- Your patient is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. The Department of Veterans Affairs says of this condition that, when established via X-rays, the VA disability rating will be made "on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved. If you injure the bones in your shoulder badly enough, you may need to have ashoulder replacement. The strain of military service can lead to wear and tear on the spine, not to mention the risk of traumatic injuries in training or combat. The VA Schedule of Rating Disabilities provides a basis for service connection and rating each disability. Exercises such as Lateral Neck Flexion and Neck Rotations will help relieve neck pain and the other issues caused by poor posture and a shortening of the . Veterans need to have evidence establishing that a disabling disease or injury was incurred coincident with service in the Armed Forces, or if preexisting such service, was aggravated therein.. Richmond, VA: 7400 Beaufont Springs Drive, Suite 300, Richmond, VA, 23225 If the knee can only bend to 15, then it is rated 30%. Here one of our certified VA disability lawyers talks about that increase. This is the most common knee problem eligible for VA disability benefits, with ratings that typically range from 10% to 30%. The code also takes into account whether the dominant or non-dominant side is affected. The IOM report noted that the VA Rating Schedule for Disabilities was inadequate in areas because it contained obsolete information and did not sufficiently integrate current and accepted diagnostic procedures as well as the lack of current knowledge of the relationships between conditions and comorbidities. They are not intended as a guarantee that we will obtain the same or similar results in every case we undertake. A full description of the events that led up to the shoulder pain and limitation of motion. Tucson, AZ: One South Church Avenue, 12th Floor, Tucson, AZ, 85701 The Schedule of Ratings expresses range of motion in degrees, making it easy for disabilities to be rated and categorized. DOCX M21-1III_iv_4_SecA - Veterans Affairs Bone and Joints Disability Rating Table - Dr. David Anaise, MD This may be achieved by having one serious condition that is rated at least 60% or more, though will more likely be the result of having several conditions related to the service. Heres the brutal truth about VA disability claims: We use cookies to ensure that we give you the best experience on our website. All of these injuries fall under code 5203, the same code as a shoulder separation. To obtain an official measurement of range of motion, the examiner will typically use a tool called a goniometer. Important - Will Not Pay Reimburse - Reginfo.gov Many activities in service, such as lifting heavy objects, transporting heavy supplies, or forms of physical training, can often cause shoulder and arm injuries. Joint pain can also be a factor that can increase the severity of a Veterans disability. VA Disability Ratings for Shoulder and Arm Conditions If you can't talk now, fill out this form so we can contact you at a better time. 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. Have you been affected by Camp Lejeune water contamination? Many Different Conditions Could Be Causing Your Shoulder Pain, 2. Important: This principle applies even if the examiner or medical evidence 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. Extrinsic muscles of shoulder girdle: (1) Trapezius; (2) levator scapulae; (3) serratus magnus, 5302 Group II. This benefit gives injured veterans monthly compensation to make up for the limits their injury places on their life. The VA does allow veterans to file for shoulder pain if it was caused by their time in the service. At Jan Dils Attorneys at Law, we have the knowledge and resources to help you navigate the process VA rating for shoulder injury. Osteoarthritis (OA) is a degenerative joint disease. A Goniometer will probably be used at your C&P exam to measure Range of Motion (ROM) of your shoulder and arm. Flexor muscles of elbow: (1) Biceps; (2) brachialis; (3) brachioradialis. Once it ends, the 100 percent rating will continue for a period of 3 months (unless otherwise specified). From there, it is easy to see where each degree listed in the diagnostic code lies. If you break your clavicle or scapula and you have trouble controlling your arm afterward, youll receive a rating of 20 percent. The VA disability rating for shoulder impingement is usually rated either as an impairment of the clavicle or scapula OR limitation of motion of the arm. For instance, the following chart accompanies the Schedule of Ratings for ankle, knee, and hip disabilities: Each subcategory under the Rating Schedule includes numerous diagnostic codes, which represent specific disabilities. If it's necessary for your entire arm and shoulder to be amputated, the VA will give you a 90% disability rating. VA Disability Ratings for Shoulder Injuries - Cuddigan Law You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, You have a medical diagnosis for your shoulder, and youre experiencing current symptoms, You experienced an event, injury, or illness while you were serving that caused or aggravated your shoulder pain (either directly or indirectly). You can struggle with aches and pains of varying severity throughout any given week, and your