Evidence Checklist: Achilles Tendonitis

Podiatric or orthopedic evaluation documenting Achilles tendon findingsCritical

Examination documenting Achilles tendon tenderness, thickening, pain with palpation at the enthesis or mid-tendon, pain with dorsiflexion, and calf strength testing. Note whether insertional or non-insertional.

Nexus opinion linking Achilles tendonitis to service ("at least as likely as not")Critical

A medical opinion connecting your Achilles tendinopathy to military service, including running, marching, hill training, or in-service overuse injury.

Ankle range of motion measurements (dorsiflexion and plantar flexion)

Documentation of ankle dorsiflexion and plantar flexion in degrees, as pain-limited motion may support rating under ankle limitation of motion criteria.

MRI or diagnostic ultrasound of Achilles tendonCritical

MRI showing tendon thickening, signal abnormality, partial tear, or peritendinous inflammation. Diagnostic ultrasound can show tendon fiber disruption, neovascularization, and dynamic findings.

Treatment records (physical therapy, orthotics, PRP, surgery)

Records documenting eccentric strengthening physical therapy, heel lifts, shock wave therapy, platelet-rich plasma injections, and any surgical debridement or repair.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Ankle ConditionsCritical

Standardized form capturing Achilles tendon findings, ankle range of motion, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.