VA Disability Rating for Tenosynovitis
Diagnostic Code 5024 · 38 CFR §4.71a
What Is It?
Tenosynovitis is inflammation of the tendon sheath, which is the protective covering around tendons. When this sheath becomes inflamed, it causes pain, swelling, and difficulty moving the affected area. Common forms include De Quervain tenosynovitis in the wrist and thumb, trigger finger, and Achilles tendon sheath inflammation. The condition often results from repetitive motions, gripping, typing, or other activities that stress the tendons. Veterans frequently develop tenosynovitis from repetitive tasks during military service including weapon handling, vehicle maintenance, typing, physical training, and manual labor.
Rating Criteria
| Rating | Criteria |
|---|---|
| 30% | Severe limitation of motion in the affected joint due to tendon sheath inflammation |
| 20% | Moderate limitation of motion with painful movement |
| 10% | Painful motion with minor limitation, or evidence of involvement on imaging |
| 0% | Documented tenosynovitis that has resolved |
Evidence Needed
- Medical records diagnosing tenosynovitis connected to service activities
- Imaging or ultrasound showing tendon sheath inflammation
- Range of motion measurements of the affected area
- Documentation of the repetitive service activities that caused the condition
- Treatment records including physical therapy and injections
C&P Exam Tips
- Identify the specific tendon and joint affected
- Demonstrate painful motion and any catching or triggering
- Describe the repetitive military activities that caused the condition
- Show any swelling or crepitus along the tendon
- Explain how the condition affects fine motor tasks like gripping and writing
How to File
File under DC 5024 for tenosynovitis. VA rates this condition based on the limitation of motion it causes in the affected joint. Include documentation of the specific tendon involved and the service activities that caused the inflammation. Treatment records showing the chronicity of the condition strengthen the claim.
Common Mistakes
Not identifying the specific tendon involved in the claim Failing to document the repetitive service activities that caused the condition Not reporting all affected tendons if more than one is involved Missing the opportunity to file for secondary conditions like carpal tunnel
Frequently Asked Questions
Is De Quervain tenosynovitis ratable?
Yes, De Quervain tenosynovitis is a specific form of tenosynovitis affecting the wrist and thumb tendons. It is rated under DC 5024 based on the limitation of motion it causes. If you developed it from repetitive tasks during service, you can file a claim.
Can trigger finger be rated under this code?
Yes, trigger finger is a form of tenosynovitis where a tendon nodule catches in the tendon sheath, causing the finger to lock. It can be rated under DC 5024 or under the specific finger limitation codes depending on the functional impact.