Acute, Subacute, or Chronic Diseases Prosthetic Implants and Resurfacing 1 Also entitled to special monthly compensation. Yes, but you should talk to a VA Disability law attorney first. Questions for those familiar with spinal issues and ratings VA Disability Benefits for Sciatica and Similar Nerve Conditions When you visit web sites, they may store or retrieve data in your web browser. To establish service connection, veterans must generally do the following: Evidence to support your VA disability claim may include military personnel and medical records, lay testimony, and medical opinions. The same veteran with a 100% disability rating would receive $3,106.04. At these exams, you can expect your doctor to ask you questions about your background and medical history, evaluate your symptoms and range of motion. As you can see, ROM measurements play a significant role in rating spinal conditions. Department of Veterans Affairs Regional Office in New York, New York. Causes can include herniated or bulging spinal discs. Stenosis can occur in the cervical or c-spine (neck) and lumbar (lower back) areas of the spine. So if a Veteran has traumatic arthritis in his spine, the final diagnostic code would appear as 5010-5003. for L3 -L4 L4-L5 L5- S1 in the past they are rating as post operative residuals of . SSA will consider disability claims for degenerative disc disease that are supported by medical evidence such as: Physical examination for type and location of pain, range of motion, nerve function, sensation, and muscle strength, with a full review of the entirety of symptoms Diagnostic imaging tests (such as MRI, CT scans, and x-rays) These cookies do not store any personal information. This is known as secondary service connection. Spinal Stenosis Disability Claim Attorney | Filing for Disability These cookies dont collect information that identifies you. For example, if your spinal stenosis is caused by a bulging disc, herniated disc, or other degenerative disc condition, you may get a better rating for intervertebral disc syndrome (IVDS). When the spinal canal is obstructed due to spinal stenosis, abnormal narrowing occurs. You may also qualify for a 100% rating if your back injury renders you unemployable. Extraschedular VA Disability Ratings Stenosis is most common in the cervical area (the neck) and the lower back (lumbar) area, with lumbar stenosis being the most common form of this condition. Numbness or tingling in a hand, arm, foot, or leg, Pain or cramping in one or both legs when you stand for long periods of time or when you walk, which usually eases when you bend forward or sit. While we still have our home base in Florida, Did you receive a VA disability compensation rating of 40%? Theres no presumptive benefit the burden is on the veteran to demonstrate a service connection to the stenosis. It results in chronic pain, numbness, and weakness in your body. Fill out the short form below to contact us. Provide a current diagnosis of spinal stenosis, Present evidence of an in-service event, injury, or illness, Obtain a medical opinion linking the in-service occurrence to their diagnosed spinal stenosis. Experienced Social Security Disability Lawyer. What Happens If You Don't Treat Spinal Stenosis? Although this type of arthritis is most common in the small joints of the hands and feet, it can occur in any joint. If the spine is frozen in a favorable position, the disability rating may be capped at 40%. The latter two will show whether soft tissue may be impinging or invading the spinal cord area. All information these cookies collect is aggregated and therefore anonymous. As evidenced by the rating schedules below, the only back condition eligible for a 100 percent schedular rating is unfavorable ankylosis (immobility) of the entire spine. Washington, D.C.: 1776 I Street, NW, 9th Floor, Washington, D.C 20006 If these records do not exist, it may also be possible to support a claim with post-service medical records that show a significant worsening. The rating assigned under the rating criteria for degenerative arthritis depends on how many joint groups are affected and whether there is painful motion. Errors are frequently made when rating conditions. The diagnostic code for rheumatoid arthritis is 5002. VA Disability Rating for Degenerative Disc Disease Explained (The For example, if your disability requires frequent hospitalization or substantially interferes with your ability to earn a living, you may request a special disability rating from the VA. Our VA Disability Lawyers talk about SMC (Special Monthly Compensation). That is, they get it wrong more than half the time. In order to ensure that youre getting the most out of your disability claim, you need to understand how the VA rates your condition. Some examples of cervical conditions that are rated under this code include the following: Diagnostic Code 5237 Cervical Strain A torn tendon or muscle in the neck. This test results in six measurements taken while moving the neck for the cervical spine and six measurements taken while moving the back for the lumbar spine. You must have a positive imaging test (MRI, . If you believe you may have been wrongly denied benefits, you may benefit from the services of a VA disability lawyer. To continue receiving VA disability benefits, you should be compliant with these exams. If radiculopathy is caused by a low back condition, the individuals will feel the symptoms in the lower extremities (thigh, calf, foot). It may result in a higher rating, and therefore a greater monthly disability