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Finally this year my doctor mentioned a sleep study because it's causing me to have more migraines (service-connected). I have a 60% rating for dermatomyositis (40% for Raynauds secondary to the DM). Get more resources at VeteransCrisisLine.net. Get a Free Case Evaluation, VA Disability Ratings for Rheumatoid Arthritis (RA), Extraschedular Ratings for VA Disability Claims, How to Prove Service Connection For Arthritis. Since this condition had gotten somewhat worse I have been experiencing headaches. 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. 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. I report when theres much DISCOMFORT which is rarely during a GP interview. 38 CFR Book C, Schedule for Rating Disabilities - Web Automated You might also receive a VA disability rating for shoulder rotator cuff tear. Also based on the MRI results listed above are there any conditions I could file for separately for example "Mild spinal canal stenosis, mild bilateral neuroforaminal narrowing"? They kept pointing to the VA as the answer. Symptoms and signsof AC shoulder separation, applyfor VA disability for AC joint separation, All of these falling under VASRD code 5200, Read About All VA Rated Shoulder Injuries, Veterans granted TDIU receive payment at the 100% rate, https://www.va.gov/disability/eligibility/special-claims/unemployability/, What You Need to Know about TDIU VA Benefits, there has been an error in your VA disability filing, look for a VA disability attorney near you, VA will avoid pyramiding and giving you multiple ratings, Pain begins the moment the injury happens, Limited movement due to pain, not weakness, Deformity the outer end of the collarbone might look out of place, or the top of the shoulder might have a bump on it, Tenderness over the AC joint on top of the shoulder. Only one rating for the entire joint. Philadelphia, PA: 1 International Plaza, Suite 550, Philadelphia, PA, 19113 Physical therapy can also help manage pain and restore some of the range of motion to the shoulder. Deland, FL: 1607 South State Road 15A Suite 12 Deland, FL 32720, Satellite Offices Well the regulations state "If there are 1 or 2 scars that are unstable or painful it is rated 10%." 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). But arthritis can also be presumptively service-connected. Under the painful motion rule, the minimum compensable rating of 10% must be assigned. You can also submit a new claim for a secondary condition or increase your disability rating by combining multiple disabilities. Rating. From what I understand a CUE claim, is when a veteran asks the VA to revise a decision that is final. As the condition worsens, the bone may harden, change shape or develop bone spurs. If you are filing an appeal, it can take up to 12-18 months for the VA to review and grant your appeal. The presence of sleep issues while in service does not directly mean sleep apnea. First rule that you MUST understand: All joints will only receive ONE rating for the overall condition of that joint, regardless of the number of conditions that affect it. Welcome to the PEB Forum! Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Because these measurements are vital in the arthritis rating, a physician must record the exact range of motion measurements using a goniometer. 5051 Shoulder replacement (prosthesis). Thankfully, the in-service injury does not need to be traumatic to be considered connected. http://www.militarydisabilitymadeeasy.com/kneeandleg.html#i. Degenerative arthritis leads to symptoms including pain, stiffness, limitation of motion, limitation of flexion, grating sensation or clicking with joint use (known as crepitus or crepitation), swelling, and joint instability or buckling (i.e., knee giving out). But, rheumatoid arthritis will only be rated either as an active condition or for its chronic residuals. Fill out the short form below to contact us. In some cases, these conditions may lead to loss of use and incapacitating episodes. He is a professional in the work he is doing. have hearing loss, VA plans, budget, finances, and performance. I'm really not sure what to expect and wondering if I'm wasting my time with this secondary claim. Any input would be great, thanks! Multilevel bilateral facet arthropathy. Mild spinal canal stenosis. Kirsten Hirt, Claims Advocate Updated: August 25, 2021. So what Im pointing out is that I managed to stubbornly function because well meaning people refused to look past the surface mearly based on my lack of documentation which could refute their layers of partial If only one major or minor jointgroup is affected, you may only receive a rating higher than 0% under diagnostic code 5003 if there is also evidence of painful motion. 