In the factors that can contribute to spondylosis, the RMA specifies the following spinal conditions:
These conditions can result in abnormal distribution of loading forces through the spine. Seek medical advice if unsure if the particular spinal condition fits within the parameters of the RMA definition.
Scoliosis is sometimes a result of diseases of the central nervous system (eg polio, muscular dystrophy), congenital defects of the spine, or uneven leg length.
Necrosis of bone can result from exposure to Ionising radiation.
Paget's disease of the spine may result in a vertebral deformity.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | A Specified Spinal Condition for Spondylosis | MR9279.pdf [4] | MR9279.docx [5] |
9593 there is some evidence that a condition from the specified list of spinal conditions may be a factor in the development or worsening of the condition under consideration.
9594 the veteran has had a condition from the specified list of spinal conditions at some time.
35550 the veteran's condition from the specified list of spinal conditions affected side and site of the body.
35551 a condition from the specified list of spinal conditions means scoliosis, spondylolisthesis, retrospondylolisthesis, a deformity of a vertebra, a deformity of a joint of a vertebra or necrosis of bone.
35552 the veteran has established the causal connection between the identified illness or injury, a condition from the specified list of spinal conditions, and VEA service for the condition under consideration.
35559 the veteran had the identified illness or injury, a condition of side and site of the body from the specified list of spinal conditions, before the clinical onset of the condition under consideration.
35553 the veteran has established the causal connection between the identified illness or injury, a condition from the specified list of spinal conditions, and VEA service for the clinical onset of the condition under consideration.
35555 the veteran has established the causal connection between the identified illness or injury, a condition from the specified list of spinal conditions, and operational service for the clinical onset of the condition under consideration.
or
35556 the veteran has established the causal connection between the identified illness or injury, a condition from the specified list of spinal conditions, and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
35560 the veteran had the identified illness or injury, a condition of side and site of the body from the specified list of spinal conditions, before the clinical worsening of the condition under consideration.
35554 the veteran has established the causal connection between the identified illness or injury, a condition from the specified list of spinal conditions, and VEA service for the clinical worsening of the condition under consideration.
35557 the veteran has established the causal connection between the identified illness or injury, a condition from the specified list of spinal conditions, and operational service for the clinical worsening of the condition under consideration.
or
35558 the veteran has established the causal connection between the identified illness or injury, a condition from the specified list of spinal conditions, and eligible service for the clinical worsening of the condition under consideration.
35561 the identified illness or injury, a condition of side and site of the body from the specified list of spinal conditions, is causally related to operational service.
35562 the identified illness or injury, a condition of side and site of the body from the specified list of spinal conditions, is causally related to eligible service.
35561 the identified illness or injury, a condition of side and site of the body from the specified list of spinal conditions, is causally related to operational service.
35563 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, a condition of side and site of the body from the specified list of spinal conditions, is causally related.
35562 the identified illness or injury, a condition of side and site of the body from the specified list of spinal conditions, is causally related to eligible service.
35564 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, a condition of side and site of the body from the specified list of spinal conditions, is causally related.
The SOPs for cervical, lumbar and thoracic spondyloses include factors for “being obese". This term is defined in the SOP. The RMA has also issued a SOP for obesity. If there is a history of "being obese" but the claim for spondylosis does not succeed via this factor, you will be asked to consider whether there is a history of morbid obesity, as this is an extreme form of obesity.
In this Statement of Principles the Repatriation Medical Authority has defined being obese as meaningwhich results in a Body Mass Index (BMI) of 30 or greater.
The measurement used to define “being obese” is the Body Mass Index (BMI).
The BMI = W/H2 and where:
W is the person’s weight in kilograms and
H is the person’s height in metres".
(For Imperial weights and measures, BMI = wt. in lbs/(ht in inches2) x 703.1).
This definition excludes weight gain not resulting from fat deposition such as gross oedema, peritoneal or pleural effusion, or muscle hypertrophy. "Being obese" develops when energy intake is in excess of expenditure for a sustained period of time.
If it is not possible to obtain specific height/weight measurements, a medical comment that the veteran or member was obese will be sufficient.If height/weight measurements can be obtained, the BMI formula should be applied.
A history of obesity may be documented in the evidence. However, the veteran or member may not have sought medical attention and the condition may not have been recorded in medical records. In addition, doctors' and hospitals' records may have been destroyed or can no longer be obtained.
Therefore, a statement by the veteran about his or her weight at a particular time will generally be accepted, unless there is contradictory evidence. This weight can then be used to calculate whether the veteran was obese at that time.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Claimant Report | Obesity | CR9230.pdf [6] | CR9230.docx [7] |
Medical Report | Obesity | MR9305.pdf [8] | MR9305.docx [9] |
17512 there is some evidence that obesity may be a factor in the development or worsening of the condition under consideration.
587 the veteran has a history of obesity.
25529 the veteran has been obese for a period of at least 10 years at some time.
25530 the veteran has established the causal connection between the long term obesity and VEA service for the condition under consideration.
