Secondary Condition Claim · VASRD 5243
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 Intervertebral Disc Syndrome (IVDS) when it develops after Sacroiliac Injury and Weakness.
Primary condition · VASRD 5236
Sacroiliac Injury and Weakness
The sacroiliac joints connect the base of the spine to the pelvis, and injury or weakness there can cause chronic lower back and hip pain, especially with lifting, twisting, or prolonged standing. It's commonly linked to lifting injuries or repetitive strain from carrying gear during service.
Secondary condition · VASRD 5243
Intervertebral Disc Syndrome (IVDS)
Intervertebral disc syndrome involves damage to the cushioning discs between spinal vertebrae, which can bulge or herniate and press on nearby nerves, causing back pain, stiffness, and sometimes pain radiating into the arms or legs. Unlike most spine ratings based on range of motion, this code can alternatively be rated by counting incapacitating episodes requiring physician-prescribed bed rest.
The VA rates Intervertebral Disc Syndrome (IVDS) the same way whether it's claimed directly or as secondary to Sacroiliac Injury and Weakness — severity of Intervertebral Disc Syndrome (IVDS) itself determines the percentage.
Example combined rating
20% Sacroiliac Injury and Weakness + 20% Intervertebral Disc Syndrome (IVDS) = 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 Sacroiliac Injury and Weakness guide
Secondary condition
Full Intervertebral Disc Syndrome (IVDS) guide
See how Sacroiliac Injury and Weakness and Intervertebral Disc Syndrome (IVDS) combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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