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Secondary Condition Claim · VASRD 5252

Limitation of Flexion of the Thigh (Hip) Secondary to Knee, Ankylosis

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 Limitation of Flexion of the Thigh (Hip) when it develops after Knee, Ankylosis.

Why Limitation of Flexion of the Thigh (Hip) Is Linked to Knee, Ankylosis

Altered gait

Primary condition · VASRD 5256

Knee, Ankylosis

Knee is stiff or frozen in one position due to injury, arthritis, or surgery.

Secondary condition · VASRD 5252

Limitation of Flexion of the Thigh (Hip)

Hip flexion limitation makes it difficult to walk, sit, squat, or bend at the waist.

Limitation of Flexion of the Thigh (Hip) VA Rating Tiers

The VA rates Limitation of Flexion of the Thigh (Hip) the same way whether it's claimed directly or as secondary to Knee, Ankylosis — severity of Limitation of Flexion of the Thigh (Hip) itself determines the percentage.

RatingCriteria
30%Very restricted hip movement – can't raise thigh far.
20%Hip flexion tight – affects walking and sitting.
10%Mild hip stiffness – tough to lift thigh fully.

Example combined rating

40% Knee, Ankylosis + 10% Limitation of Flexion of the Thigh (Hip) = 46%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 40% and 10% combine to 46%, not 50%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

Evidence for a Limitation of Flexion of the Thigh (Hip) Secondary Claim

  • VA C&P ROM measurements
  • Physical therapy notes showing mobility issues
  • X-rays if degenerative disease suspected

Common questions about Limitation of Flexion of the Thigh (Hip) secondary to Knee, Ankylosis

Can Limitation of Flexion of the Thigh (Hip) be service-connected as secondary to Knee, Ankylosis?
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. Altered gait You'll need a current Limitation of Flexion of the Thigh (Hip) diagnosis and a medical nexus opinion linking it to your service-connected Knee, Ankylo…
What VA rating can I get for Limitation of Flexion of the Thigh (Hip) as a secondary condition?
Limitation of Flexion of the Thigh (Hip) is rated under VASRD diagnostic code 5252 using the same criteria whether it's a direct or secondary claim: possible ratings are 30%, 20%, 10%. The rating depends on the severity of Limitation of Flexion of the Thigh (Hip) itself, not on the severity of Knee, Ankylosis.
How does a secondary Limitation of Flexion of the Thigh (Hip) claim affect my combined VA rating?
The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 40% rating for Knee, Ankylosis combined with a 10% rating for Limitation of Flexion of the Thigh (Hip) (example figures) produces a combined rating of 46%, not 50%. Approving Limitation of Flexion of the Thigh (Hip) as se…
What evidence do I need to service-connect Limitation of Flexion of the Thigh (Hip) as secondary to Knee, Ankylosis?
Strong evidence for the underlying Limitation of Flexion of the Thigh (Hip) diagnosis includes: VA C&P ROM measurements; Physical therapy notes showing mobility issues; X-rays if degenerative disease suspected. For the secondary link itself, a nexus letter from a treating provider explaining how Knee, Ankylosis caused…

Primary condition

Full Knee, Ankylosis guide

Secondary condition

Full Limitation of Flexion of the Thigh (Hip) guide

Estimate your combined rating

See how Knee, Ankylosis and Limitation of Flexion of the Thigh (Hip) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.

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