How to Get a Lumbosacral Strain VA Rating

June 7, 2023
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As a veteran, getting a lumbosacral strain can be a painful and debilitating experience. Not only can it impact your daily life, but it can also affect your ability to work and earn a living. If you developed the condition while in service or suffered an aggravation of an existing condition, you may be eligible for Lumbosacral Strain VA disability benefits. We will guide you through the process of getting a lumbosacral strain VA rating also know as a back pain VA rating.

What is Lumbosacral Strain

Lumbosacral Strain is one of the most common reasons for back pain and may be referred to as lower back strain. It occurs in the lumbosacral region, located at the lower part of the spine, plays a crucial role in providing stability, mobility, and support to the human body. It consists of the lumbar vertebrae (lower back) and the sacrum (triangular bone at the base of the spine), which together form a critical junction between the upper and lower body.

The Lumbosacral Strain often results from overuse, sudden movements, or excessive stress on the lower back. This strain can cause pain, stiffness, limited mobility, and discomfort in the affected area, affecting an individual’s ability to perform daily activities and potentially leading to long-term complications if not addressed promptly.

Understanding the Impact of Lumbosacral strain

To understand the impact of lumbosacral strain, it is crucial to have a basic understanding of the anatomy and function of the lumbosacral region. The lumbar vertebrae, typically consisting of five large and robust bones, provide flexibility and support to the upper body while allowing movements such as bending, twisting, and lifting.

On the other hand, the sacrum, a triangular bone formed by the fusion of five sacral vertebrae, connects the spine to the pelvis, ensuring stability and transferring the weight of the upper body to the lower limbs.

Muscles, tendons, and ligaments surround and support the lumbosacral region, playing a vital role in its function. The muscles, including the erector spinae, quadratus lumborum, and abdominal muscles, work together to maintain proper posture, stabilize the spine, and facilitate movement.

Tendons are the connective tissues that attach muscles to bones, allowing for transmission of force and providing stability. Ligaments, on the other hand, connect bones to other bones, offering additional support and preventing excessive movements that could lead to injury.

Several factors can contribute to the development of lumbosacral strain, and among the most common causes are heavy lifting, repetitive motions, and physical trauma experienced during military service.

Heavy lifting, especially when performed incorrectly or without proper body mechanics, can strain the muscles and ligaments of the lumbosacral region. Similarly, repetitive motions or activities that involve twisting, bending, or vibrating the lower back can lead to overuse and subsequent strain.

In the context of military service, physical trauma can occur due to various factors, including carrying heavy equipment, running with gear, jumping from heights, or exposure to explosions. These events can subject the lumbosacral region to significant stress and force, resulting in strain or injury to the muscles, tendons, or ligaments.

Symptoms of a lumbosacral strain

Common symptoms of a lumbosacral strain include:

  • Lower back pain: The primary symptom of a lumbosacral strain is pain in the lower back region. The pain may range from mild to severe and can be localized or spread across the lower back area.
  • Muscle stiffness: Individuals with a lumbosacral strain may experience stiffness or tightness in the muscles of the lower back, making it difficult to move or perform certain activities.
  • Limited range of motion: The strain can lead to a reduction in the normal range of motion of the lower back. Movements such as bending forward, twisting, or leaning backward may be restricted or cause pain.
  • Tenderness: The affected area may be tender to touch, and pressing on the muscles or the bony structures of the lower back may elicit pain or discomfort.
  • Muscle spasms: Strained muscles in the lumbosacral region may go into spasms, resulting in sudden and involuntary contractions. These spasms can be painful and cause additional discomfort.
  • Radiating pain: In some cases, the pain from a lumbosacral strain may radiate from the lower back into the buttocks, hips, or down the legs. This is known as radiculopathy and can be associated with nerve involvement or irritation.
  • Pain with movement: Activities that involve bending, lifting, or prolonged sitting or standing may exacerbate the pain. The pain may be more pronounced during certain movements or positions.
  • Swelling and inflammation: The strained muscles or tissues may become inflamed, leading to localized swelling in the lower back area. The swelling may contribute to the overall discomfort and limited mobility.
  • Difficulty in daily activities: The symptoms of a lumbosacral strain can interfere with everyday tasks such as walking, sitting, standing, or bending, making it challenging to carry out regular activities or maintain a normal routine.
  • Muscle weakness: In severe cases or if the strain involves nerve compression, individuals may experience weakness in the muscles of the lower back, hips, or legs. This weakness can affect coordination and stability.

