Ankylosing Spondylitis (AS) is a long-term, chronic condition that primarily affects the spine, causing inflammation and the gradual fusion of bones. For many veterans, the physical demands of military service can trigger or worsen the symptoms of this disease, leading to stiffness, pain, and reduced mobility.
While an ankylosing spondylitis VA rating can’t cure the condition, it can provide veterans with essential financial compensation and access to healthcare services. The VA assigns ratings based on several factors, such as range of motion, spinal fusion (ankylosis), and other symptoms like muscle spasms and abnormal posture. This rating system, which ranges from 10% to 100%, plays a critical role in helping veterans access the care they need.
Dr. Alan Brown, Rheumatologist, explains, “Ankylosing spondylitis is not just about back pain it can lead to permanent disability if not managed properly. Veterans who suffer from this condition need to make sure their claims are supported with solid medical evidence to get the benefits they deserve.”
What is Ankylosing Spondylitis?
Ankylosing Spondylitis is a type of arthritis that primarily affects the spine but can also impact other joints. The condition causes inflammation that can lead to the fusion of vertebrae, which significantly limits movement and causes pain.
- “Ankylosing” refers to abnormal stiffening or fusion of joints, particularly in the spine.
- “Spondylitis” means inflammation of the spine.
The condition often starts in the lower back and can spread to the neck and other areas, eventually leading to reduced mobility and chronic pain. Military veterans are particularly susceptible to ankylosing spondylitis due to the physical demands of military service, which can aggravate spinal inflammation.
How Ankylosing Spondylitis is Rated by the VA?
The VA rates ankylosing spondylitis under Diagnostic Code 5240, using the General Rating Formula for Diseases and Injuries of the Spine. This rating depends on several factors such as range of motion, spinal fusion (ankylosis), and other symptoms like muscle spasms and abnormal posture.
The VA also rates ankylosing spondylitis as an active disease under DC 5009, using criteria from DC 5002. The ratings can range from 10% to 100%, depending on how much your spine is affected by the disease. Below is a breakdown of how the VA assigns ratings for ankylosing spondylitis:
| VA Rating | Criteria | Symptoms |
|---|---|---|
| 100% Rating | Unfavorable ankylosis of the entire spine | Complete loss of mobility and severe pain |
| 50% Rating | Unfavorable ankylosis of the entire thoracolumbar spine | Severe stiffness and pain in the mid and lower back |
| 40% Rating | Unfavorable ankylosis of the entire cervical spine; or Forward flexion of the thoracolumbar spine 30 degrees or less | Extreme pain and severe limitations in movement |
| 30% Rating | Forward flexion of the cervical spine 15 degrees or less; or favorable ankylosis of the entire cervical spine | Moderate limitations in neck and spine mobility |
| 20% Rating | Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees | Moderate pain, stiffness, and limited flexibility |
| 10% Rating | Forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees | Mild pain and stiffness, minor functional limitations |
Proving Service Connection for Ankylosing Spondylitis
To qualify for VA disability benefits for ankylosing spondylitis, you must establish:
- A current diagnosis of ankylosing spondylitis, supported by medical records, X-rays, or MRIs.
- An in-service event, injury, or illness that may have caused or aggravated the condition. This can include physical injuries, repetitive movements, or exposure to conditions during service that could have contributed to the onset of AS.
- A medical nexus connecting your current condition to your military service. A medical professional or specialist can provide a nexus letter that establishes this connection.
Without evidence of these elements, your claim may be denied. It’s crucial to provide as much documentation as possible to strengthen your case.
Sarah Jennings, a VA Disability Advocate, advises, “The VA’s rating system can be complex, but it’s vital for veterans with ankylosing spondylitis to understand that the severity of their condition determines their compensation. Strong evidence, including medical nexus letters, can make a big difference in the outcome of the claim.”