10% for pain in my leg from back problems. Weve been adding staff and lawyers during the Covid pandemic to serve disabled veterans better in difficult times. Unless you also have instability, the only way to increase your rating is for your range of motion to significantly decrease. Chicago, IL: 332 S. Michigan Avenue, Floors 8 and 9, Chicago, IL 60604 Symptoms and signsof AC shoulder separation include: Before you canapplyfor VA disability for AC joint separation, you need to gather evidence and supporting documents to file with your claim. Thus, you would ultimately only receive an increased evaluation. Major joints include the shoulder, wrist, elbow, hip, knee, and ankle while minor joints include toes, fingers, spine, and sacroiliac. Today, VA announced its sixth update: The musculoskeletal system and muscle injuries. Heres how: In this video from one of our VA disability lawyers, we explain how to service connect your disability that was caused by your military service. There is no significant medical evidence to correlate the build up of fat to abnormal gate. Often, however, they do not. Because of the Pyramiding Principle, it is standard practice to only give a single body part a single rating unless there is also nerve damage (there are other exceptions, but not for the ankle). For a supplemental claim, you can show new evidence that wasnt considered with your initial claim. My left knee occasionally gives out and I limp but that comes and goes. The first thing you need to do is request your VA home loan Certificate of Eligibility (COE). 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. 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. It would make you unfit for duty. or concerned about one, connect with our caring, qualified responders for confidential help. Arthritis especially tends to affect those who are overweight, as well as older men. Evans and they did so much. If you have service-connected shoulder pain or injury, reach out to the VA disability lawyers at Woods and Woods, The Veterans Firm. For the average person, the cartilage breaks down gradually but for veterans, the breakdown often occurs suddenly within one or two years post injury. If you have one or more disability ratings, you can view your VA combined disability rating and your individual ratings online. http://www.militarydisabilitymadeeasy.com/thespine.html#form. I filed for compensation change but was denied because of range of motion was not enough. 2. Odd jobs (marginal employment), dont count. Arthritis has now developed secondary to your shoulder condition. Under the VA rating schedule, there is a standard 20% disability rating if there is x-ray evidence of involvement of two or more major joints, or minor joint groups, with occasional incapacitating exacerbations. Your physicians know your case and are better able to determine the causes, etc. Excellent question, and a tricky situation. As we mentioned, shoulder injuries are extremely common among service members tasked with heavy lifting and training exercises that include overhead motions. In this scenario, your arthritis would have to be the result of, or secondary to, a separate disability that is currently service-connected. Minimal spinal canal stenosis. You haveone yearto appeal the claim from the date ofthe denial. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); I was in the Army for many years. Rheumatoid arthritis, or more commonly known as RA, is an autoimmune disease in which the bodys immune system mistakenly attacks the joints. Already working with us? 1. Then, the conditionreceives a permanent rating after the conditional period is complete. And I have the new neck problems. ) or https:// means youve safely connected to the .gov website. 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. Thanks. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_4" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_5" ).setAttribute( "value", ( new Date() ).getTime() ); Were you stationed at Camp Lejeune before 1987? Does the VA look at and rate arthrosis the same as arthritis? It depends on what the authority decides at the time they make the correction. 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. Many of Again, they will only give one overall rating, but if your symptoms do qualify for a higher rating, it is definitely worth applying for an increased evaluation. About 6 months ago I started to have severe pain and swelling in my hands and wrists. Since last posting my question I have been to the VA for my C&P exam but I am still awaiting my rating. Specifically. I'm thinking of filing a claim for headaches as a secondary condition to the facet joint osteoarthritis in my neck. It would last for a few weeks and then disappear. Since limited motion of the wrist is only rated 10% at the most, the 20% rating under 5002 is the more likely rating option. disability compensation va compensation VASRD. Many with identified surgeries which made me understand staying to fight a person intent on ridding U more than helping U even have a chance was beyond my capacities right then. If possible, the examiner should also test your unaffected joint for an accurate evaluation of your range of motion. With all forms of arthritis, the patients range of motion and associated pain are key factors in evaluating the rating. Major joints include the shoulder, wrist, elbow, hip, She also volunteered at the non-profit organization NAMI (National Alliance on Mental Illness) advocating for and providing resources to those with mental health conditions while pursuing her degree. Or would this condition fall under diagnostic code 5003: Degenerative arthritis and if there is pain on movement then it rates 10% because of the Painful Motion principle. 2. For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. Dr. Johnson, I currently have a service connected disability rating for a lateral collateral ligament sprain with degenerative arthritis of the left ankle. A NEXUS letter from your physician would strengthen your claim for the hypertrophy as a secondary condition. 