The disability rating for degenerative disc disease of the lumbar spine at L4-5 and L5-S1 is determined by the Department of Veterans Affairs (VA) based on the severity and impact of the condition on the veteran’s ability to function. In this case, the veteran’s degenerative disc disease is rated as 40 percent disabling according to the criteria set forth in the VA’s Schedule for Rating Disabilities (38 C.F.R.).
To understand how the disability rating is determined, it is important to have a basic understanding of degenerative disc disease. Degenerative disc disease is a common condition that affects the intervertebral discs in the spine. These discs act as cushions between the vertebrae and help to absorb shock and provide flexibility to the spine. As we age, these discs can degenerate and lose their ability to function properly, leading to pain, stiffness, and reduced mobility.
In the VA’s rating schedule, disabilities are evaluated based on the level of impairment they cause in various functional areas, such as range of motion, pain, and functional limitations. The rating schedule provides specific criteria for each level of disability, ranging from 0 to 100 percent.
For degenerative disc disease of the lumbar spine, the rating criteria primarily focus on the range of motion of the spine, as well as the presence and severity of pain. The rating schedule outlines specific measurements and criteria for different levels of range of motion impairment, such as forward flexion, extension, lateral flexion, and rotation. Additionally, the schedule considers factors such as muscle spasm, guarding, and abnormal spinal curvature.
In the case of the veteran with degenerative disc disease at L4-5 and L5-S1, the VA has determined that the condition is 40 percent disabling. This means that the veteran experiences significant impairment in range of motion and/or pain that affects their ability to function. It is important to note that the disability rating is not an indication of the severity of the condition itself, but rather how it impacts the individual’s ability to perform activities of daily living and work-related tasks.
Determining the appropriate disability rating for a specific case requires a thorough evaluation by a VA examiner, who will review the veteran’s medical records, conduct a physical examination, and consider any additional evidence provided. The examiner will assess the veteran’s range of motion, pain levels, and functional limitations, and compare these findings to the criteria outlined in the rating schedule.
It is worth mentioning that disability ratings are not set in stone and can be subject to change. If a veteran’s condition worsens or improves over time, they may request a reevaluation of their disability rating. This can be done by submitting new medical evidence or undergoing a new examination.
The disability rating for degenerative disc disease of the lumbar spine at L4-5 and L5-S1 is determined based on the specific criteria outlined in the VA’s rating schedule. In this case, the veteran has been rated as 40 percent disabled, indicating significant impairment in range of motion and/or pain that affects their ability to function.