Lumbar radiculopathy dbq

VA disability ratings are expressed as percentages and range from 10% to 100%. The disability rating for radiculopathy can range from 10% for minor radiculopathy affecting the hand to 90% for major paralysis affecting all three radicular groups (cervical, thoracic, and lumbar). There is not a 100% rating for radiculopathy alone, but 100% ...

In this video Leah is explaining the process of a C&P exam for veterans with neck pain or cervical spine conditions. She emphasizes that the process should n...Lumbar radiculopathy is one of the most common complaints evaluated by a spine surgeon. Its prevalence has been estimated to be 3%-5% of the population, affecting both men and women. Age is a primary risk factor, as it occurs secondary to the degenerative process within the spinal column.Summary. Lumbar radiculopathy is inflammation of a nerve root in the lower back that causes symptoms in the back and down the leg. Radiculopathy in the lumbar region. Radiculopathy is pain...Diagnosing lumbar radiculopathy. Learn how to recognize the signs and symptoms of lumbar radiculopathy in your patients. Click here now! Gary R. Simonds, …IVDS is rated under diagnostic code 5243, and the rating criteria relies on the number of incapacitating episodes and how much bed rest the veteran’s physician prescribed within the last year. The ratings range from 10% to 60%. 10% – “With incapacitating episodes having a total duration of at least one week but less than 2 …The spine is divided into three sections: cervical (upper back), thoracic (mid back), and lumbar (lower back). Likewise, there are three types of radiculopathy, each named for the section of the spine where the damaged nerves are located – cervical radiculopathy, thoracic radiculopathy, and lumbar radiculopathy.. Symptoms vary …

Peripheral neuropathy, a common neurologic problem encountered by family physicians, can be classified clinically by the anatomic pattern of presenting symptoms and, if indicated, by results of ...Background. Cervical radiculopathy from degenerative disorders, termed degenerative cervical radiculopathy (DCR), is defined as "pain in a radicular pattern in one or both upper extremities related to compression and/or irritation of one or more cervical nerve roots". 1, 2 This condition can result from degenerative changes to the intervertebral disc and uncovertebral and facet joints ...Cervical Radiculopathy Symptoms. Cervical radiculopathy signs and symptoms typically include pins-and-needles tingling, numbness, and/or weakness in the areas served by the affected nerve root. In addition to these neurological deficits, pain is also present in most cases. These signs and symptoms may be felt in one area only, such as the ...Your VA disability rating is based on how severe your disability is, and you are scored on a range of disability from 10% (minor disability) to 100% (full disability). The scores are rated in 10% increments, from 10% to 20% to 30% and so on. Your score increases based on how severely you are disabled and how much that impacts your …About Press Copyright Contact us Creators Advertise Developers Terms Privacy Policy & Safety How YouTube works Test new features NFL Sunday Ticket Press Copyright ...

Here are the results of my back exam w/ radiculopathy. I BOLD the measurements for easier reading. Please tell me what I might expect. I am EXTREMELY nervous. Diagnosis #1: Scoliosis, thoracic and lumbar ICD code: M41 Date of diagnosis: SC b. Does the Veteran report flare-ups of the thoracolumbar spine (back)? [X] Yes [ ] NoPicture the DBQ as the key that unlocks the vault of your VA benefits. It is pivotal in assisting physicians during a veteran’s (Compensation and Pension) C&P exam, a crucial component of the VA claims process. Its primary purpose is to rate the veteran’s disability diagnosis accurately. The disability rating, measured on a scale of 0 to ...Acute lumbosacral radiculopathy is a diffuse disease process that affects more than one underlying nerve root, causing pain, loss of sensation, and motor function depending on the severity of nerve compression. Lumbosacral radiculopathy is very common.[1] Most cases of lumbosacral radiculopathy are self-limited. The most …Low back pain – The most common symptom of lumbosacral strain can range from a dull ache to sharp, stabbing pain. Muscle spasms – The muscles in your lower back may become tight and painful, leading to muscle spasms. Limited mobility – You may experience difficulty moving or have a limited range of motion in your lower back. This can make ...Yale Medicine orthopaedic surgeons are also continually honing their skills by performing a high volume of challenging surgical procedures, says Dr. Whang. Showing 4 of 10. Cervical radiculopathy occurs when a nerve in the neck becomes irritated, resulting in pain, numbness and/or weakness in the shoulders and arms.Lumbar radiculopathy is irritation or inflammation of a nerve root in the low back. It causes symptoms that spread out from the back down one or both legs. To understand …

