Va Disability Knee Range Of MotionPassive Range of Motion - Perform passive range of motion and provide the ROM values. For common joint conditions that are not rated under the arthritis criteria such as a knee strain or chondromalacia patella, a 10 percent evaluation can be assigned for the joint based on pain on motion under 38 CFR 4. The more the knee disability prevents the leg from straightening, the higher the rating will be. 30% – minimum rating, total replacement only. How Arthritis Disability Is Rated by the VA. Diagnostic Code 5259 If the cartilage is removed, and there is pain or other symptoms in the knee, the condition is rated as 10 percent disabling. References: for more information on pyramiding of evaluations, see 38 CFR 4. The major joint rule states that when a veteran has arthritis of the knees, VA will perform the normal range of motion tests and determine a rating based on Diagnostic Codes 5260. Para-plegia with loss of use of both lower extremities and loss of anal and bladder sphincter control qualifies for subpar. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veteran's level of disability. Crepitation either in the soft tissues such as. Updated on: September 15, 2020 ~v20_2 The Veteran is applying to the U. There are six different ratings, from 0% to 50%, listed as follows: Extension limited to 45 degrees: 50 Extension limited to 30 degrees: 40 Extension limited to 20 degrees: 30 Extension limited to 15 degrees: 20. Even if your range of motion is fine, and there appears to be no functional loss, the VA may still grant a rating in this category if you can provide evidence that the range of motion is affected by pain when the joint is used in a normal, repetitive way. VA Disability For Knee And Leg Conditions. 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. Ankylosis of the Knee – Diagnostic Code 5256. The range of motion disability rating for the knee goes from 15 degrees to 60 degrees. Generally, greater restrictions in the knee joint’s range of. Para-plegia with loss of use of both lower extremities and loss of anal and bladder sphincter control qualifies for subpar. VA generally rates back conditions/pain as follows: 100% – unfavorable ankylosis (i. VA Disability Benefits and Ratings for Ankle Instability">VA Disability Benefits and Ratings for Ankle Instability. Major joints include the shoulder, wrist, elbow, hip, knee, and ankle while minor joints include toes, fingers, spine, and sacroiliac. 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. Initial ROM measurements (continued) SECTION III - RANGE OF MOTION (ROM) AND FUNCTIONAL LIMITATION (continued) Same as active ROM. If the cartilage frequently dislocates, causing pain, swelling, and locking in the knee, it receives a 20 percent rating. Range of Motion (ROM) is measured from 0 degree's to max flexion usually about 140 degree, and pain is noted from the beginning of the pain until you cannot flex any further. This is the most common knee problem eligible for VA disability benefits, with ratings that typically range from 10% to 30%. Initial range of motion. 382 (2010), VA may only accept a medical examiner's conclusion that an opinion would be speculative if is not used to evaluate musculoskeletal conditions that do not involve range of motion findings. knee and lower leg conditions disability benefits questionnaire. The more instability present in the knee, the higher the rating. If the knee can only bend to 15°, then it is rated 30%. VA has strict rating criteria for knee conditions that involve a range of motion. The highest rating available for this condition is 30 percent, but the most common is 10 percent. Disability of the musculoskeletal system is primarily the inability, due to damage or infection in parts of the system, to perform the normal working movements of the body with normal excursion, strength, speed, coordination and endurance. The examiner noted pain that caused functional loss during the range of motion testing for both flexion and extension. Joints (Shoulder, Elbow, Wrist, Hip, Knee, and Ankle) Examination. Once your knee injury is service connected, VA will assign a disability rating ranging between 0 and 100 percent. Example: A rating under RVSRs are reminded to pay close attention to the combined evaluation of the knee disability prior to. Generally, greater restrictions in the knee joint's range of motion lead to a higher disability rating. If no limited range of motion exists in joints, veterans will. Thenormal range of motion for the knee is from 0 degrees for extension to 140 degrees for flexion. A July 2015 VA medical examination of the right knee reflects no joint ankylosis, no instability, and no subluxation/dislocation. Does the VA measure this differently than everyone else does? Or is your knee essentially not allowed to bend at all to get a rating?. VA ratings for knee pain range from 0% to 60%. Vetforus 2,965 154 1 10 Year Member Apr 27, 2011 #4 Be honest at the exam. The Knee and Lower Leg • Military Disability Made Easy • #1 in Veterans. 