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Evidence checklist

Morton's Neuroma (Anterior Metatarsalgia)

DC 527938 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
Podiatric or orthopedic evaluation with Mulder click and compression testsCritical

Examination documenting pain in the third or fourth web space, positive Mulder click sign, metatarsal compression test, and any numbness or burning in the adjacent toes.

Private provider · independent opinion
Nexus opinion linking Morton's neuroma to service ("at least as likely as not")Critical

A medical opinion connecting your interdigital neuroma to military service, including narrow footwear, prolonged marching, or repetitive forefoot loading during military duties.

Private provider · independent opinion
02

Treating physician

0 of 1 collected
Diagnostic/therapeutic injection results

Documentation of corticosteroid or anesthetic injections into the web space and the degree of symptom relief, confirming the diagnosis and as a conservative treatment attempt.

Your treating provider · written request
03

Treatment records

0 of 2 collected
Diagnostic ultrasound or MRI confirming neuromaCritical

Ultrasound showing a hypoechoic intermetatarsal mass (neuroma) in the third or fourth web space, or MRI demonstrating an ovoid mass in the interdigital space compressing adjacent toes.

VA or private records · written request
Treatment records (orthotics, injections, sclerosing injections, surgery)

Records documenting metatarsal pad use, wide-toe box shoes, corticosteroid or alcohol sclerosing injections, radiofrequency ablation, and surgical neurectomy.

VA or private records · written request
04

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 →
05

Benefits questionnaire

0 of 1 collected
Completed DBQ Foot ConditionsCritical

Standardized form capturing interdigital neuroma findings, affected web space, and functional limitations.

Provider-completed · VA DBQ formHow to get this →
06

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

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