compensation amount. SPINAL CORD STIMULATION - Veterans Benefits Network If your case of spinal stenosis does not result in limits on your ROM, you may receive a low VA disability rating even though your condition interferes with your quality of life and earning capacity. The spinal cord can be squeezed causing pain and numbness in the back or weakness in one or both legs. If spinal stenosis is suspected, your doctor may order X-rays, magnetic resonance imaging (MRI), and/or CT or CT myelogram. If the arthritis does not cause any episodes of incapacitation, but 2 or more joint groups are involved, then a 10% rating will be assigned. To provide even more value to our veterans, this page is only available with an All-Access Membership. Pain, numbness, tingling, muscle weakness, and loss of motor control are some of the symptoms of the condition. Another way to connect your disability to your service is to show that you had been diagnosed with spinal stenosis prior to your service, and the condition worsened during your service. Brooklyn, NY: 300 Cadman Plaza West, One Pierrepont Plaza, 12th Floor, Brooklyn, NY, 11201 Their testimony can mean the difference between an approval or a denial of your case. The total ROM measurement is merely the sum of the individual ROM measurements for each of the spine segments. The technical storage or access that is used exclusively for statistical purposes. Favorable position means your spine is locked but more or less vertical, so you can still sit at a desk chair, for example. A post-service diagnosis of spinal stenosis can sometimes be used to show that the condition was misdiagnosed during your time in the service. As of December 1st, 2022 the VA disability rate benefit amounts are as follows: 0 percent disability rating: $0.00 per month. The following percentages are available under the rating criteria for rheumatoid arthritis: Its possible for rheumatoid arthritis to be rated under diagnostic code 5003 like degenerative and traumatic arthritis. you have shown that there is was an incident in service and that you have a current disability, When the VA awards service-connection for a condition/disease, it has to determine how much to award for the condition/disease. They will have you move, twist, or turn as far as you can without reaching your limit or experiencing significant pain and note the degrees of movement you can manage. Spinal stenosis - Symptoms and causes - Mayo Clinic Specifically, VA rates spinal stenosis according to its General Rating Formula for Diseases and Injuries of the Spine, outlined below: 100% - unfavorable ankylosis of the entire spine 10 percent disability rating: $165.92 per month. 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. This makes sense because a spine frozen in an unfavorable position would place the greatest stress on the body and have the greatest impact on the veterans ability to work. Cookies help us deliver the best experience on our website. If your service-related stenosis causes a secondary condition, that condition would be rated separately by the VA. Copy this embed code to share the infographic on your own site. Find Out How To Qualify for Disability with Degenerative Disc Disease Call (855) 873-2604 For a Free Evaluation of Your Spinal Stenosis Disability Case. Pittsburgh, PA: 201 Penn Center Boulevard, Suite 400, Pittsburgh, PA, 15235 Other causes of spinal stenosis may include: Arguably the most important part of the VA disability claims process is establishing service connection. One common cause of foraminal stenosis and radiculopathy is a bulging or herniated disc. Under the IVDS schedule, a VA disability rating can be obtained based on the number and frequency of incapacitated episodes in which bed rest is ordered by a physician. Use our VA disability calculator to estimate your combined VA rating and monthly payment. Under the VAs rules, you can challenge a VA disability rating by asserting that the VA misapplied its schedule. Rheumatoid arthritis of the spine leads to neck pain, back pain, and sometimes, 60% if there are severe incapacitating episodes that occur 4 or more times per year, 40% if there are incapacitating episodes that occur 3 or more times per year if there is a definite (but not necessarily significant) decrease in health, 20% if there are less than 3 incapacitating episodes per year. Appellant. If your MRIs dont show a significant stenosis, but you are experiencing severe back pain that still inhibits your ability to work, and you have. This information is made available for educational purposes only and to provide general information and a general understanding of the law. Learn How Veterans Can Get VA Benefits for Back Pain These mistakes cost veterans at least $5.9 million in payments over the period studied. This can lead to a misdiagnosis of spinal stenosis. In severe cases, doctors may recommend surgery to relieve the symptoms associated with spinal stenosis. Some joints are referred to as major joints, while others are referred to as minor joints. When rheumatoid arthritis affects the spine, it typically occurs in the cervical spine (the neck) rather than the thoracolumbar spine (the low back). . If you are concerned that your VA disability percentage for spinal stenosis fails to account for the extent of your disability, you may wish to speak to a VA benefits lawyer. