As a fellow disabled Veteran this is shameful and Im on a mission to change it. To be eligible for a shoulder pain VA rating, you must meet three criteria by law: There are a few different ways to prove service connection for shoulder pain. Dear Veteran, Heres the brutal truth about VA disability claims: According to our data, 8/10 (80%) of veterans reading this message right now are underrated by the VA. Please call for an appointment before visiting: Mail Processing Center: P.O. Service Connection for Shoulder Disability Repair, Secondary Service Connection for Rotator Cuff Repair, Compensation & Pension (C&P) Exams for Rotator Cuff Repair, VA Disability Ratings for Shoulder Rotator Cuff Repair. 132K views 9 years ago Dr. Ebraheim's educational animated video describes the range of motion of the Shoulder Joint, and the ways to check for any medical problem associated with it's. 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. A statement from your treating physician that states that the tear was caused by your time in the service (known as a medical nexus). The technical storage or access that is used exclusively for anonymous statistical purposes. Start applying todayand get the compensation you deserve. Again, whether youre connecting the tear to a clavicle or an elbow injury, its important to be as detailed as possible. Bursitis is defined as inflammation and swelling of a fluid-filled sac called the bursae; typically this leads to thickening and pain in the area. Applying for VA benefits years after service 1. If your shoulder frequently dislocates after your injury, it will be given a rating of 30 percent for a dominant arm and 20 percent for a non-dominant arm. As more veterans serve flying drones or fighting from behind a desk, there will be more with long-term back pain from sitting too long. VA disability is awarded because you were injured while serving, regardless of the glory of the job. How to File a Claim on VA.gov (step-by-step)! Second, the veteran must be able to show that something happened in service There must be an in-service occurrence of something that led to the shoulder disability. Proving the link between your service and an in-service event or injury will be the most difficult part of getting the VA to award you a shoulder pain VA rating. Under each category is a list of diagnostic codes representing common disabilities of that body part. Each condition gets its own code and is eligible for a certain level of disability rating. The shoulder moves with every arm motion. Since flare-ups can frequently make your symptoms worse, make sure that you do not accidentally give the VA the impression that your condition is milder than it is. You may be owed compensation. Please complete this form to send us your message. The VA disability rating for shoulder rotator cuff tear is typically around 10%-20%. If youre suffering from shoulder pain, its important to get seen by a doctor to determine the underlying cause of the pain and get a diagnosis. Sometimes your rating might be at 80% but you know it should be full 100% disability. All of these injuries fall under code 5203, the same code as a shoulder separation. From there, it is easy to see where each degree listed in the diagnostic code lies. Stiffness and loss of range of motion can pop up due to consistent use of a certain muscle group or body part. Cookies help us deliver the best experience on our website. If the amputation is below the deltoid, you'll receive 70%. Random flare-ups are common in. DOCX M21-1III_iv_4_SecA - Veterans Affairs Understanding How Flare-Ups Impact Range of Motion Claims, Alternatively, they might suffer from more stiffness and loss of range of motion throughout the day. We use cookies to optimize our website and our service. These receive a code of 5203. 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. Many veterans leave the service with shoulder problems. The code also takes into account whether the dominant or non-dominant side is affected. This information is made available for educational purposes only and to provide general information and a general understanding of the law. 27K views 2 years ago Today, we examine VA ratings for conditions affecting Veterans' shoulders and arms. The amount that the severity of an injury can vary sometimes makes it difficult for the VA to accurately assess and rate a disabled Veteran with a musculoskeletal condition. Rotator cuff repair generally includes shoulder surgery followed by physical therapy. If the doctor does not agree with you or you feel that the rating is too low, you do have the right to appeal. For example, a veteran cannot receive two disability ratings to compensate them for their back pain caused by a single condition.14:05. This is called shoulder separation, and it can cause serious damage to the ligaments surrounding the joint, too. The VA is looking for the impact that your disability has on your life on your ability to work, maintain relationships with family and friends, and carry out simple tasks. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. How Range of Motion Impacts Your VA Disability Claim | Veterans Our monthly newsletter features about important and up-to-date veterans' law news, keeping you informed about the changes that matter. Going back to the example, if a shoulder disability started after service, the veteran's current doctor should confirm that service-related activities contributed to the current disability. You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, You have a medical diagnosis for your shoulder, and youre experiencing current symptoms, You experienced an event, injury, or illness while you were serving that caused or aggravated your shoulder pain (either directly or indirectly). VA Claims Insider Submits Statement to Senate VA Committee: How to Protect Veterans From Financial Exploitation of Their VA Benefits. Extrinsic muscles of the shoulder girdle: (1) Pectoralis major II (costosternal); (2) latissimus dorsi and teres major (teres major, although technically an intrinsic muscle, is included with latissimus dorsi); (3) pectoralis minor; (4) rhomboid, 5303 Group III. Shoulder separations are coded separately from shoulder dislocations. If you have to have your arm amputated below the deltoid, youll receive a 70 percent rating, with all of these falling under code 5200. 21-0960M-12. Now if the knee can move, but cannot either bend all the way or straighten all the way, then it can be rated TWICEonce under code 5261, and once under this code 5260. 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. Before we get to a full-blown tear, lets talk about why its so frequent among veterans. ), Inability to sleep or use the shoulder for weight-bearing. If it only dislocates occasionally, it will be rated 20 percent for either arm. Updated: January 7, 2022. Veterans who are granted TDIU are paid at the one hundred percent rate, which is the highest form of compensation VA awards. Amputation If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. Most veterans are underrated for their disabilities and therefore not getting the compensation theyre due. VA Disability Benefits for Knee Problems | Alperin Law 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. When one or both sacroiliac joints are inflamed, veterans may receive a sacroiliitis VA disability rating. It only provides that VA policy is to recognize actually painful motion as entitled to at least the minimum compensable evaluation for the joint When each qualifying joint motion is painful but motion is not actually limited to a compensable degree under its applicable 52XX-series DC, only one compensable evaluation can be assigned Shoulder Pain and Conditions | Treatments - MedStar Health This chart shows how musculoskeletal ratings work for VA disability ratings for shoulder pain: If you have muscular damage to your shoulder, you may be eligible for a rating from 0% to 40% (depending on the severity of damage). For example, diagnostic code 5301 measures the upward rotation of the scapula, elevation of the arm above shoulder level, and the extrinsic muscles of the shoulder girdle. Veterans who have a disability resulting from a shoulder injury during service may be entitled to VA benefits. This could be something like a shoulder dislocation that occurred during a training exercise. Because the severity of musculoskeletal disabilitys symptoms can vary from day to day, a Veteran might wake up in the morning unable to touch their toes when they could the day before. How do I apply to receive my ratings? 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. All rights reserved. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Lawyers 6940 O St, Suite 400 Lincoln, NE 68510. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. defining limited motion of the ankle considering functional loss due to pain in evaluating musculoskeletal conditions when functional loss is not used to evaluate musculoskeletal conditions evaluating limitation of motion due to pain considering Dupuytren's contracture considering conflicting decisions regarding loss of use If accepted into our ELITE membership program, youll get free up-front access and permission to use $13,119 worth of proprietary VA claim resources, including access to our network of independent medical professionals for medical examinations, disability evaluations, and credible Medical Nexus Letters, which could help you get a HIGHER VA rating in LESS time. - Your patient is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. Injuries in combat, such as a blow from an accident, a forceful impact, or a fall, could also result in shoulder or arm injury. Once youve had this injury, you may find that youre prone to dislocating that joint over and over again. You're not alone. Shoulder injuries in the military are a common source of VA disability compensation. A decision maker at the VA will review all of the evidence in your claim, including the C&P report, and decide your shoulder pain VA rating. Some shoulder injuries may require surgery. The first is medical evidence of a current disability. It may surprise you to learn that rotator cuff tears do not need to have occurred during an active shift. If your shoulder is damaged in such a way that its held together by soft tissues instead of bones, youll get a rating of either 50 percent or 40 percent.
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