Elbow and Forearm Ratings The VASRD offers ratings for the following musculoskeletal conditions of the Elbow and Forearm: Loss of Use/Amputation of the Elbow Elbow Replacements Limitation of Motion of the Elbow Limitation of Motion of the Forearm Too Much Motion or Instability Musculoskeletal Diseases Injuries to the Bones of the Elbow and Forearm If a veteran believes their elbow tendonitis is due to their time in service, they should consider applying for service-connected compensation. Choosing an item from VA ratings can seem complex; however,we are going to break them down so that you can get an idea of what type of rating you should receive. You can also consider asking your doctor to write a letter to the VA explaining how your condition affects your daily life due to severe pain as this will strengthen your claim. Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5270 or 5271 for the ankle, whichever results in the highest evaluation. VA disability for arthritis in the knee is generally determined through range of motion testing. 1 Also entitled to special monthly compensation. 5272 Subastragalar or tarsal joint, ankylosis of: 5273 Os calcis or astragalus, malunion of: 5275 Bones, of the lower extremity, shortening of: No relief from both non-surgical and surgical treatment, bilateral, No relief from both non-surgical and surgical treatment, unilateral, Pronounced; marked pronation, extreme tenderness of plantar surfaces of the feet, marked inward displacement and severe spasm of the tendo achillis on manipulation, not improved by orthopedic shoes or appliances. You must: Have a current medical diagnosis for tendonitis Have experienced an in-service event or injury that caused your tendonitis Get a medical nexus explaining that the in-service event led to your tendonitis If these measures do not work, an individuals doctor may suggest physical therapy. Similar to limitation of flexion of the knee, there are specific range . This applies to either arm, both dominant or non-dominant. If so, the doctor or specialist will then need to write a letter thatshows medical nexus between your injury/disability and your time in service. We have updated our Privacy Policy. Our VA disability calculator can help you with combining your ratings accounting for the bilateral factor. Our teamassists veterans from all over the country to gain fair compensation for their service disabilities. It is not an official legal edition of the CFR. Here are tips on how to have the best C&)P Exam. 3. Richmond, VA: 7400 Beaufont Springs Drive, Suite 300, Richmond, VA, 23225 Since that time, we have provided compassionate The most typical cause of tennis elbow is repetitive motions of the arm and wrist. Woods and Woods, LLC, Veterans Disability Lawyer, Veterans Disability Benefits Attorneys Helping Veterans Nationwide, Published on May 12, 2020 by Mike Woods Last Updated on February 28, 2023. citations and headings After the extensive care period ends, the 100% rating continues, generally, for three months. We consistently provide experienced, compassionate and ethical representation to our clients. We guide our clients through the most difficult times in their lives with courtesy, respect, and professionalism. Ratings of slight, moderate, moderately severe, or severe for diagnostic codes 5301 through 5323 will be determined based upon the criteria contained in 4.56. (b) Amputation through middle phalanges will be rated as prescribed for unfavorable ankylosis of the fingers. If there are 2 or more joints affected, each rating shall be combined in accordance with. Medial tibial stress syndrome (MTSS), or shin splints: Requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment, both lower extremities, Requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment, one lower extremity, Requiring treatment for no less than 12 consecutive months, and unresponsive to either shoe orthotics or other conservative treatment, one or both lower extremities, Treatment less than 12 consecutive months, one or both lower extremities, 5263 Genu recurvatum (acquired, traumatic, with weakness and insecurity in weight-bearing objectively demonstrated), In plantar flexion at more than 40, or in dorsiflexion at more than 10 or with abduction, adduction, inversion or eversion deformity, In plantar flexion, between 30 and 40, or in dorsiflexion, between 0 and 10, Marked (less than 5 degrees dorsiflexion or less than 10 degrees plantar flexion), Moderate (less than 15 degrees dorsiflexion or less than 30 degrees plantar flexion). In the event that your elbow had to be replaced, you will also be able to get a VA disability rating. If you use our VA disability ratings calculator, it will automatically detect and add the bilateral factor in for you. Carpal Tunnel Why Hire CCK for Your VA Disability Appeal? They keep you informed. While we still have our home base in Florida, This field is for validation purposes and should be left unchanged. C & P exams differ considerably from regular medical exams. We are sorry that this post was not as useful for you! You may be owed compensation. . 