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. If there is too much wear and tear on the knee. Each joint in the human body has a certain optimal range of motion. This diagnostic code is used with the knee has too much motion from side to side, or dislocates regularly. The flare ups reduce the forward flexion of the spine to below 30 degrees. com/3-best-ways-to-get-a-va-rating-for-knee-pain/#How Do I Get A VA Rating For Knee Pain?" h="ID=SERP,5751. The VA rates Arthritis with Limitation of Range of Motion under the DC 5200 series, with VA ratings from 0 percent to 100 percent. Under DC 5258, a 20 percent rating is warranted for dislocated semilunar. Back Range of Motion for VA Benefits Explained. Initial range of motion Right Knee ———- [ ] All normal [X] Abnormal or outside of normal range [ ] Unable to test (please explain) [ ] Not indicated (please explain) Flexion (0 to 140): 0 to 60 degrees Extension (140 to 0): 60 to 0 degrees If abnormal, does the range of motion itself contribute to functional loss? [X] Yes (please explain) [ ] No. 50 percent: 20 to 45 degrees flexion. As soon as the pain starts let them know. Knee problems are commonly claimed for VA benefits. Knee and Lower Leg Disability Benefits Questionnaire Released January 2022. Normal range of motion of the knee is from 0 degrees of extension to 140 degrees of flexion. The VA looks at ranges of motion, in addition to other factors, to determine the disability rating a Veteran may receive: Extension limited by only 5°: 0% disability Extension limited by 15°: 20% disability Extension limited by 30°: 40% disability Extension limited by 45°: 50% disability. Range of motion (ROM) and functional limitation -------------------------------------------------- a. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veteran’s level of disability. A Vet Might Get VA Disability Benefits for Knee Pain from a Variety of Different Conditions. Ankylosis of the Knee (Diagnostic Code 5256). This means an in-service event, injury, or disease related to your military service caused you to develop Knee Pain. Depending on the degree of instability present in the knee, the VA assigns a disability rating of 0%, 10%, 20%, or 30%. Well, in this example, the Veteran. UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS. VA disability ratings for back pain go from 10% to 100% depending on how severe your symptoms are, including your range of motion and pain frequency and level. Hip range of motion: (Movement of femur as it rotates in the acetabulum. VA Disability Range of Motion Measurement for Ratings.">Trying to understand Knee ROM and Meniscus disability ratings. Painful motion in a joint is assigned a rating of 10 percent. VA Disability Claims (2023 Edition)">Top 10 Most Common VA Disability Claims (2023 Edition). For 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 …. Again, there are specific range of motion measurements that correspond with each percentage, and can be found here. #5: Secondary Service Connection for Arthritis rated secondary to other musculoskeletal disorders with a rating of 10 percent or 20 percent. Moreover, if there is pain (without limited motion), then the VA's painful motion principle kicks in. If you did not receive a VA hospital hip replacement, you. In this case, the Veteran would be rated at 40% when the flare-ups occur. Tendonitis, De Quervain's, and VA Benefits for other …. Example: A rating under RVSRs are reminded to pay close attention to the combined evaluation of the knee disability prior to. Initial ROM measurements (continued) LEFT KNEE. To be granted direct service connection for a knee problem, such as a torn meniscus, veterans must demonstrate the following: A current diagnosis of a knee problem (e. VA Conditions Secondary to Ankle Disabilities. Diagnostic Code 5257, Knee, other impairment of: Recurrent subluxation or lateral instability: Severe: 30% Moderate: 20% Slight: 10% Diagnostic Code 5258, Cartilage, semilunar, dislocated: With frequent episodes of “locking,” pain, and effusion into the joint: 20% Diagnostic Code 5259, Cartilage, semilunar, removal of, symptomatic: 10%. The VA rates knee conditions