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C&P Exam Prep: Forearm, Limitation of Extension

DC 5207 musculoskeletal 38 CFR 4.71a

DBQ Overview

Interview + Physical
Form Name
Elbow_and_Forearm
Form Code
Elbow_and_Forearm
Page Count
15
Examiner Type
Physician or Physician Assistant
Estimated Duration
30-45 minutes
Exam Format
Interview + Physical

What to Expect During Your Exam

Exam Overview

To accurately document the degree of elbow/forearm extension limitation and associated functional loss for VA disability rating purposes under 38 CFR 4.71a, Diagnostic Code 5207.

What the examiner evaluates:

  • Active range of motion (ROM) for elbow flexion and extension
  • Passive range of motion for elbow flexion and extension
  • Forearm pronation and supination active and passive ROM
  • Whether pain occurs on motion and at what point in the arc
  • Functional loss from pain, fatigue, weakness, and incoordination
  • Additional ROM loss with repetitive use (DeLuca factors)
  • Flare-up frequency, duration, and additional functional loss during flare-ups
  • Presence of ankylosis, deformity, cubitus valgus/varus, or instability
  • Muscle atrophy, tenderness, crepitation, and swelling
  • Assistive device use
  • Surgical history including total elbow arthroplasty or arthroscopic surgery
  • Impact on occupational and daily functional activities

Exam is conducted in-person with physical range of motion testing using a goniometer. Weight-bearing and non-weight-bearing ROM measurements may both be recorded for the upper extremity per Correia requirements. Bring any braces or assistive devices you actually use.

Typical duration: 30-45 minutes

Active Elbow Extension ROM

How far you can straighten your elbow under your own muscle power from a fully flexed position toward 0 degrees (full extension). Normal endpoint is 0 degrees.

What to expect:

The examiner will ask you to straighten your arm as far as you can. They will measure the angle at which your arm stops extending. Report any pain immediately when it begins during the motion. If your arm cannot reach 0 degrees, that gap is your extension limitation.

Key thresholds:

  • Extension limited to 110- — 50% dominant / 40% non-dominant arm
  • Extension limited to 100- — 40% dominant / 30% non-dominant arm
  • Extension limited to 90- — 30% dominant / 20% non-dominant arm
  • Extension limited to 75- — 20% dominant / 20% non-dominant arm
  • Extension limited to 60- — 10% dominant / 10% non-dominant arm
  • Extension limited to 45- — 10% dominant / 10% non-dominant arm

Tips:

  • Move only as far as you actually can without pushing through severe pain
  • Say 'stop' or 'that's as far as I can go' so the examiner records the true endpoint
  • Do not perform extra stretches or warm up before the exam - your baseline ROM matters
  • If extension is also limited by pain before the mechanical endpoint, report that precisely
  • Perform the motion at your typical daily pace, not faster or slower

Pain considerations: Inform the examiner of the exact degree at which pain begins during extension, the character of the pain (sharp, burning, aching), and whether pain prevents further motion. Under DeLuca v. Brown, pain on motion that limits function must be documented. The examiner should note whether painful motion causes functional loss equivalent to additional ROM limitation.

Passive Elbow Extension ROM

How far the examiner can move your elbow toward full extension when your muscles are relaxed. Per Correia v. McDonald, passive ROM must also be documented.

What to expect:

The examiner will gently straighten your arm while you relax your muscles. If passive ROM exceeds active ROM, this is clinically significant. Report pain during passive motion as well.

Key thresholds:

  • Passive ROM equal to active ROM — Confirms true structural limitation rather than pain inhibition alone
  • Passive ROM greater than active ROM — Suggests pain inhibition of active motion - still ratable under DeLuca

Tips:

  • Relax your arm completely during passive testing
  • Report any pain or discomfort during passive motion
  • Do not voluntarily resist the examiner's movement

Pain considerations: Pain during passive motion supports a finding of true pathological limitation. Inform the examiner if passive motion causes the same pain as active motion.

