Knee Pain Is A Hidden Gem VA Disability Rating & Here's Why

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Navigating the complexities of VA disability claims for knee conditions can be daunting. Many veterans find themselves underrated due to a lack of understanding about how to accurately convey the full extent of their knee issues, including pain, instability, and limitations in flexion and extension. This easy guide breaks down the various knee diagnostic codes used by the VA, empowering veterans to better understand and articulate their conditions for a fair assessment.

Diagnostic Code 5003: Degenerative Arthritis (without mention of specific limitation or instability) – This code applies to cases where degenerative arthritis is diagnosed by X-ray, without explicit mention of the degree of limitation or instability. It's crucial for veterans to also report any functional limitations or instability they experience due to arthritis for a more accurate rating.

Diagnostic Code 5010: Gonarthrosis (degenerative arthritis, knee) – Specifically focused on the knee, this code covers degenerative arthritis, emphasizing the need for veterans to detail any associated symptoms like pain, swelling, and reduced mobility.

Diagnostic Code 5257: Knee instability – This code is vital for veterans experiencing lateral or medial instability in the knee. Documenting the severity of instability is essential for an accurate evaluation, as it can significantly impact the overall functional capacity of the knee.

Diagnostic Code 5260: Limitation of flexion, knee – Veterans should note the maximum degree of knee flexion (bending) and any pain or functional loss during motion. This code assesses the range of motion and its impact on daily activities.

Diagnostic Code 5261: Limitation of extension, knee – Similar to the limitation of flexion, this code evaluates the inability to fully straighten the knee. Reporting the exact degree of limitation can influence the disability rating.

Understanding these diagnostic codes and how they apply to your condition is the first step in ensuring your knee disability claim accurately reflects the challenges you face. When filing or appealing a VA disability claim, clearly documenting not only the pain but also the instability and the specific limitations in flexion and extension of your knee is crucial. This detailed approach helps the VA to better assess the true impact of your knee condition on your daily life and military service, leading to a fair and just rating.

For veterans seeking to navigate the VA claims process for knee conditions, it's important to consult with a healthcare provider or a VA-accredited claims agent. They can provide valuable assistance in gathering the necessary medical evidence and correctly framing your claim based on the appropriate diagnostic codes.

Empower your VA disability claim with a thorough understanding of knee diagnostic codes. Ensure your service-connected knee conditions are fully recognized for the impact they have on your quality of life.

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Legal Disclaimer: This video and its content are provided for educational purposes only. VA Claims Academy emphasizes the importance of honesty and integrity in all dealings with the Department of Veterans Affairs (VA). It is crucial to understand that falsifying information, exaggerating conditions, or providing misleading statements to the VA is not only unethical but also illegal and can have serious legal consequences.

[andresluna]

Well Jordan I'm back. This time with 100% p&t granted 4 days ago. I have to thank you because your videos about lower back conditions and the bilateral factor/radiculopathy helped me Massively in getting me to 100%. Wouldent have done it without it. These videos make are pure gold and thank you for what u do. I can only imagine what the paid stuff does for vets. Take care

[twinsandboost]

Im a reservist already 6 years with one deployment under my belt. I have experienced back and knee problems throughout my Air Force career. Been watching these videos and hopefully I can receive a high claim

[Ballerboithaone]

Jordan just joined the grandmaster course. Look forward to working with you! Thanks for all your help to fellow vets!

[Xtremeproducts]

Just subscribed because your videos are short straight to the point and informative

[AngelFace]

Im SC for pes plantus but they denied my knee, ankle, hips… said I didn’t have continuity of care so it can’t be related to the military. However, it also says I made complaints about pain while serving on all the above 😤

[Frontend]

Bro you are the reason i went from 40% > 60% > 90%
I didnt get help i just used your knowledge. Now im going for 100% p&t
Since my conditions are all static

[mikecurtis]

@vaclaimsacademy so I have hip, lumbar, knee and femur with multiple symptoms 😢 I am in so much pain that my 40% isn't cutting it. Thanks Jordan!

[mixedraceable]

My combined rating is currently at 93% and I'm rated as static on my code sheet. On 2-6-24 I filed for radicolapathy on both thighs in which it would also be a bilateral factor itself at 10% left thigh 10% and righ thigh 10% Im already rated 10 % radicolapathy for my right leg lower extremities.

[sheenamiller]

I got rated at 50% for my left knee (unaware of partial ACL tear while in ). I filed bilateral knee pain for right knee and got denied ( not service connected) . Should I have filed secondary, and is it too late to do so. Also, have feet problems service connected.
Some say that since I was denied, I can't/ shouldn't file as secondary claim.

[brendanewsome]

Jordan I was just denied for my back, hearing loss, tinnitus, but I got 60% for migraines. What should I do from here?

[azeezwaheed]

Thanks for the great content and info Jordan.

Im applying for an increase for both my knees (20% - Rating for Patellofemoral Syndrome, both Knees (Previously DC5299-5260)).
Do I need any additional information aside from my medical records?
Is the process for an increase any different than applying for a new or secondar condition?

Additionally, while applying for a claim, do I apply for separate conditions; DC's for my each knee (DC 5260, DC5261, DC 5257, DC 5256, DC 5258) or just two conditions one each knee?

Thanks

[QBDad]

is the knee and ankles work the same way? my ankles are horrible already rated at 10% each from my initial award about 10 years ago... my back also at 10% and now saying it's degrenerative and the pain will probably never go away with the arthritis.

[shelleysmith]

Maybe you could answer my Question I just had my left knee replaced and filled for comp. Do I have to ask for the 100% up grade that your supposed to get while in recovery, it’s supposed to go for 4 months while you recover from your replacement

[wesleycrider]

Jordan I’ve had two knee c and p exams. I got service connected at 10 on flexion first time. Neither rater tested me for extension. What should I do next?

[MrJoemann]

Hello. I want to note something I find conflicting in this video and would greatly appreciate clarity. You say to stop when feeling pain when extending your knee. Wouldn’t that automatically be faulted by walking into the C&P exam?
I’m having tremendous knee pain and it does hurt to extend my leg and to walk. However, I feel that walking into the exam would make it look like I have no problems with extension

[rickkane]

I got knee pain I’m sure if I claim it it get denied like my back pain.

[luistijerina]

I have pain in both my knees, but X-rays and MRIs don't show anything wrong 😑

[darylglover]

But what if your on pain meds and anti inflammatory meds then what😮

[thisnthat.]

Are we able to just fill out our own DBQ ahead of the CMP exam. The mfs at the VA suck and definitely don't give a damn😤🤬