Jump to content



Search



Shoutbox Open the Shoutbox in a popup
@  carlie : (30 August 2014 - 06:27 PM) Vet211060 - I Guess They're Not That Shameful After All : - ) Congrats On Some Positive Adjudication
@  vet201060 : (30 August 2014 - 04:24 PM) Dav Sent Letter Saying I Am 100% Effective Oct 2013
@  MarkInTexas : (30 August 2014 - 12:35 PM) Wish There Was A "like" Button For Some Of These Comments.......
@  MarkInTexas : (30 August 2014 - 12:26 PM) Amen To That!
@  vet201060 : (28 August 2014 - 09:55 PM) Va Is So Shameful!!
@  artlouis : (27 August 2014 - 11:36 AM) Code 7019
@  vet201060 : (26 August 2014 - 11:41 PM) Damn Post It Notes
@  vet201060 : (26 August 2014 - 11:41 PM) True That
@  Asiadaug : (26 August 2014 - 07:46 PM) I Have Yet To Deal With Any Piece Of Va That Isn't A Dysfunctional Mess...ebenefits, Claim Filing, Billing...and To Think Our Tax Dollars Are Used To Perpetuate That Calamity!
@  carlie : (26 August 2014 - 05:39 PM) notorious kelly - loved your shout ! ! !
@  GlassRose1500 : (26 August 2014 - 03:40 PM) Would Someone Add Smc Housbound Plus Smc A&a Regular And One Smc K For Me? I Can't Seem To Do That Math!
@  Notorious Kelly : (26 August 2014 - 03:12 PM) Ebenefits Is Not A Thermometer In The Rectum Of Your Claim; It Is A Post-It Note That May Or Not Be Updated Or Accurate. Try Not To Obsess ;)
@  mcassidy : (26 August 2014 - 01:25 PM) Osa
@  Jaluluah11B : (26 August 2014 - 10:05 AM) My Reconsideration Finally Showed Up On Ebenefits As A New Claim.  gathering Evidence.  [font=Arial][size=3]Automated 5103 Notice Response Needed. [/size][/font]
@  vet201060 : (26 August 2014 - 10:00 AM) Went From Pending Decision Approval To Review Of Evidence Today, I Need To Stop Looking At It. Drives You Crazy Waiting
@  GlassRose1500 : (25 August 2014 - 09:30 PM) @coriemboh I Get My Best Claim Advice Here, But My Dav Guy Gets The Best Intel Once The Claim Is Filed
@  coriemboh : (25 August 2014 - 08:57 PM) The Average Processing Time Is 9 Months More Or Less. Every Time I Call The 800#, I Get A Different Answer. Goe, Roe....make Up Your Mind!
@  coriemboh : (25 August 2014 - 08:56 PM) I Just Want To Know Ballpark Figure Of How Much Longer My Claim Will Take. The Bills Are Piling Up. Adds To My Anxiety And Depression. Sure Wish I Could Tell Bill Collectors The Same Things Va Tells Me!
@  coriemboh : (25 August 2014 - 08:54 PM) @glassrose1500-No, I Don't. I Put In For Representation A Few Days Ago, But I'm Sure That End Won't Pan Out Until The Claim Is Closed.
@  GlassRose1500 : (25 August 2014 - 12:11 PM) Would Appreciate Feedback On My Smc Draft - Posted In The Smc Section! Tkx!

Photo
- - - - -

Ratings Of The Spine


This topic has been archived. This means that you cannot reply to this topic.
12 replies to this topic

#1 bigoc

 
bigoc

    E-5 Petty Officer 2nd Class

  • First Class Petty Officer
  • PipPipPipPipPip
  • 121 posts
 

Posted 13 July 2009 - 09:39 AM

I have recently received an x-ray report that shows injury to the spine in the Cervical, Thoracic, and lumbar.  I am currently rated at 20% for my neck based on a cervical MRI.  The injury is from a parachute accident(service connected).   I did seek medical help in service which is documented(how I got my cervical rating).  I do not have any limit in the range of motion, just pain.  I do not understand how they rate the spine.  I will list my x-ray report. 
 Any idea of what kind of rating I should expect and insist on based on the x-ray, pain, and little if any loss of range of motion?
  • Cervical Spine:  Reversal of cervical lordosis, spondylitic changes.  Clinical correlation recommended(whatever this means)
  • Thoracic Spine:  Levoscoliosis.
  • Lumbar Spine:  Straightening of lordosis. OA at L4-L5 and L5-S1 


Advertise Here

 

#2 john999

 
john999

    HadIt.com Elder

  • HadIt.com Elder
  • PipPipPipPipPipPipPipPipPipPip
  • 22197 posts
 

Posted 13 July 2009 - 10:09 AM

I think it is range of motin, but Rentalguy knows the facts and he will chime in I am sure. If you have chronic pain disorder that is rated as an emotional disorder.

