Evidence Checklist: Chronic Tension-Type Headaches

Neurological evaluation documenting headache type and frequencyCritical

A neurologist's evaluation confirming chronic tension-type headache diagnosis, documenting frequency (episodic vs. chronic), typical duration, and severity of attacks.

Nexus opinion linking headaches to service or service-connected conditionCritical

Medical opinion connecting your chronic tension headaches to service, TBI, cervical spine injury, PTSD, or other service-connected condition.

Treatment records showing medication and therapy history

Records documenting treatment attempts including medications (abortive and preventive), physical therapy, trigger point injections, and biofeedback.

Headache diary tracking prostrating episodes and work impactCritical

A detailed personal log tracking each headache: date, duration, severity, whether it was prostrating (forced you to stop activities or lie down), and whether you missed work. This is critical evidence for rating level.

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.

Completed DBQ Headaches (Including Migraine Headaches)Critical

Standardized form capturing headache type, frequency, duration of typical attacks, prostrating episodes, and economic impact.

Service treatment records (STRs)Critical

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