condition can even improve or worsen throughout the day. we represent clients nationwide. Is applying for VA benefits years after service allowed? As more veterans serve flying drones or fighting from behind a desk, there will be more with long-term back pain from sitting too long. Limited knee flexion. As a fellow disabled Veteran this is shameful and Im on a mission to change it. Let's talk about your VA disability benefits. The surgeon might also perform a debridement where they remove damaged tissue from the shoulder. After the one-year period, the condition is then given a permanent rating. Therefore, the C&P examiner ought to test for active and . All rights reserved. Pain, weakness, stiffness, deformity, instability or giving way, "locking," lack of endurance, effusion, episodes of dislocation or subluxation, etc. Shoulder separations are coded separately from shoulder dislocations. Phoenix, AZ: One Renaissance Tower, Two North Central Avenue, 18th & 19th Floor, Phoenix, AZ 85004 This is an examination that a VA-hired doctor conducts. We explain where you can find your military records in this article. But some injuries cause that ball topop out of its socket joint. 4. These claims can be tricky to navigate, but they are cru. Specifically, the VA examines ranges of motion for the cervical spine, or the neck and upper back, and the thoracolumbar spine or lower back. The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes. In addition to shoulder dislocations, this code can also cover any injury to the humeral bone, including the humerus itself, the humeral head that sits inside your scapula, or the humeral neck that connects the two. The attorneys at Berry Law Firm are dedicated to helping injured Veterans. The examiner may also perform a physical exam on the veteran. Brian Reeseis a VA benefits expert, author of the #1 Amazon Bestseller You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, andfounder of VA Claims InsiderThe Most Trusted Name in Education-Based Resources for Veterans.. Your deltoid muscles extend down from your scapula and clavicle to the upper part of your humerus. You can file one of three options or file a new claim. Moreover, if there is pain (without limited motion), then the VA's painful motion principle kicks in. 132K views 9 years ago Dr. Ebraheim's educational animated video describes the range of motion of the Shoulder Joint, and the ways to check for any medical problem associated with it's. They stretch and contract during movement. The VA's painful motion rule entitles a veteran to a 10% rating even if they don't meet the specific diagnostic criteria as . However, many different conditions could be causing your shoulder pain, including: These conditions can make it difficult to perform everyday tasks such as reaching for items, combing your hair, or even putting on a shirt. What Veterans Need to Know About Osteoarthritis? The rules of the VA's Schedule for Rating Disabilities (VASRD) are used to assign rating percentages to conditions. Its also important to remember that certain arm conditions, shoulder bursitis, frozen shoulder syndrome,rheumatoid arthritis, and or nerves may result in similar symptoms to a tear. How Range of Motion Impacts Your VA Disability Claim | Veterans By continuing to use our website, you agree to these updates. Applying for VA Benefits Years After Service: Is It Allowed? But if you lost a whole arm, your impact will obviously be much more drastic. If you have to have a shoulder replacement, the VA will place you on100 percent disabilityfor the first year after the surgery and you will get a code of 5051. yet assertive representation for our clients. A favorable opinion will endorse the view that the shoulder or arm condition was caused by service. If you break your humeral neck and the bone doesnt heal back together, youll receive a rating of either 60 percent or 50 percent. Importantly, the minimum rating for any total shoulder replacement is 30 percent for the dominant arm and 20 percent for the non-dominant arm. Protective tissues called the labrum line the joint socket. These cookies do not store any personal information. The bone in your upper arm is called your humerus, and your collarbone is called your clavicle. Veterans may be more susceptible to shoulder injuries due to the physical nature of their service. What to Expect At Your VA C&P Exam for Your Shoulder Pain. This information is made available for educational purposes only and to provide general information and a general understanding of the law. Estimate your 2023 VA Rating & Compensation for FREE! These cookies dont collect information that identifies you. Again, whether youre connecting the tear to a clavicle or an elbow injury, its important to be as detailed as possible. Yes. VA Disability for Shoulder and Arm Injuries. Random flare-ups are common in musculoskeletal disabilities, making each day a different experience for Veterans with these conditions. If you have a disability rating of 100 percent, one child, a dependent spouse, and two parents relying on you, you could receive more than $3,621.95 every month. For example, you may not be able to safely drive, lift objects, care for children, or maintain your home. Alternatively, they might suffer from more stiffness and loss of range of motion throughout the day. Welcome to the PEB Forum! Those two bones form a right angle at your shoulder and are connected by your scapula, also known as your shoulder blade. 