A favorable position means the ROM measurement for flexion or extension is 0 degrees. The rating will largely depend on whether you have lost range of motion as a result of stenosis. Spinal discs act as cushions between your vertebrae. These exams are called comprehensive preventive health evaluations (CPHE) or wellness checks.. 5239 - VA disability rating for Spondylolisthesis or segmental instability: A condition that causes a vertebra to slide forward over the bone below it. IVDS is rated under diagnostic code 5243, and the rating criteria relies on the number of incapacitating episodes and how much bed rest the veteran's physician prescribed within the last year. 14K 1,344 9. When rheumatoid arthritis affects the spine, it typically occurs in the cervical spine (the neck) rather than the thoracolumbar spine (the low back). Keep in mind that a Veterans disability law firm can work with you to build a claim for a higher rating. VA uses 38 CFR 4.71a, General Rating Formula for Diseases and Injuries of the Spine to evaluate most neck pain conditions. REPRESENTATION. If your MRIs dont show a significant stenosis, but you are experiencing severe back pain that still inhibits your ability to work, and you have. This is known as secondary service connection. Copyright 2023 Woods and Woods, LLC | PO Box 1287 Evansville, IN 47706. A favorable position means that the spine is frozen at the baseline position or 0% flexion. However, the VA still rates degenerative arthritis of the spine under the criteria listed for diagnostic code 5003. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); My name is [K.S]. A single veteran with no dependents and a total disability rating of 40% would receive $627.61 per month, as of 2020. About VA disability ratings. If your MRIs dont show a significant stenosis, but you are experiencing severe back pain that still inhibits your ability to work, and you have intervertebral disc syndrome, you may be able to get a higher rating due to incapacitating episodes. This occurs when the soft tissue discs between segments of the spine become displaced and are squeezed into the spinal nerve canal or into the ventral nerve roots. However, generally speaking, symptoms may include the following: Most often, spinal stenosis is caused by overuse or general wear-and-tear changes in the spine related to osteoarthritis. Flexion 45 degrees, OR combined ROM 340 degrees, Flexion 90 degrees, OR combined ROM 240 degrees, Flexion between 30 and 45 degrees, OR combined ROM between 175 and 340 degrees, Flexion between 60 and 90 degrees, OR combined ROM between 150 and 240 degrees, Flexion between 15 and 35 degrees, OR combined ROM 170%, Flexion between 30 and 60 degrees OR combined ROM of 120%. Want to know if you qu. Spinal stenosis in the neck can cause: Numbness Tingling or weakness in a hand, leg, foot or arm Problems with walking and balance Neck pain Problems with the bowel or bladder Request an Appointment at Mayo Clinic From Mayo Clinic to your inbox These complications of stenosis are called secondary conditions, which may qualify you for a higher rating. Entire spine is frozen in an unfavorable position. Claims involving both the cervical spine and the thoracolumbar spine are rated under the same general rating formula. Registration is FREE of charge! As mentioned above, spinal stenosis is typically diagnosed with x-rays or MRIs that show a narrowing of the spinal canal. Depending on what joint is affected, there will be an identifying diagnostic code assigned to the condition. Under the VA regulations, you may request an extra-schedular rating for your disability. Specifically, VA rates spinal stenosis according to its General Rating Formula for Diseases and Injuries of the Spine, outlined below: If you were denied VA disability benefits for spinal stenosis, Chisholm Chisholm & Kilpatrick LTD may be able to help you through the appeals process. This opinion will be most favorable when it comes to establishing service connection. Congenital spinal stenosis is present at birth as a normal variant in the population or due to congenital conditions. Table II - Ratings for Multiple Losses of Extremities With Dictator's Rating Code and 38 CFR Citation Note. Lumbar spinal stenosis . A veteran's Degenerative Disc Disease VA disability can be rated at 10%, 20%, 30%, 40%, 50%, or 100%. Va rating of 60%. Causes can include herniated or bulging spinal discs. To qualify for a 100% rating for stenosis, you would have to have severe ankylosis across your entire spine, locking your spine in an unfavorable condition, unless you have one or more severe secondary conditions. A TDIU is an award of increased compensation. While these codes may seem important, the rating formula is the same whether you suffer from spinal stenosis, intervertebral disc syndrome, vertebral dislocation or fracture or another condition. Disability benefits are paid for service-connected disabilities. Disclaimer: This information is not legal advice. Thus, when a bulging or herniated disc in the cervical spine region causes six weeks of incapacitating episodes per year, you would be eligible for a 60% VA disability rating for neck pain. In many cases, symptoms resolve themselves with rest, physical therapy, exercise, and anti-inflammatories. We assign you a disability rating based on the severity of your service-connected condition. Spinal stenosis can be a difficult disability to deal with because of the breadth and variety of symptoms you may experience. For example, after a fall or motor vehicle accident, a military doctor may attribute leg and foot pain to a leg injury rather than spinal stenosis. The VA not only makes, Both degenerative arthritis and traumatic arthritis, regardless of the joint affected, are rated under diagnostic code 5003. Pocket