Weekly roundup · generated from the data

M21-1 and 38 CFR changes, week of Mar 23, 2026

3 M21-1 sections changed this week. Each change shows the passages added and removed, compared with the previous stored version.

M21-1

Part V, Subpart iii, Chapter 1, Section A - Painful Motion and Functional Loss

Mar 25, 2026

Added

  • March 25, 2026
  • If pain is associated with movement,
  • the examiner must give an opinion on whether pain could significantly limit functional ability during flare-ups or when the joint is used repeatedly over a period of time, and
  • Lay evidence or subjective reporting of painful motion is sufficient, if found credible as discussed at

and 143 more added passages

Removed

  • September 15, 2021
  • Impact on application of
  • 38 CFR 4.59
  • Impact on application of
  • 38 CFR 4.59
  • if pain is associated with movement, the examiner must give an opinion on whether pain could significantly limit functional ability during flare-ups or when the joint is used repeatedly over a period of time, and
  • Impact on application of

and 101 more removed passages

Part V, Subpart iii, Chapter 1, Section B - Musculoskeletal Disabilities of the Extremities and Spine

Mar 25, 2026

Added

  • M21-1, Part V, Subpart ii, 4.A.5.e
  • evaluating impairment of the tibia and fibula
  • March 25, 2026
  • M21-1, Part V, Subpart iii, 1.A.3.h-l
  • Evaluating Impairment of the Tibia and Fibula
  • for evaluating impairment of the tibia and fibula including nonunion, malunion (evaluated under the corresponding knee or ankle codes based on associated impairment), medial tibial stress syndrome (MTSS) , or shin splints.
  • Evaluations for shin splints may be based on the use of conservative treatment.

and 48 more added passages

Removed

  • M21-1, Part V, Subpart ii, 4.A.1.g
  • conservative therapy for shin splints
  • April 25, 2022
  • M21-1, Part V, Subpart iii, 1.A.3.h-j
  • Conservative Therapy for Shin Splints
  • for evaluating impairment of the tibia and fibula including nonunion, malunion (evaluated under the corresponding knee or ankle codes based on associated impairment), or medial tibial stress syndrome (MTSS).
  • Evaluations for MTSS may be based on the use of conservative treatment.

and 6 more removed passages

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How this roundup is made

  • This page is generated automatically from stored versions of each section. No one writes or edits it, and it adds no interpretation: it shows the passages added and removed.
  • M21-1 is copied weekly since March 20, 2026, and a change counts only when the VA's own “last updated” date moved; the date shown is that date. 38 CFR versions start December 14, 2016, dated by amendment.
  • Always confirm the current text at the source link before relying on it.