VA Disability Rating for Thoracolumbar Strain: Complete Guide to Getting Your Claim Approved

Bottom Line Up Front

Thoracolumbar strain (mid and lower back) is rated under Diagnostic Code 5237 with ratings from 10% to 100%. This uses the same rating criteria as lumbosacral strain. The thoracolumbar spine includes T1-L5. Most veterans receive 10-20% for limitation of motion. Lower extremity radiculopathy (nerve symptoms in legs) is rated separately. This is one of the most common VA claims due to the physical demands of military service. Claims typically take 3-6 months.

What Is Thoracolumbar Strain?

Thoracolumbar strain involves injury to the muscles, ligaments, and structures of the thoracic (T1-T12) and lumbar (L1-L5) spine. This region is commonly injured in military service.

Related conditions:

• Thoracolumbar strain/sprain
• Degenerative disc disease
• Degenerative joint disease (arthritis)
• Herniated/bulging discs
• Spinal stenosis
• Spondylolisthesis

Military causes:

• Heavy lifting and carrying
• Rucking with heavy loads
• Repetitive bending
• Vehicle operations/accidents
• Airborne operations
• Combat operations
• Poor ergonomics

VA Rating Criteria

Same as lumbosacral strain under 38 CFR § 4.71a, General Rating Formula for Spine:

Rating	Criteria
10%	Forward flexion >60° but ≤85°; OR combined ROM >120° but ≤235°; OR muscle spasm/guarding not causing abnormal gait
20%	Forward flexion >30° but ≤60°; OR combined ROM ≤120°; OR muscle spasm/guarding causing abnormal gait or spinal contour
40%	Forward flexion 30° or less; OR favorable ankylosis of entire thoracolumbar spine
50%	Unfavorable ankylosis of entire thoracolumbar spine
100%	Unfavorable ankylosis of entire spine

Normal thoracolumbar ROM:

• Forward flexion: 0-90°
• Extension: 0-30°
• Left/right lateral flexion: 0-30° each
• Left/right rotation: 0-30° each
• Combined ROM: 240°

Key Points

• Rate based on range of motion OR incapacitating episodes (whichever is higher)
• Lower extremity radiculopathy rated separately
• Document flare-ups—they can support higher ratings
• Pain on motion matters—report where pain begins

Evidence You Need

Same as lumbosacral strain:

• Service treatment records
• Current imaging (MRI, X-ray)
• Range of motion measurements
• Documentation of radiculopathy symptoms
• Treatment records

Secondary Conditions

Claim separately:

• Lower extremity radiculopathy (each leg)
• Hip conditions (from gait changes)
• Knee conditions (compensation)

Can be secondary to:

• Leg length discrepancy
• Other orthopedic conditions

Personal Statement Template

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Personal Statement for Thoracolumbar Strain

I, [Full Name], submit this statement for thoracolumbar (mid/lower back) strain.

Military Service: My back was subjected to:

• [Heavy lifting, rucking, vehicle operations, etc.]

Current Symptoms:

• Pain: [location, severity, frequency]
• Stiffness: [when, severity]
• Leg symptoms: [pain, numbness, tingling—specify which leg(s)]

Flare-ups:

• Frequency: [how often]
• Triggers: [what causes them]
• Additional limitation during flare-ups: [describe]

Functional Impact:

• Bending: [limitation]
• Sitting: [duration before pain]
• Standing: [duration before pain]
• Lifting: [weight limitation]

I certify these statements are true.

[Signature] [Date]

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Resources

VA Forms:

• DBQ Back (Thoracolumbar Spine)
• VA Form 21-526EZ

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This guide is for informational purposes only. Every claim is unique—consult with an accredited claims agent for personalized guidance.

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Sources: VA Disability Compensation, 38 CFR Part 4, Veterans Benefits Administration