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. Its possible for rheumatoid arthritis to be rated under diagnostic code 5003 like degenerative and traumatic arthritis. If you believe you may have been wrongly denied benefits, you may benefit from the services of a VA disability lawyer. When symptoms are present, they usually start gradually and worsen over time. This means that the effects of spinal stenosis are not limited to the back. Disclaimer: This information is not legal advice. A TDIU is an award of increased compensation. If spinal stenosis causes involuntary muscle reactions like these, a doctor can note them in your records and the VA can use them to arrive at a VA disability rating. Spinal stenosis can cause symptoms throughout the body. The VA assigns rating percentages based on the frequency of incapacitating episodes. Feel free to call us at (866) 232-5777 anytime. If your spine is frozen due to spinal stenosis, meaning that you have no Range Of Motion, you may qualify for a relatively high VA disability rating. Spondylolisthesis and Spondylolysis - Entitlement Eligibility This data may be used to help optimize our websites and make them easier for you to navigate. By continuing to use our website, you agree to these updates. VA Disability for Spinal Stenosis | PTSD Lawyers - Berry Law Lumbar Stenosis Symptoms Numbness or tingling in your arm or leg, weakness in your arm or leg, pain or cramping in your legs when you walk, and back pain. However, it can also be caused by herniated discs, thickened ligaments in your spine, tumors, and spinal injuries. Reduce VA's Disability Benefits to Veterans Who Are Older Than the Full We use your disability rating to determine how much disability compensation you'll receive each month, as well as your eligibility for other VA benefits. You cannot do your prior occupation, and; You are unable to keep and maintain a job in the greater national economy due to your service-connected disability. Cleveland, OH: 600 Superior Ave. East, Fifth Third Building, Suite 1300, Cleveland, OH, 44114 One of the most common conditions secondary to spinal conditions is radiculopathy. With regard to the medical opinion, doctors must state that your condition is at least as likely as not due to your time in service. VA rates spinal stenosis according to 38 CFR 4.71a - Schedule of Ratings, Musculoskeletal System, Diagnostic Code 5238. 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, Have a current medical diagnosis for the disability, Have an in-service event or experience that led to the disability, Get a medical nexus connecting the in-service event to the current medical diagnosis. Call 800-544-9144 today for a free case evaluation or contact us here. Often, spinal stenosis is caused by the formation of bone spurs that grow into your spinal canal. Disability benefits are paid for service-connected disabilities. Veterans looking to receive VA disability for spinal stenosis often develop the disability due to an injury to the spine. You should see a doctor if you are experiencing severe back pain, weakness, numbness or loss of control of an extremity, foot drop, bowel and/or bladder problems, or numbness in your saddle area. Spinal stenosis Mental health disorders, such as depression and anxiety And more. The cervical spine (neck) and the thoracolumbar spine (low back) are rated according to the following criteria: Flexion 45 degrees, OR combined ROM 340 degrees, Flexion 90 degrees, OR combined ROM 240 degrees, Flexion between 30 and 45 degrees, OR combined ROM between 175 and 340 degrees, Flexion between 60 and 90 degrees, OR combined ROM between 125 and 240 degrees, Flexion between 15 and 35 degrees, OR combined ROM 170 degrees, Flexion between 30 and 65 degrees, OR combined ROM 120 degrees, Flexion 15 degrees, OR entire cervical spine is frozen in a favorable position, Entire cervical spine is frozen in an unfavorable position, Flexion 30 degrees, OR entire thoracolumbar spine is frozen in a favorable position, Entire thoracolumbar spine is frozen in an unfavorable position, Entire spine is frozen in an unfavorable position. We advocate for the disabled. Because the vertebrae are closer together, they tend to compress the nerves that lie inside the spine, especially the spinal cord. Claims involving both the cervical spine and the thoracolumbar spine are rated under the same general rating formula. At Hill & Ponton, we have helped thousands of veterans successfully resolve their disability claims with the VA. For a free, confidential, no-obligation evaluation of your case, total disability individual unemployability, Extraschedular Ratings for VA Disability Claims, VA Disability Ratings for Spinal Stenosis, Total Disability Based On Individual Unemployability, Why you may need a veterans disability attorney. Because the rating formula is almost entirely based on ROM measurements, its important to make sure that a doctor performs ROM testing as accurately as possible. This disruption can cause strange sensations and loss of muscle control in the affected areas. When spinal stenosis manifests in the form of back pain and a frozen spine, obtaining a fair VA disability rating for spinal stenosis is primarily a matter of obtaining accurate ROM measurements of the cervical spine and lumbar spine. document.getElementById('copyright').appendChild(document.createTextNode(new Date().getFullYear())) PTSD Lawyers | Berry Law Firm. Because there are technically, As mentioned above, many different joints are rated under the rating criteria for degenerative arthritis. Examples of a few disability ratings for spinal stenosis are: 20%: A 20% disability rating for spinal stenosis means you have more than 30 degrees forward flexion of the thoracolumbar spine, but not greater