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Evidence checklist

Carpal Tunnel Syndrome

DC 851538 CFR § 4.124aNeurological

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
EMG/nerve conduction study (NCS) confirming median nerve entrapmentCritical

Objective electrodiagnostic testing documenting prolonged median nerve distal motor and sensory latencies across the carpal tunnel. This is the primary objective evidence for the VA.

Private provider · independent opinion
Nexus opinion linking carpal tunnel syndrome to service ("at least as likely as not")Critical

Medical opinion connecting your CTS to repetitive military duties (typing, wrench work, vibrating tools, heavy lifting) or a service-connected condition like hypothyroidism or diabetes.

Private provider · independent opinion
Grip and pinch strength testing

Documented grip dynamometry and pinch gauge measurements comparing both hands, showing functional loss from median nerve dysfunction.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Documentation of dominant vs. non-dominant handCritical

Medical records noting which hand is dominant. Under DC 8515, the major (dominant) hand/arm receives a higher rating.

VA or private records · written request
Treatment records (bracing, injections, surgery)

Records of wrist splints, corticosteroid injections, or carpal tunnel release surgery, with post-operative functional outcomes.

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 Peripheral Nerves ConditionsCritical

VA standardized form capturing sensory loss, motor weakness, and functional impairment for rating under DC 8515 (median nerve, carpal tunnel).

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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