Next possible rating for arthritis is 40%, followed by a 20% rating, which involves one or two exacerbations annually with a well-established diagnosis. Fill out the short form below to contact us. If you have service-connected shoulder pain or injury, reach out to the VA disability lawyers at Woods and Woods, The Veterans Firm. Except for traumatic arthritis, the VA regulations state it is essential for your exam to cover all major joints. I am overseas working and at a loss how to communicate with the doctors here. 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. Finally this year my doctor mentioned a sleep study because it's causing me to have more migraines (service-connected). Let's talk about your VA disability benefits. It depends on what the authority decides at the time they make the correction. VA Disability Rating for Rotator Cuff Repair and Shoulder Bursitis 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. Rheumatoid arthritis, in terms of chronic residuals, will be rated under the appropriatediagnostic code for the group of minor joints involved, major joints, etc. It takes about 125 days to get an answer to your initial claim. 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. If you work with us, well keep tabs on when the VA makes a decision. Only one rating for the entire joint. As we mentioned, shoulder injuries are extremely common among service members tasked with heavy lifting and training exercises that include overhead motions. Never hurts to strengthen your case by getting a NEXUS letter from your physician, however. Correlation for radicular symptoms. WebIn late 2017, VA began a multi-year effort to revise and update the VASRD, or VA Schedule for Rating Disabilities. I got handed to psych people instead of medical people. 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. I did get my new GP to approve hip imaging after somehowe I got into a non VA cinic during a bad day only to learn I most certainly need a hernia looked at that up till very revently I could not feel like a normal person would. 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. 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 Surgery can sometimes improve the function of the affected joints. 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. Yet establishing a service connection for shoulder and arm injuries can still be a challenge. To receive veterans benefits for your Acromioclavicular Joint Separation, you mustprove a service connection for the condition. Under the VAs schedule of ratings, they can rate arthritis as degenerative arthritis or rheumatoid arthritis several criteria affect that decision. Phoenix, AZ: One Renaissance Tower, Two North Center Avenue, 18th & 19th Floor, Phoenix, AZ 85004 Similarly, the VA may award a temporary 100% disability rating for convalescence. My question to you is could the VA be looking at one of my service connected disabilities and potentially give me an increased rating or could this be a possible downgrade in a rating where they are looking to take something away from me. In August 2018, VAs third update to the VASRD focused onskin conditions. 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? In fact, the American Academy of Orthopedic Surgeons has cited it as the number one reason for disability discharge among service members. It is thought that degenerating discs can place undue stress on the facet joints, thus over time leading to degeneration and formation of osteoarthritis in the facet joints". This gives the veteran a bilateral factor of 2.8%. Only occasional chest x rays that mention spondylosis in a couple places- but when I ask about it get assured its no concern to them because I don t lie and scream sbout level 8 pain. If limited motion is not present, then you will receive one overall combinedrating under VA diagnostic code 5003 for degenerative arthritis. I was at Three FOBs ( Forward Operations Bases) in Iraq Camp Anaconda Balad, Camp Cooke Taji and Q-West Qayyarrah, between 2004 and 2008. An untreated AC injury can make daily, independent life a struggle. This shoulder disability diagnostic code is 38 C.F.R. http://blog.militarydisabilitymadeeasy.com/2018/01/secondary-conditions-for-va-disability.html. If you have to have your arm amputated up to the deltoid, which is midway above your elbow, youll get a rating of 80 percent. Secure .gov websites use HTTPS WebWhen there is an award based on pain with motion with movement of the shoulder. Three months after returning from Balad in 2008 I had open heart surgery to replace my failing Aortic Valve at St Josephs Hosp in Syracuse NY. 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. Also because of the no ankylosing spondylosis will my rating go down, even though my back symptoms have worsened. 3. VA requires that limitation of You can definitely claim it as secondary, but the VA will not rate it as a separate condition. 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. 10%, 20%, 30% etc. