Primary service-connected condition

DC 5242 — Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010)

Also known as: arthritis of the spine, back pain, Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome, degenerative disc disease, lower back pain, DDD, herniated disc, bulging disc, disc disease, spinal stenosis

Mapped secondary conditions
9

These are commonly claimed secondary connections linked to this primary disability. Use them as a screening tool for conversations with your doctor, VSO, or VA-accredited attorney.

Primary Secondary

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010) Knee, other impairment

5257
Strong

How the connection is commonly explained

Altered gait from chronic back pain puts abnormal stress on the knees.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either dc 5003 or 5010) led to or worsened knee, other impairment.

Relationship type: Caused by
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Primary Secondary

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010) Major depressive disorder

9434
Strong

How the connection is commonly explained

Long-term pain and reduced function are strongly associated with depression.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either dc 5003 or 5010) led to or worsened major depressive disorder.

Relationship type: Caused by
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Primary Secondary

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010) Sciatic nerve, paralysis

8520
Strong

How the connection is commonly explained

Degenerative disc disease commonly compresses the sciatic nerve and causes sciatica symptoms.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either dc 5003 or 5010) led to or worsened sciatic nerve, paralysis.

Relationship type: Caused by
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Primary Secondary

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010) Thigh, limitation of flexion

5252
Strong

How the connection is commonly explained

Altered gait compensation from spinal degeneration places extra stress on the hips.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either dc 5003 or 5010) led to or worsened thigh, limitation of flexion.

Relationship type: Caused by
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Primary Secondary

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010) Upper radicular group, paralysis

8510
Strong

How the connection is commonly explained

Cervical degenerative changes can compress nerves affecting the arms and hands.

Filing tip

Ask your doctor to clearly state that the secondary condition is at least as likely as not caused or aggravated by the primary service-connected condition. For this pairing, ask the provider to explain how degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either dc 5003 or 5010) led to or worsened upper radicular group, paralysis.

Relationship type: Caused by
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Primary Secondary

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010) Erectile dysfunction, with or without penile deformity

7522
Moderate

How the connection is commonly explained

Lumbar nerve involvement and pain medication side effects can affect sexual function.

Filing tip

A nexus letter and treatment records explaining the progression from the primary condition to the secondary condition can make a big difference. For this pairing, ask the provider to explain how degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either dc 5003 or 5010) led to or worsened erectile dysfunction, with or without penile deformity.

Relationship type: Caused by
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Primary Secondary

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010) Flatfoot, acquired

5276
Moderate

How the connection is commonly explained

Pain-related gait changes can alter foot mechanics and contribute to plantar and flatfoot symptoms.

Filing tip

A nexus letter and treatment records explaining the progression from the primary condition to the secondary condition can make a big difference. For this pairing, ask the provider to explain how degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either dc 5003 or 5010) led to or worsened flatfoot, acquired.

Relationship type: Caused by
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Primary Secondary

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010) Generalized anxiety disorder

9400
Moderate

How the connection is commonly explained

Chronic pain and worry about physical decline commonly lead to anxiety.

Filing tip

A nexus letter and treatment records explaining the progression from the primary condition to the secondary condition can make a big difference. For this pairing, ask the provider to explain how degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either dc 5003 or 5010) led to or worsened generalized anxiety disorder.

Relationship type: Caused by
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Primary Secondary

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010) Sleep Apnea Syndromes

6847
Moderate

How the connection is commonly explained

Pain medications can relax the airway and decreased mobility can promote weight gain that worsens sleep apnea.

Filing tip

A nexus letter and treatment records explaining the progression from the primary condition to the secondary condition can make a big difference. For this pairing, ask the provider to explain how degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either dc 5003 or 5010) led to or worsened sleep apnea syndromes.

Relationship type: Caused by
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How to File a Secondary Claim

1. Have your primary condition already service-connected.
2. Get diagnosed with the secondary condition.
3. Get a nexus letter from a doctor linking them.
4. File VA Form 21-526EZ and select the claim as a secondary claim.
5. Attend the C&P exam if one is scheduled.

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