Lumbar Strain (Low Back Pain)

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

Pain and limited motion in the lower back. The VA rates spine conditions based on how far you can bend and whether you have muscle spasm or abnormal posture, using the General Rating Formula for Diseases and Injuries of the Spine.

Rating Levels

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

What the VA looks for

Unfavorable ankylosis of the entire spine
Complete fixation of both cervical and thoracolumbar segments

Common Pitfalls

⚠Not reporting pain and limitations on your worst days — the VA measures range of motion at the exam, but you should document flare-ups.
⚠Forgetting to mention radiculopathy (shooting pain, numbness, or tingling down the legs) — this is rated separately under neurological codes.
⚠Not filing for secondary conditions: hip problems, opposite knee issues from altered gait, bladder dysfunction.
⚠Missing DeLuca factors: pain on motion, weakened movement, excess fatigability, and incoordination can support a higher rating even if range of motion numbers are borderline.

Related DBQ Forms

DBQ Back (Thoracolumbar Spine) Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…

Lumbar Strain (Low Back Pain)

Rating Levels

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

What the VA looks for

Unfavorable ankylosis of the entire spine
Complete fixation of both cervical and thoracolumbar segments

Common Pitfalls

⚠Not reporting pain and limitations on your worst days — the VA measures range of motion at the exam, but you should document flare-ups.

⚠Forgetting to mention radiculopathy (shooting pain, numbness, or tingling down the legs) — this is rated separately under neurological codes.

⚠Not filing for secondary conditions: hip problems, opposite knee issues from altered gait, bladder dysfunction.

⚠Missing DeLuca factors: pain on motion, weakened movement, excess fatigability, and incoordination can support a higher rating even if range of motion numbers are borderline.