8661 the veteran has established the causal connection between the long term obesity and VEA service for the clinical onset of the condition under consideration.
8663 the veteran has established the causal connection between the long term obesity and operational service for the clinical onset of the condition under consideration.
or
8664 the veteran has established the causal connection between the long term obesity and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
25531 the veteran has established the causal connection between the long term obesity and VEA service for the clinical worsening of the condition under consideration.
25533 the veteran has established the causal connection between the long term obesity and operational service for the clinical worsening of the condition under consideration.
or
25532 the veteran has established the causal connection between the long term obesity and eligible service for the clinical worsening of the condition under consideration.
8665 the veteran was obese for at least 10 years before the clinical onset of the condition under consideration.
591 the obesity was caused by operational service.
or
9004 the veteran has a history of morbid obesity.
24666 the veteran was morbidly obese for at least 10 years before the clinical onset of the condition under consideration.
9005 the morbid obesity is causally related to operational service.
8666 the veteran was obese for at least 10 years within the 25 years before the clinical onset of the condition under consideration.
3407 the obesity was caused by eligible service.
or
9004 the veteran has a history of morbid obesity.
24667 the veteran was morbidly obese for at least 10 years within the 25 years before the clinical onset of the condition under consideration.
9006 the morbid obesity is causally related to eligible service.
25534 the veteran was obese for at least 10 years before the clinical worsening of the condition under consideration.
591 the obesity was caused by operational service.
17309 the clinical onset of the condition under consideration occurred prior to that part of operational service which caused the obesity.
or
9004 the veteran has a history of morbid obesity.
24668 the veteran was morbidly obese for at least 10 years before the clinical worsening of the condition under consideration.
9005 the morbid obesity is causally related to operational service.
9009 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the morbid obesity is causally related.
25535 the veteran was obese for at least 10 years within the 25 years before the clinical worsening of the condition under consideration.
3407 the obesity was caused by eligible service.
17310 the clinical onset of the condition under consideration occurred prior to that part of eligible service which caused the obesity.
or
9004 the veteran has a history of morbid obesity.
24669 the veteran was morbidly obese for at least 10 years within the 25 years before the clinical worsening of the condition under consideration.
9006 the morbid obesity is causally related to eligible service.
9010 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the morbid obesity is causally related.
In operational service cases, the SOP requirement is carrying or lifting loads of at least 25 kg while bearing weight through the spine to a cumulative total of 120,000 kg within any 10 year period.
In eligible service cases the requirement is carrying or lifting loads of least 35 kg while bearing weight through the spine to a cumulative total of 168,000 kg within any 10 year period.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Claimant Report | Carrying or Lifting Heavy Loads | CR9192.pdf [10] | CR9192.docx [11] |
26429 the veteran has established the causal connection between carrying or lifting loads while bearing weight and VEA service for the condition under consideration.
26430 the veteran has established the causal connection between carrying or lifting loads while bearing weight and VEA service for the clinical onset of the condition under consideration.
26432 the veteran has established the causal connection between carrying or lifting loads while bearing weight and operational service for the clinical onset of the condition under consideration.
or
26433 the veteran has established the causal connection between carrying or lifting loads while bearing weight and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
26431 the veteran has established the causal connection between carrying or lifting loads while bearing weight and VEA service for the clinical worsening of the condition under consideration.
26434 the veteran has established the causal connection between carrying or lifting loads while bearing weight and operational service for the clinical worsening of the condition under consideration.
or
26435 the veteran has established the causal connection between carrying or lifting loads while bearing weight and eligible service for the clinical worsening of the condition under consideration.
12498 the veteran performed carrying or lifting loads of at least 25 kg while bearing weight through side and site of the body to a cumulative total of at least 120,000 kg within any 10 year period.
12499 the veteran performed carrying or lifting loads of at least 25 kg while bearing weight through side and site of the body to a cumulative total of at least 120,000 kg within any 10 year period before the clinical onset of the condition under consideration.
12510 operational service made a material contribution to the veteran's carrying or lifting loads of at least 25 kg while bearing weight through side and site of the body to a cumulative total of at least 120,000 kg within any ten year period before the clinical onset of the condition under consideration.
12500 the veteran performed carrying or lifting loads of at least 35 kg while bearing weight through side and site of the body to a cumulative total of at least 168,000 kg within any 10 year period.
12501 the veteran performed carrying or lifting loads of at least 35 kg while bearing weight through side and site of the body to a cumulative total of at least 168,000 kg within any 10 year period before the clinical onset of the condition under consideration.
25592 the clinical onset of the condition under consideration occurred within the 25 years following the 10 year period during which the veteran performed carrying or lifting loads of at least 35 kg while bearing weight through side and site of the body to a cumulative total of at least 168,000 kg.
12512 eligible service made a material contribution to the SOP requirements for carrying or lifting loads before the clinical onset of the condition under consideration.
12498 the veteran performed carrying or lifting loads of at least 25 kg while bearing weight through side and site of the body to a cumulative total of at least 120,000 kg within any 10 year period.
