Evidence Checklist: Lymphedema

Limb circumference measurementsCritical

Documented serial limb circumference measurements comparing affected and unaffected limbs, showing the degree of swelling.

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

A medical opinion connecting your lymphedema to a service-connected surgery, injury, infection, or radiation treatment that damaged the lymphatic system.

Documentation of surgery or injury causing lymph damageCritical

Surgical records, injury reports, or treatment records documenting the event that caused lymphatic system damage during or related to service.

Compression therapy records

Records documenting compression garment prescriptions, manual lymphatic drainage sessions, and other decongestive therapy.

Dermatology records for skin complications

Records of cellulitis episodes, skin infections, or other dermatological complications resulting from chronic lymphedema.

Photographs of swelling

Dated photographs documenting the extent of lymphedema swelling at various times, including during flare-ups.

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 Artery and Vein ConditionsCritical

Standardized form capturing limb measurements, skin changes, and functional impact of lymphedema.

Service treatment records (STRs)Critical

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