Secondary Condition Claim · VASRD 5252

Limitation of Flexion of the Thigh (Hip) Secondary to Sacroiliac Injury and Weakness

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 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 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 Sacroiliac Injury and Weakness — 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% Sacroiliac Injury and Weakness + 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 Sacroiliac Injury and Weakness

Can Limitation of Flexion of the Thigh (Hip) be service-connected as secondary to Sacroiliac Injury and Weakness?
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 Sacroiliac Injury and Wea…
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 Sacroiliac Injury a…
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 Sacroiliac Injury and Weakness 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 of Flexion of the Th…
What evidence do I need to service-connect Limitation of Flexion of the Thigh (Hip) as secondary to Sacroiliac Injury and Weakness?
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 Sacroiliac Injury and…

Primary condition

Full Sacroiliac Injury and Weakness guide

Secondary condition

Full Limitation of Flexion of the Thigh (Hip) guide

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See how Sacroiliac Injury and Weakness 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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