Cervical Strain (Neck Pain)

DC 5237Musculoskeletal38 CFR 4.71a, DC 5237 — General Rating Formula for Diseases and Injuries of the Spine

Pain and limited motion in the neck. The VA rates cervical spine conditions using the General Rating Formula for Diseases and Injuries of the Spine, with different range-of-motion thresholds than the lumbar spine.

How the VA rates this condition

The VA rates this condition primarily based on range-of-motion measurements. During your C&P exam, the examiner will use a goniometer to measure how far you can move the affected joint. Pain, flare-ups, and repetitive-use limitations also factor into the final rating.

Diagnostic code

DC 5237

Rating range

10% – 100%

Rating levels

Rating criteria are defined in 38 CFR 4.71a, DC 5237 — General Rating Formula for Diseases and Injuries of the Spine. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

You have unfavorable ankylosis of your entire spine (cervical and thoracolumbar).

What the VA looks for

Unfavorable ankylosis of the entire spine

Common Pitfalls

⚠Not reporting radiculopathy (pain, numbness, tingling into the arms/hands) — this is rated separately.
⚠Failing to document flare-ups and their impact on daily activities.
⚠Not mentioning headaches that originate from neck problems — these may qualify as a secondary condition.