under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 5257, Knee Impairment. Instability of the knee can occur when damaged tendons and cartilage can no longer support the knee joint properly. VA Rating for Knee Pain: VA Knee Rating Chart and. Marked limitation of motion is demonstrated when there is less than five degrees dorsiflexion or less than 10 degrees plantar flexion. It is the intention to recognize actually painful, unstable, or malaligned joints, due to healed injury, as entitled to at least the minimum compensable rating for the joint. Musculoskeletal Conditions (U. Possible ratings are 10%, 20%, 30%, 40%, and 50%. Meniscus injuries are evaluated under DC 5258 and DC 5259. This means an in-service event, injury, or disease related to your military service caused you to develop Knee Pain. If your musculoskeletal condition inhibits your range of motion significantly, you are more likely to receive a higher disability rating from the VA. The normal combined range of motion of the cervical spine is 340 degrees and of the thoracolumbar spine is 240 degrees. Limitation of flexion refers to a range of motion as the veteran curls or moves the knee towards the body. VA disability rating for knee pain. The VA rating schedule for joint problems, including ankle instability, is based on the range of motion as well as other specific criteria that affect the joints and musculoskeletal system. The VA may require documentation that shows the range of motion of the ankle. For common joint conditions that are not rated under the arthritis criteria such as a knee strain or chondromalacia patella, a 10 percent evaluation can be assigned for the joint based on pain on motion under 38 CFR 4. What is the percentage of disability for knee pain from the VA? If you’re dealing with knee pain, you’ll likely be rated from 10% to 30% for your knee disability. The different percentages available are: 10%, 20%, and 30%. Instability of the Knee (Diagnostic Code 5257) If the knee dislocates regularly or has too much side-to-side motion, this is the code that the VA will use. Where there are additional disabilities rated 50% or 100%, or anatomical or loss of use of a third extremity see 38 CFR 3. Arthritis Disability Is Rated by the VA. Pain with motion must be clearly documented by the physician in order for this principle to apply. Ankylosis of the Knee (Diagnostic Code 5256). Does the VA measure this differently than everyone else does? Or is your knee essentially not allowed to bend at all to get a rating? This thread is archived. If your musculoskeletal condition inhibits your range of motion significantly, you are more likely to receive a higher disability rating from the VA. RIGHT KNEE 3A. The more pain or lack of mobility in the knee, the higher the rating. In fact, even if there is no limitation of motion or functional loss (a non-compensable rating), the VA can grant a rating if there is evidence that the range of motion is affected by pain when using the knee in normal repetitive use. The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. VA ratings for knee pain range from 0% to 60%. Now if the knee can move, but cannot either bend all the way or straighten all the way, then it can be rated TWICE—once under code 5261, and once under this code 5260. If yes, document the Veteran's description of functional loss or functional impairment in his or her own words. Generally, VA strictly rates this condition based on the range of motion that exists as the veteran moves their knee in that direction rather than any pain it causes. 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. VA disability for arthritis in the knee is generally determined through range of motion testing. The examination further reflects right knee flexion with active motion of 0 to 135 degrees. VA Disability Benefits and Ratings for Ankle Instability. The VA Rating Schedule for Meniscus and Similar Knee Issues. Therefore, the VA should increase the Veterans disability rating based on the impact flare ups could have on a Veterans day-to-day life. A veteran can receive separate ratings under DC 5258 and 5259 and DC 5260/5261 (limitation of motion) as long as there are symptoms related to the meniscectomy other than the limitation of motion. PDF Joints (Shoulder, Elbow, Wrist, Hip, Knee, and Ankle) Examination. 