8 Neck Mobility Exercises to Improve Neck Mobility - Torokhtiy The experienced VA disability attorneys on our team understand how VA claims work and are dedicated to helping Veterans get the compensation they are entitled to. 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. However, if your arthritis is bad enough that you arecompletely bedridden, youll be eligible for a 100 percent disability rating. Two things that veterans know are a given in active duty military life. The most common cause of bursitis is injury or repetitive use. The VA Schedule of Rating Disabilities provides a basis for service connection and rating each disability. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. 38 CFR 4.71a Diagnostic Code 5200 Scapulohumeral articulation, ankylosis of: 38 CFR 4.71a Diagnostic Code 5201 Arm, limitation of motion of: Recurring pain when using your shoulder (e.g., lifting, pushing, etc. Learn more about us, Veterans Disability Claim Function: Extension of the elbow (long head of triceps is the stabilizer of shoulder joint). 27K views 2 years ago Today, we examine VA ratings for conditions affecting Veterans' shoulders and arms. Rotator cuff tears that stem from overuse may be less obvious to the veteran though. We invite you to contact us and welcome your calls, letters and electronic mail. If youd like help navigating the VA disability process, reach out to us at Woods and Woods, LLC. In the exam, either a VA physician or VA contracted physician will generally ask questions about the shoulder or arm condition and the veterans time in service. VA disability is awarded because you were injured while serving, regardless of the glory of the job. For instance, which pages you go to most. All of the criteria include severe, moderately severe, moderate, or slight and corresponds to a disability rating ranging from 0 to 40 percent. Finally, we invite you to contact us and we welcome your calls, letters and electronic mail. 4. Payments for ratings of 30 percent and above depend on whether you have a dependent spouse and/or children. Confidential or time-sensitive information should not be sent through this form. In the most severe cases of injury, you may have to have your whole arm amputated up to the shoulder. Please complete this form to send us your message. This can be difficult because the symptoms limiting functional loss are not usually related to range of motion. Limited Range of Motion: Causes, Diagnosis and Prevention - Healthline Our firm was founded in 1986 in Orlando, Florida. IE A veteran who has various disabilities in their knee, ankle, and foot, Those ratings cannot combine to be more than a Veteran who had their leg amputated just above the knee. Appeals to the Board of Veterans Appeals, Appeal to the Court of Appeals for Veterans Claims, Increase Veterans Affairs Disability Rating, Total Disability Based on Individual Unemployability (TDIU), VA Mental Health: Legal Help for Veterans, Veterans Affairs Compensation for Sleep Apnea, VA Rating for Traumatic Brain Injury (TBI), Camp Lejeune Water Contamination Symptoms, 2023 Veterans Affairs Disability Rate Increase. What Causes Bursitis of the Shoulder in Veterans? You could also be eligible for a VA disability rating for arthritis in your shoulder if your range of motion limitation doesnt qualify you for a compensable rating. The technical storage or access that is used exclusively for statistical purposes. You can expect the C&P examiner to ask questions about your shoulder pain, how it started, what makes it worse, and what treatments youve tried. Stiffness and loss of range of motion can pop up due to consistent use of a certain muscle group or body part. Pes Planus is a condition of the foot in which the arches on the inside of your foot are flattened, allowing the entire sole of your foot to touch the, VA Benefits: Depression Secondary to Chronic Pain While we often think of the physical injuries and illnesses that can result from military service, it's also important to consider the ways, If you experienced a back injury during active duty, or an injury that later contributed to back pain, you may be eligible for disability benefits. It may take some time for you to experience severe pain from an obvious tear, but it would still be a direct result of the original injury. These cookies allow the website to remember choices you make to give you better functionality and personal features. This communication with the firm or any member of the firm does not establish an attorney-client relationship. How to Service Connect Your Shoulder Pain, Direct Service Connection for a VA Rating for Shoulder Pain, Secondary Service Connection for a Shoulder Pain VA Rating, 3. representing common disabilities of that body part. If you have to have your arm amputated below the deltoid, youll receive a 70 percent rating, with all of these falling under code 5200. For instance, the Painful Motion principle states that if you have any pain when you move the joint, you are entitled to the minimum disability rating for that body part. Many. Keep in mind the VA will likely rate your shoulder injury using one type of rating criteria. Many veterans experience chronic or worsening pain after they leave active duty. When you file for a VA disability