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy. Your orthopedic conditions could affect your knees, hips, back, shoulders, elbows, wrists, neck, feet, or ankles. You must prove that it progressed more rapidly because of military service than it would have otherwise. is available with paragraph structure matching the official CFR A physician may also recommend putting the joint in a bandage, splint, or brace in order to prevent movement. Enhanced content is provided to the user to provide additional context. The pronator teres is one of the main muscles of the forearm. will bring you directly to the content. The VA ratings in relation to the range of motion are: If the arm can extend to between 0 and 45 degrees, this is assigned a 0% rating. Clear impairments to daily living and health diagnosed by a doctor or 3 or more incapacitating episodes a year: 40% Rating. Please contact us at 1-888-477-2363 or complete this short, free case evaluation form and we will follow up with you. you viewed to avoid repetition. 5160 Complete amputation, lower extremity: Trans-pelvic amputation (involving complete removal of the femur and intrinsic pelvic musculature along with any portion of the pelvic bones), Disarticulation (involving complete removal of the femur and intrinsic pelvic musculature only), 5161 Upper third, one-third of the distance from perineum to knee joint measured from perineum, 5163 With defective stump, thigh amputation recommended, 5164 Amputation not improvable by prosthesis controlled by natural knee action, 5165 At a lower level, permitting prosthesis, 5166 Forefoot, amputation proximal to metatarsal bones (more than one-half of metatarsal loss), 5170 Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. Rate under diagnostic code 7346, 5325 Muscle injury, facial muscles. result, it may not include the most recent changes applied to the CFR. Those who engage in frequent physical activity may experience this condition at higher rates as well. How Does VA Rate Ankle Tendonitis? HIRE THEM! The thing to remember about your C&P exam is that you arent there for treatment. 5001 Bones and Joints, tuberculosis, active or inactive Importantly, the higher percentage is reserved for the dominant forearm whereas the lower percentage is reserved for the non-dominant forearm. They do not store directly personal information, but are based on uniquely identifying your browser and internet device. "Published Edition". 5012 Bones, neoplasm, malignant, primary or secondary. This communication with the firm or any member of the firm does not establish an attorney-client relationship. The official, published CFR, is updated annually and available below under citations and headings Veteran orthopedic conditions can also involve bones, ligaments, tendons, and cartilage. Learn more about the eCFR, its status, and the editorial process. It runs from the above the elbow joint down across the forearm and ends just over midway to the wrist. O. Houston, TX: 2925 Richmond Ave, 12th Floor, Houston, TX 77098 It is not an official legal edition of the CFR. This content is from the eCFR and is authoritative but unofficial. For Diagnostic Code 5208, veterans will receive a disability rating of 20 percent if their forearm flexion is limited to 100 degrees and their forearm extension is limited to 45 degrees. If you suffer from a disability in both arms, you may be able toget abilateral disability ratingin addition to the disability rating for each arm. Cleveland, OH: 600 Superior Ave. East, Fifth Third Building, Suite 1300, Cleveland, OH, 44114 If you want to hand over the stress of the VAclaims processand give yourself every chance of successsimply book afree VA evaluationwith us today. The Code of Federal Regulations (CFR) is the official legal print publication containing the codification of the general and permanent rules published in the Federal Register by the departments and agencies of the Federal Government. 