Secondary Condition Claim · VASRD 5023
Tenosynovitis Secondary to Periostitis
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 Tenosynovitis when it develops after Periostitis.
Why Tenosynovitis Is Linked to Periostitis
Related overuse or inflammatory activity near joints
Primary condition · VASRD 5022
Periostitis
Inflammation of the membrane surrounding bone, often causing sharp or aching pain.
Secondary condition · VASRD 5023
Tenosynovitis
Inflammation of the sheath that surrounds a tendon, causing pain and stiffness.
Tenosynovitis VA Rating Tiers
The VA rates Tenosynovitis the same way whether it's claimed directly or as secondary to Periostitis — severity of Tenosynovitis itself determines the percentage.
| Rating | Criteria |
|---|---|
| 10% | Inflamed tendon sheath makes movement painful. |
Example combined rating
10% Periostitis + 10% Tenosynovitis = 19%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 10% and 10% combine to 19%, not 20%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Evidence for a Tenosynovitis Secondary Claim
- •Clinical findings of localized swelling
- •Imaging showing thickening of tendon sheath
- •Physical therapy or injection treatment records
Common questions about Tenosynovitis secondary to Periostitis
- Can Tenosynovitis be service-connected as secondary to Periostitis?
- 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. Related overuse or inflammatory activity near joints You'll need a current Tenosynovitis diagnosis and a medical nexus opinion linking it to your service-connected…
- What VA rating can I get for Tenosynovitis as a secondary condition?
- Tenosynovitis is rated under VASRD diagnostic code 5023 using the same criteria whether it's a direct or secondary claim: possible ratings are 10%. The rating depends on the severity of Tenosynovitis itself, not on the severity of Periostitis.
- How does a secondary Tenosynovitis claim affect my combined VA rating?
- The VA doesn't add ratings together. Using the official combined-ratings formula (38 CFR 4.25): a 10% rating for Periostitis combined with a 10% rating for Tenosynovitis (example figures) produces a combined rating of 19%, not 20%. Approving Tenosynovitis as secondary still typically raises your overall combined ratin…
- What evidence do I need to service-connect Tenosynovitis as secondary to Periostitis?
- Strong evidence for the underlying Tenosynovitis diagnosis includes: Clinical findings of localized swelling; Imaging showing thickening of tendon sheath; Physical therapy or injection treatment records. For the secondary link itself, a nexus letter from a treating provider explaining how Periostitis caused or aggrava…
Primary condition
Full Periostitis guide
Secondary condition
Full Tenosynovitis guide
Estimate your combined rating
See how Periostitis and Tenosynovitis combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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