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The VA diagnostic codes for disabilities of the spine primarily focus on ankylosis . Ankylosis basically means that the joint is stiff or will not move. So, spinal disabilities focus on the lack of mobility or range of motion. Technically, the highest VA rating for a thoracolumbar spinal disability is 50 percent.Aug 4, 2023 · Low back pain is one of the most common musculoskeletal complaints encountered in clinical practice. It is the leading cause of disability in the developed world and accounts for billions of dollars in healthcare costs annually. Although epidemiological studies vary, the incidence of low back pain is estimated to be anywhere between 5% to more than 30%, with a lifetime prevalence of 60% to 90% ... The DBQ is 14 pages long and page 10 is specifically for radiculopathy. I am unsure if I have to go through the whole range of motion tests again or will my MRI and x-rays from my back injury suffice. I have a current 40% rating for degenerative disc disease/lumbar strain and I have requested a secondary for lumbar radiculopathy for the extreme…. Lumbar radiculopathy is a condition when a spinal nerve root gets pinched and becomes inflamed. The lower back nerve pinch can directly contribute to sciatic nerve pain. If the veteran is dealing with both conditions, they may be able to combine the sciatica rating with the lumbar radiculopathy VA rating to ultimately receive more benefits. Let's just hope it was a one-off case. Toxic loans have choked the Indian banking and financial services system so badly that, in some cases, there’s hardly anything left to salvag...diagnosis of mechanical low back pain. ***** question 2 of 4::please complete section four and the evidence review in the medical opinion dbq and state whether the veteran's left shoulder condition, if found, was at least as likely as not (50 percent or greater probability) incurred in or caused by an event, illness, or

Nov 9, 2022 · Age is the primary risk factor for lumbar radiculopathy, according to a 2019 research review.The peak age range is 45 to 64.Men often are affected in their 40s and women in their 50s and 60s, the ... Summary. Lumbar radiculopathy is inflammation of a nerve root in the lower back that causes symptoms in the back and down the leg. Radiculopathy in the lumbar …In this video Leah is explaining the process of a C&P exam for veterans with neck pain or cervical spine conditions. She emphasizes that the process should n...Associate Professor of Neurological Surgery, Spine Surgery. Phone: 718-780-3070. Reviewed by Dr. Roger Härtl. Last reviewed/last updated: August 2023. Most people with radiculopathy will seek medical attention from a primary care physician first for the pain. The doctor will begin with a thorough history of the patient and physical exam.Yale Medicine orthopaedic surgeons are also continually honing their skills by performing a high volume of challenging surgical procedures, says Dr. Whang. Showing 4 of 10. Cervical radiculopathy occurs when a nerve in the neck becomes irritated, resulting in pain, numbness and/or weakness in the shoulders and arms.Radiculopathy is commonly the result of compression of the nerve root from a structural lesion (i.e., herniated nucleus pulposus, calcified facet joint, or vertebral osteophyte), but may also result from irritation secondary to an infection, tumor, or surrounding tissue inflammation. [1] In this video Leah is explaining the process of a C&P exam for veterans with neck pain or cervical spine conditions. She emphasizes that the process should n... Condition: Lumbar radiculopathy refers to any disorder that affects the nerve roots in the spine in the lower (lumbar) back. Resulting nerve pain that radiates down the leg or legs is also called sciatica. Background: Lumbar radiculopathy is typically caused by compression of the nerves due to inflammation, “wear and tear”, or trauma.Lumbar radiculopathy is a condition when a spinal nerve root gets pinched and becomes inflamed. The lower back nerve pinch can directly contribute to sciatic nerve pain. If the veteran is dealing with both conditions, they may be able to combine the sciatica rating with the lumbar radiculopathy VA rating to ultimately receive more benefits. ...Rating 8000 Encephalitis, epidemic, chronic: As active febrile disease: 100 Rate residuals, minimum: 10 Brain, new growth of: 8002 Malignant: 100 Note: The rating in code 8002 will be continued for 2 years following cessation of surgical, chemotherapeutic or other treatment modality. At this point, if the residuals have stabilized, the rating will be made …

Favorable angle in full extension or in slight flexion between 0 and 10 degrees. In flexion between 10 and 20 degrees. In flexion between 20 and 45 degrees. Extremely unfavorable, in flexion at an angle of 45 degrees or more. 5B. Indicate angle of ankylosis in degrees. degrees N/A no ankylosis of knee joint. 5C.