5001 Bones and joints, tuberculosis of, active or inactive: 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process: With constitutional manifestations associated with active joint involvement, totally incapacitating, Less than criteria for 100% but with weight loss and anemia productive of severe impairment of health or severely incapacitating exacerbations occurring 4 or more times a year or a lesser number over prolonged periods, Symptom combinations productive of definite impairment of health objectively supported by examination findings or incapacitating exacerbations occurring 3 or more times a year, One or two exacerbations a year in a well-established diagnosis. You can * If bilateral, see 3.350(a)(3) of this chapter to determine whether the veteran may be entitled to special monthly compensation. Generally speaking, the cause of this condition involves repeated contraction of the forearm muscles that individuals use to straighten and raise their hands and wrists. This means that if your arm can extend almost all the way (0 degrees is hanging down straight), the rating will likely be 0%. This document is available in the following developer friendly formats: Information and documentation can be found in our 1 Entitled to special monthly compensation. Confidential or time-sensitive information should not be sent through this form. VA code 5210 also states that ifa break to the radius or ulna bonefails toheal, and the result is unreliable and unwanted motion in the joint, this will receive a rating of 50% for the dominant arm. Box 449, Deland, FL 32721, Orlando, FL: 605 E. Robinson Street Suite 635, Orlando, FL 32801 The rating assigned will depend on how much motion is restricted. 5003 Degenerative arthritis, other than post-traumatic: Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). They are very knowledgeable. will bring you directly to the content. (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance. Copyright 2023 Woods and Woods, LLC | PO Box 1287 Evansville, IN 47706. Fill out the short form below to contact us. However, for a rating to be assigned, veterans must be able to establish a service connection. How to Get a VA Disability Rating for Elbow and Forearm Injuries, How VA Ratings for Hand and Forearm Injuries Are Assigned, VA Ratings for Loss of Use or Elbow Amputation, VA Ratings for Limited Elbow Range of Motion, VA Ratings forLimited Range of Motion in the Forearm, VA Ratings forExcessive Motion or Instability, VA Ratings forDamage to the Elbow and Forearm Bones, VA Ratings forPain Resulting From Motion of the Arm, Additional Ratings For Limited or Impaired Finger Motion. Choosing an item from To find out more, view our Privacy Policy. View the most recent official publication: These links go to the official, published CFR, which is updated annually. While tendonitis can occur in any tendon, it is most common not only in the shoulders, elbows and knees, but also in the wrists. Already working with us? Further movement beyond that is coded differently and will receive ratings based on how severe the limitation is. It is extremely important for your long-term care and disability, but isnt designed to relieve your problems. The position of function of the hand is with the wrist dorsiflexed 20 to 30 degrees, the metacarpophalangeal and proximal interphalangeal joints flexed to 30 degrees, and the thumb (digit I) abducted and rotated so that the thumb pad faces the finger pads. here. Cincinnati, OH: 300 E Business Way, Suite 200, Summit Woods Corporate Center, Cincinnati, OH, 45241 Other researchstates non-battle service injuries traditionally rival battle-related injuries. Title 38 was last amended 4/24/2023. 2005, to October 6, 2009, for right shoulder degenerative arthritis, acromioclavicular joint, with biceps tendinitis have not been met. For the non-dominant arm, it is 20%. The code also states that if the forearm cannot turn the palm upwards by more than 0 degrees, this will be rated at 30% disability on the dominant hand. All of the criteria include severe, moderately severe, moderate, or slight and corresponds to a disability rating ranging from 0 to 40 percent. One or two painful flare-ups a year: 20% Rating. 5120 Complete amputation, upper extremity: Forequarter amputation (involving complete removal of the humerus along with any portion of the scapula, clavicle, and/or ribs), Disarticulation (involving complete removal of the humerus only), 5126 Five digits of one hand, amputation of. You are using an unsupported browser. In some instances, veterans may be awarded a higher rating if the tendonitis is more severe. The following examples describe several ratings addressing hand, wrist, and forearm conditions. Occupations that require repetitive use of a computer mouse, cutting, painting, or using tools also increase the risk of damaging the tendons in your elbow. The VA uses a schedule for rating disabilities. If you are living with the effects of an injury to the elbow or forearm, and need to get compensation, we can help. Marked contraction of plantar fascia with dropped forefoot, all toes hammer toes, very painful callosities, marked varus deformity: All toes tending to dorsiflexion, limitation of dorsiflexion at ankle to right angle, shortened plantar fascia, and marked tenderness under metatarsal heads: Great toe dorsiflexed, some limitation of dorsiflexion at ankle, definite tenderness under metatarsal heads: 5279 Metatarsalgia, anterior (Morton's disease), unilateral, or bilateral, Operated with resection of metatarsal head, Severe, if equivalent to amputation of great toe. If you receive an unfavorable result from the VA after your C& P exam, you can appeal by writing to the VA explaining why you feel the exam was inadequate. 