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PEB and Disability Evaluation System Overview, Physical Evaluation Board System Overview. Whenever a Veteran applies to receive disability benefits from the VA, they are asked to visit their regional VA office for a Compensation & Pension examination. %%EOF For example, if the veteran lacks 10 degrees of full knee extension and has normal flexion, show the range of motion as extension to minus 10 degrees (or lacks 10 degrees of extension) and flexion 10 to 140 degrees. Vike 17 Epeen 272 3 Jan 03, 2014 #7 What's funny.. During the c & p exam. If any limitation of motion is specifically attributable to pain, weakness, fatigability, incoordination, or other; please note the degree(s) in which limitation of motion is specifically attributable to the factors identified and describe. Keeping your elbows against your body swing your forearms away from your body. For example, a veteran would need to show diagnosis and treatment records for a medical condition, such as a shoulder disability. 0000003377 00000 n To obtain an official measurement of range of motion, the examiner will typically use a tool called a goniometer. Shoulder (Flexion - Extension) Left Left : Abduction 150: O . What is the Reasonable Doubt Rule for Knee Pain? 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. Rotator cuffs, dislocations, and poorly healed bones all contribute to long-term disabilities in veterans. If ankylosed, is there involvement of Muscle Group XIII (posterior thigh group, hamstring complex of 2-joint muscles: (1) biceps femoris; (2) semimembranosus; (3) semitendinosus)? This storage is often necessary for basic functionality of the web site or the storage may be used for the purposes of marketing, analytics, and personalization of the web site such as storing your preferences. If the veteran is unable to obtain substantially gainful employment as the result of a shoulder or arm condition, they may be eligible for total disability based on individual unemployability (TDIU). If there is pain noted on examination, it is important to understand whether that pain itself contributes to functional loss. Without these cookies, services you have asked for cannot be provided. This places your hands above your head with your arms straight. In many cases, Veterans may find their claims denied even though their disabilities are related to their service in the military. Since 2016, VA Claims Insider has helped thousands of Veterans just like you get the VA rating and compensation they deserve in less time. 353 15 These cookies dont collect information that identifies you. Thus, a single injury to the shoulder and/or upper arm can cause multiple issues. With the help of an attorney, you can present additional evidence to the VA that can influence the VAs decision regarding your claim. Today, we examine VA ratings for conditions affecting Veterans' shoulders and arms. Check out our Shoulder and Upper Arm Condition Ratings page for the exact codes and ratings. Veterans may be eligible to receive as much as 50% disability compensation. The ability of your shoulders to move in a normal range depends on the health of your: Your shoulders have the ability to move more than most joints. An unfavorable opinion will not. Easy to use charts: 30: 114: Hours of streamable audio: 30: 50: Assessment Tests: 40: 200 . By using our website, you agree to the use of certain cookies. . The rating number correlates with the monthly payment amount veterans are entitled to receive. A normal range for abduction, starting with your palms at your sides, is around 150 degrees in a healthy shoulder. They stretch and contract during movement. Joint pain can also be a factor that can increase the severity of a Veterans disability. 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. Its possible for your Knee Pain to be caused or made worse by another service connected disability for secondary service connection. #3: Unfavorable Ankylosis of the Knee with a rating of 30%, 40%, 50%, or 60%. Today, VA announced its next update: The musculoskeletal system and muscle injuries. 