I went to a third party, and a private VA approved doctor. The Dr. did range of motion, but did not state the goniometer was used. I am pretty certain one does not have to be used to get a percentage. Is that true? I’m seeing conflicting things. I understand what the VA examiners are required to use. But private Doctors are not held to this standard. Any clarification would be great. Thank you. Good video!
Nice, thanks! Can you please answer why the C&P examiner checked my elbow range when both bones in my forearm were broken? Aren't they supposed to measure the range of motion for the forearm that was what was injured? I called 1000 number and I am being told that I will have to go for the C&P exam again since VA wants the rework to be done.
If my ROM says forward flexion endpoint is 90 degrees. And my personal ROM is 80 degrees. What does that mean? Not sure how the math works. Does it mean that I have 10 degrees of forward flexion? Also, I really enjoy your videos. They’ve been very helpful.
@@prestigeveteranmedical Oh ok. That’s what my C&P examiner wrote down. I went and had my personal doctor do a DBQ and nexus statement after my claim was denied and he put 30 degrees. And I did the exact same thing in both exams. Gonna file a supplemental claim. Thanks!
No sir range of motion is the actual range of motion. A person can of course take note of the point at which pain occurs but pain does not have any bearing on the physics regarding the arc at which a joint can actually move to. For example if you were unconscious in surgery your range of motion would be easy to obtain.
Question, I was recently at a C&P exam for my lower back and R hip, the examiner did use the tool but did NOT place it on me, she stood back across her desk and held it in the air to what she thought my back position was in, I am currently still waiting for results of this exam, but I am wondering if what she did was legit, it seems to me she was still just eyeballing the angle, this may or may not go in my favor, to be determined yet.
My examiner did even use a tool are take any measurements of my ankle.. made up her own numbers.. I'm going to ask my VA podiatrist to take. Rom measurements and send it in as a supplemental
I had this same thing happen to me. Was denied, filed an HLR. I told the VA DRO about the exam. He asked would I be willing to go to another provider for another exam. So, I’m going to a follow-up appointment tomorrow.
Hello Leah, I was under the impression that range of motion had to be during a 'flare up' in which the veteran was experience pain past a certain range. So for example, when my OA is flaring up I cannot extend-retract my knee as far as I can when it is noting flaring. How does one capture this during an examination?
If Prestige fills out a DBQ for back, neck, knee, or ankle, how do they address Range of Motion (ROM)? Leave it blank or other? If other, what was done?
25 years since service. Completed first claim. Did knee exam. Did not get any extension done, only 1 flexion test. Debated complaining before results. Did not. Just found out 10% left knee strain. How should I go about, now that I'm compensated. To argue the fact of not tested correctly, if 10% is pain thru motion. Or to say I deserve more since correct testing not done.
I am sorry to hear this sir. This is more of a legal question so I would recommend following up with an accredited legal professional like a VSO, attorney, or accredited claims agent
I have a question in regards to the rating schedule of the Ankle range of motion. The criteria states that a 40% is warranted if there is a greater than 40⁰ plantar flexion and a greater than 10⁰ dorsiflexion. Isn't that backwards? Wouldn't it be a less range of motion for the higher rating, rather than a better range of motion?Why would they rate higher for a better range of motion? makes no sense.
Hi sir that is a great question. Plantar and dorsiflexion have very different ranges of motion. You might want to watch a video on those for a better understanding. Hope this clarifies
@prestigeveteranmedical yes I do understand this part. My confusion lies with, why is the va rating higher for more flex instead of rating higher for less flex. Its backwards. Unless the va is not starting from a position of zero with the bottom of the heel being perpendicular to the leg. Because normal plantar is 45-50⁰, where is if you have a disability, then its clearly going to be 30⁰-ish due to lack of movement which is a lower rating. They are rating higher for a higher degree of movement
I have a frozen shoulder. It has been 20+ years since it first started. VA sent me to therapy a couple years ago that helped a little bit. Can’t raise it above my shoulder hardly and can’t reach behind my back at all. The therapist said I had hit a plateau that there was nothing more therapy could do. Is Frozen Shoulder something that a claim could be made on?
