When rheumatoid arthritis affects the spine, it typically occurs in the cervical spine (the neck) rather than the thoracolumbar spine (the low back). AVVO 10/10 Superb Rating, BBB A+ Rated. Degenerative arthritis of the spine, sometimes referred to as facet joint osteoarthritis, causes a breakdown of the cartilage between the facet joints in the back of the spine. 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. Va rating of 60% | Physical Evaluation Board Forum Spinal stenosis is a disabling condition caused by the narrowing of the gaps between individual spinal vertebrae. Rheumatoid arthritis of the spine leads to neck pain, back pain, and sometimes causes pain to radiate into the arms and legs. This includes the shoulder, wrist, elbow, hip, knee ankle, fingers, toes, spine, and the sacroiliac joint. What Happens If You Don't Treat Spinal Stenosis? If you believe your current spinal injuries are the result of military service, you could receive VA disability for spinal stenosis. means your spine is locked in a position that is something other than vertical. This storage is often necessary for basic functionality of the web site or the storage may be used for the purposes of marketing, analytics, and personalization of the web site such as storing your preferences. Spinal Stenosis & Qualifying for Social Security Disability They may also be used to keep track of what [products, video, links, etc.] For instance, which pages you go to most. Service-connected disabilities vary widely in severity and type: Some examples are the loss of a limb, migraines, and hypertension. We consistently provide experienced, compassionate and ethical representation to our clients. VA uses 38 CFR 4.71a, General Rating Formula for Diseases and Injuries of the Spine to evaluate most neck pain conditions. To collect VA disability compensation benefits, you must show that your spinal stenosis disability claim was caused or aggravated by your military service. for incapacitating episodes totaling at least 6 weeks during the past 12 months; for incapacitating episodes totaling at least 4 weeks but less than 6 weeks during the past 12 months; for incapacitating episodes totaling at least 2 weeks but less than 4 weeks during the past 12 months; for incapacitating episodes having a total duration of at least one week but less than 2 weeks during the past 12 months. We get emails all the time asking if certain health problems qualify for benefits. I suffer from many health issues due to the trauma that happened to me in 1980. Is spinal stenosis a disability? Explained by Sharing Culture It is possible to have your rating lowered if you happen to do better on another C&P exam, so discuss your case and your condition with a VA attorney first. Use our VA disability calculator to estimate your. Philadelphia, PA: 1 International Plaza, Suite 550, Philadelphia, PA, 19113 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, Stenosis can occur in the spinal column itself, or it can occur within the intervertebral foramen, which are the passages through which your nerve roots branch out laterally through the spine. It results in chronic pain, numbness, and weakness in your body. That is, your stenosis wasnt diagnosed at the time, but it likely came about as a result of an injury or illness that has been established as service-connected. Cervical Spine Conditions - Entitlement Eligibility Guidelines After recovery, the VA will re-evaluate their condition. If radiculopathy is caused by a low back condition, the individuals will feel the symptoms in the lower extremities (thigh, calf, foot). This narrowing can be caused by physical injury or degeneration of the spine. If a Veteran only has one joint group affected by arthritis then there must also be painful motion present in order for a rating higher than 0% to be assigned. This can sometimes be difficult to establish. When symptoms are present, they usually start gradually and worsen over time. Back braces or corsets are $200 or more. The small openings in your spine are called foramen, and nerves pass through the foramen from your spinal cord into the rest of your body. Pocket Card . Did you receive a VA disability compensation rating of 40%? 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, contact us today. I was hoping someone could point me in the right direction with spinal issues and VA ratings. The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user. Spinal Stenosis: Practice Essentials, Anatomy, Pathophysiology - Medscape Disability Benefits For Spinal Stenosis - Gillette Law Group THE ISSUE. Spinal Stenosis Disability Claim Attorney | Filing for 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. Not necessarily, but its worth looking at your C-File to see if you had spinal stenosis during your service and it was incorrectly diagnosed. A. found that the VA processed the majority of the 62,500 spinal injury claims decided in the first half of 2018. For example, the specific code for degenerative arthritis of the spine is 5242. By using this information, you understand that there is no attorney-client relationship created by you reading or using the information contained on this website or in this newsletter, article, or blog. When spinal stenosis causes additional disabilities, those problems may qualify as secondary service-connected disabilities. 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). 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. Trouble walking, and loss of bowel or bladder control may also result. 