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. For any muscle atrophy due to a diagnosis listed in Section I, indicate specific location of atrophy, providing measurements in centimeters of normal side and corresponding atrophied side, measured at maximum muscle bulk. 0000001029 00000 n If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. If a condition is not directly listed on the Shoulder and Upper Arm Condition Ratings page, it is rated under the code that best describes it or its dominant symptom (hint: the majority will be rated as limitation of motion). Injuries to the shoulder and arm commonly occur while performing both combat and non-combat duties during service. https://my.clevelandclinic.org/health/diseases/14526-musculoskeletal-pain, https://www.cdc.gov/workplacehealthpromotion/health-strategies/musculoskeletal-disorders/index.html. For example, a total shoulder replacement shoulder result in a 24% upper extremity rating if it is done as an implant or a 30% upper extremity rating if done as a resection. Thanks. Limitation of extension for the knee is rated under diagnostic code 5261. Keep in mind all joints (shoulder, elbow, knee, and back) are based on a range of motion, not the amount of pain it causes or the amount of medication needed for relief. (B) The client's right thigh is being passively moved into flexion by the therapist. When in doubt, the benefit is ALWAYS given to the veteran. Your Knee Pain was caused or made worse by your active-duty military service. 5. Here, learn how the VA rates shoulder injuries. The shoulder's anatomy is complex, but all the different moving parts allow a wide range of motion in the joint. Strain and disabilities to the shoulders are common during deployment, training, and combat. Describe below. Veterans who undergo shoulder surgery may be eligible for a temporary total rating based on convalescence. Circumference of atrophied side: _____ cm. If your knees are significantly inhibited in their range of motion to the point that they can only extend to more than 45 degrees of being completely straight, your disability score is likely to be as high as possible. Going back to the example, if a shoulder disability started after service, the veteran's current doctor should confirm that service-related activities contributed to the current disability. trailer The Schedule also provides charts to help assist with understanding what these degrees mean. startxref Your doctor will diagnose a potential issue through a series of tests, which may include: If youre worried about the range of motion of your shoulder, you should mention the issue to your doctor. On rest/non-movement causes functional loss (if checked describe in the comments box below), More movement than normal (indicate if there is nonunion of fracture), Interference with sitting Interference with standing, Extremely unfavorable, in flexion at an angle of 45 degrees or more. Estimate range of motion in degrees for this joint during flare-ups based on information procured from relevant sources including the lay statements of the veteran. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. They can help you find a treatment plan or recommend you to an orthopedist. Thousands of other Veterans in our Community are here for you. Because of this complexity, the VA simplified the rating system for musculoskeletal conditions to focus on the resulting disability from a condition or group of conditions existing in the same body part. OA is the most common type of arthritis, the inflammation of joints. Subsequent questions consider additional factors such as pain, fatigue, weakness, lack of endurance, or incoordination. It may not display this or other websites correctly. (2012). 2.1 ). The VASRD offers ratings for the following musculoskeletal conditions of the Shoulder and Upper Arm: In reality, the majority ofShoulder and Upper Armconditions will be rated on limitation of motion since that is the most common symptom of these conditions that results in a measurable disability, but other rating options exist to rate theShoulder and Upper Armconditions that cause other forms of disability. Feel pain across your back? Thanks. Imagine your body is a cabinet, your arms are the cabinet doors and youre shutting the doors. 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 . 0000002402 00000 n If yes, was it Flexion, Extension, or both? These cookies collect information about how you use our website. This information is not a substitute for legal advice. #34938Washington, D.C. 20090-6503, Phone: (888) 878-9350 Specifically, VA proposes to assign a 40 percent rating for a major joint, or 30 percent for a minor joint, where flexion and/or abduction is limited to 25 degrees from the side. In late 2017, VA began a multi-year effort to revise and update the VASRD, or VA Schedule for Rating Disabilities. Intrinsic muscles of shoulder girdle: (1) Supraspinatus; (2) infraspinatus and teres minor; (3) subscapularis; (4) coracobrachialis, 5305 Group V. Function: Elbow supination (1) (long head of biceps is the stabilizer of shoulder joint); flexion of the elbow (1, 2, 3). This website adheres to the W3Cs AA Accessibility guidelines. and range of motion factors heavily in the determination of the benefits the veteran will receive. Minor knee pain usually responds well to self-care measures. The following Diagnostic Codes are included under the former and evaluated