Evidence Checklist: Hip Limitation of Flexion

Orthopedic evaluation with hip flexion range of motion measurementCritical

Examination documenting hip flexion in degrees from neutral (normal ~125 degrees). VA rates hip flexion limitation under DC 5251. Pain on motion and after repetitive use must be documented.

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

A medical opinion connecting your hip flexion restriction to in-service injury, repetitive duties, or events during military service.

Imaging studies (X-ray or MRI of hip)

Weight-bearing radiographs showing joint space narrowing, arthritis, or structural pathology; MRI documenting labral tears, cartilage loss, or other soft tissue findings.

Treatment records (physical therapy, injections, surgery)

Records documenting hip physical therapy, intra-articular corticosteroid or hyaluronic acid 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 Hip and Thigh ConditionsCritical

Standardized form capturing hip range of motion in all planes with emphasis on flexion, pain, and functional limitations.

Service treatment records (STRs)Critical

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