Gathering Medical Evidence

For veterans who have served our country and suffer from lumbosacral strain, seeking medical attention from a qualified healthcare professional is paramount. The significance of medical evidence cannot be understated when it comes to establishing a service connection for this condition.

By documenting medical visits, treatments, diagnostic tests, and prescribed medications related to lumbosacral strain, veterans can build a strong case for disability benefits and receive the support they earned.

Seek Medical Attention from Qualified Healthcare Professionals:

The first step for veterans experiencing lumbosacral strain is to consult a qualified healthcare professional, such as a physician or physical therapist. These professionals have the expertise to accurately diagnose the condition and develop an appropriate treatment plan. Seeking medical attention promptly not only ensures proper care but also establishes a critical starting point for collecting medical evidence.

Document Medical Visits:

Keeping a record of medical visits is essential for establishing a service connection. By maintaining a comprehensive log of all appointments related to lumbosacral strain, veterans can demonstrate a consistent pattern of seeking medical care. These records can serve as a timeline that establishes a connection between the condition and the period of military service. Be sure to include details such as the date, healthcare provider’s name, and the purpose of the visit.

Track Treatments Received:

Alongside medical visits, documenting the treatments received is crucial. This includes therapies, procedures, surgeries, medications, and any other interventions specifically targeting lumbosacral strain. Tracking treatments shows the extent to which the condition is being addressed and helps demonstrate the ongoing impact on daily life and functionality.

Diagnostic Tests:

Diagnostic tests play a pivotal role in establishing the presence and severity of lumbosacral strain. X-rays, MRIs, CT scans, and other imaging studies can provide objective evidence of the condition’s existence, identify underlying causes, and determine its impact on the musculoskeletal system. It is vital to maintain records of these tests, including dates, locations, and the healthcare professionals who ordered and interpreted them.

Buddy Letters:

In addition to medical evidence, veterans with lumbosacral strain can also submit “buddy letters” or affidavits. These are written statements from friends, family members, or colleagues who have personal knowledge of the effects of the condition on a veteran’s daily life and activities. Since these statements come from individuals who know the veteran personally, they can provide helpful evidence for the disability claim.

Statement in Support of Claim:

Finally, veterans can also provide a “statement in support of claim” to supplement their medical records. In this statement, the veteran should describe how lumbosacral strain has impacted them physically and emotionally, as well as its effects on their work and daily life. This document serves to contextualize the provided medical evidence and provide insight into the veteran’s with lumbosacral strain.

Prescribed Medications:

Any medications prescribed to manage the symptoms of lumbosacral strain should be documented carefully. This includes the name of the medication, dosage, duration of usage, and the prescribing healthcare professional. The records of prescribed medications can help demonstrate the ongoing medical treatment required for the condition and provide evidence of its impact on the veteran’s daily life.

Filing a Disability Claim

Once you have a diagnosis and medical evidence linking your lumbosacral strain to your military service, you can file a disability claim with the VA. The VA accepts claims online, by mail, or in-person at a VA regional office.

You must provide your military service records, medical reports, and any other relevant evidence to support your claim for benefits. The VA will review your claim and schedule a compensation and pension (C&P) exam to evaluate your condition.

Attending the Compensation and Pension Exam

During the C&P exam, a VA examiner will assess your condition and determine the severity of your lumbosacral strain. The examiner will examine your range of motion, muscle strength, and level of pain.

It is essential to be honest and thorough when answering questions and describing your symptoms. The examiner will provide a report to the VA, which will use the information to determine your disability rating.

Receiving Your Lumbosacral Strain VA Rating

Veterans who have experienced lumbosacral strain or other spinal conditions during their military service may be eligible for disability compensation from the Department of Veterans Affairs (VA). The VA uses a comprehensive disability rating system to assess the severity of a veteran’s condition and determine the appropriate compensation.