50% – moderately severe residuals of weakness, pain or limitation of motion. Claims involving both the cervical spine and the thoracolumbar spine are rated under the same general rating formula. Initial ROM measurements (continued) LEFT KNEE 3A. The VA does not rate a disability under limited range of motion and degenerative arthritis. A knee's normal flexion is between 135 and 140 degrees, while normal extension ranges from zero to -10 degrees. The more pain or lack of mobility in the knee, the higher the rating. Plantar Fasciitis is a VA disability that is linked secondary to Knee Pain and can be rated at 10%, 20%, or 30%, depending upon unilateral (one foot) versus bilateral (both feet) and the severity of your. Top 5 VA Secondary Conditions to Knee Pain (The Insider’s Guide).VETERANS CLAIMS">UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS.How Does the VA Rate Service Connected Arthritis? Like a Bad. 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. The normal range of motion for the knee is from 0 degrees for extension to 140 degrees for flexion. After repetitive motion, re-measure the range of motion of the affected joint/joints. #2: Secondary Service Connection for VA Disability Benefits for Knee Problems.Knee flexion measurement : r/VeteransBenefits. Select all factors that cause this functional loss: Pain, Weakness Able to describe in terms of range of motion: [X] Yes [ ] No Flexion (0 to 140): 0 to 140 degrees Extension (140 to 0): 140 to 120 degrees Left Knee Is the Veteran being examined immediately after repetitive use over time? [X] Yes [ ] No. can be ascribed to any documented loss of range of motion; and, unlike later questions, does not take into account the numerous other factors to be considered. To 45°, it is rated 10%, and anything 60° or more is rated 0%. 382 (2010), VA may only accept a medical examiner’s conclusion that an opinion would be speculative if is not used to evaluate musculoskeletal conditions that do not involve range of motion findings. Other VA Knee Conditions. important - €the department of veterans affairs (va)€ will not pay €or€ reimburse €any expenses or cost incurred in the process of completing and/or. Yes, Knee Pain is a VA disability, and it can be rated at 10%, 20%, or 30% depending on the severity of your symptoms. If the pain is not severe but limits their range of motion,. Degenerative arthritis will be rated at 10 or 20 percent based upon the number of joints/joint groups affected and the level of incapacitation. Disability ratings are determined explicitly from set measurement parameters. , moderate limitation of ankle motion will be present when there is less than 15 degrees dorsiflexion or less than 30 degrees plantar flexion. On the VA rating schedule, you will see the term “semilunar cartilage. Learn how range of motion can impact your VA disability claim and how to gather the right evidence to prove your case. While each condition that causes knee joint pain is assigned a rating based on its severity, your disability rating may be increased based on VA secondary conditions to knee pain. Joints (Shoulder, Elbow, Wrist, Hip, Knee, and Ankle) Examination">Joints (Shoulder, Elbow, Wrist, Hip, Knee, and Ankle) Examination. com, Range of Motion (ROM) is the measurement of the amount of movement around a specific joint or body part. VA disability ratings can range from 0% up to 100% total disability depending on the severity of one’s range of motion injury. This diagnostic code is used with the knee. VA Disability Ratings for Arthritis Conditions. Disability ratings are generally 10%, 20%, or 30%. The VA rates knee conditions under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 5257, Knee Impairment. 3 For example, your knee at full flexion should be at 140 degrees, and full extension should be at 0 degrees. The range of motion measurement typically encompasses the range of flexion (i. 5261 – Limitation of extension of the knee: The knee is not frozen, but cannot straighten all the way. important - €the department of veterans affairs (va)€ will not pay €or€ reimburse €any expenses or cost incurred in the process of completing and/or. What is the percentage of disability for knee pain from the VA? If you're dealing with knee pain, you'll likely be rated from 10% to 30% for your knee disability (although you could be rated up to 100%), depending on the condition of your knee. VA ratings for knee pain range from 0% to 60%. Show each measured range of motion separately rather than as a continuum. Example 1: Veteran has service-connected arthritis, with limitation to his range of motion at 45 degrees of flexion. How the VA rates knee conditions. can be ascribed to any documented loss of range of motion; and, unlike later questions, does not take into account the numerous other factors to be considered. Top 5 VA Secondary Conditions to Knee Pain (The Insider’s Guide)">Top 5 VA Secondary Conditions to Knee Pain (The Insider’s Guide). 