Lumbosacral or cervical strain (DC 5237) | VA Rating Tool

Diagnostic Code5237
CategoryThe Musculoskeletal System
SubcategorySpine
Also Known Asback pain, Cervical strain, lower back pain, Lumbosacral strain, neck strain, lumbar strain, low back, pulled back muscle, neck pain, cervical strain, upper back pain, thoracic pain, mid back pain
CFR Section38 CFR ยง 4.71a
๐Ÿ“Š What Veterans Actually Get
10%
Most Common Rating
48.0%
of Vets Get This
72.0%
Approval Rate
#4
Most Claimed

Back conditions are the #4 most claimed disability. 92.2% of veterans with lumbosacral strain are rated 0-20%. The most common rating is 10%, given for forward flexion limited to 60-85 degrees.

Pro Tip: Range of motion is everything for back ratings. Do NOT stretch or warm up before your C&P exam. Describe your worst days. If you have radiculopathy (shooting pain down your leg), file it separately โ€” it's a separate rating.
Rating Criteria
Rating Criteria
100% Unfavorable ankylosis of the entire spine
50% Unfavorable ankylosis of the entire thoracolumbar spine
40% Unfavorable ankylosis of the entire cervical spine; or, forward flexion of the thoracolumbar spine 30 degrees or less; or, favorable ankylosis of the entire thoracolumbar spine
30% Forward flexion of the cervical spine 15 degrees or less; or, favorable ankylosis of the entire cervical spine
20% Forward 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 kyphosis
10% Forward 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

Conditions Secondary to This

13 links
Knee, other impairment
5257
Strong

Altered gait from back pain puts abnormal stress on the knees. This is a well-documented biomechanical link.

Major depressive disorder
9434
Strong

Chronic pain is one of the strongest predictors of depression.

Migraine
8100
Strong

Cervical spine conditions are a well-documented cause of cervicogenic headaches and migraines

Sciatic nerve, paralysis
8520
Strong

Disc problems, strain, or stenosis can compress the sciatic nerve and cause sciatica symptoms.

Thigh, limitation of flexion
5252
Strong

Altered gait compensation from back pain places extra stress on the hip joints.

Upper radicular group, paralysis
8510
Strong

Cervical and upper spine involvement can compress nerves affecting the arms and hands.

Erectile dysfunction, with or without penile deformity
7522
Moderate

Nerve compression in the lumbar spine can affect sexual function. Pain medications also contribute.

Flatfoot, acquired
5276
Moderate

Gait changes from back pain alter foot mechanics, causing plantar pain and flatfoot-related symptoms.

Generalized anxiety disorder
9400
Moderate

Chronic pain and physical limitations often cause anxiety about future function and employment.

Median nerve, paralysis
8515
Moderate

Double crush syndrome โ€” cervical nerve compression worsens carpal tunnel

Sleep Apnea Syndromes
6847
Moderate

Pain medications such as muscle relaxers and opioids can relax airway muscles. Reduced mobility can also contribute to weight gain.

Temporomandibular disorder (TMD)
9905
Moderate

Cervical strain affects jaw alignment and function

Tinnitus, recurrent
6260
Moderate

Cervical conditions can cause or worsen somatic tinnitus through nerve pathways

This May Be Secondary To

10 links
Flatfoot, acquired
DC 5276
Strong

Flat feet change posture and gait, causing lower back strain.

Knee, other impairment
DC 5257
Strong

Limping and altered gait from knee injury place abnormal stress on the lumbar spine.

Leg, limitation of extension
DC 5261
Strong

Limitation of knee extension commonly causes limping and abnormal mechanics that strain the lower back.

Leg, limitation of flexion
DC 5260
Strong

Limitation of knee flexion often leads to limping and abnormal mechanics that strain the lower back.

Plantar fasciitis
DC 5269
Strong

Changed gait mechanics from foot pain affect spinal alignment

Sciatic nerve, paralysis
DC 8520
Strong

Sciatica and lumbar conditions are bidirectionally linked

Thigh, limitation of flexion
DC 5252
Strong

Hip and back are biomechanically linked โ€” hip dysfunction stresses the spine

Ankle, limited motion
DC 5271
Moderate

Gait compensation from ankle injuries affects spinal alignment

Arm, limitation of motion
DC 5201
Moderate

Shoulder conditions often involve compensatory neck strain

Post-traumatic arthritis
DC 5010
Moderate

Arthritis in weight-bearing joints alters gait, stressing the spine

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.