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 External Popliteal Nerve Paralysis.
Nerve damage may originate from spinal compression
Primary condition · VASRD 8521
External Popliteal Nerve Paralysis
The external popliteal (common peroneal) nerve runs behind the knee and controls the ability to lift the foot and toes upward. Damage to this nerve is a common cause of foot drop and is frequently linked to a knee injury, fracture, or nerve compression from the spine.
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 External Popliteal Nerve Paralysis — severity of Degenerative Arthritis of the Spine itself determines the percentage.
Example combined rating
20% External Popliteal Nerve Paralysis + 20% Degenerative Arthritis of the Spine = 36%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 20% and 20% combine to 36%, not 40%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full External Popliteal Nerve Paralysis guide
Secondary condition
Full Degenerative Arthritis of the Spine guide
See how External Popliteal Nerve Paralysis 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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