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Evidence checklist

Lumbar Strain (Low Back Pain)

DC 523738 CFR § 4.71aMusculoskeletal

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Orthopedic evaluation with range of motion measurementsCritical

An examination documenting forward flexion, extension, lateral flexion, and rotation in degrees, including pain on motion and after repetitive use.

Private provider · independent opinion
Nexus opinion linking back condition to serviceCritical

Medical opinion connecting your lumbar condition to in-service injury, duties, or events.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Imaging studies (X-ray, MRI, or CT scan)

Diagnostic imaging showing degenerative changes, disc herniation, or other structural findings.

VA or private records · written request
Documentation of flare-ups (frequency, duration, severity)

Records or personal log showing how often flare-ups occur, how long they last, and how they limit your function. DeLuca factors (pain, weakness, fatigability, incoordination) can support higher ratings.

VA or private records · written request
Ongoing treatment records (physical therapy, injections, surgery)

Records showing the history and course of treatment.

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 Back (Thoracolumbar Spine) ConditionsCritical

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

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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