Card . Entire cervical spine is frozen in an unfavorable position. All rights reserved. If severe enough, anxiety and depression arising from a service-related condition may also qualify for an additional disability rating. If you do not allow these cookies, you will experience less targeted advertising. Thank you so much Woods & Woods. If these records do not exist, it may also be possible to support a claim with post-service medical records that show a significant worsening. While we still have our home base in Florida, To qualify for disability because of spinal stenosis, you must meet several requirements: The stenosis must be in your lumbar region. We advocate for the disabled. Spinal stenosis can cause symptoms throughout the body. Spinal stenosis can make it tricky to obtain a fair VA disability rating. These are periods of acute pain severe enough for a doctor to proscribe bed rest. When symptoms are present, they usually start gradually and worsen over time. The total ROM measurement is merely the sum of the individual ROM measurements for each of the spine segments. 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. Spinal stenosis can arise from both degenerative conditions (such as arthritis, bulging discs, and herniated discs) and physical injury, such as bone fragments, dislocated vertebrae, or swollen tissues. Camp Lejeune Lawsuit. Please register to post comments. Unfavorable means any position that is not 0 degrees in flexion or extension. Often, spinal stenosis is caused by the formation of bone spurs that grow into your spinal canal. The closer you are to your normal retirement age, the more likely you are to qualify for disability benefits. Basically, the VA understands that the Veteran would not have developed sleep apnea if they didnt get PTSD while in service. General VA Disability Compensation Benefits Claims Forums . To provide even more value to our veterans, this page is only available with an All-Access Membership. Your call is always free, and we wont charge you until after we have won your case. Because there are technically, As mentioned above, many different joints are rated under the rating criteria for degenerative arthritis. If you continue to use this site we will assume that you are happy with it. As discussed above, nerve pain in the leg may be diagnosed as a leg injury rather than spinal stenosis. Examples of a few disability ratings for spinal stenosis are: 20%: A 20% disability rating for spinal stenosis means you have more than 30 degrees forward flexion of the thoracolumbar spine, but not greater than 60 . Appellant represented by: Disabled American Veterans. Rather, they are added using VA math. In severe cases, or where the use of conservative treatment options just isnt effective for you, you and your doctors may consider surgery. For example, if rheumatoid arthritis of the spine results in pain with motion, the condition will be rated according to the criteria set forth in 5003 as described above. We invite you to contact us and welcome your calls, letters and electronic mail. If two or more major OR minor groups are affected a 20% rating will be assigned if the arthritis is occasionally incapacitating. Because the vertebrae are closer together, they tend to compress the nerves that lie inside the spine, especially the spinal cord. Background In 2017, 4.5 million veterans with medical conditions or injuries that occurred or worsened during active-duty service received disability compensation from the Department of Veterans Affairs (VA). Under the IVDS schedule, a VA disability rating can be obtained based on the number and frequency of incapacitated episodes in which bed rest is ordered by a physician. Surgery can cost anywhere from $20,000 to $150,000 with a microdiscectomy or discectomy being the least expensive and spinal fusion costing the most. VA Ratings For Spinal Arthritis & Back Pain. This condition causes small bones in your spine to fuse in place to one another, sometimes resulting in significant range-of-motion loss. Houston, TX: 2925 Richmond Ave, 12th Floor, Houston, TX 77098 The rating assigned under the rating criteria for degenerative arthritis depends on how many joint groups are affected and whether there is painful motion. Vertebral fractures and dislocations (diagnostic code 5235). means your spine is locked but more or less vertical, so you can still sit at a desk chair, for example. Spinal stenosis simply refers to the narrowing of the spinal canal which results in pain, weakness, and numbness when nerves are compressed. Whether from the physical rigors of combat, from the psychosomatic effects of stress and anxiety on the body, or from other factors, many soldiers can leave their time in the military with a wide range of physical . For example, if your disability requires frequent hospitalization or substantially interferes with your ability to earn a living, you may request a special disability rating from the VA. Our VA Disability Lawyers talk about SMC (Special Monthly Compensation). If we can show that you had spinal stenosis while in the service but you were misdiagnosed, you might even get some substantial back pay. An. Fax: (757) 220-9451. If you believe you may have been wrongly denied benefits, you may benefit from the services of a VA disability lawyer. For example, if the cervical spine ROM measurements are 15, 30, 0, 30, 45, and 45, the total ROM would be 165. With regard to the medical opinion, doctors must state that your condition is at least as likely as not due to your time in service. It is rated under another diagnostic group. Under 38 CFR 4.73, injuries to neck muscles are compensated differently depending on the severity of the impairment and the muscles affected.
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