Neurologic symptoms due to nerve root stretchingĢ022 VA Disability Ratings for Back Pain Explained Back Pain VA Rating Chart:.Alantoaxial or cervical subluxation or dislocation.Gastrointestinal symptoms due to pressure of the coastal margin on the abdomen.Breathing limited to diaphragmatic respiration.Restricted opening of the mouth and chewing.Difficulty walking because of a limited line of vision.
You’ll also see the term “Unfavorable Ankylosis,” which is a condition in which the entire cervical spine, the entire thoracolumbar spine, or the entire spine is fixed in flexion or extension, and the ankylosis results in one or more of the following: Muscle atrophy must also be accurately measured and reported. The use of a goniometer in the measurement of limitation of motion is indispensable in examinations conducted within the Department of Veterans Affairs. §4.46, Accurate Measurement of Limitation of Range of MotionĪccurate measurement of the length of stumps, excursion of joints, dimensions, and location of scars with respect to landmarks, should be insisted on. If you can’t move at all without pain, make sure to let the examiner know that. You must be open, honest, and truthful at your C&P exam for back pain, and make sure to STOP the C&P examiner as soon as you feel any pain.
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The limitation of range of motion principle is arguably the most important principle that applies to VA disability ratings for back pain.īecause the general rating formula for diseases and injuries of the spine talk about “flexion,” which is the act of flexing or bending.Īny limitation of Range of Motion (ROM) should be measured with a Goniometer by the medical professional at your VA C&P Exam for Back Pain. What is “Limitation of Range of Motion” for VA disability for back pain? The joints involved should be tested for pain on both active and passive motion, in weight-bearing and non-weight-bearing and, if possible, with the range of the opposite undamaged joint. 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.Ĭrepitation either in the soft tissues such as the tendons or ligaments, or crepitation within the joint structures should be noted carefully as points of contact which are diseased.
The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. Sciatic neuritis is not uncommonly caused by arthritis of the spine. Muscle spasm will greatly assist the identification. With any form of arthritis, painful motion is an important factor of disability, the facial expression, wincing, etc., on pressure or manipulation, should be carefully noted and definitely related to affected joints.
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The painful motion principle means that regardless of range of motion, if pain is present, the claimant should at least be awarded the minimum level of disability for that condition.įor example, let’s say you have full range of motion for your back, but you have pain during movement, you should be awarded the minimum level of disability for the condition, which for most muscuoloskeltal conditions is 10%. WATCH: Back Pain, What You NEED TO KNOW to Maximize Your VA Disability Rating! What is the “Painful Motion” Principle?
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