34001 the veteran performed carrying or lifting loads of at least 25 kg while bearing weight through side and site of the body to a cumulative total of at least 120,000 kg within any 10 year period before the clinical worsening of the condition under consideration.
25594 the accumulation of at least 120,000 kg within any ten year period before the clinical worsening of the condition under consideration through carrying or lifting loads of at least 25 kg while bearing weight through side and site of the body commenced after the clinical onset of the condition under consideration.
12513 operational service made a material contribution to the veteran's carrying or lifting loads of at least 25 kg while bearing weight through side and site of the body to a cumulative total of at least 120,000 kg within any ten year period before the clinical worsening of the condition under consideration.
12500 the veteran performed carrying or lifting loads of at least 35 kg while bearing weight through side and site of the body to a cumulative total of at least 168,000 kg within any 10 year period.
12511 the veteran performed carrying or lifting loads of at least 35 kg while bearing weight through side and site of the body to a cumulative total of at least 168,000 kg within any 10 year period before the clinical worsening of the condition under consideration.
25596 the clinical worsening of the condition under consideration occurred within the 25 years following the 10 year period during which the veteran performed carrying or lifting loads of at least 35 kg while bearing weight through side and site of the body to a cumulative total of at least 168,000 kg.
25595 the accumulation of at least 168,000 kg within any ten year period before the clinical worsening of the condition under consideration through carrying or lifting loads of at least 35 kg while bearing weight through side and site of the body commenced after the clinical onset of the condition under consideration.
12515 eligible service made a material contribution to the SOP requirements for carrying or lifting loads before the clinical worsening of the condition under consideration.
The RMA has defined a depositional joint disease as gout, pseudogout, haemochromatosis, Wilson's disease or ochronosis.
8667 there is some evidence that a depositional joint disease may be a factor in the development or worsening of the condition under consideration.
8668 the veteran has had a depositional joint disease at some time.
1894 the veteran has gout.
or
8676 the veteran has pseudogout.
or
8677 the veteran has haemochromatosis.
or
8678 the veteran has Wilson's disease.
or
8679 the veteran has had ochronosis at some time.
9600 the identified illness or injury, a depositional joint disease, occurred in side and site of the body.
26422 the veteran has established the causal connection between the depositional joint disease and VEA service for the condition under consideration.
25539 the veteran had the identified illness or injury, a depositional joint disease in side and site of the body, before the clinical onset of the condition under consideration.
9602 the veteran has established the causal connection between the depositional joint disease and VEA service for the clinical onset of the condition under consideration.
9603 the veteran has established the causal connection between the depositional joint disease and operational service for the clinical onset of the condition under consideration.
or
9604 the veteran has established the causal connection between the depositional joint disease and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
25540 the veteran had the identified illness or injury, a depositional joint disease in side and site of the body, before the clinical worsening of the condition under consideration.
26423 the veteran has established the causal connection between the depositional joint disease and VEA service for the clinical worsening of the condition under consideration.
26424 the veteran has established the causal connection between the depositional joint disease and operational service for the clinical worsening of the condition under consideration.
or
26425 the veteran has established the causal connection between the depositional joint disease and eligible service for the clinical worsening of the condition under consideration.
26426 the identified illness or injury, a depositional joint disease in side and site of the body, is causally related to operational service.
26427 the identified illness or injury, a depositional joint disease in side and site of the body, is causally related to eligible service.
26426 the identified illness or injury, a depositional joint disease in side and site of the body, is causally related to operational service.
25544 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, a depositional joint disease in side and site of the body, is causally related.
26427 the identified illness or injury, a depositional joint disease in side and site of the body, is causally related to eligible service.
25545 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, a depositional joint disease in side and site of the body, is causally related.
The requirements in the Statement of Principles regarding flying powered aircraft for Lumbar Spondylosis and Intervertebral Disc Prolapse now have three different requirements.
For reasonable hypothesis cases the requirement is:
For balance of probability cases the requirements are:
or
Operational aircrew now includes all other operational aircrew in addition to pilots and co-pilots, but still excludes persons who were passengers only.
The intention of the wording of the factors that do not specify operational aircrew is that they only apply to persons who are flying a powered aircraft. The evidence about the connection with lumbar spondylosis and intervertebral disc prolapse is that this only relates to pilots and co-pilots.
Where the aircraft is specified as a helicopter the whole period of flying time must be related to only flying helicopters. If the person has flown a combination of powered aircraft then the factor relating to powered aircraft applies, and the person must have been a pilot or co-pilot.
Although the RMA has not defined "powered aircraft" the term excludes any non-motorised aircraft such as gliders, hang-gliders and similar devices.
Information about the scope and nature of various service occupations is also contained in Physical requirements, duties, and workplace hazards of specific military occupations.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Claimant Report | Flying aircraft | CR9304.pdf [12] | CR9304.docx [13] |
40325 there is some evidence that flying aircraft as specified may be a factor in the development or worsening of the condition under consideration.
40326 the veteran has established the causal connection between flying aircraft as specified and VEA service for the condition under consideration.
