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Evidence checklist

Achilles Tendonitis

DC 502438 CFR § 4.71aMusculoskeletal

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
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.

Private provider · independent opinion
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.

Private provider · independent opinion
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.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
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.

VA or private records · written request
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.

VA or private records · written request
03

Lay statements

0 of 2 collected
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Ankle ConditionsCritical

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

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180

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