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); I was in the Army for many years. VA Disability Rating for Shoulder Rotator Cuff Tear | CCK Law ) or https:// means youve safely connected to the .gov website. View Your VA Disability Ratings | Veterans Affairs Thank you for your time and have a great day. So lets jump to having multiple joints with Degenerative Arthritis. The VASRD rates two main types of arthritis: All right, Degenerative Arthritis Lets start off with assuming that only ONE joint has arthritis in the entire body. The VASRD determines how much disability compensation veterans will receive each month in addition to their eligibility for other VA benefits. Hi Dr, Just today I went in to apply for a shoulder increase. At Woods and Woods, the Veterans Firm, weve helped thousands of veterans with their VA disability applications and appeals. I did some research online and read headaches can sometimes arise from problems in the neck, and degenerative conditions like osteoarthritis in the neck. The combined rating of the veterans bilateral conditions (right foot and left knee) is 28%. Lock Bilateral facet arthropathy. I was hopeful because the POA statements made the system act to allow an LHI look-and the let me upload the workup documentation to the DOD evidence intake fax yet nobody could ingorm me how to upload the x rays supporting the documentation. Feel free to call us at (866) 232-5777 anytime. Talk to Us About Your Claim:(866) 232-5777. Your physicians know your case and are better able to determine the causes, etc. Already working with us? To complicate things, some Veterans may not report an injury at the time that it occurred. The VA does not rate a disability under limited range of motion and degenerative arthritis. Veterans that have to have their arm amputated below the deltoid will receive a 70 percent rating. If we hear from the VA, well contact you as soon as we can to follow up with our next steps. Yes, as long as they consider the arthropathy as service-connected, you have potential for getting headaches covered as secondary. 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. The VA saves me with a surgery when they absolutely must because I got a POA to present an affidavitt. Chicago, IL: 332 S. Michigan Avenue, Floors 8 and 9, Chicago, IL 60604 The VA experienced delays during the Covid-19 pandemic like many other industries. 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. Should the VA deny your claim, this does not mean your case is over and you have zero chances of receiving benefits for your injuries. http://www.militarydisabilitymadeeasy.com/thespine.html#conditions. Major Minor. Visit USA.gov, This will take you to the MyHealtheVet website, This will take you to the Suicide Prevention website, This will take you to the VA Find a Form page, This will take you to the VA Publications page, VA updates rating criteria for musculoskeletal and muscle injuries, The Great American Spit Out February 25, Veterans! Tucson, AZ: One South Church Avenue, 12th Floor, Tucson, AZ, 85701 Would the VA even consider this? Under the schedule of ratings in the VA regulations, arthritis may be rated under degenerative arthritis or rheumatoid arthritis. I attempted to let the same doctor writing my appeal to go over them. There are two main types of arthritis: degenerative arthritis and rheumatoid arthritis. Moreover, if there is pain (without limited motion), then the VAs painful motion principle kicks in. 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. Normal MRI study of the cervical and thoracic spine. In some cases, these conditions may lead to loss of use and incapacitating episodes. Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! Active cases of rheumatoid arthritis can receive up to a 100% VA disability rating for shoulder arthritis if the condition is debilitating. Most spine conditions are inter-related as they cause further wear and tear on other parts of the spine. Mild to moderate neural foraminal narrowing is present at L4-S1 levels 3. Hello,I was rated 20% for my back issues that I've had for several years now. Unfortunately, it is common for the VA to overlook information or make mistakes on arthritis claims. If you are already service-connected for arthritis and stay in a hospital for over 21 days as a result of your condition (i.e., joint replacement surgery), you may qualify for a temporary 100% total rating for the duration of your hospital admittance. The rating schedule then steps down to 60% disability rating which could still qualify a veteran to 100% disability compensation through total disability based on individual unemployability. 10% for pain in my leg from back problems. You would want to get a NEXUS letter from a specialist confirming this correlation. The VA is making new policies and Criteria for muscle injuries but in my opinion, they should work on their system and try to reduce the flaws in that. Rheumatoid arthritis, or more commonly known as RA, is an autoimmune disease in which the bodys immune system mistakenly attacks the joints. Another option for service connection is to claim arthritis as a secondary disability. After graduation, Kirsten sought a position in the legal field that would allow her to continue advocating for those in need. Tip: Look for your highest disability rating (or highest combined rating) in the left column, and your next lowest disability rating in the top row. But, rheumatoid arthritis will only be rated either as an active condition or for its chronic residuals. See your personnel office for the proper forms. 