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. AC separation patients may also experience arthritis because the shoulder separation damages the ligaments surrounding the AC joint. 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. Sir, I was diagnosed with multilevel cervical facet arthropathy or as the VA calls it "cervical spondylosis." 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. View Your VA Disability Ratings | Veterans Affairs This is a higher rate than among the civilian population, and it is one of the leading causes of physical disability. Thus, the VA could increase your current rating if the ratings for arthritis allow it, but you would not give a second separate rating for the arthritis. They can scour every VA clinic record for the 40 years Ive been complaining & I always let them redirect and placate me because I trusted they knew how to help better than I did when I was especially numb and not certain if I could pick the correct severity number in the pain/ discomfort/ numbness question the interveiwers always ask. Osteoarthritis can theoretically affect any joint but typically occurs in your hands, feet, spine and hips. Technically, you are correct that it should have been submitted as a secondary condition since arthritis was not present at all during service. How to File a Claim on VA.gov (step-by-step)! 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. So, if you have arthritis and a meniscus condition in your knee, you can only receive a rating for one of the two conditions, whichever gives the higher rating. 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. The author of my 2nd board did try by sending me to Nuclear med for imaging. 10%, 20%, 30% etc. For an explanation of arthritis ratings click HERE. Portland, OR: 650 N. E. Holladay Street, Suite 1600, Portland, OR, 97232 While it is known to result in the breakdown of cartilage, it also affects the entire joint. If the symptoms of your arthritis come later, it may still be possible to establish a service-connection. 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. Active cases of rheumatoid arthritis can receive up to a 100% VA disability rating for shoulder arthritis if the condition is debilitating. Except for traumatic arthritis, the VA regulations state it is essential for your exam to cover all major joints. WebWhen there is an award based on pain with motion with movement of the shoulder. VA Disability Rating for Shoulder Labral Tear is similar: Severe: 40% for dominant and 30% Degenerative arthritis will be rated at 10 or 20 percent based upon the number of joints/joint groups affected and the level of incapacitation. Also, what is an "incapacitating episode"? It affects daily life and job. VA Disability for Shoulder and Arm Injuries - Woods and Woods, I told the Claims Rep that I now have arthritis in my shoulder (the one that is rated due to an injury while active duty and a surgery) .. The VA does not rate a disability under limited range of motion and degenerative arthritis. Moreover, if there is pain (without limited motion), then the VAs painful motion principle kicks in. Under the painful motion rule, the minimum compensable rating of 10% must be assigned. Therefore, the C&P examiner ought to test for active and I have been self medicating for 15 years with Ibprophen (about 1600mg a day) and the Corpsmen documented the white and red patches for years. Ok thank you Dr. Johnson have a good one take care. While we still have our home base in Florida, Richmond, VA: 7400 Beaufont Springs Drive, Suite 300, Richmond, VA, 23225 However, it is still very important to provide evidence that the arthritis is secondary along with the claim. Minimal bilateral neuroforaminal narrowing. Dont post your vaccination card photo on social media, VA Schedule for Rating Disabilities (VASRD), infectious diseases, immune disorders and nutritional deficiencies, VA releases dashboard to measure the PACT Acts impact on Veterans and survivors, 100 years of advancing health care for women Veterans, You can request a VA home loan Certificate of Eligibility through VA.gov, Call TTY if you If it doesnt clearly state this, then it doesnt apply. So lets jump to having multiple joints with Degenerative Arthritis. ). Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! Moderate-to-severe right and moderate left neuroforaminal narrowing. With any form of arthritis, your ranges of motion, and any associated pain, are important factors to be evaluated. I did some research online and read headaches can sometimes arise from problems in the neck, and degenerative conditions like osteoarthritis in the neck. Rating Arthritis I'm trying to figure out of the conditions I have with my ankle what could give me a rating increase. VA Now Offering Toxic Exposure Screenings for All Veterans, Comprehensive List of Benefits for Veterans with Disabilities, VA Healthcare Eligibility Expansion PACT Act, VA Family Caregiver Program Now Open to All. VA Disability Rating for Rotator Cuff Repair and Shoulder Bursitis Some veterans will undergo a knee replacement, with hip and knee joints being the most common, to help with mobility and pain. Several rating criteria affect the totalrating decision. According to the American Academy of Orthopedic Surgeons, degenerative arthritis is the primary reason for discharge from active duty military service. WebA rating for osteomyelitis will not be applied following cure by removal or radical resection of the affected bone. You can definitely claim it as secondary, but the VA will not rate it as a separate condition. VA Disability However, if your arthritis symptoms are at the degree of a 10 percent disability rating or more within the first year from discharge it is possible to obtain a presumptive service connection. 