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. All rights reserved. The reasonable doubt rule, also known as the Benefit of the Doubt Doctrine, means that the evidence provided by the veteran must only persuade the decision maker that each factual matter is at least as likely as not.. Show details How it works Open the range of motion chart and follow the instructions Easily sign the shoulder range of motion with your finger Send filled & signed knee range of motion chart or save There are several separate parameters requested for describing function of a joint. Range of Motion - Shoulder Range of motion Normal ROM and Goniometry Technique Flexion Normal ROM: 180 degrees Patient Position: Seated Axis: At or just below tip of acromion Fixed Arm :Aligned with midline of body Movable Arm: Along shaft of humerus Special Instructions: Patient must keep arm straight Extension Normal ROM: 45-60 degrees Muscle stiffness often goes away on its own. His eBook, the9 Secrets Strategies for Winning Your VA Disability Claimhas been downloaded more than 300,000 times in the past three years and is the #1 rated free VA disability claims guide for veterans. The VA rates knee conditions under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 5257, Knee Impairment. Expand Table The Shoulder and Arm Expand Table The Elbow and Forearm Expand Table The Wrist Expand Table Evaluation of Ankylosis or Limitation of Motion of Single or Multiple Digits of the Hand Expand Table The Spine Expand Table The Hip and Thigh Shoulder (Abduction - Adduction) 12. Feel pain across your back? Vike 17 Epeen 272 3 Jan 03, 2014 #7 What's funny.. During the c & p exam. This same information (minus the three repetitions) is asked to be provided with regards to flare-ups. 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. Measuring ROM. endstream endobj 354 0 obj <>/Metadata 25 0 R/PieceInfo<>>>/Pages 24 0 R/PageLayout/OneColumn/StructTreeRoot 27 0 R/Type/Catalog/Lang(EN-US)/LastModified(D:20100525154543)/PageLabels 22 0 R>> endobj 355 0 obj <>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 356 0 obj <> endobj 357 0 obj <> endobj 358 0 obj <> endobj 359 0 obj <> endobj 360 0 obj <> endobj 361 0 obj <> endobj 362 0 obj <>stream 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. 0000003377 00000 n Ankylosis of the Knee means you cant bend it past certain degrees, as measured by a Goniometer. Describe the history (including onset and course) of the Veterans knee and/or lower leg condition (brief summary). Under each category is a list of diagnostic codes representing common disabilities of that body part. The Schedule of Ratings for the musculoskeletal system is found at, , and it contains numerous subcategories. If your claim has been approved, you will be given a specific disability rating between ten and 100 percent. 38 cfr 4 va schedule of ratings title 38 part 4 code of. The Schedule of Ratings expresses range of motion in degrees, making it easy for disabilities to be rated and categorized. c. VASRD DC 5201. 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. One of the most important aspects of qualifying for disability benefits from the VA is establishing a connection between your disability and your military service. Function: Upward rotation of scapula; elevation of the arm above shoulder level. VA Disability Rating for Back Pain | The Tuley Law Office Range of Motion - Shoulder When, after careful consideration of all evidence, a reasonable doubt arises regarding service origin, the degree of disability, or any other point, such doubt will be resolved in favor of the veteran. Claims involving both the cervical spine and the thoracolumbar spine are rated under the same general rating formula. 5301 Group I. VA Disability for Shoulder and Arm Injuries - Woods And Woods, LLC They do not store directly personal information, but are based on uniquely identifying your browser and internet device. representing common disabilities of that body part. (2013). The Shoulder and Upper Arm Military Disability Made Easy This means an in-service event, injury, or disease related to your military service caused you to develop Knee Pain. Thanks. After the exam, the examiner will use the findings to issue an opinion, which will either be favorable or unfavorable. 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? Contacting us does not create an attorney-client relationship. It is my non-dominant shoulder. Return to Top Accurate Measurements ( 4.46): Measurements are essential to proper ratings. VA Knee Disability Rating: Is Knee Pain a VA Disability? Does procured evidence (statements from the Veteran) suggest pain, fatigability, weakness, lack of endurance, or incoordination which significantly limits functional ability with flare-ups? Circumference of atrophied side: _____ cm. How to Get a 100 Percent VA Rating (if deserved)! VA Disability for Knee Painranges from 10 percent to 30 percent with an interim break at 20 percent. Limitation of Flexion of the Knee or Knee Pain is the #3 most common VA claim. 3 Best Ways to Get a VA Rating for Knee Pain (The Insider's Guide) 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. The rotator cuff is a network of four tendons that connect the humerus to the scapula. SECTION III RANGE OF MOTION (ROM) AND FUNCTIONAL LIMITATION. Range of Motion (ROM) test: Perform active and/or passive range of motion and provide the ROM values. 0000005655 00000 n Furthermore, as to case summaries, reports of past results, individual lawyer biographies, news posts and other information pertaining to past and present cases, these descriptions are meant only to provide information to the public about the activities and experience of our law firm. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Lawyers 6940 O St, Suite 400 Lincoln, NE 68510. During the appeals process, you can present medical records, testimonials from fellow soldiers, and any other evidence that may play a role in changing the outcome of your claim. This can be difficult because the symptoms limiting functional loss are not usually related to range of motion. 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. For instance, which pages you go to most. Range-of-motion exercises stretch stiff joints. Physical therapy and knee braces also can help relieve pain. This is medial rotation also referred to as internal rotation and the normal range of motion for a healthy shoulder is 70 to 90 degrees. Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. PDF Department of Veterans Affairs 4 - GovInfo You must log in or register to reply here. Does the Veteran have muscle atrophy? If the amputation involves the complete removal of the humerus only, it is rated at 90 percent. Range of Motion. Select factors that cause this functional loss. Thousands of other Veterans in our Community are here for you. The VA uses the rules of the VASRD to rate shoulder conditions based on how they affect the ability to use the shoulder and arm. The Schedule also provides charts to help assist with understanding what these degrees mean. To determine the extent to which your musculoskeletal disability affects your range of motion, youll need to visit a doctor and get your condition evaluated. If there are occasional periods of weakness, pain, or limited motion then the condition should be rated analogously either under Diagnostic Code 5002 (i.e., rheumatoid arthritis) or 5203 (i.e., impairment of the clavicle or scapula), whichever most closely describes the veterans symptoms. It will be rated the minimum 10% unless there is limited motion that qualifies for a higher rating. They may be used by those companies to build a profile of your interests and show you relevant advertisements on other websites. Significant injuries from training or combat are a common source of chronic disability for veterans. 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. Do You Have Long-Term Disability Insurance Coverage? To honor the Pyramiding Principle, only a single rating can be given for conditions of the Shoulder and Upper Arm with a few exceptions. Intrinsic muscles of shoulder girdle: (1) Pectoralis major I (clavicular); (2) deltoid, 5304 Group IV. If testing cannot be performed or is medically contraindicated (such as it may cause the Veteran severe pain or the risk of further injury), an explanation must be given below. This field is for validation purposes and should be left unchanged. xb```b``a`a`` @1" P. At Veterans Disability Info, we can address any questions you may have about the claims or appeals procedure linked to your service-connected shoulder rating claims. Minor joints include the joints in fingers and toes, and the vertebrae in the spine. If yes, indicate the severity of ankylosis. Vairo GL, et al. OA is the most common type of arthritis, the inflammation of joints. <]>> In addition to testing for initial range of motion, your VA physician should also check your repetitive motion to see if there is a higher degree of functional loss afterward. Thus, its possible for to get various conditions service connected Secondary to Knee Pain. 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. If yes, what was the Extension degree endpoint (if different than above)? 12 Stretches to Help Relieve Tight Shoulders, Everything You Need to Know About Muscle Stiffness, What You Should Know About Primary Lateral Sclerosis. The VA knee rating chart is broken out into two separate categories based on Pain or Unfavorable Ankylosis.. Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. (2015). Is Age a Factor in VA Claims? figures below, showing the maximum possible range of motion or by notating the chart in degrees. Veterans who are granted TDIU are paid at the one hundred percent rate, which is the highest form of compensation VA awards. PDF Range of Joint Motion Evaluation Chart - Washington (Check all that apply). Extension is a movement that increases the angle between the two parts that the joint is connecting. Is the examination being conducted during a flare-up? 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. Provide a complete description of all affected joints in your narrative summary. How to File a Claim on VA.gov (step-by-step)! With extensive experience working with VA disability claims, Berry Law can help you with your disability appeals. VA Range of Motion Rating: A Guide to Disability Claims - Berry Law startxref In more serious cases, however, your knee may require surgery. Since 2016, VA Claims Insider has helped thousands of Veterans just like you get the VA rating and compensation they deserve in less time. 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. #2: Secondary Service Connection for Knee Pain with a rating of 10%, 20%, or 30%. According to Title 38, for a minor shoulder that can raise between 25 and 90 degrees is 20% disability. This is a relatively common condition that can be caused by the tasks required of military members, including physical training, transporting supplies, or lifting heavy objects on a regular basis. Please cite and discuss evidence. If ROM is outside of normal range but is normal for the Veteran (for reason other than a knee/lower leg condition, such as age, body habitus, neurologic disease), please describe. Range of motion refers to the directions and limits of movement in each joint of the body. 4C. Active: This type is used when patients can exercise without assistance; patients must move their limbs themselves. Alternatively, they might suffer from more stiffness and loss of range of motion throughout the day. Veterans should be sure to attend a Compensation and Pension exam once it has been scheduled, as failure to attend can stand as the basis for a denial of the veterans claim. Range of motion (ROM) assessment is usually performed directly after postural assessment. Lifting the arm to shoulder level is lifting it to 90 degrees. Read about causes, seeing a doctor. To find out more, view our Privacy Policy. Check out our Shoulder and Upper Arm Condition Ratings page for the exact codes and ratings. Clinical descriptive measures of shoulder range of motion for a healthy, young and physically active cohort. The information you obtain on this website is not, nor is it intended to be, legal advice. The examiner may ask questions about the condition or time in service, as well as physically examine the veteran. This motion is typically governed by contraction of the anterior fibers of the deltoid muscle and weakness is often a key indicator for several different pathologies. Right lower extremity (specify location of measurement such as 10cm above or below the knee): Circumference of more normal side: _____ cm.