of disability in patients with low back pain is the presence of se-vere leg pain and a history of prior episodes of low back pain.1,2 In patients presenting with leg pain greater than low back pain, lumbar radiculopathy and stenosis are described as the most common etiologies.3,4 Lumbar radiculopathy refers to a patho-None Swelling Disturbance of locomotion. Less movement than normal due to ankylosis, limitation or blocking, adhesions, etc. Deformity Interference with sitting. More movement than normal due to flail joints, fracture nonunion, etc. Atrophy of disuse Interference with standing.Flat feet often can cause a substantial change in your walking gait, causing an abnormal strain on the musculoskeletal system. This can lead to the development of a number of possible secondary conditions linked to flat feet. Some of the more common conditions are: Degenerative Disc Disease. Because of the change of walking gait, often …Home | ND Department of Veterans AffairsSometimes that pain in your neck is more than an annoyance. It may be a condition called spinal stenosis, and it can cause physical symptoms that make it difficult to enjoy your re...Picture the DBQ as the key that unlocks the vault of your VA benefits. It is pivotal in assisting physicians during a veteran's (Compensation and Pension) C&P exam, a crucial component of the VA claims process. Its primary purpose is to rate the veteran's disability diagnosis accurately. The disability rating, measured on a scale of 0 to ...dcmd124. 68. Mar 11, 2014 #4. The VA C&P exam lists normal strength and reflexes. I had a DBQ exam that was completed by my civilian neurosurgeon in January 2014. I have been a patient of his for over three years. My neurosurgeon noted that I have decreased strength in my left leg as well as atrophy in my left leg.Radiculopathy is a condition that encompasses a range of symptoms produced by the pinching of a nerve root in the spinal column. The pinched nerve can occur in different locations along the spine (cervical, thoracic, or lumbar), resulting in nerve pain affecting different areas of the body. The most common symptoms of this condition are:VA Ratings for Cervical Spine Injuries. 40% Rating: Your neck is stuck in an uncomfortable, fixed position. Combined with a similar condition in your back, this could justify a full 100% disability rating. 30% Rating: While your neck might be fixed, it's in a less restrictive position, or you might manage a slight forward tilt.The VA rating for cervical radiculopathy is determined based on symptoms in the shoulder, arm, and hand. If a veteran can prove that their service-connected spinal condition was the primary cause of the secondary condition, they may qualify as having a secondary service-connection condition.

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Radiculopathy is a neurological condition, separate from your back. ... comes off of the appropriate nerves DBQ? I didn't claim radiculopathy, but in my recent supplemental c&p exam (for lumbar issues) the examiner put down two nerves in my left leg and one in my right leg in the radiculopathy part of the exam. ... I claim "lower back pain ...Radiculopathy Ankylosing spondylitis of the thoracolumbar spine (back) NOTE: If there are systemic or other constitutional manifestations of ankylosing spondylitis, ALSO complete the Non-degenerative Arthritis DBQ and the appropriate DBQ for each affected system. Vertebral fracture (vertebrae . ICD Code: Date of diagnosis: of the back)Practice Essentials. Some of the major causes of acute and chronic low back pain (LBP) are associated with radiculopathy. However, radiculopathy is not a cause …VA Ratings for Peripheral Neuropathy. 10% – Minor sensory loss, slight movement impairment. 20% – Noticeable movement and sensory impairment, limited foot/toe mobility. 30% – Significant movement loss, severe sensory impairment. 40% – Complete foot drop, inability to move foot at ankle, all toes drooping, significant loss of …The DBQ may be insufficient if you are guarding. The question then becomes has the guarding caused abnormal contour. It MIGHT be worth it getting a private medical exam or asking your private doctor about all of this, then if they are like yeah you are guarding and that caused scoliosis, submit it with a supplemental claim calling the prior DBQ …Sciatica describes radiating leg pain caused by inflammation or compression of the lumbosacral nerve roots (L4–S1) forming the sciatic nerve. The pain can have a sudden or slow onset, and vary in severity. It is felt in the back or buttock and radiates down the leg below the knee into the foot and toes in the distribution of the sciatic nerve.The electrodiagnostic study’s goal is to confirm the presence of peripheral neuropathy