rating for shoulder pain, you will most likely be scheduled for a Compensation & Pension (C&P) exam. All information these cookies collect is aggregated and therefore anonymous. Los Angeles, CA: 10880 Wilshire Blvd., Ste 1101, Los Angeles, CA 90025 VA Shoulder Pain Ratings and Grip Increases, Learn More About Shoulder Injuries in the Military, The VA has alsogenerated a systemto allow you to combine multiple injuries or conditions into one overall disability rating, How to Do VA Math with the VA Combined Ratings Table, Read More About VA Ratings for Arm and Hand Amputation, Multiple ratings for the same condition is called pyramiding, extra 10% rating from the bilateral factor, 7 Things to Consider When Thinking About Applying for VA Disability Years After Service, I am so glad I was referred to Woods and Woods. By asking the right questions and keeping tabs on a Veterans symptoms, the VA should get a more accurate sense of a Veterans disability and how its severity can vary from day-to-day. SECTION IV - INITIAL RANGE OF MOTION (ROM) MEASUREMENTS. Injuries in combat, such as a blow from an accident, a forceful impact, or a fall, could also result in shoulder or arm injury. Intrinsic muscles of shoulder girdle: (1) Pectoralis major I (clavicular); (2) deltoid, 5304 Group IV. 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. Significant injuries from training or combat are a common source of chronic disability for veterans. Proving the link between your service and an in-service event or injury will be the most difficult part of getting the VA to award you a shoulder pain VA rating. You must visit a VA-approved physician to get this diagnosis and receive documentation of it. While we still have our home base in Florida, Without service connection, you will not be able to qualify for compensation the VA can only provide financial support to Veterans with verifiable, service-connected disabilities. if you didnt have any more shoulder problems until after you were discharged, they could be linked to that time your shoulder was dislocated. Tell Your C&P Examiner Everything You Can About Your Symptoms, Including Flare-Ups. Columbus, OH: 100 E. Campus View Boulevard, Suite #250, Columbus, OH, 43235 Learn what youve been missing so you can FINALLY get the disability rating and compensation youve earned for your service. Copyright 2023 Hill & Ponton, P.A.. All Rights Reserved. elbow . Take advantage of a FREE VA Claim Discovery Call. Frozen shoulder. VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. If youve lost your humeral head entirely, a condition known as flail shoulder, youll get a disability rating of 80 percent for a dominant arm or 70 percent for a non-dominant one. In many cases, Veterans may find their claims denied even though their disabilities are related to their service in the military. You can file for a rotator cuff injury as a secondary service connection if it was caused by a primary service connection. This is why workers compensation claims may be filed even though the surgery was actually a result of a problem that one experienced in the service. Philadelphia, PA: 1 International Plaza, Suite 550, Philadelphia, PA, 19113 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? If the entire shoulder joint has been replaced by a prosthetic device, the condition is rated at 100 percent for one month after being discharged from the hospital following the replacement. Generally, any limitation in ordinary function such as limited range of motion or painful movement is likely to be eligible for service connection and compensation. In this video, we'll be discussing VA Disability for limited range of motion and loss of use claims. The VA is looking for the impact that your disability has on your life on your ability to work, maintain relationships with family and friends, and carry out simple tasks. The C&P examiner will then write a report about their findings and send it to the VA regional office. If you qualify for a VA disability benefit, youll receive a tax-free monthly payment. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. Cookies help us deliver the best experience on our website. The Foot The Shoulder Girdle and Arm A 2023 Guide to VA Disability Rates & Pay Schedules, Individual Unemployability Rating Calculator, List of Blue Water Navy Ships Exposed to Agent Orange (Interactive Vietnam Map), Social Security Disability Benefits Guide, How Chronic Pain Affects Your Mental Health. DOCX Section A. Musculoskeletal Conditions - Veterans Affairs 4 Things You Need to Know About Filing For a Shoulder Pain VA Rating VA Disability Ratings for Shoulder and Arm Conditions document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); I am so glad I was referred to Woods and Woods as they have been there for me to fight my case with the VA. All I have ever gotten from the VA are blanket denials on virtually all my claims. 