#3 jbasser

 
jbasser

    Moderator/HadIt.com Elder/SVR Radio Panelist

  • Admin
  • PipPipPipPipPipPipPipPipPip
  • 6184 posts
 

Posted 13 July 2009 - 11:56 AM

[quote name='bigoc' date='Jul 13 2009, 11:39 AM' post='154293']
I have recently received an x-ray report that shows injury to the spine in the Cervical, Thoracic, and lumbar. I am currently rated at 20% for my neck based on a cervical MRI. The injury is from a parachute accident(service connected). I did seek medical help in service which is documented(how I got my cervical rating). I do not have any limit in the range of motion, just pain. I do not understand how they rate the spine. I will list my x-ray report.
Any idea of what kind of rating I should expect and insist on based on the x-ray, pain, and little if any loss of range of motion?
  • Cervical Spine: Reversal of cervical lordosis, spondylitic changes. Clinical correlation recommended(whatever this means)
  • Thoracic Spine: Levoscoliosis.
  • Lumbar Spine: Straightening of lordosis. OA at L4-L5 and L5-S1


1: cervical lordosis is the curvature of the bones in the neck.
Reversed means it has transgressed the oppisite of what it should be.
You have arthritic changes compared to another exam. Clinical correlation is asking another clinician their view on your condition.

2: levo scolosis: spine is bending left or right not forward or back.

3> The curvature of the back is straightened,

The Va will rate on Range of motion. Know your ranges and compare it to the regs.

J

Edited by jbasser, 13 July 2009 - 11:56 AM.


#4 rentalguy1

 
rentalguy1

    HadIt.com Elder

  • HadIt.com Elder
  • PipPipPipPipPipPipPipPipPip
  • 2349 posts
 

Posted 13 July 2009 - 12:36 PM

based on range of motion, or on incapacitating episodes (dr prescribed bed rest) if rated for intervertabral disc syndrome (IVDS). Spondylitic changes is IVDS. In layman's terms it is arhritic changes of the vertebrea.

#5 bigoc

 
bigoc

    E-5 Petty Officer 2nd Class

  • First Class Petty Officer
  • PipPipPipPipPip
  • 121 posts
 

Posted 13 July 2009 - 05:43 PM

I was always wondered what the VA rated me for with my neck injury.  I do not have any loss of range of motion or incapacitating episodes.  I do however have several levels of diminished disk hight and narrowing of the spinal column per an MRI reading.  I guess this is what I am rated on.  It seems that they will throw a rating your way if you have some kind of diagnostic testing that shows an injury.  It is not always found in the rating criteria unless I am missing this one.  Thanks for the insight.

#6 carlie

 
carlie

    Moderator/Admin/HadIt.com Elder/SVR Radio Panelist

  • Admin
  • PipPipPipPipPipPipPipPipPipPip
  • 22059 posts
 

Posted 13 July 2009 - 05:59 PM

bigoc,
You can call the 800 # and ask VA what Diagnostic Codes
you are rated under. They can usually provide correct information
an this type of question.
carlie

#7 rentalguy1

 
rentalguy1

    HadIt.com Elder

  • HadIt.com Elder
  • PipPipPipPipPipPipPipPipPip
  • 2349 posts
 

Posted 13 July 2009 - 06:09 PM

You are most likely rated on the old criteria, which was prior to 2002. It was much different then.

#8 bigoc

 
bigoc

    E-5 Petty Officer 2nd Class

  • First Class Petty Officer
  • PipPipPipPipPip
  • 121 posts
 

Posted 14 July 2009 - 03:16 PM

I was also wondering about how to claim the rest of the spine?  
Since this new x-ray report shows injury to the entire spine should I just list spine and leave it general or list the different sections?
My neck claim I specifically listed cervical disk protrusion which may have been a mistake since I may have limited myself in what body parts the VA rated.  I worked out well for me getting a 20% rating for the cervical spine but in the process I might have done better not not be specific in the claimed conditions section.  Any advice on how to word the claimed conditions section for the rest of the spine would be great.  Thanks a bunch guys(non-gender).

I have recently received an x-ray report that shows injury to the spine in the Cervical, Thoracic, and lumbar.  I am currently rated at 20% for my neck based on a cervical MRI.  The injury is from a parachute accident(service connected).   I did seek medical help in service which is documented(how I got my cervical rating).  I do not have any limit in the range of motion, just pain.  I do not understand how they rate the spine.  I will list my x-ray report.   Any idea of what kind of rating I should expect and insist on based on the x-ray, pain, and little if any loss of range of motion?

