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Evidence checklist

Chronic Pain Syndrome

DC 8799-872038 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 4 collected
Pain specialist evaluation documenting chronic pain syndrome diagnosisCritical

A pain management specialist evaluation confirming the diagnosis of chronic pain syndrome with documentation of pain duration (more than 3-6 months), pain descriptors, functional limitations, and psychological impact.

Private provider · independent opinion
Nexus opinion linking chronic pain syndrome to service-connected condition (at least as likely as not)Critical

Medical opinion connecting CPS to a service-connected physical condition (musculoskeletal injury, nerve injury, TBI) or to the psychological sequelae of service-connected PTSD. CPS is typically rated as a secondary condition.

Private provider · independent opinion
Functional capacity evaluation (FCE) or occupational therapy assessment

A formal FCE documenting functional limitations in lifting, standing, walking, and work-related activities caused by chronic pain. Critical for establishing unemployability if applicable.

Private provider · independent opinion
Psychological evaluation documenting pain-related depression or anxiety

Psychiatric or psychological evaluation documenting comorbid depression, anxiety, or PTSD exacerbated by or contributing to chronic pain, which may support a separate mental health rating.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Serial pain scale documentation (VAS/NRS) in medical recordsCritical

Consistent numeric or visual analog pain scale ratings recorded over time in treatment records, demonstrating chronic uncontrolled pain despite treatment.

VA or private records · written request
Comprehensive pain management treatment records

Records of multimodal pain treatment including medications (opioids, SNRIs, anticonvulsants), physical therapy, interventional procedures, and behavioral pain management.

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 Central Nervous System and Neuromuscular DiseasesCritical

VA standardized form for nervous system conditions capturing chronic pain severity and functional impact.

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
Condition guideRating criteria and what VA looks forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

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