1 CFR 1.1 View the most recent official publication: These links go to the official, published CFR, which is updated annually. The in-page Table of Contents is available only when multiple sections are being viewed. My epicondylitis was rates as "Painful motion of the Elbow" at 10%. 5010 Post-traumatic arthritis: Rate as limitation of motion, dislocation, or other specified instability under the affected joint. This contact form is only for website help or website suggestions. These ratings range from 10% to 40%. Do You Need Help Getting VA Compensation? If an injury to the elbow or forearm requires intensive care, the VA will assign a 100% rating during these periods. 1115) Expand Table Amputations: Upper Extremity 1 Entitled to special monthly compensation. VA rates wrist tendonitis on a percentage scale, with increasing percentages corresponding to the severity of the condition. #2: Direct Service Connection for Post-Traumatic Arthritis rated under DC 5010 with a rating of 10 percent or 20 percent. We advocate for the disabled. Whats more, we only chargeif we win. Background and more details are available in the On the Basic monthly rates table, find the amount for your disability rating and dependent status. Acute, Subacute, or Chronic Diseases 5000 Osteomyelitis, acute, subacute, or chronic. Ifthere is a military connection, the VA must assign you the minimum rating of 10% disability. However, before the VA schedules a C&P exam for elbow or forearm injuries, you will need to provide a medical nexus letter. If you would like to comment on the current content, please use the 'Content Feedback' button below for instructions on contacting the issuing agency. Neuralgia Neuralgia also involves irritated or damaged nerves. Togrant a VA disability rating, the VA needs to conduct aCompensation and Pension (C&P) Exam. Disclaimer: This information is not legal advice. To explain this visually, 30 degrees would be halfway between holding oneshand upright (like giving a thumbs-up) and holding the palm facing up. Anytime two ratings could be assigned to the same symptom, the VA is required to give you the higher rating. A physical therapist can teach exercises to gradually stretch and strengthen forearm muscles. FAR). Elbow and Forearm Injury Veterans Disability. If you have suffered damage to the elbow and/or forearm bones that are not healing, the VA will assign varying ratings depending on which bones have been affected. Below is a complete list of VA disabilities for the musculoskeletal system, listed in order by Diagnostic Code (DC) from CFR Title 38, Part 4, the Schedule for Rating Disabilities. 5221 Four digits of one hand, favorable ankylosis of: 5222 Three digits of one hand, favorable ankylosis of: 5223 Two digits of one hand, favorable ankylosis of: 5227 Ring or little finger, ankylosis of: With a gap of more than two inches (5.1 cm.) The Musculoskeletal System is vast and complex, consisting of muscles, tendons, ligaments, joints, and bones. Paraplegia with loss of use of both lower extremities and loss of anal and bladder sphincter control qualifies for subpar. or more between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, or; with extension limited by more than 30 degrees, With a gap of less than one inch (2.5 cm.) Evaluate intervertebral disc syndrome (preoperatively or postoperatively) either under the General Rating Formula for Diseases and Injuries of the Spine or under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes, whichever method results in the higher evaluation when all disabilities are combined under. A 60% rating will be assigned if it is your non-dominant hand. Subscribe to: Changes in Title 38 :: Chapter I :: Part 4 :: Subpart B :: Subject group :: Section 4.73. Before we look at the ratings for this, lets quickly explain what range of motion in the forearm means. (a) The ratings for multiple finger amputations apply to amputations at the proximal interphalangeal joints or through proximal phalanges. The VA will assign one of three diagnostic codes to your disability, which are 5206, 5207, or 5208. Search & Navigation Copyright 2023 Chisholm Chisholm & Kilpatrick LTD. All Rights Reserved. Please do not provide confidential Service Connection by Aggravation | What if you received a diagnosis of tennis elbow before military service?