I’m so sorry to hear this. I had frozen shoulder on both sides at the same time and it was terrible. I actually had surgery for it and it helped a lot. Anyhow frozen shoulder aka adhesive capsulitis can be service connected depending on the circumstances
@@prestigeveteranmedical thank you. At 74 years old I really hate to have surgery. I have learned to use my left hand for most things like reaching and stuff. But there are times when it would help to be able to reach up with both arms. Thanks and I will check to see if it can be connected some way.
I think the entire ROM is a flawed system if pain isn’t involved because if someone has barely any cartilage left and basically bone in bone cause lots of pain during some motions but can still do the entire range of motion they’ll get a shit rating? There’s obviously something wrong with the knee
Hi Leah, just got 20% for my non-dominant right shoulder. Followed your process. This helps, thank you!
I am so happy to hear this! Big hugs and congrats to you
I am a nurse practitioner and have just landed a job for VA exams. Great info! Thank you!
Awesome! Best of luck to you with this!!
Make sure you give the proper exams , be thorough and fair. I have been through exams that have been subpar and downright pathetic .
@@pthomas4511 Thank you for your insight and thank you for watching
I went to a third party, and a private VA approved doctor. The Dr. did range of motion, but did not state the goniometer was used. I am pretty certain one does not have to be used to get a percentage. Is that true? I’m seeing conflicting things. I understand what the VA examiners are required to use. But private Doctors are not held to this standard. Any clarification would be great. Thank you. Good video!
A doctor is not able to provide an accurate measurement by visual inspection
Braces are out! Looking good 😊 thanks for all you do!
Thank you!! I am glad you are enjoying the content!! Thank you for the feedback
All y'all reading this can practice Goniometer science with a Geometry Protracter ($2) or a construction angle duplicator ($7).
Yes! Amazon sells these
Hey, I'm doing another c&p soon question. for ankle disability is Limitation of motion based off active or passive rom?
I’m not an expert on the ratings side of things unfortunately. You may want to check with a legal professional on that. Best of luck to you!
Nice, thanks! Can you please answer why the C&P examiner checked my elbow range when both bones in my forearm were broken? Aren't they supposed to measure the range of motion for the forearm that was what was injured? I called 1000 number and I am being told that I will have to go for the C&P exam again since VA wants the rework to be done.
I am so sorry to hear this I am not really sure to be honest with you. Thank you for watching I wish I had a better answer
@@prestigeveteranmedical No Problem!
Perfect timing…thanks Leah!
You're so welcome! Thank you for watching lady!!
If my ROM says forward flexion endpoint is 90 degrees. And my personal ROM is 80 degrees. What does that mean? Not sure how the math works. Does it mean that I have 10 degrees of forward flexion? Also, I really enjoy your videos. They’ve been very helpful.
I am so glad you are enjoying them!! It sounds like it means you have 80 degrees yourself and the expected is 90 degrees so not far off from normal
@@prestigeveteranmedical Oh ok. That’s what my C&P examiner wrote down. I went and had my personal doctor do a DBQ and nexus statement after my claim was denied and he put 30 degrees. And I did the exact same thing in both exams. Gonna file a supplemental claim. Thanks!
best of luck to you and keep us posted @@ChriStyle181
Isn't range determined by how far you can bend before it hurts?
No sir range of motion is the actual range of motion. A person can of course take note of the point at which pain occurs but pain does not have any bearing on the physics regarding the arc at which a joint can actually move to. For example if you were unconscious in surgery your range of motion would be easy to obtain.
Awesome information..do you have video on ROM for shoulder? Ty
I am glad you found it helpful! I do not have a video for range of motion for the shoulder specifically.
Question, I was recently at a C&P exam for my lower back and R hip, the examiner did use the tool but did NOT place it on me, she stood back across her desk and held it in the air to what she thought my back position was in, I am currently still waiting for results of this exam, but I am wondering if what she did was legit, it seems to me she was still just eyeballing the angle, this may or may not go in my favor, to be determined yet.
