VASRD 5237 · Musculoskeletal System – Spine

Lumbosacral or Cervical Strain at 20% VA Disability Rating

Moderate loss of back or neck motion, or muscle spasm or guarding bad enough to change how you walk or hold your spine.

20%: single veteran, no dependents

$356.66

$4,279.92/year · tax-free · effective December 1, 2025

VA Rating Criteria for 20%

Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or the combined range of motion of the cervical spine not greater than 170 degrees; or muscle spasm or guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis, reversed lordosis, or abnormal kyphosis.

20% Pay by Household (2026)

Monthly compensation amounts for Lumbosacral or Cervical Strain rated at 20%. Dependent additions apply at 30% and above.

Single (no dependents)$356.66
With spouse$356.66
With spouse + 1 child$356.66
With spouse + 2 children$356.66
Single + 1 child (no spouse)$356.66

Lower tier

10% Lumbosacral or Cervical Strain

$180.42 /mo single

Higher tier

30% Lumbosacral or Cervical Strain

$552.47 /mo single

Common questions about 20% for Lumbosacral or Cervical Strain

How much does a 20% VA rating for Lumbosacral or Cervical Strain pay?
A single veteran rated 20% for Lumbosacral or Cervical Strain receives $356.66 per month ($4,279.92/year) under the 2026 VA rates, effective December 1, 2025. VA disability compensation is tax-free. With a spouse and one child, the monthly amount is $356.66.
What does it take to get a 20% rating for Lumbosacral or Cervical Strain?
Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or the combined range of motion…
What's the difference between 20% and 30% for Lumbosacral or Cervical Strain?
20%: Moderate loss of back or neck motion, or muscle spasm or guarding bad enough to change how you walk or hold your spine. 30%: The neck bends forward only 15 degrees or less, or the whole neck is fused in a neutral position.
Can a secondary condition raise my rating above 20%?
Yes. If a condition like Radiculopathy is service-connected as secondary to Lumbosacral or Cervical Strain, the VA combines both ratings using the official combined-ratings formula (38 CFR 4.25), which can produce a combined rating higher than 20% alone.

Official sources

  1. 38 CFR § 4.71a — Schedule of ratings — musculoskeletal system (Diagnostic Code 5237)
  2. VA.gov — 2026 veteran disability compensation rates, effective December 1, 2025

Pay amounts on this page were last checked against VA.gov on August 16, 2026.

See all rating tiers and evidence guidance

Full VASRD criteria, best evidence, exam pitfalls, and secondary conditions for Lumbosacral or Cervical Strain are on the main condition page.

View full Lumbosacral or Cervical Strain guide
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