Lumbosacral or cervical strain (DC 5237) | VA Rating Tool
| Diagnostic Code | 5237 |
|---|---|
| Category | The Musculoskeletal System |
| Subcategory | Spine |
| Also Known As | back 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 Section | 38 CFR ยง 4.71a |
๐ What Veterans Actually Get
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.
Next Steps for This Condition
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 linksAltered gait from back pain puts abnormal stress on the knees. This is a well-documented biomechanical link.
Chronic pain is one of the strongest predictors of depression.
Cervical spine conditions are a well-documented cause of cervicogenic headaches and migraines
Disc problems, strain, or stenosis can compress the sciatic nerve and cause sciatica symptoms.
Altered gait compensation from back pain places extra stress on the hip joints.
Cervical and upper spine involvement can compress nerves affecting the arms and hands.
Nerve compression in the lumbar spine can affect sexual function. Pain medications also contribute.
Gait changes from back pain alter foot mechanics, causing plantar pain and flatfoot-related symptoms.
Chronic pain and physical limitations often cause anxiety about future function and employment.
Double crush syndrome โ cervical nerve compression worsens carpal tunnel
Pain medications such as muscle relaxers and opioids can relax airway muscles. Reduced mobility can also contribute to weight gain.
Cervical strain affects jaw alignment and function
Cervical conditions can cause or worsen somatic tinnitus through nerve pathways
This May Be Secondary To
10 linksFlat feet change posture and gait, causing lower back strain.
Limping and altered gait from knee injury place abnormal stress on the lumbar spine.
Limitation of knee extension commonly causes limping and abnormal mechanics that strain the lower back.
Limitation of knee flexion often leads to limping and abnormal mechanics that strain the lower back.
Changed gait mechanics from foot pain affect spinal alignment
Sciatica and lumbar conditions are bidirectionally linked
Hip and back are biomechanically linked โ hip dysfunction stresses the spine
Gait compensation from ankle injuries affects spinal alignment
Shoulder conditions often involve compensatory neck strain
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.