71a, using several different diagnostic codes (DCs). 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. After repetitive motion, re-measure the range of. VA Disability Ratings for Knee Pain Disabilities. Knee problems are the most common disability claim for veterans, with limitations of flexing the knee getting ratings ranging from 10% to. , moderate limitation of ankle motion will be present when there is less than 15 degrees dorsiflexion or less than 30 degrees plantar flexion. If it can bend to 30°, it is rated 20%. Updated on: September 15, 2020 ~v20_2. In fact, range of motion is the primary factor the VA uses to rate back, knee, neck, and other injuries. Limitation of flexion refers to a range of motion as the veteran curls or moves the knee towards the body. Show each measured range of motion separately rather than as a continuum. Instability of the Knee: The VA rates instability of the knee under diagnostic code 5257. Thenormal range of motion for the knee is from 0 degrees for extension to 140 degrees for flexion. 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. To receive the maximum rating, a knee must be unstable enough to give out or dislocate frequently. Moreover, if there is pain (without limited motion), then the VA’s painful motion principle kicks in. Other impairments that your physical therapist may measure include strength, gait, flexibility, or balance. Diagnostic Code 5257, Knee, other impairment of: Recurrent subluxation or lateral instability: Severe: 30% Moderate: 20% Slight: 10% Diagnostic Code 5258, Cartilage, semilunar, dislocated: With frequent episodes of "locking," pain, and effusion into the joint: 20% Diagnostic Code 5259, Cartilage, semilunar, removal of, symptomatic: 10%. VA's major joint rule basically says that if a veteran has a diagnosis of arthritis of the knees, VA should apply the normal range of motion tests and determine if the veteran qualifies for a disability rating under Diagnostic Codes 5260 or 5261. Even if your knee pain has NO impact on the knees range of motion, you can get the minimum 10% VA disability rating for knee pain alone when accompanied with a diagnosis (pain alone is a disability, but it must relate to a functional impairment of earning capacity). Limitation of Extension and Range of Motion Limitation of extension for the knee is rated under diagnostic code 5261. There are 3 primary ways a veteran can get a VA disability rating for Knee Pain: #1: Direct Service Connection for Knee Pain with a rating of 10%, 20%, or 30%. The best way to ascertain normal motion is to examine the. , stiffness of a joint due to abnormal adhesion and rigidity of the bones of the joint) of the entire spine. A knee’s normal flexion is between 135 and 140 degrees, while normal extension ranges from zero to -10 degrees. There are 3 primary ways a veteran can get a VA disability rating for Knee Pain: #1: Direct Service Connection for Knee Painwith a rating of 10%, 20%, or 30%. 50% – moderately severe residuals of weakness, pain or limitation of motion. Leah Bucholz, a US Army Veteran, Physician Assistant, & former Compensation & Pension Examiner shares her knowledge related to Independent Medical Opinions often referred to as "Nexus Letters" in. Knee problems are commonly claimed for VA benefits. Under the painful motion rule, the minimum compensable rating of 10% must be assigned. The examiner also noted "limited range of motion of the left knee – extension is to 0 degrees, flexion passively is to 100 degrees without pain, active flexion is to 115 degrees with pain. Let’s take a closer look at this topic in detail below. For 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 …. Plantar Fasciitis is a VA disability that is linked secondary to Knee Pain and can be rated at 10%, 20%, or 30%, depending upon unilateral (one foot) versus bilateral (both feet) and the severity of your symptoms. With actual loss of use of the foot, rate at 40%. Pain, like functional loss, is measured by its impact on the range of motion. VA disability for arthritis in the knee is generally determined through range of motion testing. com, Range of Motion (ROM) is the measurement of the amount of movement around a specific joint or body part. How Does VA Rate Ankle Disabilities? VA rates ankle conditions as disabilities affecting the musculoskeletal system. ">VA Disability Rating for Hip Pain. 10% - forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees; or, forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or, combined range of motion of the thoracolumbar spine greater