5301 Group I. VA Rating for shoulder & Arm Injury: How does VA rates injury? Ratings are as follows: 0% rating: Flexion is greater than or equal to 45 degrees, or the combined range of motion is greater than or equal to 340 degrees. This rating will grant you a specific amount of monthly compensation from the VA. 4. Function: Elevation and abduction of arm to the level of the shoulder; act with 1 and 2 of Group II in forward and backward swing of the arm. Bursitis is defined as inflammation and swelling of a fluid-filled sac called the bursae; typically this leads to thickening and pain in the area. To 45, it is rated 10%, and anything 60 or more is rated 0%. The Department of Veterans Affairs sees many VA disability claims for orthopedic impairments like severe shoulder issues, back problems, legs, arms, feet, etc. Shoulder injuries are often caused by overuse, repetitive motions, or sudden trauma. VA Range of Motion Rating: A Guide to Disability Claims - Berry Law The first is 38 CFR 4.71a (Schedule of Ratings Musculoskeletal System). So if youre rated based on your musculoskeletal system, dont expect a rating for a muscle injury unless its a different condition. The Schedule of Ratings for the musculoskeletal system is found at 38 C.F.R 4.71a, and it contains numerous subcategories. For a free consultation, call us at 1-877-526-3457. Feel free to call us at (866) 232-5777 anytime. CCK Recognized for Donations to American Veterans Disabled For Life Memorial, CCK Successfully Argues for a Precedential Decision About Protected Work Environment, A Day in the Life of a Paralegal (Claims Advocate) at CCK. Email: [hidden email], National Organization of Veterans Advocates. Other causes. Even without significant injuries, the strain of physical work puts pressure on the body, which leads to a risk of repetitive Back pain is a common problem for veterans. If the amputation is to the deltoid, the VA will give you 80%. joint dislocation. If your shoulder frequently dislocates after your injury, it will be given a rating of 30 percent for a dominant arm and 20 percent for a non-dominant arm. 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). 20 / 20% - at shoulder level. A rotator cuff tear caused by a shoulder injury will generally result in acute pain directly after it occurs. Copyright 2023 VA Claims Insider, LLC. If youve served in the military, the VA offers you a variety of aid programs and benefits. Limitation of extension for the knee is rated under diagnostic code 5261. Some veterans may not be aware that VA disability ratings can be assigned for shoulder-specific impairments and painful motion like rotator cuff tears, bursitis, and more. Date, circumstances of onset, and course since onset. The Essentials on VA Disability Ratings for Bulging Disc, Total Disability Individual Unemployability, Unfavorable, abduction limited to 25 from the side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach the mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90), With frequent episodes and guarding of all arm movements, With infrequent episodes and guarding of movement only at shoulder level (flexion and/or abduction at 90 ). Physical therapy - Wikipedia 3. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. Contacting us does not create an attorney-client relationship. The final diagnostic code for this rating will either look like 5051-5002 or 5051-5203, where the first four-digit code defines the condition as a shoulder replacement, and the second code tells how the condition is rated. If you file a Fully Developed Claim for your shoulder condition, you can expect to wait about 110 days for the VA to decide on your VA disability rating for shoulder pain (as of August 2022). They may test your range of motion and look for muscle weakness. The doctor may then reattach the tendons and a physical therapist will work with the veteran to further strengthen the rotator cuff tendons. The experienced VA disability attorneys on our team understand how VA claims work and are dedicated to helping Veterans get the compensation they are entitled to. < I Can't Afford to Go to the Doctor. Stiffness and loss of range of motion can pop up due to consistent use of a certain muscle group or body part. Whenever a Veteran applies to receive disability benefits from the VA, their claim will either be approved, deferred, or denied. Maximizing VA Disability for Limited Range of Motion: The - YouTube The joint should allow the arm to move in multiple directions without any pain. If youre suffering from shoulder pain, its important to get seen by a doctor to determine the underlying cause of the pain and get a diagnosis. VA may request a Compensation and Pension (C&P) exam to examine the veterans shoulder or arm condition. The VASRD gives rating rules for conditions based on their symptoms, treatment options, and the resulting level of disability they cause. If your disability has dramatically impaired your range of motion, the VA should recognize that you need and deserve disability benefits to support yourself and your loved ones. Youll also receive a higher rating if the injury impacts the arm of your dominant hand. Normal Shoulder Range of Motion - Healthline The amount that the severity of an injury can vary sometimes makes it difficult for the VA to accurately assess and rate a disabled Veteran with a musculoskeletal condition. How will my torn tendon be rated? The shoulder's anatomy is complex, but all the different moving parts allow a wide range of motion in the joint. If you dont have trouble controlling your movement, but your bones didnt heal back together, youll get a rating of 10 percent. My conditions have worsened. Shoulder injuries in the military are a common source of VA disability compensation. The most trusted name in education-based resources for Veterans.