Factors Considered for Disability Rating

  • Range of Motion Limitations: The VA evaluates the range of motion of the veteran’s spine, including the lumbosacral region, to determine the level of impairment. The range of motion is assessed in different directions, such as flexion (forward bending), extension (backward bending), lateral bending (side-to-side), and rotation. The degree of limitation in each direction is carefully assessed by a medical professional.
  • Functional Impairment: The VA considers the impact of lumbosacral strain on a veteran’s ability to perform daily activities and work. Functional impairment refers to limitations in mobility, strength, and overall functionality. It takes into account factors such as difficulty standing, walking, sitting, lifting, or performing repetitive tasks. The VA examines the impact of the condition on the veteran’s ability to engage in both sedentary and physically demanding work.
  • Pain and Symptoms: The severity and persistence of pain and other associated symptoms, such as muscle spasms, numbness, or radiating pain, are crucial factors in determining the disability rating. The VA evaluates the frequency and intensity of these symptoms and their effect on the veteran’s overall well-being and quality of life.
  • Radiological and Clinical Findings: Medical records, diagnostic imaging (X-rays, MRI scans), and clinical assessments play an important role in establishing the presence and severity of lumbosacral strain. The VA considers objective findings, such as evidence of degenerative changes, herniated discs, or other abnormalities in the spinal column.

Rating Percentages and Compensation Examples

The VA assigns disability ratings for lumbosacral strain on a scale of 0% to 100%, in increments of 10%. The rating reflects the degree of disability and determines the corresponding compensation amount. Here are some examples of rating percentages associated with different levels of severity:

  • 0% Rating: No functional impairment or range of motion limitations. Example: The veteran experiences occasional back pain but can perform all activities without any restrictions.
  • 10% Rating: Mild functional impairment with occasional flare-ups. Example: The veteran experiences intermittent pain that restricts prolonged standing or walking but can perform most activities without significant limitations.
  • 30% Rating: Moderate functional impairment with persistent symptoms. Example: The veteran experiences constant pain, significant limitations in bending and lifting, and cannot engage in physically demanding work.
  • 50% Rating: Severe functional impairment with frequent flare-ups and limited mobility. Example: The veteran experiences constant pain, limited range of motion, and requires assistive devices (such as a cane or back brace) to perform daily activities.
  • 70% or higher Rating: Very severe functional impairment with significant loss of mobility and chronic pain. Example: The veteran experiences constant pain, severely limited range of motion, and requires substantial assistance to perform daily activities.

How Lumbosacral Strains Compare to Other Back Problems

The Department of Veterans Affairs treats lumbosacral strain differently than other conditions and injuries related to the back. For comparison purposes, here is a brief overview of VA ratings for some common spinal issues:

  • Herniated Discs: The VA evaluates herniated discs based on range of motion limitations, functional impairment, symptoms (pain, numbness, tingling), and radiculopathy findings. This condition is rated on a scale of 0-90%.
  • Degenerative Disc Disease: DDD is usually rated on a scale of 0-60%. The VA considers the severity of symptoms (pain, muscle spasms) and functional impairment in assessing the disability rating.
  • Spinal Stenosis: This condition is rated on a scale of 0-60%. The VA evaluates the range of motion limitations, functional impairment, and presence of symptoms (pain, numbness).
  • Post-Traumatic Stress Disorder: PTSD is rated on a scale of 0-100%. The VA considers factors such as intensity of stressors, frequency and duration of symptoms, functional impairment, and social interactions.

Compensation for lumbosacral strain depends on the severity of your condition and its impact on your daily life. It is important to document the details of your injury or illness in order to receive an accurate disability rating from the VA.

Getting Help From a VA Accredited Attorney or Veterans Service Officer

Navigating the VA disability system can be complicated and overwhelming, especially if you are dealing with a painful condition like lumbosacral strain. But you don’t have to do it alone. Many organizations, such as the Disabled American Veterans (DAV) and Veterans of Foreign Wars (VFW), provide free assistance and representation to veterans seeking disability benefits. Working with a VA accredited law group like VetsForever or a  veterans service officer (VSO) can help ensure that your claim is complete, accurate, and properly documented. They may also help you find secondary conditions like a radiculopathy va rating.

Summary

If you are a veteran struggling with a lumbosacral strain, it is essential to know that you may be eligible for VA disability benefits. By following the steps outlined in this blog post, you can increase your chances of receiving a favorable lumbosacral strain VA rating decision. Remember, obtaining a VA disbability rating for back pain can provide you with the financial support you need to manage your pain and improve your quality of life.


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