40328 the veteran has established the causal connection between flying aircraft as specified and VEA service for the clinical onset of the condition under consideration.
40330 the veteran has established the causal connection between flying aircraft as specified and operational service for the clinical onset of the condition under consideration.
or
40331 the veteran has established the causal connection between flying aircraft as specified and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
40329 the veteran has established the causal connection between flying aircraft as specified and VEA service for the clinical worsening of the condition under consideration.
40332 the veteran has established the causal connection between flying aircraft as specified and operational service for the clinical worsening of the condition under consideration.
or
40333 the veteran has established the causal connection between flying aircraft as specified and eligible service for the clinical worsening of the condition under consideration.
41541 the veteran was flying in a powered aircraft as part of the operational aircrew.
40334 the veteran has flown in a powered aircraft as operational aircrew for a cumulative total of at least 2500 hours within a ten year period at some time.
41540 the veteran flew in a powered aircraft as operational aircrew for a cumulative total of at least 2500 hours within the ten years before the clinical onset of the condition under consideration.
41542 operational service made a material contribution to the veteran flying in a powered aircraft as operational aircrew for a cumulative total of at least 2500 hours within the ten years before the clinical onset of the condition under consideration.
41543 the powered aircraft the veteran flew were helicopters only.
41544 the veteran has flown in a helicopter as operational aircrew for a cumulative total of at least 5000 hours within a ten year period at some time.
41545 the veteran flew in a helicopter as operational aircrew for a cumulative total of at least 5000 hours within the ten years before the clinical onset of the condition under consideration.
41546 eligible service made a material contribution to the veteran flying in a helicopter as operation aircrew for a cumulative total of at least 5000 hours within the ten years before the clinical onset of the condition under consideration.
or
41547 the veteran was a pilot or co-pilot.
41548 the veteran has flown in a powered aircraft for a cumulative total of at least 5000 hours within a ten year period at some time.
41549 the veteran flew in a powered aircraft for a cumulative total of at least 5000 hours within the ten years before the clinical onset of the condition under consideration.
41550 eligible service made a material contribution to the veteran flying in a powered aircraft for a cumulative total of at least 5000 hours within the ten years before the clinical onset of the condition under consideration.
41541 the veteran was flying in a powered aircraft as part of the operational aircrew.
40334 the veteran has flown in a powered aircraft as operational aircrew for a cumulative total of at least 2500 hours within a ten year period at some time.
41551 the veteran flew in a powered aircraft for a cumulative total of at least 2500 hours after the clinical onset of the condition under consideration and within the ten years before its clinical worsening.
41552 operational service made a material contribution to the veteran flying in a powered aircraft for a cumulative total of at least 2500 hours after the clinical onset of the condition under consideration and within the ten years before its clinical worsening.
41543 the powered aircraft the veteran flew were helicopters only.
41544 the veteran has flown in a helicopter as operational aircrew for a cumulative total of at least 5000 hours within a ten year period at some time.
41553 the veteran flew in a helicopter as operational aircrew for a cumulative total of at least 5000 hours after the clinical onset of the condition under consideration and within the ten years before its clinical worsening.
41554 eligible service made a material contribution to the veteran flying in a helicopter as operational aircrew for a cumulative total of at least 5000 hours after the clinical onset of the condition under consideration and within the ten years before its clinical worsening.
or
41547 the veteran was a pilot or co-pilot.
41548 the veteran has flown in a powered aircraft for a cumulative total of at least 5000 hours within a ten year period at some time.
41555 the veteran flew in a powered aircraft for a cumulative total of at least 5000 hours after the clinical onset of the condition under consideration and within the ten years before its clinical worsening.
41556 eligible service made a material contribution to the veteran flying in a powered aircraft for a cumulative total of at least 5000 hours after the clinical onset of the condition under consideration and within the ten years before its clinical worsening.
Prisoners of war are identified on the client data base.
The veteran's statement of service will also record the fact that he was a prisoner of war.
The Repatriation Commission has defined a prisoner of war as a veteran who has been confined in a camp, building, prison or other restrictive area as a prisoner of the enemy, even if the confinement was for only a few hours.
30034 there is some evidence that having been a prisoner of war may be a factor in the development of the condition under consideration.
292 the veteran was a prisoner of war at some time.
25485 the veteran was a prisoner of war before the clinical onset of the condition under consideration.
Lumbar spondylosis is a degenerative disease where gradual worsening is part of the normal course of the disease process. Appropriate clinical management for lumbar spondylosis would include anti-inflammatory drugs to reduce pain and inflammation, and if clinically indicated, X-rays, CT (computerised tomography) scan or MRI (magnetic resonance imaging). Physiotherapy and exercise may be recommended, but surgery would be uncommon.
Inability to obtain appropriate clinical management
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Inability to Obtain Appropriate Clinical Management | GQACM.pdf [14] | GQACM.docx [15] |
11109 the condition under consideration has been accepted on the basis of inability to obtain appropriate clinical management for the condition under consideration.
