Evidence Checklist: Elbow Limitation of Motion

Orthopedic evaluation with elbow range of motion measurementsCritical

Examination documenting elbow flexion, extension, forearm supination, and pronation in degrees. VA rates under DC 5155-5160. Pain on motion and after repetitive use must be documented.

Nexus opinion linking elbow limitation to service ("at least as likely as not")Critical

A medical opinion connecting your elbow motion restriction to in-service injury, repetitive occupational use, or a service-related event.

Imaging studies (X-ray or MRI of elbow)

Radiographs showing arthritis, loose bodies, or post-traumatic changes; MRI documenting collateral ligament integrity, cartilage, and soft tissue findings.

Documentation of dominant vs. non-dominant armCritical

Medical records specifying which arm is dominant. The major (dominant) extremity receives a higher rating under the VA schedule.

Treatment records (physical therapy, splinting, injections, surgery)

Records documenting physical therapy for range of motion, dynamic splinting, corticosteroid injections, and any surgical procedures.

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 Elbow and Forearm ConditionsCritical

Standardized form capturing elbow and forearm range of motion, pain, and functional limitations.

Service treatment records (STRs)Critical

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