Knee Pain (Limitation of Flexion) VA Rating Guide

Overview

Limitation of knee flexion commonly resulting from military service activities such as prolonged standing, running with heavy gear, parachute jumps, or traumatic injuries. Rated based on degrees of flexion.

• VA Disability Code: 5260
• ICD Code: M17.9
• Category: Musculoskeletal

Rating Percentages & Criteria

30% Rating

Criteria: Flexion limited to 15°

Examples:

• Severe limitation preventing squatting
• Cannot climb stairs normally
• Significant gait abnormality

20% Rating

Criteria: Flexion limited to 30°

Examples:

• Moderate limitation with daily activities
• Difficulty with stairs
• Altered gait pattern

10% Rating

Criteria: Flexion limited to 45°

Examples:

• Mild to moderate limitation
• Some difficulty with kneeling
• Noticeable stiffness

0% Rating

Criteria: Flexion limited to 60°

Examples:

• Minimal limitation
• Slight stiffness
• Minor functional impact

Symptoms & Functional Impact

Common symptoms associated with this condition:

• Chronic knee pain
• Stiffness and reduced mobility
• Swelling or inflammation
• Grinding or popping sensations
• Difficulty walking or climbing stairs
• Pain worsening with activity
• Weakness or instability
• Limited range of motion

Evidence Requirements for Your Claim

To support your claim, gather the following evidence:

• Range of motion measurements from C&P exam
• X-rays or MRI showing knee damage
• Medical records documenting knee problems
• Service records showing knee injuries
• Treatment records from physical therapy
• Orthopedic specialist evaluations

Secondary Conditions Commonly Connected

This condition often leads to secondary disabilities:

Back Pain (Strong Connection)

Altered gait from knee pain puts stress on the back

Ankle Pain (Strong Connection)

Compensating for knee problems stresses ankle joints

Depression (Moderate Connection)

Chronic pain and mobility limitations can lead to depression

Anxiety (Moderate Connection)

Chronic pain and activity limitations can increase anxiety

Compensation & Pension (C&P) Exam Tips

Prepare for your C&P exam with these strategic tips:

• Do not overexert before your exam - show your true range of motion
• Bring documentation of flare-ups and worst symptoms
• Explain how knee problems affect daily activities
• Mention compensatory issues with other joints
• Be consistent with symptom descriptions

Frequently Asked Questions

Will I get a higher rating if both knees are affected?

Yes. Each knee is rated separately, and bilateral factor may apply when both legs are affected.

Can I get rated for both knee arthritis and limitation of motion?

Generally no. The VA will rate whichever code gives you the higher rating.

Key Points for Your Claim

When filing for Knee Pain (Limitation of Flexion):

1. Document everything - Every medical visit, treatment, and symptom counts
2. Get a nexus letter - A medical opinion linking your condition to service is crucial
3. Be thorough - Don't downplay your symptoms in your claim
4. Track progression - Show how the condition has worsened over time
5. Claim secondary conditions - Knee Pain (Limitation of Flexion) often causes other disabilities

Ready to File Your Claim?

The VA disability system is complex, but you don't have to navigate it alone. We help veterans understand their benefits, gather strong evidence, and maximize their ratings.

Related Rating Guides:

• Back Pain VA Rating Guide
• Ankle Pain VA Rating Guide
• Depression VA Rating Guide