Primary service-connected condition

DC 5243 — Intervertebral disc syndrome

Also known as: back pain, bulging disc, herniated disc, Intervertebral disc syndrome, ivds, lower back pain, slipped disc, disc herniation, pinched nerve in back, sciatica, radiating pain, agent orange

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

Intervertebral disc syndrome Knee, other impairment

5257
Strong

How the connection is commonly explained

Altered gait from disc-related back pain places 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 intervertebral disc syndrome led to or worsened knee, other impairment.

Relationship type: Caused by
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Primary Secondary

Intervertebral disc syndrome Major depressive disorder

9434
Strong

How the connection is commonly explained

Persistent pain, flare-ups, and activity limitations 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 intervertebral disc syndrome led to or worsened major depressive disorder.

Relationship type: Caused by
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Primary Secondary

Intervertebral disc syndrome Sciatic nerve, paralysis

8520
Strong

How the connection is commonly explained

Disc herniation or stenosis can compress the sciatic nerve and cause sciatica.

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 intervertebral disc syndrome led to or worsened sciatic nerve, paralysis.

Relationship type: Caused by
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Primary Secondary

Intervertebral disc syndrome Thigh, limitation of flexion

5252
Strong

How the connection is commonly explained

Compensation for chronic back pain transfers extra load to 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 intervertebral disc syndrome led to or worsened thigh, limitation of flexion.

Relationship type: Caused by
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Primary Secondary

Intervertebral disc syndrome Upper radicular group, paralysis

8510
Strong

How the connection is commonly explained

When the cervical spine is involved, disc problems 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 intervertebral disc syndrome led to or worsened upper radicular group, paralysis.

Relationship type: Caused by
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Primary Secondary

Intervertebral disc syndrome Erectile dysfunction, with or without penile deformity

7522
Moderate

How the connection is commonly explained

Lumbar nerve compression and pain medication side effects can contribute to erectile dysfunction.

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 intervertebral disc syndrome led to or worsened erectile dysfunction, with or without penile deformity.

Relationship type: Caused by
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Primary Secondary

Intervertebral disc syndrome Flatfoot, acquired

5276
Moderate

How the connection is commonly explained

Changes in gait from disc disease 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 intervertebral disc syndrome led to or worsened flatfoot, acquired.

Relationship type: Caused by
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Primary Secondary

Intervertebral disc syndrome Generalized anxiety disorder

9400
Moderate

How the connection is commonly explained

Pain, missed work, and fear of future limitations often contribute 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 intervertebral disc syndrome led to or worsened generalized anxiety disorder.

Relationship type: Caused by
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Primary Secondary

Intervertebral disc syndrome Sleep Apnea Syndromes

6847
Moderate

How the connection is commonly explained

Opioids, muscle relaxers, and reduced mobility can contribute to 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 intervertebral disc syndrome 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.