7066 there is some evidence that an inability to obtain appropriate clinical management for the condition under consideration may be a factor in the worsening of the condition under consideration.
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
7378 the veteran was unable to obtain appropriate clinical management for the condition under consideration at some time.
7379 the inability to obtain appropriate clinical management for the condition under consideration contributed to the clinical worsening of the condition under consideration.
11234 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and VEA service for the clinical worsening of the condition under consideration.
11235 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and operational service for the clinical worsening of the condition under consideration.
or
11236 the veteran has established the causal connection between the inability to obtain appropriate clinical management for the condition under consideration and eligible service for the clinical worsening of the condition under consideration.
7384 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service.
21084 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during operational service, as a causal result of operational service.
7387 the veteran's inability to obtain appropriate clinical management for the condition under consideration during operational service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7390 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to operational service.
7392 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
7385 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service.
7386 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, during eligible service, as a causal result of eligible service.
7388 the veteran's inability to obtain appropriate clinical management for the condition under consideration during eligible service was due to the veteran's serious default, wilful act or serious breach of discipline.
or
7389 the veteran was unable to obtain appropriate clinical management for the condition under consideration, which contributed to the clinical worsening of the condition under consideration, because of an illness or injury which is identifiable.
7391 the identified illness or injury which prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related to eligible service.
7393 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury that prevented the veteran from obtaining appropriate clinical management for the condition under consideration is causally related.
The RMA has defined inflammatory joint disease to mean:
Conditions such as chondromalacia patellae, Paget's disease, osteoporosis, meniscal or ligament damage are not inflammatory joint disease.
8657 there is some evidence that an inflammatory joint disease may be a factor in the development or worsening of the condition under consideration.
8636 the veteran has had an inflammatory joint disease at some time.
20034 the veteran has had Reiter's syndrome at some time.
or
20035 the veteran has had psoriatic arthropathy at some time.
or
20036 the veteran has had ankylosing spondylitis at some time.
or
20038 the veteran has had rheumatoid arthritis at some time.
or
25493 the veteran has had arthritis associated with Crohn's disease at some time.
or
25494 the veteran has had arthritis associated with ulcerative colitis at some time.
8637 the identified illness or injury, an inflammatory joint disease, affected side and site of the body.
9584 the veteran has established the causal connection between the inflammatory joint disease and VEA service for the condition under consideration.
8639 the veteran had the identified illness or injury, an inflammatory joint disease in side and site of the body, before the clinical onset of the condition under consideration.
26403 the veteran has established the causal connection between the inflammatory joint disease and VEA service for the clinical onset of the condition under consideration.
9585 the veteran has established the causal connection between the inflammatory joint disease and operational service for the clinical onset of the condition under consideration.
or
9586 the veteran has established the causal connection between the inflammatory joint disease and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
25487 the veteran had the identified illness or injury, an inflammatory joint disease in side and site of the body, before the clinical worsening of the condition under consideration.
26404 the veteran has established the causal connection between the inflammatory joint disease and VEA service for the clinical worsening of the condition under consideration.
26405 the veteran has established the causal connection between the inflammatory joint disease and operational service for the clinical worsening of the condition under consideration.
or
26406 the veteran has established the causal connection between the inflammatory joint disease and eligible service for the clinical worsening of the condition under consideration.
26407 the identified illness or injury, an inflammatory joint disease in side and site of the body, is causally related to operational service.
26408 the identified illness or injury, an inflammatory joint disease in side and site of the body, is causally related to eligible service.
26407 the identified illness or injury, an inflammatory joint disease in side and site of the body, is causally related to operational service.
25491 the clinical onset of the condition under consideration occurred prior to that part of the operational service to which the identified illness or injury, an inflammatory joint disease in side and site of the body, is causally related.
26408 the identified illness or injury, an inflammatory joint disease in side and site of the body, is causally related to eligible service.
25492 the clinical onset of the condition under consideration occurred prior to that part of the eligible service to which the identified illness or injury, an inflammatory joint disease in side and site of the body, is causally related.
In the Statement of Principles for osteoarthritis the RMA has defined intra-articular fracture to mean "a fracture involving the articular surface of a joint".
This type of fracture involves the cartilaginous articular surface of one of the bones of a joint or of the vertebral bodies or facet joints of the spine. The articular surface refers to the area of bone involved in the joint, i.e. opposing the other bone(s).
If a person had an intra-articular fracture he or she would have needed significant medical attention at that time. X-ray evidence would have been obtained to demonstrate the presence of a fracture involving the cartilaginous articular surface of one of the bones of the joint. Such medical treatment would normally be recorded in doctors' notes and/or hospital records. However, if these records have been destroyed or can no longer be obtained and there is a reliable history of an intra-articular fracture at a particular time, this generally will be accepted, unless there is contradictory evidence. Obtain medical advice if it is unclear whether the claimed symptoms and treatment at that time can be attributed to an intra-articular fracture rather than to some other condition.
8658 there is some evidence that an intra-articular fracture may be a factor in the development or worsening of the condition under consideration.
4572 the veteran has had an intra-articular fracture at some time.
