Secondary Condition Claim · VASRD 5301

Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) Secondary to Femoral Nerve Paralysis

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 Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) when it develops after Femoral Nerve Paralysis.

Primary condition · VASRD 8531

Femoral Nerve Paralysis

Damage to the femoral nerve that affects thigh movement and leg strength.

Secondary condition · VASRD 5301

Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae)

Injury to the muscles that rotate the shoulder blade upward and raise the arm above shoulder level — the trapezius, levator scapulae and serratus magnus.

Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) VA Rating Tiers

The VA rates Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) the same way whether it's claimed directly or as secondary to Femoral Nerve Paralysis — severity of Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) itself determines the percentage.

RatingCriteria
40%Severe damage to the shoulder-girdle muscles of your dominant arm.
30%Severe damage on your non-dominant side, or moderately severe damage on your dominant side.
20%Moderately severe damage to the shoulder-girdle muscles of your non-dominant arm.
10%Moderate damage to these muscles — rated the same whichever arm is injured.
0%Slight damage — service-connected, but below the level the schedule pays for.

Example combined rating

30% Femoral Nerve Paralysis + 20% Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) = 44%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 30% and 20% combine to 44%, not 50%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

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Evidence for a Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) Secondary Claim

  • An orthopedic report documenting the muscle injury and its severity.
  • Physical therapy records tracking strength and function.
  • An MRI showing the extent of the muscle damage.

Common questions about Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) secondary to Femoral Nerve Paralysis

Can Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) be service-connected as secondary to Femoral Nerve Paralysis?
Yes. Under 38 CFR § 3.310, a condition that is caused or aggravated by an already service-connected disability can be granted secondary service connection. You'll need a current Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) diagnosis and a medical nexus opinion linking it to your service-conne…
What VA rating can I get for Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) as a secondary condition?
Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) is rated under VASRD diagnostic code 5301 using the same criteria whether it's a direct or secondary claim: possible ratings are 40%, 30%, 20%, 10%, 0%. The rating depends on the severity of Muscle Group I - Shoulder Girdle Muscles (Trapezius, Leva…
How does a secondary Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 30% rating for Femoral Nerve Paralysis combined with a 20% rating for Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) (example figures) produces a combined rating of 44%, not 50%. Approving Muscle G…
What evidence do I need to service-connect Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) as secondary to Femoral Nerve Paralysis?
Strong evidence for the underlying Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) diagnosis includes: An orthopedic report documenting the muscle injury and its severity.; Physical therapy records tracking strength and function.; An MRI showing the extent of the muscle damage.. For the secondar…

Primary condition

Full Femoral Nerve Paralysis guide

Secondary condition

Full Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) guide

Estimate your combined rating

See how Femoral Nerve Paralysis and Muscle Group I - Shoulder Girdle Muscles (Trapezius, Levator Scapulae) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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