VA Secondary Conditions Linked to Ankylosing Spondylitis
Ankylosing spondylitis can cause or aggravate several secondary conditions. These conditions can be claimed for additional VA disability compensation if they are linked to your primary service-connected AS. Some common secondary conditions include:
- Radiculopathy: Nerve pain that radiates from the spine, commonly affecting the legs.
- Degenerative Disc Disease: The deterioration of spinal discs due to the inflammation caused by AS.
- Mental Health Conditions: Depression or anxiety due to chronic pain and mobility restrictions.
- Sleep Apnea: Often linked to spinal issues, causing difficulty breathing during sleep.
- Spinal Stenosis: Narrowing of the spinal canal, which can lead to nerve compression.
If you have secondary conditions, filing a secondary VA claim may increase your monthly compensation. For example, mental health conditions or sleep apnea may receive separate ratings, potentially boosting your overall benefits.
John Harris, a Veteran Affairs Consultant, emphasizes, “Many veterans overlook secondary conditions like radiculopathy or sleep apnea, which can be directly linked to ankylosing spondylitis. Filing claims for these conditions can significantly increase a veteran’s overall VA compensation.”
Steps to File a VA Claim for Ankylosing Spondylitis
Filing a VA disability claim for ankylosing spondylitis or any secondary conditions requires careful preparation. Here’s what you need to do:
- Gather Medical Records: Collect all relevant medical records, including those from private healthcare providers, your military service treatment records, and any specialist opinions that confirm your diagnosis and the connection to your service.
- Obtain a Nexus Letter: If you’re filing for service connection or secondary conditions, a credible Nexus Letter from your physician is highly recommended. This letter should detail the relationship between your ankylosing spondylitis and your military service or other service-connected conditions.
- File Your Claim: You can file your claim in one of several ways:
- Online (through the VA’s website)
- By mail
- Via fax
- In person at a VA regional office
If you file by mail, you’ll need to complete VA Form 21-526EZ.
Recent Updates
As of 2025, the VA has slightly adjusted its rating guidelines for ankylosing spondylitis, particularly regarding the assessment of spinal mobility and fusion. These changes are designed to more accurately reflect the impact of AS on a veteran’s ability to perform daily activities and work.
The VA has also made it easier for veterans with secondary conditions to file for additional compensation, which can increase the overall disability rating and monthly compensation.
The Impact of Ankylosing Spondylitis on Veterans
Ankylosing spondylitis isn’t just back pain it’s a progressive, debilitating disease that can severely impact a veteran’s mobility and quality of life. The VA disability rating system helps ensure that veterans with AS receive appropriate compensation, healthcare, and support for their condition. It is essential to gather strong evidence when filing your claim to ensure that you receive the proper rating.
Accurate disability ratings not only help veterans secure the financial assistance they need but also give them access to the care and support they deserve, which is crucial for managing this progressive and often painful condition.
Mike Turner, a veteran with AS, shares his experience: “Filing my claim for ankylosing spondylitis was overwhelming at first, but getting the right help and gathering all my medical records made the process much easier. It’s important to understand your condition and how it impacts your life to ensure you get the right rating.”
FAQs
Is ankylosing spondylitis a VA disability?
Yes, ankylosing spondylitis can qualify for VA disability benefits if you have a current diagnosis and evidence that it’s service-connected.
What is the VA rating for spondylosis?
The VA rating for spondylosis ranges from 10% to 100%, depending on the severity of symptoms and spinal mobility.
Is it hard to get disability for ankylosing spondylitis?
It can be challenging, especially without strong medical evidence or a clear link to military service. However, with detailed records and a well-prepared claim, it’s possible to secure benefits.
How do I prove ankylosing spondylitis?
A diagnosis from a licensed healthcare provider, supported by imaging (like X-rays or MRIs), is necessary to prove ankylosing spondylitis.
Can I get TDIU for ankylosing spondylitis?
Yes, if your ankylosing spondylitis prevents you from securing and maintaining substantially gainful employment, you may be eligible for Total Disability based on Individual Unemployability (TDIU).