2485 the veteran has had an intra-articular fracture of side and site of the body at some time.
8829 intra-articular fracture means a fracture involving the articular surface of a joint.
26409 the veteran has established the causal connection between the intra-articular fracture and VEA service for the condition under consideration.
25514 the veteran had the identified illness or injury, an intra-articular fracture of side and site of the body, before the clinical onset of the condition under consideration.
9590 the veteran has established the causal connection between the identified illness or injury, an intra-articular fracture, and VEA service for the clinical onset of the condition under consideration.
9591 the veteran has established the causal connection between the intra-articular fracture and operational service for the clinical onset of the condition under consideration.
or
9592 the veteran has established the causal connection between the intra-articular fracture and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
25516 the veteran had the identified illness or injury, an intra-articular fracture of side and site of the body, before the clinical worsening of the condition under consideration.
26410 the veteran has established the causal connection between the intra-articular fracture and VEA service for the clinical worsening of the condition under consideration.
26411 the veteran has established the causal connection between the intra-articular fracture and operational service for the clinical worsening of the condition under consideration.
or
26412 the veteran has established the causal connection between the intra-articular fracture and eligible service for the clinical worsening of the condition under consideration.
26413 the identified illness or injury, an intra-articular fracture of side and site of the body, is causally related to operational service.
26414 the identified illness or injury, an intra-articular fracture of side and site of the body, is causally related to eligible service.
26413 the identified illness or injury, an intra-articular fracture of side and site of the body, is causally related to operational service.
25519 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, an intra-articular fracture of side and site of the body, is causally related.
26414 the identified illness or injury, an intra-articular fracture of side and site of the body, is causally related to eligible service.
25520 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, an intra-articular fracture of side and site of the body, is causally related.
A lumbar intervertebral disc prolapse is a protrusion, herniation or rupture of an intervertebral disc of the lumbar spine, causing local pain and stiffness, and may include pain and paraesthesia radiating into the lower limbs.
The lumbar spine is the back extending from vertebra L1 to vertebra L5. The intervertebral discs lie between the adjacent surfaces of the bodies of the vertebrae in the spine, each disc being a highly elastic tissue mass which is compressed between the vertebral surfaces. Degenerative changes gradually cause fragmentation of the nucleus pulposus (soft gelatinous material under tension) and softening of the annulus fibrosus (the periphery of the disc). A portion of the nucleus may protrude through a rent or tear in the softened annulus and may impinge on the adjacent nerve roots or the spinal cord itself. The protrusion may be episodic and may continue intermittently over a period of months or years. In the final stage of the pathological changes commonly described as prolapsed intervertebral disc, the defective disc is replaced by fibrous tissue.
Disc protrusion may occur at any time in adult life. Classically the onset is sudden following a history of spinal strain, and is clearly defined. The pain may be aggravated by coughing or sneezing. Characteristically the symptoms may fluctuate in intensity, or appear intermittently. Paraesthesia, often described as a sensation of "pins and needles", often occurs at some time in the affected limb, and a degree of muscle wasting is often noted.
In some cases there is no prior history of strain or trauma, and the back pain may begin gradually and not radiate to a limb. The acute symptoms usually subside in a few weeks and recovery from symptoms may occur though the disc protrusion remains. Recurrence of symptoms is common and may occur at frequent intervals.
Intervertebral disc prolapse may be demonstrated by plain X-rays, myelography (X-ray of the spinal cord after injection of a contrast medium), CT (computerised tomography) scan or MRI (magnetic resonance imaging).
Type | Title | PDF Format | Word Format |
---|---|---|---|
Medical Report | Lumbar Intervertebral Disc Prolapse - Lumbar Spondylosis | MR9115.pdf [16] | MR9115.docx [17] |
22444 the condition under consideration has been accepted on the basis of an intervertebral disc prolapse.
22445 the veteran has had an intervertebral disc prolapse of side and site of the body at some time.
26444 intervertebral disc prolapse means protrusion, herniation or rupture of an intervertebral disc of the cervical, thoracic or lumbar spine, causing local pain and stiffness.
22447 the condition under consideration is at the level of the identified illness or injury
26445 the veteran has established the causal connection between the intervertebral disc prolapse and VEA service for the condition under consideration.
22446 the veteran had the identified illness or injury before the clinical onset of the condition under consideration at the level of the intervertebral disc prolapse.
22448 the veteran has established the causal connection between the intervertebral disc prolapse and VEA service for the clinical onset of the condition under consideration.
22449 the veteran has established the causal connection between the intervertebral disc prolapse and operational service for the clinical onset of the condition under consideration.
or
22450 the veteran has established the causal connection between the intervertebral disc prolapse and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
26446 the veteran had the identified illness or injury before the clinical worsening of the condition under consideration at the level of the intervertebral disc prolapse.
26447 the veteran has established the causal connection between the intervertebral disc prolapse and VEA service for the clinical worsening of the condition under consideration.