based on the range of motion of a major/minor joint group: Diagnostic Code 5200 Scapulohumeral articulation, ankylosis (abnormal stiffening and immobility) of: Diagnostic Code 5201 Arm, limitation of motion of: Diagnostic Code 5202 Humerus, other impairment of: Diagnostic Code 5203 Clavicle or scapula, impairment of: The Diagnostic Codes under 38 CFR 4.73 for shoulder and arm conditions are split into six groups based on the limitation of motion of the different affected muscles. Veterans who have a disability resulting from a shoulder injury during service may be entitled to VA benefits. There are six different ratings, from 0% to 50%, listed as follows: As the chart above shows, extending the knee straight out with extension less than 5 degrees of being completely straight, a Veteran will be given a 0% rating. Flexor muscles of elbow: (1) Biceps; (2) brachialis; (3) brachioradialis. Also, discover how uneven hips can affect other parts of your body, common treatments, and more. If yes, document the Veterans description of functional loss or functional impairment in his/her own words. Make an appointment for a no-obligation consultation with us now online or by phone at 888.878.9350. You can learn more about how we ensure our content is accurate and current by reading our. End-range hip flexion is associated with a posterior rotation of the ilium bone. Arthritis, degenerative (hypertrophic or osteoarthritis). Veterans can only be compensated once for each manifestation of a disability. Muscle stiffness often goes away on its own. 0000006040 00000 n tation of motion of the specific joint or joints in-volved is noncompensable under the codes a rating of 10 percent is for application for each such major joint or group of minor joints af-fected by limitation of motion, to be combined, not added under diagnostic code 5002. VeriSign secured VA Knee Disability Rating: Is Knee Pain a VA Disability? Information regarding joint function on repetitive use is broken up into two subsets. We avoid using tertiary references. Persistent and recurring symptoms of Knee Pain (Severity of Symptoms) in terms of Frequency, Severity, and Duration to include any functional impairment or loss. Upon VA examination in May 2000, clinical evaluation revealed limited active range of motion in the right shoulder with 90 degrees of abduction, 95 degrees of forward flexion, 70 degrees of internal rotation with the shoulder adducted and elbow flexed to 90 degrees, and additionally 20 degrees of external rotation in this position. 0000005655 00000 n The courts further likened the reasonable doubt rule as akin to the principle in baseball that the tie goes to the runner.. 0000003068 00000 n Stretching is usually most effective and least painful when tissue temperature is raised to about 43 C (see Heat ). The shoulder also contains ligaments, the fibrous tissues that connect one bone to another bone. 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. Answer: No, your age cannot affect your service connected VA disability benefits! Your shoulder range of motion is, basically, how far you can move each shoulder in different directions without major joint pain or other issues. To prove service connection, a veteran must satisfy three basic criteria. You are using an out of date browser. The examiner will usually either be a VA physician or a VA contracted physician. Active range of motion shoulder. Because the severity of musculoskeletal disabilitys symptoms can vary from day to day, a Veteran might wake up in the morning unable to touch their toes when they could the day before. Please select all that apply and describe: 4A. 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. Ankylosis of the Knee means you cant bend it past certain degrees, as measured by a Goniometer. Select factors that cause this functional loss. This considers not only the objective findings noted on the examination, but also the subjective history provided by the claimant, as well as review of the available medical evidence. Shoulder adduction occurs when you move your arms towards the middle of the body. In more serious cases, however, your knee may require surgery. 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 . 1A. You MAY be entitled to a separate evaluation for any muscle injuries as a result of the shoulder impairment if they are not based on the same symptoms as the shoulder itself. Learn more about the causes and what you can do about it. The shoulder moves with every arm motion. According to Title 38, for a minor shoulder that can raise between 25 and 90 degrees is 20% disability. Understanding How Flare-Ups Impact Range of Motion Claims, Alternatively, they might suffer from more stiffness and loss of range of motion throughout the day. 353 0 obj <> endobj