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. All but 10% of lumbar IVDS is at the L4-L5 or L5-S1 level. In most cases, foraminal stenosis is caused by gradual degeneration of the spine that happens as you age. The Truth About Spinal Stenosis: Causes Symptoms And Treatments The latter two will show whether soft tissue may be impinging or invading the spinal cord area. Copyright 2023 Woods and Woods, LLC | PO Box 1287 Evansville, IN 47706. This type of rejection can sometimes be overcome if you can point to a specific incident that worsened your condition. Back Pain VA Rating: A Guide to Spinal Injuries - Hill & Ponton, P.A. VA Disability Rating for Neck Pain: Cervical Spine, Neck Arthritis 5239 - VA disability rating for Spondylolisthesis or segmental instability: A condition that causes a vertebra to slide forward over the bone below it. Please do not send any confidential information to us until such time as an attorney-client relationship has been established. Table II - Ratings for Multiple Losses of Extremities With Dictator's Rating Code and 38 CFR Citation Note. The VA disability rating for spinal stenosis will be based on both individual ROM measurements and the total ROM measurement. These cookies are also used to let affiliates know if you came to one of our websites from an affiliate and if your visit resulted in the use or purchase of a product or service from us, including details of the product or service purchased. Our goal is to help all fellow Veterans get the disability benefits they deserve. However, these secondary service-connected disabilities are not cumulative. About VA Disability Ratings | Veterans Affairs - VA.gov Home | Veterans Typically, this would be established by medical records from your time in the military showing that your condition worsened. Since that time, we have provided compassionate For example, PTSD can lead to sleep apnea. You should know that it's impossible to get disability benefits if you aren't . Spinal stenosis is a degenerative disc disease that occurs when there is pressure placed on the nerves in your spine. Symptoms vary depending on the location of the stenosis and which nerves are affected. Questions for those familiar with spinal issues and ratings Let's talk about your VA disability benefits. WITNESS AT HEARING ON APPEAL. Lack of cartilage causes pain and limitation of motion. Incomplete but severe paralysis of the sciatic nerve may lead to a 60 percent disability rating. Please complete this form to send us your message. Abnormal growths can form inside the spinal cord, within the membranes that cover the spinal cord or in the space between the spinal cord and vertebrae. Lumbar spinal stenosis resulting in compromise of the cauda equina 1.17 Reconstructive surgery or surgical arthrodesis of a major weight-bearing joint 1.18 Abnormality of a major joint(s) in any extremity . As mentioned above, spinal stenosis is typically diagnosed with x-rays or MRIs that show a narrowing of the spinal canal. Think of the first number as an identifying diagnostic code that tells you what joint is affected, while the second diagnostic code tells you the rating system the condition is being rated under. QUALIFYING STATEMENTS . The disability rating is the highest rating produced by the rating tables. The sum of all these degree measurements together is called the ROM (range of motion) measurement. The total ROM measurement is merely the sum of the individual ROM measurements for each of the spine segments. Diagnostic Code 5238 Cervical Spine Stenosis The spinal canal narrowing for one reason or another Diagnostic Code 5242 Degenerative Arthritis of the Spine Pain from the degeneration of the cervical vertebrae This rating criterion is primarily based on a range of motion measurements. However, the VA still rates degenerative arthritis of the spine under the criteria listed for diagnostic code 5003. The general rating formula for spinal stenosis and the other spinal conditions listed above is as follows: General Rating Formula Spinal Stenosis and Select Spinal Conditions. This can lead to a misdiagnosis of spinal stenosis. However, in many cases, spinal stenosis causes symptoms elsewhere in the body besides the back. This website adheres to the W3Cs AA Accessibility guidelines. VA Disability Rating for Degenerative Disc Disease Explained (The If you have multiple disability ratings, we use them to calculate . . Spinal stenosis is a type of back injury that a Veteran could develop after an in-service injury. Copy this embed code to share the infographic on your own site. 4.71a Schedule of ratings - musculoskeletal system. Many people with spinal stenosis and other back injuries experience anxiety, depression, and substance abuse problems. Become an All-Access Member to access this page, other exclusive content, the ability to our Military Disability Experts, course discounts, and more! 5238 Spinal stenosis - Veterans Benefits Network The VA can reject a claim that your condition was made worse during your service if it believes that the worsening was a natural progression of the condition. The spinal cord can be squeezed causing pain and numbness in the back or weakness in one or both legs. The rating assigned under the rating criteria for degenerative arthritis depends on how many, Rheumatoid arthritis is a disease that causes destruction of the joints in the body. Traumatic arthritis causes symptoms similar to other types of arthritis such as pain, inflammation, and build-up of fluid around the affected joint. The disability rating may be even lower depending on the segment of the spine that is frozen. The New Rating System for Back and Neck Spinal Disability - Lawyer Registration is FREE of charge! Learn How Veterans Can Get VA Benefits for Back Pain Contacting us does not create an attorney-client relationship. Disability Benefits for Spinal Stenosis | Nolo If your back is not frozen, VA doctors will base their assessment on how much range of motion you have left, which they will measure with a goniometer. The technical storage or access that is used exclusively for anonymous statistical purposes. So, spinal disabilities focus on the lack of mobility or range of motion. Have you been affected by Camp Lejeune water contamination? VA rates spinal stenosis according to 38 CFR 4.71a Schedule of Ratings, Musculoskeletal System, Diagnostic Code 5238. You may qualify for VA disability compensation if you have an illness linked to Gulf War serviceoften called Gulf War Syndromein Southwest Asia, including Iraq, Kuwait, Saudi Arabia. A fair VA disability rating for spinal stenosis can be difficult to obtain. 