History of neuromuscular paralysis, weakness, contracture, or atrophy
History of neuromuscular paralysis, weakness, contracture, or atrophy not completely resolved and of sufficient degree to reasonably be expected to interfere with or prevent satisfactory performing military duty
What This Code Means
Receiving DQ code D226.20 means the DoDMERB physician reviewer determined that your medical history or exam findings related to history of neuromuscular paralysis, weakness, contracture, or atrophy do not currently meet Department of Defense accession standards as defined in DoDI 6130.03.
This does not end your candidacy. Many conditions flagged under this code are waiverable. The next step is understanding the exact standard that applies to your situation and whether a waiver request is appropriate for your commissioning source.
Official Regulation Text
From DoDI 6130.03-V1, “Medical Standards for Military Service,” Change 6 (February 3, 2026)
“History of neuromuscular, myopathic, or other conditions affecting muscle function or strength, unless fully resolved and asymptomatic for at least 12 months.”
“History of fracture of any bone: (1) Current non-union or malunion of any fracture. (2) History of fracture within the last 6 months unless completely healed with full restoration of function. (3) History of stress fracture within the last 6 months. (4) History of fracture with retained hardware that interferes with wearing military equipment, or that would be expected to require removal.”
“Current presence of orthopedic implants, plates, screws, pins, or other hardware: (1) If symptomatic; (2) If the hardware interferes with wearing military equipment or performing military duties; or (3) If planned removal is anticipated.”
“History of dislocation or instability of any major joint (shoulder, hip, elbow, knee, or ankle), including, but not limited to, recurrent dislocations, subluxations, or multidirectional instability: (1) Within the last 12 months; or (2) Requiring surgical stabilization within the last 12 months or with persistent instability.”
“History of cartilage surgery, including, but not limited to, microfracture, autologous chondrocyte implantation, osteochondral allograft or autograft transfer, within the last 12 months, or with current symptoms.”
Waiver Outlook for Musculoskeletal Conditions
Key Factors for Waiver Approval
- Documentation of full rehabilitation, strength, and agility
- No recurrent dislocations or chronic pain
- Full range of motion confirmed by orthopedic evaluation
- Active participation in competitive sports post-recovery
For scoliosis cases, the key threshold is the Cobb angle measurement. Having your own imaging and specialist evaluation ready — rather than relying solely on DoDMERB's assessment — can strengthen your case.
This condition is covered in depth in The Ultimate DoDMERB Handbook by LTC Kirkland & Capt Dach — including real success scenarios, remedial exam strategies, and the complete waiver playbook. Get the handbook →
Read Our Full Guide on Musculoskeletal Conditions
Learn how DoDMERB evaluates musculoskeletal conditions, common waiver scenarios, documentation tips, and what to expect throughout the process.
Read the musculoskeletal guide