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. C7/T1: Disc desiccation without posterior protrusion. As a fellow disabled Veteran this is shameful and Im on a mission to change it. It does mention in my rating paperwork arthritis in my back as well. I did some research on a website called spine-health.com which stated "degenerative discs and osteoarthritis often occur hand in hand because the disc and facet joints are both part of the same three-joint complex. Excellent question, and a tricky situation. ). Weve been adding staff and lawyers during the Covid pandemic to serve disabled veterans better in difficult times. The first VASRD update, in September 2017, was for dental and oral conditions. A NEXUS letter from your physician would strengthen your claim for the hypertrophy as a secondary condition. The painful motion principle does apply. Since both conditions directly affect the use of the ankle, the VA will lump both conditions together and give you a single rating under the code that allows the higher rating. There are a couple of conditions that are an exception to this rule, but if you have one of these conditions, our discussion about that condition on our site will clearly say that you can rate it in addition to other conditions that affect that joint. They will, however, rate your radiculopathy separately. Would this condition fall under diagnostic code 5024: Tenosynovitis (swelling of the tissues that surround the tendons) or would the VA group the Arthritis (diagnostic code 5003) and Achilles Tendonitis/Tenosynovitis together for final codes of 5024-5003? Your treatments may also vary depending on your other conditions. They typically add up disabilities and veterans meet the criteria like this: 1. In those days I did not want a disciplinary action aftet getting just 3 months from my EOS. This is making me very nervous. No, the VA will only give you a single spine rating for your cervical spine. Sir, you sent me a reply to my question about Administrative Decision For Cue the VA initiated. http://www.militarydisabilitymadeeasy.com/diseasesofthemusculoskeletalsystem.html#rheum. How to File a Claim on VA.gov (step-by-step)! Under 4.71a,Diagnostic Code 5203, the VA assigns shoulder separations a 20% rating for either arm, regardless of severity. VA Disability Chronic conditions must develop to at least 10% within 1 year of service to be considered at all. Kirsten Hirt, Claims Advocate Updated: August 25, 2021. Working with an experienced attorney can also significantly boost your chances of receiving a higher disability rating. They wsnt the med reords which have still not been found. 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? Official websites use .gov Call us today to discuss your VA disability appeal or your first application. Functional loss. This rating focuses on the limitations of the joints range of motion. Instability. The VA rating specialist will categorize instability of the joint in three ways: slight (10%), moderate (20%), or severe (30%). Pain. Most veterans with arthritis experience pain. I keep getting we can not locate letters from the St Louis archives. This is the link to get started, FAST. The condition claimed is at least as likely as not (50% or greater probability) proximately due to or the result of the Veteran's service connected condition. VA medical records and hospital records relating to your Acromioclavicular Joint Separation or that show it has gotten worse. I called my parents doctor -got a referral and paid for a workup with xrays that were better than the sectionals at LBRMC. No sacroiliac joint fusion to suggest ankylosing spondylitis. If you cant show that it is directly related to a fall, shot, or other injury documented while you were in the service, the VA wont consider it as service-connected. A VA disability rating percentage is awarded in multiples of 10, representing the severity of the impact of the disease or injury. If pain persists or the deformity is severe, a surgeon may trim back the end of the collarbone to stop it from rubbing against the shoulder blade bone. Foot conditions could contribute to arthritis in the spine, but not really fat deposits. San Jose, CA: 2880 Zanker Road, Ste. We use our arms and shoulders for many daily tasks, including getting dressed, driving, and bathing. Thank you for your time! I guess they needed to test me with the Ucmj and heavy sea duty. Veterans with questions regarding this VASRD update may contact VA at 800-827-1000. I am a Gulf War Vet and am currently SC. If you hear from the VA, give us a call to make sure we got the information too. But it served like a big red herring and made me look like a liar every time I repoted trouble on my left ear jaw neck elbow hip knee and ankle. 