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These claims can be tricky to navigate, but they are cru. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. The examiner may also perform a physical exam on the veteran. Protective tissues called the labrum line the joint socket. Frequent aches and pains can add to the severity of a musculoskeletal disability in addition to problems with range of motion. 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. These ratings include: The most important factors of a veterans disability and getting an increased rating will be how the shoulder pain developed, what kind of treatment you needed, and how the initial pain and recovery impacted your ability to earn an income. Take advantage of a FREE VA Claim Discovery Call. Tell Your C&P Examiner Everything You Can About Your Symptoms, Including Flare-Ups. If you suffer from neck pain or stiffness, consider neck mobility exercises. If you file a Fully Developed Claim for your shoulder condition, you can expect to wait about 110 days for the VA to decide on your VA disability rating for shoulder pain (as of August 2022). By continuing to use our website, you agree to these updates. We have updated our Privacy Policy. Please complete this form to send us your message. As part of its review of the Schedule for Rating Disabilities ( 38 CFR part 4 ), VA published a proposal to amend that portion of the Schedule pertaining to ankylosis and limitation of motion of the fingers and thumb. Applying for VA Benefits Years After Service: Is It Allowed? By asking the right questions and keeping tabs on a Veterans symptoms, the VA should get a more accurate sense of a Veterans disability and how its severity can vary from day-to-day. Therefore, the C&P examiner ought to test for active and . 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. Learn what youve been missing so you can FINALLY get the disability rating and compensation youve earned for your service. As a fellow disabled Veteran this is shameful and Im on a mission to change it. They can help to improve your range of motion, reduce pain and prevent further injury. Frozen shoulder. This is often based on if you can rotate or extend your shoulder, using the criteria listed above. The disability rating assigned also depends on whether the veterans dominant (higher evaluation) versus nondominant (lower evaluation) arm is affected. When you visit web sites, they may store or retrieve data in your web browser. In the most severe cases of injury, you may have to have your whole arm amputated up to the shoulder. For instance, if you were lifting weights during your free time while on base and you tore your rotator cuff, this would still count as a service-connected disability. They are not intended as a guarantee that we will obtain the same or similar results in every case we undertake. Under more severe circumstances, such as shoulder replacement, the individual may also be granted a higher rating (at least until they recover from surgery). 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). All of these conditions can lead to chronic shoulder pain and disability. 203, San Jose, CA 95134 For example, if you sustained a blow to the shoulder joint in the military that weakened the infraspinatus. Bursitis could also be related to other disabling conditions like Diabetes, tendonitis, gout, or arthritis. Veterans must (1) have a current, diagnosed shoulder or arm condition; (2) have experienced an event, injury, or illness during service; and (3) provide a medical nexus linking their shoulder or arm condition to their in-service event. If there are occasional periods of weakness, pain, or limited motion then the condition should be rated analogously either under Diagnostic Code 5002 (i.e., rheumatoid arthritis) or 5203 (i.e., impairment of the clavicle or scapula), whichever most closely describes the veterans symptoms. To file for disability, youll need to submit your documentation to the RO where it will be reviewed. There are also several different muscle groups that help you move your shoulders. 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. Its also important to remember that certain arm conditions, shoulder bursitis, frozen shoulder syndrome,rheumatoid arthritis, and or nerves may result in similar symptoms to a tear. Exercises such as Lateral Neck Flexion and Neck Rotations will help relieve neck pain and the other issues caused by poor posture and a shortening of the . We invite you to contact us and welcome your calls, letters and electronic mail. If you received shoulder injuries in the military, you may be entitled to monthly compensation from the VA. Talk to your physician about your diagnosis and start the process of applying for VA disability payments. ), Inability to sleep or use the shoulder for weight-bearing. In some cases, your shoulder dislocation may not involve your humerus bone popping out of the scapula joint. Conditions and injuries are organized into rating schedules, which get translated into percentages that represent what percent of your ability to work youve lost. disability that limits your range of motion, you are entitled to disability compensation. Copyright 2023 Woods and Woods, LLC | PO Box 1287 Evansville, IN 47706. Thanks. If you continue to use this site we will assume that you are happy with it. joint dislocation. Whether your shoulder issues started immediately after leaving the military or decades later, you may be eligible for disability compensation. This article discusses four things you need to know about shoulder pain and VA disability. The likeliest response from VA will be to schedule a Compensation & Pension (C&P) exam eventually for service-connected VA compensation. However, it is important to note that if you have multiple injuries in your arm, those cannot be combined for a higher rating than the rating youd get for amputation of the limb. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. Each measurement is rounded to the nearest five degrees. These symptoms can be extremely painful, and they can most definitely contribute to the VAs rating of your disability. A fluid-filled sac called a joint capsule surrounds the joint and provides lubrication to ease movement in the shoulder. VA does not send copies of the report unless specifically requested, so in order to receive a copy, the veteran must request one. For instance, under the subcategory for The Knee and Leg, there are eight diagnostic codes: Several of these disabilities are rated based on the degree of motion, but we will look specifically at limitation of extension for an example. However, you cannot simplycombine these ratingsto get an overall disability rating. Function: Stabilization of shoulder against injury in strong movements, holding the head of the humerus in the socket; abduction; outward rotation and inward rotation of the arm. 21-0960M-12. Do You Qualify for Long Term Disability Benefits? Before we dive into all of the VA disability rating codes for shoulder injuries, lets go over some basic anatomy of the shoulder, beginning with your bones. If you have a disability rating of 10 percent, youll receive $165.92 a month, and with a rating of 20 percent, youll get $327.99. Multiple ratings for the same condition is called pyramiding and the VA will try to avoid that, almost to the point of not giving you the ratings you deserve. This benefit gives injured veterans monthly compensation to make up for the limits their injury places on their life. Or, you can get help from an expert veteran coach who can help you navigate the VA claims process. All information these cookies collect is aggregated and therefore anonymous. But one of the biggest sources of aid for many veterans is the VA disability program. Sign up for our weekly email newsletter to stay updated on VA news, policy changes, and more. Physical therapy is a professional career which has many specialties including musculoskeletal, orthopedics, cardiopulmonary, neurology, endocrinology, sports medicine, geriatrics, pediatrics, women's health, wound care and electromyography. specific disability rating between ten and 100 percent. If the knee can only bend to 15, then it is rated 30%. Pes Planus is a condition of the foot in which the arches on the inside of your foot are flattened, allowing the entire sole of your foot to touch the, VA Benefits: Depression Secondary to Chronic Pain While we often think of the physical injuries and illnesses that can result from military service, it's also important to consider the ways, If you experienced a back injury during active duty, or an injury that later contributed to back pain, you may be eligible for disability benefits. < I Can't Afford to Go to the Doctor. To obtain an official measurement of range of motion, the examiner will typically use a tool called a goniometer. The Schedule of Ratings for the musculoskeletal system is found at, , and it contains numerous subcategories. Phoenix, AZ: One Renaissance Tower, Two North Central Avenue, 18th & 19th Floor, Phoenix, AZ 85004 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. Not being able to use your shoulder can affect your ability to work and limit daily life. According to Title 38, for a minor shoulder that can raise between 25 and 90 degrees is 20% disability. Most likely, the VA will rate your shoulder pain under one of two different rating schedules. This is a relatively common condition that can be caused by the tasks required of military members, including physical training, transporting supplies, or lifting heavy objects on a regular basis. If you have to have a shoulder replacement, the VA will place you on100 percent disabilityfor the first year after the surgery and you will get a code of 5051. Is range of motion the only thing VA considers or do they actually look at what you can and cannot do for daily living purposes? Thanks, Woods and Woods please keep up what you do in helping disabled veterans like myself. Bone and Joints Disability Ratings Table 4.71a Schedule of ratingsmusculoskeletal system. 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. Hear from fellow Veterans just like you, with many of our Business Development Representatives having gone through our programs. The joint should allow the arm to move in multiple directions without any pain. Veterans can only be compensated once for each manifestation of a disability. Separate ratings occur when there is another distinct manifestation of a disability that is not currently rated. You can request for a higher authority to look at the case. You may also get cancer or other tumors in your shoulder that are a result of your military service. You must also have experienced some sort of event, injury, or illness during your service time that caused your injury or condition. That's why so many people turn to experienced law firms like Jan Dils, Attorneys at Law. Many musculoskeletal conditions are rated based on the range of motion, a mostly testable measure of how much loss of function the disability causes. They are rated at 20 percent for either arm and regardless of severity. Keep in mind all joints (shoulder, elbow, knee, and back) are based on a range of motion, not the amount of pain it causes or the amount of medication needed for relief. There are a few requirements you must meet in order to qualify for VA disability payments. The VA appeals process starts at your regional Department Of Veterans Affairs Office. These cookies are necessary for the website to function and cannot be switched off in our systems. VA may request a Compensation and Pension (C&P) exam to examine the veterans shoulder or arm condition. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of 3.105(e) of this chapter. Every case needs to be treated differently. Doctors treat less severe shoulder injuries with conservative measures such as physical therapy, rest, and ice. The IOM report noted that the VA Rating Schedule for Disabilities was inadequate in areas because it contained obsolete information and did not sufficiently integrate current and accepted diagnostic procedures as well as the lack of current knowledge of the relationships between conditions and comorbidities. In this specific post well cover the Rotator Cuff and we will also discuss bursitis briefly as it can lead to rotator cuff injuries. There are many knee and leg conditions eligible for service connection. Start applying todayand get the compensation you deserve. 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? At Veterans Disability Info, we can address any questions you may have about the claims or appeals procedure linked to your service-connected shoulder rating claims. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. . Attorney Gang is frequently in the news with commentary on issues affecting veterans. 