than 120 degrees but not greater than 235 degrees; or, combined range of motio. The VA does not rate a disability under limited range of motion and degenerative arthritis. VA evaluates knee conditions under 38 CFR § 4. VA Disability for Flare Ups and VA Musculoskeletal Ratings">VA Disability for Flare Ups and VA Musculoskeletal Ratings. Even if your range of motion is fine, and there appears to be no functional loss, the VA may still grant a rating in this category if you can provide evidence that the range of motion is affected by pain when the joint is used in a normal, repetitive way. VA Disability Rating for Hip Pain. The VA may recognize that the pain is impacting your ability to use that joint. This condition is rated between 0 and 50 percent based on the extension limitation. 3 For example, your knee at full flexion should be at 140 degrees, and full extension should be at 0 degrees. According to the VA 2015 Annual Benefits Report, limitation of knee flexion was the fourth most commonly-claimed disability during that fiscal year, with over 80,000 veterans receiving disability benefits for this condition. VA Rating for Knee Pain: VA Knee Rating Chart and VA …. For example, let’s say a Veteran was given a 20% disability rating for their back injury because they have a limited range of motion in the back (forward flexion of the spine is 30-60 degrees). Ratings based on knee range of motion are assigned in the following ways: Knee Ankylosis or Stiffness: 60 percent: 45 degrees or more in flexion. VA evaluates knee conditions under 38 CFR § 4. If there are additional diagnoses that pertain to knee conditions, list using above format: SECTION IX - SURGICAL PROCEDURES (continued) Other residuals, describe: Meniscectomy Arthroscopic ligament repair Other surgery not described (specify below): Type of surgery: Date of surgery: Date of surgery: Date of surgery: Other residuals, describe:. Here is a breakdown of the ratings for both the cervical spine and the thoracolumbar spine ranges of motion according to the VA. I can't pick anything up over 10 pounds 3. The VA's painful motion rule entitles a veteran to a 10% rating even if they don't meet the specific diagnostic criteria as long as there is proof that they are experiencing painful motion when the knee is moved. The normal combined range of motion of the cervical spine is 340 degrees and of the thoracolumbar spine is 240 degrees. This documentation may include medical records, notes from a medical practitioner, or physical evidence like x-ray images. VA assigns a 0, 10, 20, or 30 percent disability rating for this knee condition based on the amount of instability present in the knee. Basically, regardless of how much the service member can move his knee (or any joint), if it hurts when he moves it, then he will get at least the lowest compensable rating for the knee–for example, 10% (money) instead of 0% (no money). Check out our Knee and Lower Leg Conditions Ratings page for the exact codes and ratings. Have the veteran move the affected joint/joints through repetitive active range of motion, as tolerated (at least 3 repetitions). It is commonly measured during a physical therapy evaluation or during a course of treatment. VA evaluates knee conditions under 38 CFR § 4. For example, let’s say a Veteran was given a 20% disability rating for their back injury because they have a limited range of motion in the back (forward flexion of the spine is 30-60 degrees). How should the knee be rated for this Veteran (assuming degenerative arthritis, observable on x-ray)?. However, if you have a satisfactory range of motion but there is still pain, the VA will look to X-ray evidence for evidence of arthritis and assign a 10% or 20% disability rating. It is hard for me to stand up or walk for long periods of time. 5261 - Limitation of extension of the knee: The knee is not frozen, but cannot straighten all the way. Knee Range Of Motion (Knee ROM) should include assessment of knee flexion and extension, tibial internal and external rotation. My knee condition wasn't diagnosed until after I was discharged. However, the Veteran experiences mild instability and pain when he uses his knee repetitively. Flare-ups are more prominent in musculoskeletal claims and are an important piece of VA disability ratings. Joints (Shoulder, Elbow, Wrist, Hip, Knee, and …. The combined range of motion refers to the sum of the range of forward flexion, extension, left and right lateral flexion, and left and right rotation. Range of Motion Impacts Your VA Disability Claim. 