VASRD 5262 · Musculoskeletal System – Leg

Tibia and Fibula, Impairment of (Including Shin Splints) at 20% VA Disability Rating

Shin splints in one leg that have been treated for at least a year and have not responded to surgery or to orthotics or other conservative care.

20%: single veteran, no dependents

$356.66

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

VA Rating Criteria for 20%

Medial tibial stress syndrome (MTSS), or shin splints, requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment — one lower extremity.

20% Pay by Household (2026)

Monthly compensation amounts for Tibia and Fibula, Impairment of (Including Shin Splints) 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% Tibia and Fibula, Impairment of (Including Shin Splints)

$180.42 /mo single

Higher tier

30% Tibia and Fibula, Impairment of (Including Shin Splints)

$552.47 /mo single

Common questions about 20% for Tibia and Fibula, Impairment of (Including Shin Splints)

How much does a 20% VA rating for Tibia and Fibula, Impairment of (Including Shin Splints) pay?
A single veteran rated 20% for Tibia and Fibula, Impairment of (Including Shin Splints) 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 Tibia and Fibula, Impairment of (Including Shin Splints)?
Medial tibial stress syndrome (MTSS), or shin splints, requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment — one lower extremity.
What's the difference between 20% and 30% for Tibia and Fibula, Impairment of (Including Shin Splints)?
20%: Shin splints in one leg that have been treated for at least a year and have not responded to surgery or to orthotics or other conservative care. 30%: Shin splints in both legs that have been treated for at least a year and have not responded to surgery or to orthotics or other conservative care.
Can a secondary condition raise my rating above 20%?
Yes. If a condition like Ankle Arthritis is service-connected as secondary to Tibia and Fibula, Impairment of (Including Shin Splints), 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 5262)
  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 Tibia and Fibula, Impairment of (Including Shin Splints) are on the main condition page.

View full Tibia and Fibula, Impairment of (Including Shin Splints) guide
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