than 60 . THE ISSUE. Getting Veterans (VA) Disability for Spinal Injuries, Radiculopathy VA Disability Ratings and Benefits, VA Disability Ratings for Neck Pain Explained. In all other cases, the ROM measurements of the lumbar spine are rated separately from the ROM measurements of the cervical spine. The rating will largely depend on whether you have lost range of motion as a result of stenosis. For example, if you receive a VA disability rating based on a general spinal injury but could have received a higher VA disability rating for IVDS, you can submit additional evidence showing that your spinal stenosis is caused by a bulging, herniated, or degenerated disc and request a re-calculation. VA physicians will measure your range of motion in six places, using a goniometer. However, the VA still rates degenerative arthritis of the spine under the criteria listed for diagnostic code 5003. If a doctor doesnt use a goniometer to measure your ROM, the VA will not consider the results. Disability Benefits For Spinal Stenosis - Gillette Law Group Your doctors will also discuss ongoing treatment and support needs, physical and occupational therapy, and try to identify and treat any worsening symptoms or functions. Please complete this form to send us your message. Some of the conditions included in this category are degenerative arthritis, traumatic arthritis, and rheumatoid arthritis. Contacting us does not create an attorney-client relationship. This communication with the firm or any member of the firm does not establish an attorney-client relationship. Hill & Ponton P.A. Were You Denied VA Disability Benefits for Spinal Stenosis? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); My name is [K.S]. Evidence of diagnosis of your spinal stenosis while you were in the military; Information about an occurrence or an incident that occurred while you were serving led to the injury or aggravation of this injury; Medical nexus a medical description that connects the diagnosed stenosis with the particular occurrence that is said to lead to it. Radiculopathy is caused by compressed nerves in the spine and results in pain, numbness, tingling, or weakness along the nerve. Phone: (757) 220-4529. Do you have a low back (lumbar) injury related to your military service? In severe cases, or where the use of conservative treatment options just isnt effective for you, you and your doctors may consider surgery. Vertebral fractures and dislocations (diagnostic code 5235). Under the VA regulations, you may request an extra-schedular rating for your disability. 14K 1,344 9. Later you develop a spinal stenosis in your neck (cervical) area. Our monthly newsletter features about important and up-to-date veterans' law news, keeping you informed about the changes that matter. The disabilities we propose to add are: spinal stenosis (a narrowing of the central spinal canal that causes pressure on the spinal cord and/or nerve roots, most commonly due to degenerative arthritis or degenerative disc disease) (diagnostic code 5238), spondylolisthesis or segmental instability (slipping of all or part of one vertebra forward . It may also cause bladder and bowel issues. The VA not only makes, Both degenerative arthritis and traumatic arthritis, regardless of the joint affected, are rated under diagnostic code 5003. All the disabilities stemming from spinal stenosis should be accounted for in a fair VA disability rating. Specifically, VA rates spinal stenosis according to its General Rating Formula for Diseases and Injuries of the Spine, outlined below: If you were denied VA disability benefits for spinal stenosis, Chisholm Chisholm & Kilpatrick LTD may be able to help you through the appeals process. 20 percent disability rating: $327.99 per month. VA Disability Ratings for Spinal Stenosis - Hill & Ponton, P.A. Confidential or time-sensitive information should not be sent through this form. Do You Qualify for Long Term Disability Benefits? Function: Postural support of body; extension and lateral movements of spine. Neck muscle injuries. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_4" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_5" ).setAttribute( "value", ( new Date() ).getTime() ); Were you stationed at Camp Lejeune before 1987? Berry Law is a team full of Veterans, with attorneys from the Army, Navy, Air Force, and Marine Corps. For example, PTSD can lead to sleep apnea. In fact, occasionally, the back pain associated with spinal stenosis may be dwarfed by the nerve pain experienced in the legs, feet, arms, and hands. Spinal Stenosis by itself means literally nothing, other than that you have a narrowing of the spinal canal at some point (which about 70% of adults have normally). Service-connected disabilities vary widely in severity and type: Some examples are the loss of a limb, migraines, and hypertension. How Do You Rate Severe Spinal Stenosis - VA Disability Compensation This is particularly true because nerve pain in the extremities can severely impact your earning ability. Since that time, we have provided compassionate How to Qualify for Disability Benefits With Spondylosis Can I get Disability for Spinal Stenosis? How to Qualify - brrlaw The sum of all these degree measurements together is called the ROM (range of motion) measurement. Spinal conditions can cause nerve problems as well. As with most medical conditions, the VA disability rating for back pain depends on a variety of factors. Use our VA disability calculator to estimate your. VA.gov Home | Veterans Affairs
spinal stenosis va disability rating