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. Please do not send any confidential information to us until such time as an attorney-client relationship has been established. Specifically, if there is weakness and severe pain with motion, then it is rated 60 percent for the dominant arm and 50 percent for the non-dominant arm. The technical storage or access that is used exclusively for anonymous statistical purposes. Acute, Subacute, or Chronic Diseases Prosthetic Implants The Shoulder and Arm The Elbow and Forearm The Wrist The Spine The Ankle Shortening of the Lower Extremity 3 Also entitled to special monthly compensation. Other causes of restricted range of motion include: inflammation of the soft tissues surrounding the joint, or joint swelling. All of the criteria include severe, moderately severe, moderate, or slight and correspond to a disability rating ranging from 0 to 40 percent. CCK Recognized for Donations to American Veterans Disabled For Life Memorial, CCK Successfully Argues for a Precedential Decision About Protected Work Environment, A Day in the Life of a Paralegal (Claims Advocate) at CCK. At 45 degrees, those ratings will be set at 30 percent and 20 percent. Expand Table Amputations: Lower Extremity If you have to have a shoulder replacement, the VA will place you on 100 percent disability for the first year after the surgery and you will get a code of 5051. These other injuries, diseases, and conditions are rated depending on how severely they impact your life. Well cover the different types of shoulder injuries that can qualify for disability benefits, how the VA rates shoulder injuries, and what evidence is needed to support a claim. For instance, if you can still shrug your shoulder but not move your arm, youll get a different rating than if you could not move your shoulder at all. How to Protect Veterans From Financial Exploitation of Their VA Benefits April 26, 2023 Dear Chairman Tester and Ranking Member Moran, A veteran disabled in the service of our country Can I still apply for VA benefits even though I left the military years ago? These cookies dont collect information that identifies you. 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. They may inquire into the details of your arthroscopic surgery and the pain levels that youve experienced since. If it can bend to 30, it is rated 20%. Each condition gets its own code and is eligible for a certain level of disability rating. Contacting us does not create an attorney-client relationship. Some veterans may not be aware that VA disability ratings can be assigned for shoulder-specific impairments and painful motion like rotator cuff tears, bursitis, and more. 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. Instead, the VA uses a system that calculates the total disability you are entitled to. VA disability ratings can range from 0% up to 100% total disability depending on the severity of one's range of motion injury. Degenerative arthritis and osteoporosis can both affect your shoulders. If your condition makes it impossible for you to grasp things with your hand, you may be eligible for the VAs Special Monthly Compensation. Strain and disabilities to the shoulders are common during deployment, training, and combat. VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. All of the criteria include severe, moderately severe, moderate, or slight and corresponds to a disability rating ranging from 0 to 40 percent. For instance, the Painful Motion principle states that if you have any pain when you move the joint, you are entitled to the minimum disability rating for that body part. Veterans may be more susceptible to shoulder injuries due to the physical nature of their service. With the help of an attorney, you can present additional evidence to the VA that can influence the VAs decision regarding your claim. Our lawyers are committed to helping veterans get disability compensation. There are three options you should know about: If youve been denied a shoulder pain VA rating, dont give up. When you file for a VA disability rating for shoulder pain, you will most likely be scheduled for a Compensation & Pension (C&P) exam. Copyright 2023 Hill & Ponton, P.A.. All Rights Reserved. VA Claims Insider Submits Statement to Senate VA Committee: How to Protect Veterans From Financial Exploitation of Their VA Benefits. This is why workers compensation claims may be filed even though the surgery was actually a result of a problem that one experienced in the service. Eric Gang is an award-winning lawyer with a national law practice focused on Veterans Disability Appeals on behalf of U.S. veterans wrongfully denied medical and disability benefits. They will not treat your upper arm or prescribe pain killers, but they may take X-rays to determine if the cuff tear was partial-thickness or full-thickness, a malunion, etc. Function: Depression of the arm from vertical overhead to hanging at the side (1, 2); downward rotation of scapula (3, 4); 1 and 2 act with Group III in forward and backward swing of the arm. For instance, the following chart accompanies the Schedule of Ratings for ankle, knee, and hip disabilities: Each subcategory under the Rating Schedule includes numerous diagnostic codes, which represent specific disabilities. Using a measurable metric like range of motion (ROM) makes it easier for the VA to accurately assess a Veterans level of disability. This is an examination that a VA-hired doctor conducts. If you qualify for a VA disability benefit, youll receive a tax-free monthly payment. If it's necessary for your entire arm and shoulder to be amputated, the VA will give you a 90% disability rating. 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. Some vets dont realize how their bodies may experience some form of atrophy through active duty due to unknown injuries or dislocations. Portland, OR: 650 N. E. Holladay Street, Suite 1600, Portland, OR, 97232 Two things that veterans know are a given in active duty military life. - Your patient is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. This information is not a substitute for legal advice. are rated based on the range of motion, a mostly testable measure of how much loss of function the disability causes. Per the Appeals Modernization Act (AMA), you have several options to fight the decision: The VA will rate rotator cuff surgery based on the severity of the pain and the thickness rotator cuff tears, often around 10 20%. The VA assigns a percentage rating for disabilities stemming from limited use of shoulder muscles according to severity.