VA Disability Rating Criteria for Lumbosacral Strain
The Department of Veterans Affairs rates Lumbosacral Strain under 38 CFR Book C (Diagnostic Code 5237). Compensation ratings are determined by the severity of functional impairment and objective medical evidence.
Title 38 CFR Statutory Rating Schedule
Source: eCFR Part 4| Rating | Required Diagnostic Symptoms & Severity |
|---|---|
| 100% | Unfavorable ankylosis of the entire spine. |
| 50% | Unfavorable ankylosis of the entire thoracolumbar spine. |
| 40% | Forward flexion ≤30°; OR favorable ankylosis of the entire thoracolumbar spine. |
| 30% | Applies to cervical spine only (see 5242). |
| 20% | Forward flexion >30° but ≤60°; OR combined ROM ≤120°; OR muscle spasm or guarding severe enough to result in abnormal gait or abnormal spinal contour (scoliosis, reversed lordosis, or abnormal kyphosis). |
| 10% | Forward flexion >60° but ≤85°; OR combined ROM >120° but ≤235°; OR muscle spasm/guarding/localized tenderness not resulting in abnormal gait or spinal contour. |
Statutory Secondary Service Connections for Lumbosacral Strain
Lumbar herniated discs or degenerative stenosis compress L4-S1 nerve roots, causing radiating pain, numbness, and motor weakness in legs.
L2-L4 nerve root compression causes anterior thigh pain, numbness, and quadriceps weakness.
Altered gait mechanics from back pain force weight shifting onto knees, accelerating cartilage degeneration.
Pelvic tilt and spinal stiffness alter hip joint biomechanics, leading to secondary hip arthritis.
Ready to build your Lumbosacral Strain claim or increase?
Run the free combined rating calculator, match secondary symptoms, and prepare your C&P exam evidence.