Secondary Condition Claim · VASRD 5252

Limitation of Flexion of the Thigh (Hip) Secondary to Muscle Group XVII - Gluteal Muscles (Hip Extensors)

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 Muscle Group XVII - Gluteal Muscles (Hip Extensors).

Primary condition · VASRD 5317

Muscle Group XVII - Gluteal Muscles (Hip Extensors)

Injury to pelvic girdle group 2 — the gluteus maximus, medius and minimus, the buttock muscles that extend the hip, abduct the thigh and steady the pelvis when you stand and walk.

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 Muscle Group XVII - Gluteal Muscles (Hip Extensors) — severity of Limitation of Flexion of the Thigh (Hip) itself determines the percentage.

RatingCriteria
40%The hip can only be bent about 10 degrees before motion stops.
30%The hip can only be bent about 20 degrees.
20%The hip can only be bent about 30 degrees.
10%The hip can only be bent about 45 degrees.

Example combined rating

20% Muscle Group XVII - Gluteal Muscles (Hip Extensors) + 10% Limitation of Flexion of the Thigh (Hip) = 28%

The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 20% and 10% combine to 28%, not 30%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.

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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 Muscle Group XVII - Gluteal Muscles (Hip Extensors)

Can Limitation of Flexion of the Thigh (Hip) be service-connected as secondary to Muscle Group XVII - Gluteal Muscles (Hip Extensors)?
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 Limitation of Flexion of the Thigh (Hip) diagnosis and a medical nexus opinion linking it to your service-connected Muscle Group XVII - Glute…
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 40%, 30%, 20%, 10%. The rating depends on the severity of Limitation of Flexion of the Thigh (Hip) itself, not on the severity of Muscle Group XVII -…
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 20% rating for Muscle Group XVII - Gluteal Muscles (Hip Extensors) combined with a 10% rating for Limitation of Flexion of the Thigh (Hip) (example figures) produces a combined rating of 28%, not 30%. Approving Limitation…
What evidence do I need to service-connect Limitation of Flexion of the Thigh (Hip) as secondary to Muscle Group XVII - Gluteal Muscles (Hip Extensors)?
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 Muscle Group XVII - Gl…

Primary condition

Full Muscle Group XVII - Gluteal Muscles (Hip Extensors) guide

Secondary condition

Full Limitation of Flexion of the Thigh (Hip) guide

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See how Muscle Group XVII - Gluteal Muscles (Hip Extensors) 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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