and assess its pattern and severity. Electrodiagnostic (EDX) testing involves nerve conduction studies (NCS) and electromyography (EMG) testing. [19] Planning an electrodiagnostic study is based on careful history taking and physical examination.The AMC rated the Veteran's degenerative joint disease of the low back as 40 percent disabling. Separate ratings were assigned for his radiculopathy of the right extremity as 30 percent disabling, and his radiculopathy of the left extremity as 30 percent disabling. ... The nerve involved in lumbar radiculopathy is the sciatic nerve. Neuritis of ...Lumbar radiculopathy is a condition when a spinal nerve root gets pinched and becomes inflamed. The lower back nerve pinch can directly contribute to sciatic nerve pain. If the veteran is dealing with both conditions, they may be able to combine the sciatica rating with the lumbar radiculopathy VA rating to ultimately receive more benefits. ...VA Ratings for Cervical Spine Injuries. 40% Rating: Your neck is stuck in an uncomfortable, fixed position. Combined with a similar condition in your back, this could justify a full 100% disability rating. 30% Rating: While your neck might be fixed, it’s in a less restrictive position, or you might manage a slight forward tilt. ….

The following information must be reported on a VA DBQ for radiculopathy: 1. Diagnosis: Radiculopathy 2. Clinical history, including onset, location, radiation, exacerbating/relieving factors, associated symptoms, and any treatments attempted 3. Physical examination findings 4. Imaging studies, such as MRI or CT scan 5.Sciatica refers to pain involving a problem with the sciatic nerve. The Sciatic nerve is the largest nerve in the human body and extends from the lower back through the hips and the buttocks, down each leg. In most cases, sciatica can be caused by a ruptured intervertebral disk, an injury or narrowing of the spinal canal that puts pressure on ...If yes, describe (brief summary): the above radiculopathy is moderately severe but there is no tab for this in the Back DBQ. b. Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the Diagnosis Section above? [ ] Yes [X] No c. Comments, if any: No response provided 15.How the VA Rates Lumbosacral Strains. Lumbosacral strain is a VA disability that can be rated at 10%, 20%, 40%, 50%, or 100% depending upon the frequency, severity, and duration of your symptoms. Lumbosacral strains used to be rated using Diagnostic Code 5295.Disability Benefits Questionnaires (DBQs) are medical examination forms used to obtain important information for evaluating disability compensation and/or pension claims. VA physicians use DBQs when performing C&P exams for VA disability. The purpose of a DBQ is to ensure that the physician performing the exam records all the information needed ...Radiculopathy is a medical condition in which the nerves are compressed or irritated in the lower back [1]. This results in pressure on the nerve roots themselves. Radiculopathy is classified as a pain syndrome and can be caused by several lower back conditions such as lumbar disc herniation, degenerative disc disease, and spinal stenosis ...Lumbar radiculopathy, often called sciatica, impacts nerves in the lower back and is one of the most common service-connected disabilities among veterans. Thoracic radiculopathy, which affects the upper back, ... The DBQ for thoracolumbar spine conditions is form VBA-21-0960M-14.Lumbosacral radiculopathy is a disorder that causes pain in the lower back and hip which radiates down the back of the thigh into the leg. This damage is caused by compression of the nerve roots which exit the spine, levels L1- S4. The compression can result in tingling, radiating pain, numbness, paraesthesia, and occasional shooting pain.Apr 4, 2016 ... The doc is working the DBQ ... The doc is working the DBQ now but I came across something in my research. ... Lumbar spine disability > lower left ...Radiculopathy. Spinal Stenosis. Spondylolisthesis. If you are experiencing any of these conditions, you may be eligible for disability benefits from the Department of Veterans Affairs. To initiate a benefits claim, you must complete and submit a DBQ form. How to Complete the DBQ for Back Thoracolumbar Spine Conditions Fast Facts Lumbar radiculopathy dbq, If they are checking for radiculopathy while examining for a lumbar claim, yes, it is the same DBQ. If you were going for increases on existing ratings on leg nerves, there is a separate DBQ just for the nerves. Sounds like your hubby will be doing the first one since they mentioned thoracolumbar spine. Is the DDD already service connected?, 410-448-6400. Request an Appointment. Degeneration of the cervical spine can result in several different conditions that cause