Secondary Condition Claim · VASRD 5242
A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Degenerative Arthritis of the Spine when it develops after Ankle Replacement (Prosthesis).
Compensating for ankle mobility may strain lower back
Primary condition · VASRD 5058
Ankle Replacement (Prosthesis)
A condition where your ankle joint was replaced with a prosthetic due to injury or arthritis.
Secondary condition · VASRD 5242
Degenerative Arthritis of the Spine
Wear and tear in the spine causing stiffness, pain, or nerve issues.
The VA rates Degenerative Arthritis of the Spine the same way whether it's claimed directly or as secondary to Ankle Replacement (Prosthesis) — severity of Degenerative Arthritis of the Spine itself determines the percentage.
Example combined rating
40% Ankle Replacement (Prosthesis) + 20% Degenerative Arthritis of the Spine = 52%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 40% and 20% combine to 52%, not 60%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Ankle Replacement (Prosthesis) guide
Secondary condition
Full Degenerative Arthritis of the Spine guide
See how Ankle Replacement (Prosthesis) and Degenerative Arthritis of the Spine combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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