5051 Shoulder replacement (prosthesis). The call is free and we wont charge you a single fee until we win your case. 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. Talk to your doctor (or our in-house nexus doctor) about your symptoms to see if they are connected. 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. A lock ( 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? This is important as it removes the need to present direct medical evidence linking arthritis to a particular event or injury. Civilans are not authorized in the VA Sys! That is the main reason why I chose Woods and Woods. It's never a waste of time to make sure the VA is aware of your full range of conditions. The spine is rated as a whole, so if your symptoms are worse, your rating will most likely increase, regardless of the specific conditions at play. 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. Because these measurements are vital in the arthritis rating, a physician must record the exact range of motion measurements using a goniometer. You can file a Notice of Disagreement, take the higher review lane, orsubmit a supplemental claim. Synovial hypertrophy is closer to RA, and would be rated under 5002. This combined rating takes effectif your other condition qualifies for a rating, such as VA disability rating for shoulder bursitis. Hello, My question relates to psoriatic arthritis. If not enough, then arthritis. 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. If two or more major or minor jointgroups are affected, but there are no incapacitating exacerbations, a 10% rating may be assigned. http://www.militarydisabilitymadeeasy.com/theankle.html#joint, Dear DR Johnson, I am currently a 50% disabled veteran. Degenerative arthritis may also be referred to as osteoarthritis and is the most common form of arthritis. Often, however, they do not. The amount of basic benefit paid ranges, depending on how disabled you are. A Veteran with arthritis might receive either a 10 or a 20 percent rating, depending on the specifics of their condition. The VASRD's 15 body systems had seen periodic updates, but this VAs last update came in August 2019, focusing oninfectious diseases, immune disorders and nutritional deficiencies. In December 2018, VA updated the rating criteria forhematologic and lymphatic systems. VA Disability Ratings for Arthritis 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. Or will i tell the examiner when i have my evaluation?Thanks doc. Degenerative arthritis will be rated at 10 or 20 percent based upon the number of joints/joint groups affected and the level of incapacitation. Regardless of the code, however, most spine conditions are all rated on the same system: limited motion. The VA doesnt usually give 100% TDIU for just a single disability. There are about 2 accurate statements in the report loss of smell & that I declined to have the bump surgcally removed. We assign a disability rating based on This is the only rating that can be given for the cyst and arthritis, however, you may qualify for one more rating under code 5257 if instability is officially diagnosed. Hello Dr. Johnson. Carefully read our discussions of, More Jobs for More Vets Fixing the Unemployment Problem, Fighting the Military Disability and VA Disability Systems, The Integrated Disability Evaluation System (IDES), Combat Related Special Compensation (CRSC), Concurrent Retirement & Disability Pay (CRDP), conditions that are rated as Degenerative Arthritis, VA Processing All PACT Act Claims January 1st. How does VA rate shoulder injury This will best be explained by using an example. *If you have already received a rating for Limited Motion of a joint, then you cannot receive a rating for arthritis in that joint. I have exhausted so many avenues as a peacetime vet who was with the battlegriup shelling Beirut in 83 while my health was failing & then going to gaurd to KAL-007 trawlers. Dr. Johnson, I currently have a service connected disability rating for a lateral collateral ligament sprain with degenerative arthritis of the left ankle. Major joints include the shoulder, wrist, elbow, hip, knee, and ankle while minor joints include toes, fingers, spine, and sacroiliac. Woods and Woods is well-versed in the laws and know the best strategies to secure the most favorable outcomes for our clients. Rating. Ok thank you Dr. Johnson have a good one take care. WebThe osteoarthritis disability ratings are either 10% or 20% depending on the following symptoms: 10%: a veteran has degenerative arthritis in two or more major joints or two or 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. Since it has been so many years, it is just as likely that the sleep apnea developed on its own and isn't connected. In fact, the Center for Disease Control (CDC) estimates the rate of arthritis in veterans to be 25.6%, although other estimates have the rate as high as 35%.