Preparing for a C&P (Compensation & Pension) Evaluation?
Here’s a guide to help prepare for your Range of Motion (ROM) evaluation for Lumbar (Lower) Back:
1. Limit Movements to Your Comfort Level.
Don’t push past pain, Don’t be a hero. Only bend as far as you naturally can without causing pain or discomfort.
It’s important to be honest but do not overextend yourself to show a range of motion that isn’t achievable without pain!
Stop where it hurts and communicate this clearly to your evaluator.
2. Focus on the Forward Bend (Lumbar Flexion)
Full ROM: A full lumbar ROM involves bending forward with arms extended, potentially to the point where your hands can touch the ground if there is no disability.
Partial ROM: If you can’t bend all the way due to back pain or limitations, be honest about it. The evaluator will measure how far forward you can bend.
For example:
Normal ROM: 90 degrees (touching the floor).
Moderate Disability: Around 45 degrees (halfway forward).
Severe Disability: 20-30 degrees (minimal forward bend).
3. What the Evaluator Will Measure
Lumbar Flexion: How far forward can you bend is one of the key measurements.
Extension: How far back can you lean? Be mindful of pain or stiffness.
Lateral Flexion: Can you bend to the sides? How far?
Rotation: Can you twist at the waist, and how far without pain?
4. Communicate Your Pain
If bending forward or any other motion causes pain, let the evaluator know when and where it starts.
Use descriptive language like:
“I feel sharp pain starting now.â€
“The pain starts in my lower back and shoots down my legs when I try to bend forward.â€
“I feel tightness and pain trying to move anymore.”
Be specific about where the pain is and what activities make it worse.
5. Practice Before the Exam
Try to practice your ROM in front of a mirror or with a partner before the evaluation to see how far you can bend without pain. This will help you confidently show your true limitations during the exam.
Want more help? Contact a VA Disability Manager today for a free consultation and let us help you get what you deserve!