I am sorry to hear this sir. Thank you for watching
My examiner did even use a tool are take any measurements of my ankle.. made up her own numbers.. I'm going to ask my VA podiatrist to take. Rom measurements and send it in as a supplemental
I had this same thing happen to me. Was denied, filed an HLR. I told the VA DRO about the exam. He asked would I be willing to go to another provider for another exam. So, I’m going to a follow-up appointment tomorrow.
@michaelwalker2091 im going to do the same.. I'm going to see what happens to my supplemental first though..
best of luck to you!@@Rshen11
Hello Leah, I was under the impression that range of motion had to be during a 'flare up' in which the veteran was experience pain past a certain range. So for example, when my OA is flaring up I cannot extend-retract my knee as far as I can when it is noting flaring. How does one capture this during an examination?
The examiner will ask questions related to flare ups and summarize their opinion of that in the flare up section
If Prestige fills out a DBQ for back, neck, knee, or ankle, how do they address Range of Motion (ROM)? Leave it blank or other? If other, what was done?
We do not fill those particular DBQs out
GREAT VIDEO. YOU HAVE HELPED ME ALOT. TY
Glad to hear it! Thank you for watching!!
25 years since service. Completed first claim. Did knee exam. Did not get any extension done, only 1 flexion test. Debated complaining before results. Did not. Just found out 10% left knee strain. How should I go about, now that I'm compensated. To argue the fact of not tested correctly, if 10% is pain thru motion. Or to say I deserve more since correct testing not done.
I am sorry to hear this sir. This is more of a legal question so I would recommend following up with an accredited legal professional like a VSO, attorney, or accredited claims agent
@@prestigeveteranmedical appreciate it. Figured so, just tentative since it is first exam and have a few other exams coming up still from first claim.
@@TarheelTony That makes sense please keep me posted sir
I have a question in regards to the rating schedule of the Ankle range of motion. The criteria states that a 40% is warranted if there is a greater than 40⁰ plantar flexion and a greater than 10⁰ dorsiflexion. Isn't that backwards? Wouldn't it be a less range of motion for the higher rating, rather than a better range of motion?Why would they rate higher for a better range of motion? makes no sense.
Hi sir that is a great question. Plantar and dorsiflexion have very different ranges of motion. You might want to watch a video on those for a better understanding. Hope this clarifies
@prestigeveteranmedical yes I do understand this part. My confusion lies with, why is the va rating higher for more flex instead of rating higher for less flex. Its backwards. Unless the va is not starting from a position of zero with the bottom of the heel being perpendicular to the leg. Because normal plantar is 45-50⁰, where is if you have a disability, then its clearly going to be 30⁰-ish due to lack of movement which is a lower rating. They are rating higher for a higher degree of movement
I have a frozen shoulder. It has been 20+ years since it first started. VA sent me to therapy a couple years ago that helped a little bit. Can’t raise it above my shoulder hardly and can’t reach behind my back at all. The therapist said I had hit a plateau that there was nothing more therapy could do. Is Frozen Shoulder something that a claim could be made on?
I’m so sorry to hear this. I had frozen shoulder on both sides at the same time and it was terrible. I actually had surgery for it and it helped a lot. Anyhow frozen shoulder aka adhesive capsulitis can be service connected depending on the circumstances
@@prestigeveteranmedical thank you. At 74 years old I really hate to have surgery. I have learned to use my left hand for most things like reaching and stuff. But there are times when it would help to be able to reach up with both arms. Thanks and I will check to see if it can be connected some way.
@@davidhart4789 I understand sir. I’m sorry you’ve suffered from this for so long. I know first hand how challenging it can be
Any videos on shoulder ROM?
Not yet but I will work on this!
Really good info
I am glad you enjoyed it thank you for watching!
Great JOB!👍👍👍👍👍
Thank you for the feedback Sid!!
So during a back or neck exam are the examiners also able to move you?
Yes this is how examinations are conducted in all fields of medicine
I think the entire ROM is a flawed system if pain isn’t involved because if someone has barely any cartilage left and basically bone in bone cause lots of pain during some motions but can still do the entire range of motion they’ll get a shit rating? There’s obviously something wrong with the knee
I assume the thought would be that if someone had that much pain their range of motion would also be limited