Repetitive Use / Flare-Up ROM Testing

Whether extension ROM decreases or pain worsens after repeated use of the elbow, consistent with DeLuca v. Brown and Mitchell v. Shinseki requirements.

What to expect:

The examiner should ask about how your ROM changes during or after repetitive activity. They may ask you to perform the motion multiple times. Your ROM should be documented after repetition if it changes.

Key thresholds:

  • Any additional loss of ROM on repetition — Can justify rating at a higher restriction level than single-measurement ROM
  • Flare-up causes additional restriction — Examiner should note estimated degrees of additional loss during flare-up

Tips:

  • Proactively report if your ROM is worse after working, driving, or carrying objects
  • Describe how long flare-ups last and how frequently they occur
  • Quantify additional loss if possible: 'During flare-ups my arm is about 20 degrees more restricted than today'
  • Mention if you had a flare-up in the days before the exam or if today is a better or worse day than average

Pain considerations: Tell the examiner whether pain during flare-ups is severe enough to prevent use of the arm entirely for a period of time.

Forearm Pronation ROM

Rotation of the forearm palm-down. Normal endpoint is 80 degrees. Separately ratable under DC 5213 if limited.

What to expect:

The examiner will ask you to rotate your forearm with elbow bent at 90 degrees, turning your palm toward the floor. Limitation may be rated separately from extension limitation.

Key thresholds:

  • Pronation beyond middle of arc (beyond 40-) — Rated separately under DC 5213
  • Pronation limited beyond last quarter of arc (approaching 80-) — Lower rating under DC 5213

Tips:

  • Report if rotation causes pain, grinding, or clicking
  • Note if pronation affects specific work or daily tasks

Pain considerations: Report pain during rotation immediately. Pronation is separately ratable from extension.

Forearm Supination ROM

Rotation of the forearm palm-up. Normal endpoint is 85 degrees. Separately ratable under DC 5213 if limited.

What to expect:

The examiner will ask you to rotate your forearm with elbow at 90 degrees, turning your palm upward toward the ceiling.

Key thresholds:

  • Supination limited to 30 degrees or less — Rated separately under DC 5213
  • Complete loss of supination — Maximum rating under supination criteria

Tips:

  • Report if you cannot fully turn your palm upward in daily activities
  • Describe how supination loss affects tasks like carrying a tray, using a screwdriver, or opening jars

Pain considerations: Report pain at any point during supination ROM testing.

Estimate

Rating Criteria Breakdown

50% Extension limited to 110 degrees - dominant arm. This repres ...

Extension limited to 110 degrees - dominant arm. This represents severe limitation where the elbow can extend only about 35 degrees from full flexion (145-), leaving a very restricted functional range.

Key Symptoms

  • Inability to straighten arm more than approximately one-third of full extension arc
  • Severe functional limitation with overhead reaching, pushing, and object manipulation
  • Significant pain on attempted extension
  • Daily activities requiring arm extension severely compromised

CFR: 38 CFR 4.71a, DC 5207: Extension limited to 110- rates 50% for dominant arm, 40% for non-dominant arm.

40% Extension limited to 100 degrees - dominant arm (30% non-dom ...

Extension limited to 100 degrees - dominant arm (30% non-dominant). Moderate-to-severe limitation leaving only 45 degrees of extension possible from full flexion.

Key Symptoms

  • Inability to straighten arm past a right-angle equivalent
  • Difficulty with pushing, pulling, and lifting tasks
  • Pain at end range of available extension
  • Functional loss during sustained or repetitive arm use

CFR: 38 CFR 4.71a, DC 5207: Extension limited to 100- rates 40% dominant / 30% non-dominant.

30% Extension limited to 90 degrees - dominant arm (20% non-domi ...

Extension limited to 90 degrees - dominant arm (20% non-dominant). Arm cannot straighten beyond a 90-degree angle.

Key Symptoms

  • Elbow locked at a right angle at maximum extension
  • Significant daily functional limitation
  • Pain with use
  • Possible weakness on extension attempts

CFR: 38 CFR 4.71a, DC 5207: Extension limited to 90- rates 30% dominant / 20% non-dominant.