  • Cervical Spine:  Reversal of cervical lordosis, spondylitic changes.  Clinical correlation recommended(whatever this means)
  • Thoracic Spine:  Levoscoliosis.
  • Lumbar Spine:  Straightening of lordosis. OA at L4-L5 and L5-S1 



#9 jbasser

 
jbasser

    Moderator/HadIt.com Elder/SVR Radio Panelist

  • Admin
  • PipPipPipPipPipPipPipPipPip
  • 6184 posts
 

Posted 14 July 2009 - 04:23 PM

The cervical spine is a separate bodily segement than the Lumbar and Thoracic spine.
The Thoracic and Lumbar spine are considered the same segement.

J

#10 sharon

 
sharon

    HadIt.com Elder/Moderator

  • Master Chief Petty Officer
  • PipPipPipPipPipPipPipPip
  • 1126 posts
 

Posted 14 July 2009 - 04:51 PM

All three segments of the spine are rated separately. The different parts of the spine can be affected by each other. Speak wiht you doctor to see if the conditions are secondary to your service connected back condition.

#11 jbasser

 
jbasser

    Moderator/HadIt.com Elder/SVR Radio Panelist

  • Admin
  • PipPipPipPipPipPipPipPipPip
  • 6184 posts
 

Posted 14 July 2009 - 05:26 PM

Sharon, the c spine is rated separate. The Thoracic and lumbar spine are combined. The VA uses the term thoracolumbar that is a combination of the two.


General Rating Formula for Diseases and Injuries of the Spine(For diagnostic codes 5235 to 5243 unless 5243 is evaluated under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes):With or without symptoms such as pain (whther or not it radiates), stiffness, or aching in the area of the spine affected by residuals of injury or diseaseUnfavorable ankylosis of the entire spine100Unfavorable ankylosis of the entire thoracolumbar spine50Unfavorable ankylosis of the entire cervical spine; or, forward flexion of the thoracolumbar spine 30 degrees or less; or, favorable ankylosis of the entire thoracolumbar spine40Forward flexion of the cervical spine 15 degrees or less; or, favorable ankylosis of the entire cervical spine30Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or, forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or, the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, the combined range of motion of the cervical spine not greater than 170 degrees; or, muscle spasm or guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis, reversed lordosis, or abnormal kyphosis20Forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees; or, forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or, combined range of motion of the thoracolumbar spine greater than 120 degrees but not greater than 235 degrees; or, combined range of motion of the cervical spine greater than 170 degrees but not greater than 335 degrees; or, muscle spasm, guarding, or localized tenderness not resulting in abnormal gait or abnormal spinal contour; or, vertebral body fracture with loss of 50 percent or more of the height

Edited by jbasser, 14 July 2009 - 05:28 PM.


#12 militarynurse

 
militarynurse

    E-5 Petty Officer 2nd Class

  • Chief Petty Officers
  • PipPipPipPipPip
  • 203 posts
 

Posted 18 January 2010 - 06:38 PM

Sharon, the c spine is rated separate. The Thoracic and lumbar spine are combined. The VA uses the term thoracolumbar that is a combination of the two.


General Rating Formula for Diseases and Injuries of the Spine(For diagnostic codes 5235 to 5243 unless 5243 is evaluated under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes):With or without symptoms such as pain (whther or not it radiates), stiffness, or aching in the area of the spine affected by residuals of injury or diseaseUnfavorable ankylosis of the entire spine100Unfavorable ankylosis of the entire thoracolumbar spine50Unfavorable ankylosis of the entire cervical spine; or, forward flexion of the thoracolumbar spine 30 degrees or less; or, favorable ankylosis of the entire thoracolumbar spine40Forward flexion of the cervical spine 15 degrees or less; or, favorable ankylosis of the entire cervical spine30Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or, forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or, the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, the combined range of motion of the cervical spine not greater than 170 degrees; or, muscle spasm or guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis, reversed lordosis, or abnormal kyphosis20Forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees; or, forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or, combined range of motion of the thoracolumbar spine greater than 120 degrees but not greater than 235 degrees; or, combined range of motion of the cervical spine greater than 170 degrees but not greater than 335 degrees; or, muscle spasm, guarding, or localized tenderness not resulting in abnormal gait or abnormal spinal contour; or, vertebral body fracture with loss of 50 percent or more of the height



Does the "thoracolumbar spine" include the sacral spine/sacrum and coccyx?

#13 jbasser

 
jbasser

    Moderator/HadIt.com Elder/SVR Radio Panelist

  • Admin
  • PipPipPipPipPipPipPipPipPip
  • 6184 posts
 

Posted 18 January 2010 - 07:00 PM

T1 to L5. I dont think the Sacrum and coccyx are included but I may be wrong.

J




Advertise Here