problems. These are usually divided between problems that come from mechanical problems in the neck and problems which come from nerves being irritated or pinched. A cervical radiculopathy is a problem that results when ..., Radiculopathy refers to the pinching of nerves in the spinal column. This pinching leads to symptoms including pain, numbness, tingling, or weakness radiating from the spine to other parts of the body. The VA provides a rating for veterans diagnosed with radiculopathy based on the nerves affected and the condition's severity., Neck pain stiffness and radiculopathy. Radiculopathy due to a compressed nerve in the cervical spine can leave veterans with numbness, weakness, tingling in the shoulders, or progress along the entire arm and into the hand or fingers. Many veterans with cervical radiculopathy experience degenerative changes in their spine that cause a herniated ..., Cervical radiculopathy (also known as " pinched nerve ") is a condition that results in neurological dysfunction caused by compression and inflammation of any of the nerve roots of your cervical spine (neck). Neurological dysfunction can include radiating pain, muscle weakness and/or numbness. "Cervical" comes from the Latin word ..., Sep 16, 2019 · In September 2017, the U.S. Department of Veterans Affairs (VA) and U.S. Department of Defense (DoD) approved the joint Clinical Practice Guideline (CPG) for Diagnosis and Management of Low Back Pain. This CPG was intended to provide healthcare providers a framework by which to evaluate, treat, and manage patients with low back pain (LBP). , There are many causes of spinal lesions, including serious illnesses such as multiple sclerosis, according to the National Multiple Sclerosis Society. Lesions can also be caused by..., Disability from lesions of peripheral portions of first, second, third, fourth, sixth, and eighth nerves will be rated under the Organs of Special Sense. The ratings for the cranial nerves are for unilateral involvement; when bilateral, combine but without the bilateral factor. Fifth (trigeminal) cranial nerve., cion of lumbar radiculopathy. Clinical neurological examination tests could be used to discriminate patients with radiculopathy distinct from other low back pain sub-types like non-specific low back pain of somatic ori-gin, lumbar facet or intervetebral joint derangement dis-order. These tests are easy to perform, cost-effective and, During the first 24 to 48 hours following your diagnosis of lumbar radiculopathy, your physical therapist may advise you to: Protect the area by avoiding activity that causes worsening symptoms, such as heavy lifting. Avoid too much bed rest. Stay active around the house, and go on short walks several times per day., MRI of the lumbar spine w/o contrast A. Sagittal T2 w/o contrast MRI lumbar spine shows a large 9 mm L5/S1 paracentral disc protrusion with mass effect on the thecal sac. B. Axial T2 w/o contrast MRI lumbar spine; the same patient shows compression of the right exiting S1 nerve root, which has caused this patient to experience right S1 ..., Personnel Service Center (PSC), Radiculopathy refers to the pinching of nerves in the spinal column. This pinching leads to symptoms including pain, numbness, tingling, or weakness radiating from the spine to other parts of the body. The VA provides a rating for veterans diagnosed with radiculopathy based on the nerves affected and the condition’s severity., This is a large nerve formed from several nerve roots in the lower back. This nerve extends down the buttock and down the back of the leg to the foot. With lumbar radiculopathy, nerve roots in the lower back become irritated. This leads to pain and symptoms. The sciatic nerve is commonly affected, so the condition is often called sciatica., Jul 13, 2021 ... DDD can trigger other conditions including radiculopathy, herniated discs, neurological impairments, spinal stenosis, and more. Claiming ..., Radiculopathy refers to the pinching of nerves in the spinal column. This pinching leads to symptoms including pain, numbness, tingling, or weakness radiating from the spine to other parts of the body. The VA provides a rating for veterans diagnosed with radiculopathy based on the nerves affected and the condition’s severity., 480-574-2900. Tempe, AZ (Rockford Dr.) 480-342-6800. Jacksonville, FL. 904-953-0305. First Name. Last Name. Email. Mayo Clinic is rated a top hospital for radiculopathy and is home to neck and spine doctors with expertise in diagnosing and treating sports and recreational injuries., Yale Medicine orthopaedic surgeons are also continually honing their skills by performing a high volume of challenging surgical procedures, says Dr. Whang. Showing 4 of 10. Cervical radiculopathy occurs when a nerve in the neck becomes irritated, resulting in pain, numbness and/or weakness in the shoulders and arms., In this video Leah explains radiculopathy and its relevance to VA disability. She describes radiculopathy as a condition characterized by numbness, pain, and..., Function: Support and compression of abdominal wall and lower thorax; flexion and lateral motions of spine; synergists in strong downward movements of arm (1). Muscles of the abdominal wall: (1) Rectus abdominis; (2) external oblique; (3) internal oblique; (4) transversalis; (5) quadratus lumborum. Severe. 