20% Extension limited to 75 degrees - rated equally at 20% for b ...

Extension limited to 75 degrees - rated equally at 20% for both dominant and non-dominant arm. Elbow can extend past 90 degrees but stops short of full extension by 75 degrees.

Key Symptoms

  • Partial extension possible but limited
  • Pain and stiffness at end range
  • Functional limitation with tasks requiring full arm extension

CFR: 38 CFR 4.71a, DC 5207: Extension limited to 75- rates 20% for both dominant and non-dominant.

10% Extension limited to 60 degrees or 45 degrees - rated at 10% ...

Extension limited to 60 degrees or 45 degrees - rated at 10% for both arms. Mild-to-moderate limitation. Note: DC 5208 applies a single 20% rating if flexion is also limited to 100- with extension to 45-.

Key Symptoms

  • Limited but functional range of extension
  • Mild pain at extremes of motion
  • Possible stiffness after rest or inactivity
  • Functional impact on sustained or repetitive arm use

CFR: 38 CFR 4.71a, DC 5207: Extension limited to 60- or 45- rates 10% for both arms. If flexion limited to 100- AND extension to 45-, consider DC 5208 for a single 20% evaluation.

How to Describe Your Symptoms

Pain on Extension

How to describe:

Describe the location (lateral, medial, posterior elbow), onset during motion (at what degree), character (sharp, burning, aching, throbbing), severity on a 0-10 scale, and whether it stops you from completing full extension.

Worst-day example:

“On my worst days, I feel sharp pain on the outside of my elbow the moment I try to straighten my arm past about 90 degrees. The pain is an 8 out of 10 and forces me to stop immediately. I cannot push a door open or reach forward to grab something off a shelf without triggering this pain.”

What the examiner listens for:

Specific degree at which pain begins, whether pain limits motion before the mechanical endpoint, pain at rest vs. motion, and whether pain represents functional loss.

Understatements to avoid:

Do not say 'it's just a little stiff' if pain actually prevents you from completing the motion. Do not minimize pain by saying 'I can push through it' if doing so causes significant discomfort.

Flare-Ups

How to describe:

State how often flare-ups occur (daily, weekly, monthly), what triggers them (activity, weather, repetitive use), how long they last, how much additional ROM you lose during a flare-up, and what activities you must stop during a flare-up.

Worst-day example:

“I have flare-ups about three times per week, usually triggered by using my arm for more than 20 minutes. During a flare-up my arm becomes swollen and I can barely straighten it at all - it locks at about 120 degrees instead of the 90 degrees I can manage on a normal day. Flare-ups last 1 to 2 days and prevent me from working with my hands.”

What the examiner listens for:

The DBQ form specifically asks about flare-ups (field 302). The examiner should document frequency, duration, triggers, and estimated additional functional loss.

Understatements to avoid:

Do not fail to mention flare-ups if you experience them. Many veterans only describe their average day - the examiner needs your worst-day presentation per M21-1 guidance.

Weakness on Extension

How to describe:

Describe inability to push, lift, or extend against resistance. Note whether your arm gives out during activities, whether you drop objects, and whether you have noticed muscle thinning (atrophy) compared to the other arm.

Worst-day example:

“When I try to push something away from me or do a pushing motion, my arm feels like it will collapse. I cannot do push-ups at all and I have trouble pushing open heavy doors. My right arm looks thinner than my left arm in the upper forearm area.”

What the examiner listens for:

Weakness as a DeLuca factor that limits functional ROM even when structural ROM is preserved. Documented via DBQ fields for weakness on extension.

Understatements to avoid:

Do not say you are 'fine' with strength if you actually struggle with resistance activities. Weakness is separately documented on the DBQ and affects functional loss findings.

Fatigue and Lack of Endurance

How to describe:

Describe how quickly your arm tires during repetitive extension-based activities, how many repetitions or how many minutes of activity cause fatigue, and what happens when you continue past that point.

Worst-day example:

“After about 10 minutes of working with my arm extended - like typing, driving, or using tools - my elbow becomes fatigued and begins aching. I have to stop and rest for at least 20 minutes. If I push through, the pain escalates dramatically and I am essentially unable to use the arm for the rest of the day.”