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. If there are additional diagnoses that pertain to knee conditions, list using above format: SECTION IX - SURGICAL PROCEDURES (continued) Other residuals, describe: Meniscectomy Arthroscopic ligament repair Other surgery not described (specify below): Type of surgery: Date of surgery: Date of surgery: Date of surgery: Other residuals, describe:. Semilunar Cartilage is, basically, another word for “meniscus. A July 2015 VA medical examination of the right knee reflects no joint ankylosis, no instability, and no subluxation/dislocation. If the cartilage frequently dislocates, causing pain, swelling, and locking in the knee, it receives a 20 percent rating. Example 2: Veteran has service-connected arthritis of the knee, with no limitation to his range of motion, but severe instability and the pain of the arthritis impedes the Veteran’s functional use at 45 degrees of flexion. VA will consider the information you provide on this questionnaire as part of their does the range of motion itself. The most common rating VA assigns for limitation of flexion of the knee is 10 percent, although the highest rating a veteran can receive is 30 percent. The VA may require documentation that shows the range of motion of the ankle. VA Ratings for Limitation of Flexion of the Knee range from 0 percent to 30 percent with interim breaks at 10 percent and 20 percent. The range of motion disability rating for the knee goes from 15 degrees to 60 degrees. The VA does not rate a disability under limited range of motion and degenerative arthritis. In total, nearly 658,000 veterans receive service-connected compensation for limited knee flexion. Top 10 Most Common VA Disability Claims (2023 Edition). If your musculoskeletal condition inhibits your range of motion significantly, you are more likely to receive a higher disability rating from the VA. The examiner also noted "limited range of motion of the left knee – extension is to 0 degrees, flexionpassively is to 100 degrees without pain, active flexion is to 115 degrees with pain. The normal combined range of motion of the cervical spine is 340 degrees and of the thoracolumbar spine is 240 degrees. Example 1: Veteran has service-connected arthritis, with limitation to his range of motion at 45 degrees of flexion. Normal extension is between 0 and -10 degrees. The normal combined range of. Even if your knee pain has NO impact on the knees range of motion, you can get the minimum 10% VA disability rating for knee pain alone when accompanied with a diagnosis (pain alone is a disability, but it must. This means that ratings are given under 38 CFR § 4. Flare-ups are more prominent in musculoskeletal claims and are an important piece of VA disability ratings. Department of Veterans Affairs (VA) for disability benefits. Regarding the Veteran's right knee, initial range of motion measurements showed flexion ending at 80 degrees and extension ending at 30 degrees. This diagnostic code is used with the knee has too much motion from side to side, or dislocates regularly. 2 Range of Motion VA C&P Exam for Knees. If no limited range of motion exists in joints, veterans will be rated for degenerative arthritis if X-ray evidence exists to support the diagnosis. According to the VA 2015 Annual Benefits Report, limitation of knee flexion was the fourth most commonly-claimed disability during that fiscal year, with over 80,000 veterans receiving disability benefits for this condition. Generally, greater restrictions in the knee joint’s range of motion lead to a higher disability rating. If there is no diagnosis, if the diagnosis is different from a. Note: These are the diagnoses determined during this current evaluation of the claimed condition(s) listed above. Do any of the above factors cause any additional loss of. Many of the VA ratings for knees involve a measurement of flexion (how much the knee can bend) and extension (how much the knee can straighten). Ratings based on knee range of motion are. If there is too much wear and tear on the knee and it requires surgery, a veteran may be granted a temporary 100% rating following surgery. The more the knee disability prevents the leg from straightening, the higher the rating will be. Limitation of Flexion of the Ankle, or Ankylosis—Diagnostic Code 5270. The examiner also noted "limited range of motion of the left knee – extension is to 0 degrees, flexionpassively is to 100 degrees without pain, active flexion is to 115 degrees with pain. VA requires that limitation of motion be confirmed by observations such as swelling, muscle spasms, or evidence of painful motion. The examination further noted the