55 degree Dorsiflexion (0-70): 0 to 45 degree Ulnar Deviation (0-45): 0 to 25 degree Radial Deviation (0-20): 0 to 15 degree, and left wrist: Palmar Flexion (0-80): 0 to 60 degree Dorsiflexion (0-70): 0 to 40 degree Ulnar Deviation (0-45): 0 to 45 degree Radial Deviation (0-20): 0 to 20 degree. Cleveland, OH: 600 Superior Ave. East, Fifth Third Building, Suite 1300, Cleveland, OH, 44114 Moreover, if there is pain (without limited motion), then the VAs painful motion principle kicks in. We use cookies to ensure that we give you the best experience on our website. Degenerative talonavicular arthrosis is really just degenerative arthritis of the talonavicular joint. Sir, I got a bit of bad news today as the VA denied my claim for multilevel facet arthropathy or as they call it "cervical spondylosis". Officially the word arthritis refers to joint inflammation, but it is also used to describe over 100 rheumatic diseases and other conditions affecting the joints, the tissues surrounding the joints, and other connective tissues. The VASRD's 15 body systems had seen periodic updates, but this we represent clients nationwide. have hearing loss, VA plans, budget, finances, and performance. Knowing how the VA determines benefits for arthritis can also help Veterans get their condition service-connected. The spine is very related, so it is possible for your DDD to cause your cervical spine problems. Is there ever any service connected disability awarded when a vets service RECORDS are never located even after 40 years of health complaints? For a convalescence claim to be awarded, the period must be at least one month, surgery has resulted in postoperative residuals like being housebound or a continuing need for crutches or wheelchair, or a major joint has been immobilized by a cast. A 20% is the highest you can receive for a significantly limited ROM. Seattle, WA: 506 2nd Ave,Suite 1400,Seattle, WA 98104. No, the VA will only give you a single spine rating for your cervical spine. Bilateral facet arthropathy. When examining my wrist the examiner also notated abnormal results for ROM. Houston, TX: 2925 Richmond Ave, 12th Floor, Houston, TX 77098 So yes, the correct way is the one you suggested, but your claim should still process correctly. Another option for service connection is to claim arthritis as a secondary disability. Moderate-to-severe left and moderate right neuroforaminal narrowing. Arthritis especially tends to affect those who are overweight, as well as older men. Share sensitive information only on official, secure websites. I was very skeptical working with an attorney at first. Ultimately, yes, they may ask for the extra money they paid you to be returned. Rotator cuff injuries are common among veterans who have experienced traumatic injuries while in service. Ultimately, Joe will only have a total of three ratings for his four conditions, instead of four separate ratings. Working with an experienced attorney can also significantly boost your chances of receiving a higher disability rating. I claimed synovial hypertrophy/proliferative synovium of bilateral wrists and also arthritis of bilateral fingers, hands, and wrists all secondary to amyopathic dermatomyositis (for which I am SC). Finally, it is also possible to receive a secondary service-connection if it is determined that an already service-connected condition is causing arthritis. They wsnt the med reords which have still not been found. I report when theres much DISCOMFORT which is rarely during a GP interview. It is also possible to establish a secondary service-connection under 38 CFR 4.58, which states that if you have received an amputation or a leg shortening and arthritis appears later in life, it may be service-connected on a secondary basis (so long as the arthritis is attributed to those conditions). Any input would be great, thanks! I submitted because of the Burn Pit Act where I could not register due to being a Civilian!! Because that was defunite they changed the diagnosis to rid themselves of my puzzling case. It's rated first on limited motion. Without knowing full details regarding incapacitating episodes, I'd assume that your condition would be rated on limited motion of the effected joints. Pittsburgh, PA: 201 Penn Center Boulevard, Suite 400, Pittsburgh, PA, 15235 I recently had a full spine MRI with these findings. During Marchs Womens History Month, we celebrate 100 years of advancing women Veterans health care at VA. Are you planning to buy a home with your VA home loan benefits? L4-L5 disc protrusion and acute L5-S1 disc protrusion. Since this condition had gotten somewhat worse I have been experiencing headaches. All of these falling under VASRD code 5200. I figure doing an entire new claim and submit evidence this issue could possibly be exasperated from my time as a parachute specialist would be better than filing an appeal as a secondary condition for my ankle. For more information on how to calculate this number click here. The revision, effective Feb. 7, ensures that this portion of the VASRD uses current medical terminology by removing obsolete conditions, clarifying ambiguities, and providing detailed and updated criteria for the evaluation of musculoskeletal and muscle injury disabilities, including adding conditions that previously did not have diagnostic codes.
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