VA Disability Rating for Gout
Diagnostic Code 5017 · 38 CFR §4.71a
What Is It?
Gout is an inflammatory arthritis caused by the buildup of uric acid crystals in your joints. It produces sudden, severe attacks of joint pain, swelling, redness, and warmth, most commonly in the big toe but also in ankles, knees, wrists, and fingers. Chronic gout can lead to permanent joint damage and deposits called tophi under the skin. Veterans may develop gout from dietary patterns during service, kidney damage from service-connected conditions, medications taken during service, or the physical demands of military life. VA rates gout similarly to rheumatoid arthritis based on the frequency and severity of attacks.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Gout with constitutional manifestations and severe involvement of multiple joints that is totally incapacitating |
| 60% | Frequent gout attacks affecting multiple joints with significant functional limitation between attacks |
| 40% | Multiple gout attacks per year with one or two severe exacerbations |
| 20% | Occasional gout attacks, one or two per year, with documented diagnosis |
Evidence Needed
- Blood work showing elevated uric acid levels
- Joint fluid analysis showing uric acid crystals if performed
- Medical records documenting gout attacks with dates, joints affected, and duration
- Imaging showing joint damage or tophi deposits
- Medication records showing ongoing treatment
C&P Exam Tips
- Keep a log of every gout attack including date, joints affected, and duration
- Show any visible tophi deposits under the skin
- Describe your worst attacks in detail including how long you are unable to walk or use the affected joint
- Bring your complete medication list including preventive medications
- Explain how unpredictable attacks affect your ability to maintain employment
How to File
File under DC 5017 for gout. The key to a proper rating is documenting the frequency and severity of attacks throughout the year. Keep a detailed log of each flare-up. Include laboratory results showing uric acid levels and any imaging showing joint damage or tophi.
Common Mistakes
Not keeping a log of all gout attacks throughout the year Only seeking medical attention during severe attacks and not documenting milder ones Not reporting the total number of joints affected over time Failing to mention the impact of unpredictable attacks on employment
Frequently Asked Questions
How does VA rate gout differently from regular arthritis?
Gout is rated similarly to rheumatoid arthritis based on the frequency and severity of attacks, rather than by measuring range of motion like osteoarthritis. The focus is on how many exacerbations you have per year and how they affect your overall functioning.
Can diet-related gout from military service be service-connected?
Yes, if you can establish that your gout developed during service or was aggravated by conditions of service, including diet, stress, and physical demands. Having your first documented gout attack during service is strong evidence for service connection.