Primary service-connected condition

DC 5257 — Knee, other impairment

Also known as: knee instability, knee pain, Knee, other, knee giving way, knee buckling, torn ligament, ACL, MCL, bad knees, knee pain, knee injury, blown out knee, acl tear, torn meniscus, knee replacement

Mapped secondary conditions
7

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

Knee, other impairment Degenerative arthritis, other than post-traumatic

5003
Strong

How the connection is commonly explained

Prior knee injury is a leading cause of post-traumatic arthritis.

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 knee, other impairment led to or worsened degenerative arthritis, other than post-traumatic.

Relationship type: Caused by
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Primary Secondary

Knee, other impairment Knee, other impairment

5257
Strong

How the connection is commonly explained

Favoring the injured knee often overloads the opposite knee.

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 knee, other impairment led to or worsened knee, other impairment.

Relationship type: Aggravated by
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Primary Secondary

Knee, other impairment Lumbosacral or cervical strain

5237
Strong

How the connection is commonly explained

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

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 knee, other impairment led to or worsened lumbosacral or cervical strain.

Relationship type: Caused by
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Primary Secondary

Knee, other impairment Thigh, limitation of flexion

5252
Strong

How the connection is commonly explained

Compensating for knee pain shifts extra load to the hip joint.

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 knee, other impairment led to or worsened thigh, limitation of flexion.

Relationship type: Caused by
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Primary Secondary

Knee, other impairment Ankle, limited motion

5271
Moderate

How the connection is commonly explained

Gait compensation affects ankle mechanics and can lead to chronic ankle pain.

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 knee, other impairment led to or worsened ankle, limited motion.

Relationship type: Caused by
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Primary Secondary

Knee, other impairment Flatfoot, acquired

5276
Moderate

How the connection is commonly explained

Altered gait mechanics affect the feet and can worsen flatfoot-type 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 knee, other impairment led to or worsened flatfoot, acquired.

Relationship type: Caused by
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Primary Secondary

Knee, other impairment Major depressive disorder

9434
Moderate

How the connection is commonly explained

Loss of mobility and chronic pain contribute to depression.

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 knee, other impairment led to or worsened major depressive disorder.

Relationship type: Caused by
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This condition may also be secondary to

Ankle, limited motion
DC 5271
Strong

Ankle injuries alter gait mechanics, stressing the knee

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

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

Flatfoot, acquired
DC 5276
Strong

Flat feet alter lower limb alignment and place extra stress on the knee joint.

Intervertebral disc syndrome
DC 5243
Strong

Altered gait from disc-related back pain places abnormal stress on the knees.

Knee, other impairment
DC 5257
Strong

Favoring the injured knee often overloads the opposite knee.

Leg, limitation of extension
DC 5261
Strong

Favoring one knee often overloads the opposite knee.

Leg, limitation of flexion
DC 5260
Strong

Favoring one knee can overload the opposite knee over time.

Lumbosacral or cervical strain
DC 5237
Strong

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

Plantar fasciitis
DC 5269
Strong

Foot pain alters gait, stressing the knee joint

Post-traumatic arthritis
DC 5010
Strong

Post-traumatic arthritis commonly develops in injured joints

Thigh, limitation of flexion
DC 5252
Strong

Altered gait from hip pain overloads the knee

Sciatic nerve, paralysis
DC 8520
Moderate

Compensating gait from sciatica stresses the knee

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.