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. Spinal stenosis is a form of degenerative disc disease. Full eligibility requirements VA physicians will measure your range of motion in six places, using a goniometer. Schedule an MRI consultation today! 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. Our monthly newsletter features about important and up-to-date veterans' law news, keeping you informed about the changes that matter. The spine is considered as a minor joint. Please call for an appointment before visiting: Mail Processing Center: P.O. This disruption can cause strange sensations and loss of muscle control in the affected areas. For example, if your spinal stenosis is caused by a bulging disc, dislocated vertebrae, or bone fragments, you may be able to identify an accidental fall, vehicle collision, or any other physical injury incurred during your military service that worsened your condition. Lumbar spinal stenosis . VA Disability Rating for Neck Pain | The Tuley Law Office Basically, the VA understands that the Veteran would not have developed sleep apnea if they didnt get PTSD while in service. To receive VA disability for spinal stenosis, like all other disabilities, a Veteran must first establish service connection for the injury. How to Win Your Disability Claim for Degenerative Disc Disease According to Mayo Clinic, a nonprofit academic medical center, spinal stenosis is a narrowing of the space where the nerves run through your spine, causing pain by putting extra pressure on these spinal nerves. VA Disability Ratings for Back Pain and Spinal Arthritis. Regardless of the underlying cause, spinal stenosis leads to pressure on nerves running through the spinal canal. 3 Tiers of Sciatica VA Disability Ratings and How To Apply A, Oftentimes, spinal conditions will cause other conditions, and these conditions qualify a Veteran for another rating. As you can see, ROM measurements play a significant role in rating spinal conditions. A veteran's Degenerative Disc Disease VA disability can be rated at 10%, 20%, 30%, 40%, 50%, or 100%. Tucson, AZ: One South Church Avenue, 12th Floor, Tucson, AZ, 85701 The VA has a separate rating system for these conditions. If the entire spine is frozen in an unfavorable position, the disability rating may be as high as 100%. 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. The rating systems used for arthritis of the spine is the second most common rating system for spine conditions. As the foramen close in, it can lead to those nerves becoming pinched. In order to be granted a VA disability rating for spinal stenosis at 30%, you must meet either of these conditions: Unfavorable ankylosis of the entire cervical spine, or Favorable ankylosis of the entire cervical spine, where your spine is fixed in place but at a neutral position at 0 degrees. Find Out How To Qualify for Disability with Degenerative Disc Disease San Jose, CA: 2880 Zanker Road, Ste. eCFR :: 38 CFR Part 4 -- Schedule for Rating Disabilities Symptoms are similar to the symptoms involved with degenerative arthritis and include pain and swelling of the joints. Yes, you can. Yes, but you should talk to a VA Disability law attorney first. All the disabilities stemming from spinal stenosis should be accounted for in a fair VA disability rating. If there is decreased range of motion of the cervical or thoracolumbar spine, the condition would be rated according to the general rating formula for the spine that is based off of range of motion measurements. Mayo Clinic notes that there are two different types of spinal stenosis: While occasionally a person suffering from spinal stenosis will show zero symptoms, often Veterans seeking VA disability compensation for spinal stenosis will display one or more of the following symptoms: Cervical Stenosis Symptoms Numbness or tingling in your arm or leg, weakness in your arm or leg, problems walking, neck pain, and bowel/bladder dysfunction. For example, if the cervical spine ROM measurements are 15, 30, 0, 30, 45, and 45, the total ROM would be 165. Call (855) 873-2604 For a Free Evaluation of Your Spinal Stenosis Disability Case. 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. 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. You must have a positive imaging test (MRI, . It will also help if someone else in your division remembers what happened. Spinal stenosis can arise from both degenerative conditions (such as arthritis, bulging discs, and herniated discs) and physical injury, such as bone fragments, dislocated vertebrae, or swollen tissues. Congenital spinal stenosis is present at birth as a normal variant in the population or due to congenital conditions. 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. During the months after surgery, veterans are entitled to a 100% disability rating so they can recover from the procedure. If you continue to use this site we will assume that you are happy with it. Favorable position means your spine is locked but more or less vertical, so you can still sit at a desk chair, for example.