26448 the veteran has established the causal connection between the intervertebral disc prolapse and operational service for the clinical worsening of the condition under consideration.
or
26449 the veteran has established the causal connection between the intervertebral disc prolapse and eligible service for the clinical worsening of the condition under consideration.
22451 the identified illness or injury is causally related to operational service.
22452 the identified illness or injury is causally related to eligible service.
22451 the identified illness or injury is causally related to operational service.
26450 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury is causally related.
22452 the identified illness or injury is causally related to eligible service.
26451 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury is causally related.
The RMA has defined septic arthritis as "the bacterial infection of a joint resulting in inflammation within that joint".
There are many bacterial infections which can result in septic arthritis, such as tuberculosis, gonorrhoea or infection with staphylococcus aureus ('golden staph'); however the incidence of septic arthritis in all of them is fairly low. Most cases of septic arthritis arise from trauma or follow surgical operations.
Acute joint pain [most often the knee, followed by the shoulder, wrist, hip, phalanges, and elbow] and stiffness. On examination, the joint is warm, tender, and swollen with evidence of effusion. Other signs of infection [eg, fever, chills, or leukocytosis] usually are present. Diagnosis is by analysis of fluid aspirated from the joint and/or blood cultures. The condition is most often treated with antibiotics.
Vertebral osteomyelitis usually has an insidious onset and a gradually progressive back pain unrelieved by rest, heat or analgesics, and worsened by movement. Fever typically is minimal or absent. Diagnosis is by blood cultures but usually biopsy of the infected bone is required. Treatment usually involves bed rest and an appropriate antimicrobial agent. Surgery may be required.
Acute bacterial arthritis is a medical emergency; the joint may be destroyed if not promptly treated.
If a veteran or member had septic arthritis significant medical attention would have been sought. Such medical treatment would normally be recorded in the medical documents.
26453 there is some evidence that septic arthritis in side and site of the body may be a factor in the development or worsening of the condition under consideration.
25497 the veteran has had septic arthritis at some time.
25498 the veteran has had septic arthritis in side and site of the body at some time.
25499 septic arthritis means the bacterial infection of a joint resulting in inflammation within that joint.
26454 the veteran has established the causal connection between the septic arthritis and VEA service for the condition under consideration.
26516 the veteran had the identified illness or injury, a type of septic arthritis in side and site of the body, before the clinical onset of the condition under consideration.
26455 the veteran has established the causal connection between the septic arthritis and VEA service for the clinical onset of the condition under consideration.
26457 the veteran has established the causal connection between the septic arthritis and operational service for the clinical onset of the condition under consideration.
or
26458 the veteran has established the causal connection between the septic arthritis and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
26517 the veteran had the identified illness or injury, a type of septic arthritis in side and site of the body, before the clinical worsening of the condition under consideration.
26456 the veteran has established the causal connection between the septic arthritis and VEA service for the clinical worsening of the condition under consideration.
26459 the veteran has established the causal connection between the septic arthritis and operational service for the clinical worsening of the condition under consideration.
or
26460 the veteran has established the causal connection between the septic arthritis and eligible service for the clinical worsening of the condition under consideration.
26461 the identified illness or injury, a type of septic arthritis in side and site of the body, is causally related to operational service.
26462 the identified illness or injury, a type of septic arthritis in side and site of the body, is causally related to eligible service.
26461 the identified illness or injury, a type of septic arthritis in side and site of the body, is causally related to operational service.
26509 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, a type of septic arthritis in side and site of the body, is causally related.
26462 the identified illness or injury, a type of septic arthritis in side and site of the body, is causally related to eligible service.
26510 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, a type of septic arthritis in side and site of the body, is causally related.
The lumbar spine is the lower part of the spine from below the rib cage to the sacrum.
Trauma to the lumbar spine means any type of discrete physical injury [such as a hit, blow, knock, twisting, bending or crushing injury] to the lower back, and specifically includes G-force induced injury. It also includes penetrating injuries to the lower back as may occur with projectiles such as bullets and shrapnel. Trauma does not include activities such as carrying heavy packs or weight lifting in the gym unless a specific injury occurred during the performance of such activities, eg slipping or falling while carrying a pack.
Type | Title | PDF Format | Word Format |
---|---|---|---|
Claimant Report | Trauma - Lumbar Spondylosis | CR9088.pdf [18] | CR9088.docx [19] |
Medical Report | Trauma to the Lumbar Spine - Lumbar Spondylosis | MR9057.pdf [20] | MR9057.docx [21] |
9580 the condition under consideration has been accepted on the basis of trauma.
26436 the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles.
9612 the veteran has established the causal connection between the trauma and VEA service for the condition under consideration.
9620 the veteran has established the causal connection between the trauma and VEA service for the clinical onset of the condition under consideration.
9622 the veteran has established the causal connection between the trauma and operational service for the clinical onset of the condition under consideration.
or
9623 the veteran has established the causal connection between the trauma and eligible service for the clinical onset of the condition under consideration.
or
7334 the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.
7335 the condition under consideration permanently worsened.
9621 the veteran has established the causal connection between the trauma and VEA service for the clinical worsening of the condition under consideration.