38 CFR Part 4 section B details all of the diagnostic codes for musculoskeletal problems with your shoulder. DOCTORS IMPRESSION: 1. To complicate things, some Veterans may not report an injury at the time that it occurred. This has happened about 3 times since that first occurrence. Degenerative arthritis may also be referred to as osteoarthritis and is the most common form of arthritis. At Woods and Woods, the Veterans Firm, weve helped thousands of veterans with their VA disability applications and appeals. The complete list of updates to the rating schedule is also availableonline.VA remains committed to staying at the forefront of modern medicine to provide the best service to Veterans and their families. And how long are they supposed to last? Check out our range of motion rating info on our website. 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. It takes about 125 days to get an answer to your initial claim. Some of the causes include joint injuries or repeated stress on the joint(s) from sports or job duties. All FOBs had Burn Pits inside the wire! The VA opened this claim up and I'm not sure why because I did not make a request a Cue. If youre a veteran and have been injured or have developed a disability, you may be eligible for VA disability benefits. There is precedent of connection there too, though it is impossible for me to opine on your case. VA makes a determination about the severity of your disability based on the evidence you submit as part of your claim, or that VA obtains from your military records. Washington, D.C.: 1776 I Street, NW, 9th Floor, Washington, D.C 20006 If two or more major or minor jointgroups are affected, but there are no incapacitating exacerbations, a 10% rating may be assigned. Considering that you have not been medically separated because of the condition, it is unlikely that you have had many incapacitating episodes. This combined rating takes effectif your other condition qualifies for a rating, such as VA disability rating for shoulder bursitis. You cant hold down a steady job that supports you financially (known as substantially gainful employment) because of your service-connected disability. Also would Cervical Radiculopathy be a possible secondary condition to cervical degenerative disc disease (two separate ratings). I could see he wanted me off his work liad and out of the service because my appeal went past my EOS date. However, if your arthritis is bad enough that you are completely The VA will only award a SINGLE rating under range of motion per shoulder! Hopefully that didnt just create more questions than it answered. C4/C5 degenerative disc disease resulting in moderate-to-severe right and moderate left neuroforaminal narrowing. Moderate-to-severe left and moderate right neuroforaminal narrowing. 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. If a condition is rated under degenerative arthritis, then your final rating may have a code listed prior to identify the condition itself and then list 5003 to show how it is rated (i.e., 5010-5003). You're not alone. My question is, did my DDD cause my arthritis in my neck- is there any kind of connection there? Is there ever any service connected disability awarded when a vets service RECORDS are never located even after 40 years of health complaints? 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. VA rates disability from 0% to 100% in 10% increments (e.g. Learn more about us, Veterans Disability Claim I just had a second surgury & I doubt my current records inquiry will improve. Share sensitive information only on official, secure websites. Call our team to talk about your case and well help you to see if you have a case. If you need additional information to reply, please let me know. Under the schedule of ratings in the VA regulations, arthritis may be rated under degenerative arthritis or rheumatoid arthritis. So, if your arthritis gives a higher rating than the meniscus condition, then it is rated, and the other is ignored. Under 4.71a,Diagnostic Code 5203, the VA assigns shoulder separations a 20% rating for either arm, regardless of severity. 3. Contact Us Over the years my knees have become worst and was recently diagnosed with degenerative arthritis in both knees. VA updates rating criteria for musculoskeletal and muscle injuries I'm wondering if the ultrasound and symptoms alone are enough for the VA to award secondary service connection? You are in a tough spot for your spondylosis. WebFor the purpose of rating disability from arthritis, the shoulder, elbow, wrist, hip, knee, and ankle are considered major joints; multiple involvements of the interphalangeal, metacarpal and carpal joints of the upper extremities, the interphalangeal, metatarsal and tarsal joints of the lower extremities, the cervical vertebrae, the dorsal -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. Completing these tasks for an extended period while serving can lead to many other VA secondary conditions to shoulder injuries, including: Should a veterans shoulder condition lead to amputation, the rating will change. C6/C7: Symmetric posterior disc bulge. The result was Ive not felt like other people since & I mean that in a nuerological way not a mental way.