What the examiner listens for:

Fatigability that reduces effective ROM on repetitive use - a core DeLuca factor. DBQ has separate checkboxes for fatigability.

Understatements to avoid:

Do not omit fatigue symptoms because they seem less dramatic than pain. Fatigability is an independent basis for functional loss under DeLuca.

Incoordination

How to describe:

Describe any trembling, jerky motion, inability to control the speed or direction of elbow extension, or difficulty with fine motor tasks that require a stable extended arm position.

Worst-day example:

“When I try to slowly lower something heavy with my arm extending outward, my elbow shakes and I cannot control the movement smoothly. I have dropped items because my arm gave out unexpectedly during extension.”

What the examiner listens for:

Incoordination as a DeLuca factor, documented separately on the DBQ. Can contribute to functional loss findings even with preserved ROM.

Understatements to avoid:

Do not overlook coordination problems if you have them. Veterans often fail to mention this symptom because they attribute it to general weakness rather than a distinct finding.

Functional Impact on Daily Activities and Work

How to describe:

Describe specific activities you cannot do or can only do with difficulty or pain: reaching overhead, pushing open doors, carrying objects with arm extended, driving, typing, using tools, self-care tasks. Quantify how much time you lose and what accommodations you make.

Worst-day example:

“I can no longer perform my previous job duties which required me to extend my arm repeatedly while handling equipment. At home, I cannot fully straighten my arm to wash dishes, I avoid driving long distances because holding the steering wheel aggravates my elbow, and I need help with tasks like carrying grocery bags or putting items on high shelves. On bad days I need a brace.”

What the examiner listens for:

Specific functional limitations tied to extension loss. The DBQ asks about functional impact (field 822) and the examiner documents occupational effects.

Understatements to avoid:

Do not give vague answers like 'it limits what I can do.' Be specific about named activities, frequency, duration, and the workarounds or assistance you require.

Common Mistakes to Avoid

Prep Checklist

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Before Your Exam

Day Of

During the Exam

After the Exam

Your Rights During a C&P Exam

  • You have the right to request that your C&P examination be recorded (audio or video) in most states. Check your state's recording consent laws and notify the examiner at the start of the appointment.
  • You have the right to review your C&P examination report once it is completed. Request a copy through your MyHealtheVet account, the VA FOIA process, or your VSO.
  • You have the right to submit a personal statement (lay statement or buddy statement) documenting your symptoms, functional limitations, and flare-ups. This statement becomes part of your claims file and must be considered by the rating adjudicator.
  • You have the right to request a supplemental or new C&P examination if the original exam is found to be inadequate - for example, if DeLuca factors were not addressed, passive ROM was not tested per Correia, or flare-ups were not discussed.
  • You have the right to have a Veterans Service Officer (VSO), claims agent, or attorney represent you in your VA claim at no cost for VSO representation.
  • You have the right to have the benefit of the doubt applied in your favor when the evidence is in approximate balance (38 CFR 3.102).
  • You have the right to appeal any rating decision, including the C&P exam findings, through the Supplemental Claim, Higher-Level Review, or Board of Veterans' Appeals pathways under the Appeals Modernization Act.
  • Per M21-1 and VA policy, the examiner is required to document your worst-day functional presentation, not just the findings on the exam day. If the examiner only recorded exam-day ROM without asking about flare-ups or repetitive use, this is a deficiency you can challenge.
  • You are not required to accept the examiner's characterization of your symptoms. If the report misrepresents what you said or observed, you can submit a written rebuttal.
  • Under Correia v. McDonald, the examiner is required to test both active and passive ROM. If only active ROM was tested, the examination may be considered inadequate.

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This C&P exam preparation guide is for educational purposes only and does not constitute legal, medical, or claims advice. Always consult with a qualified Veterans Service Organization (VSO) representative or VA-accredited attorney for guidance specific to your claim. Never exaggerate, minimize, or fabricate symptoms during a C&P examination.