9624 the veteran has established the causal connection between the trauma and operational service for the clinical worsening of the condition under consideration.
or
9625 the veteran has established the causal connection between the trauma and eligible service for the clinical worsening of the condition under consideration.
16924 on operational service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles.
9626 on operational service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least seven days except for where specified medical intervention occurred.
26437 on operational service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least seven days except for where specified medical intervention occurred, before the clinical onset of the condition under consideration.
9629 the trauma to side and site of the body, on operational service, before the clinical onset of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.
or
9631 the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles because of an illness or injury which is identifiable.
20129 as a consequence of the identified illness or injury, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least seven days except for where specified medical intervention occurred.
26438 as a consequence of the identified illness or injury, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least seven days except for where specified medical intervention occurred, before the clinical onset of the condition under consideration.
9632 the identified illness or injury, which caused the trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, is causally related to operational service.
26439 on eligible service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles.
9627 on eligible service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred.
9628 as a causal result of eligible service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred.
26440 as a causal result of eligible service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred, within the 25 years before the clinical onset of the condition under consideration.
9630 the trauma to side and site of the body, on eligible service, within the 25 years before the clinical onset of the condition under consideration was due to the veteran's serious default, wilful act or serious breach of discipline.
or
9631 the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles because of an illness or injury which is identifiable.
26441 as a consequence of the identified illness or injury, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred.
26442 as a consequence of the identified illness or injury, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred, within the 25 years before the clinical onset of the condition under consideration.
9633 the identified illness or injury, which caused the trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, is causally related to eligible service.
16924 on operational service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles.
9626 on operational service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least seven days except for where specified medical intervention occurred.
20132 as a causal result of operational service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least seven days except for where specified medical intervention occurred.
9634 as a causal result of operational service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least seven days except for where specified medical intervention occurred, before the clinical worsening of the condition under consideration.
9637 the trauma to side and site of the body, on operational service, before the clinical worsening of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
9631 the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles because of an illness or injury which is identifiable.
20129 as a consequence of the identified illness or injury, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least seven days except for where specified medical intervention occurred.
20131 as a consequence of the identified illness or injury, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least seven days except for where specified medical intervention occurred, before the clinical worsening of the condition under consideration.
9632 the identified illness or injury, which caused the trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, is causally related to operational service.
9639 the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, which caused the trauma to side and site of the body as defined in the reasonable hypothesis Statement of Principles, is causally related.
26439 on eligible service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles.
9627 on eligible service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred.
9628 as a causal result of eligible service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred.
9635 as a causal result of eligible service, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred, within the 25 years before the clinical worsening of the condition under consideration.
9638 the trauma to side and site of the body, on eligible service, within the 25 years before the clinical worsening of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.
or
9631 the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles because of an illness or injury which is identifiable.
26441 as a consequence of the identified illness or injury, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred.
26443 as a consequence of the identified illness or injury, the veteran had a trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, which lasted for a period of at least ten days except for where specified medical intervention occurred, within the 25 years before the clinical worsening of the condition under consideration.
9633 the identified illness or injury, which caused the trauma to side and site of the body that caused the development of symptoms as defined in the Statement of Principles, is causally related to eligible service.
9640 the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, which caused the trauma to side and site of the body as defined in the balance of probabilities Statement of Principles, is causally related.
Links
[1] https://clik.dva.gov.au/sop-information/sops-and-supporting-information-alphabetic-listing/q-z/thoracolumbar-spondylosis-n004
[2] https://clik.dva.gov.au/user/login?destination=comment/reply/63715%23comment-form
[3] http://www.rma.gov.au/SOP/alpha_ind/l.htm
[4] https://clik.dva.gov.au/system/files/media/MR9279.pdf
[5] https://clik.dva.gov.au/system/files/media/MR9279.docx
[6] https://clik.dva.gov.au/system/files/media/CR9230.pdf
[7] https://clik.dva.gov.au/system/files/media/CR9230.docx
[8] https://clik.dva.gov.au/system/files/media/MR9305.pdf
[9] https://clik.dva.gov.au/system/files/media/MR9305.docx
[10] https://clik.dva.gov.au/system/files/media/CR9192.pdf
[11] https://clik.dva.gov.au/system/files/media/CR9192.docx
[12] https://clik.dva.gov.au/system/files/media/CR9304.pdf
[13] https://clik.dva.gov.au/system/files/media/CR9304.docx
[14] https://clik.dva.gov.au/system/files/media/GQACM.pdf
[15] https://clik.dva.gov.au/system/files/media/GQACM_17.docx
[16] https://clik.dva.gov.au/system/files/media/MR9115.pdf
[17] https://clik.dva.gov.au/system/files/media/MR9115.docx
[18] https://clik.dva.gov.au/system/files/media/CR9088.pdf
[19] https://clik.dva.gov.au/system/files/media/CR9088.docx
[20] https://clik.dva.gov.au/system/files/media/MR9057.pdf
[21] https://clik.dva.gov.au/system/files/media/MR9057.docx