50., The Back and Spine Overview. The VA awards disability compensation for each Back and Spine condition that is service-connected. The DoD will also rate service-connected conditions as long as they also make the service member Unfit for Duty. For Reservists, the condition must have occurred in or resulted from an injury in the Line of Duty to ... , Here’s a list of 25 questions the examiner is required to document on the VA DBQ for Radiculopathy during and after your exam: 1. Does the veteran have a diagnoses associated with the claimed condition(s), including Radiculopathy? 2. Describe the history (including onset and course) of the Veteran’s thoracolumbar spine condition (brief ..., Degenerative Disc Disease is one of the most common causes of low back (lumbar), mid back (thoracic), and neck pain (cervical) in veterans. In more severe cases, Degenerative Disc Disease can cause weakness, numbness, and shooting or throbbing pain in the arms or legs, which is a painful condition known as Radiculopathy., The VA rating for cervical radiculopathy is determined based on symptoms in the shoulder, arm, and hand. If a veteran can prove that their service-connected spinal condition was the primary cause of the secondary condition, they may qualify as having a secondary service-connection condition., Lumbar radiculopathy caused by disc herniation has a favorable natural history in the vast majority of patients. Studies reveal that by 4 - 6 weeks, between 70 and 80% of patients had significant improvement in pain and disability with relative rest. Furthermore, the North American Spine Society published in their guidelines that "in the ..., INTRODUCTION. Lumbosacral radiculopathy is a condition in which a disease process impairs the function of one or more lumbosacral nerve roots and often leads to pain, numbness, and weakness in the back, groin, or leg. The most common causes of lumbosacral radiculopathy are compressive intervertebral disc herniation and degenerative spondylosis., Function: Support and compression of abdominal wall and lower thorax; flexion and lateral motions of spine; synergists in strong downward movements of arm (1). Muscles of the abdominal wall: (1) Rectus abdominis; (2) external oblique; (3) internal oblique; (4) transversalis; (5) quadratus lumborum. Severe. 50., Secondary conditions develop as a result of an underlying condition or injury. In many cases, lower back pain is caused by spine, discs, or nerve damage. This damage can occur due to an accident, disease, or overuse. While lower back pain is often treatable, it can lead to chronic pain and disability if left untreated., Radiculopathy is the result of a spinal nerve root injury. Nerve roots split off the spinal cord and exit the spine between the vertebrae. Radiculopathy happens when a specific nerve root is damaged or pinched. It most commonly occurs in the neck—cervical radiculopathy—and lower back—lumbar radiculopathy., Cervical radiculopathy (also known as " pinched nerve ") is a condition that results in neurological dysfunction caused by compression and inflammation of any of the nerve roots of your cervical spine (neck). Neurological dysfunction can include radiating pain, muscle weakness and/or numbness. "Cervical" comes from the Latin word ..., Sciatica, also known as "lumbar radiculopathy," occurs when irritation, inflammation, or some type of damage affects the sciatic nerve, which runs down your lower back and legs. Sciatica causes pain, numbness, and muscle weakness. In severe cases, it can also cause urinary or bowel incontinence., Acute, Subacute, or Chronic Diseases. Rating. 5000 Osteomyelitis, acute, subacute, or chronic: Of the pelvis, vertebrae, or extending into major joints, or with multiple localization or with long history of intractability and debility, anemia, amyloid liver changes, or other continuous constitutional symptoms. 100., If ROM does not conform to the normal range of motion identified above but is normal for this veteran (for reasons other than a cervical spine (neck) condition, such as age, body habitus, neurologic disease), explain: VA FORM DEC 2010. 21-0960M-13. SECTION IV - ROM MEASUREMENTS AFTER REPETITIVE USE TESTING.