Veteran's right knee leg extension with active motion from 135 to 0 degrees. Under the painful motion rule, the minimum compensable rating of 10% must be assigned. However, if you have a satisfactory range of motion but there is still pain, the VA will look to X-ray evidence for evidence of arthritis and assign a 10% or 20% disability. Knee Range Of Motion (Knee ROM) should include assessment of knee flexion and extension, tibial internal and external rotation. To get a 30 percent rating, the knee must be so unstable that it gives out or dislocates on a regular basis. Knee and Lower Leg Disability Benefits Questionnaire Released January 2022. The VA Rating Schedule for Meniscus and Similar Knee Issues. Regardless of what caused your condition, if your knee or leg injury is related in any way to your military service, you may be eligible for VA disability compensation for your. The examiner also noted "limited range of motion of the left knee – extension is to 0 degrees, flexion passively is to 100 degrees without pain, active flexion is to 115 degrees with pain. If a veteran requires knee resurfacing or knee replacement surgery (diagnostic code 5055), the VA pays at the 100% rate for 4 months following the surgery. The combined range of motion refers to the sum of the range of forward flexion, extension, left and right lateral flexion, and left and right rotation. Normal flexion is usually between 135 and 140 degrees. A VA disability rating for knee tendonitis or joint pain may also be based on your range of motion during your VA disability knee exam. Similar to flexion, VA has a specific range of motion measurements for each disability percentage. In many cases, ankle instability itself would receive a rating of between 0 and 20% on the rating schedule. VA requires that limitation of motion be confirmed by observations such as swelling, muscle spasms, or evidence of painful motion. Subsequent questions take into account additional factors such as pain, fatigue, weakness, lack of endurance, or incoordination. The veteran's service-connected right knee. VA Rating for Knee Pain and Secondary Conditions.Range of Motion VA For C&P Exams. Normal knee motion has been described as 0 degrees of extension to 140 degrees of flexion, although hyperextension is frequently present to varying degrees. knee muscles actively contracting without any external help Passive. The flare ups reduce the forward flexion of the spine to below 30 degrees. Each joint in the human body has a certain optimal range of motion. The VA rates knee conditions under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 5257, Knee Impairment. Overall, VA knee ratings depend on various factors, such as: The type of knee injury; The severity of the diagnosed knee condition. Joints (Shoulder, Elbow, Wrist, Hip, Knee, and Ankle) …. VA requires that limitation of motion be confirmed by observations such as swelling, muscle spasms, or evidence of painful motion. The VA disability rating for hip replacement patients begins with a total hip replacement disability rating for one year following the hip replacement surgery. How the VA measures range of motion in joints straight from their manual. The normal ranges of motion for each component of spinal motion provided in this note are the maximum that can be used for calculation of the combined range of motion. Passive Range of Motion - Perform passive range of motion and provide the ROM values. , torn meniscus); A medical nexus linking the current, diagnosed knee problem. Sometimes, a disability rating depends on the. In fact, even if there is no limitation of motion or functional loss (a non-compensable rating), the VA can grant a rating if there is evidence that the range of motion is affected by pain when using the knee in normal repetitive use. Some of the conditions for which you can receive VA disability benefits include: Limitation of Flexion of the Knee (Diagnostic Code 5260) Range of motion pertains to knee movements towards the body. How the VA measures range of motion in joints straight from their manual. VA disability ratings range from 0 to 100 percent based on the VA’s Schedule for Rating Disabilities (VASRD), a rather complicated document that we would be happy to help you interpret. Knee Range of Motion test.How to Get a VA Rating for Veteran Orthopedic Conditions.Increased VA Disability Ratings for Joint Pain and Arthritis. Plantar Fasciitis is a VA disability that is linked secondary to Knee Pain and can be rated at 10%, 20%, or 30%, depending upon unilateral (one foot) versus bilateral (both feet) and the severity of your symptoms.