Evidence Checklist: Peroneal Nerve Paralysis (Foot Drop)

EMG/nerve conduction study confirming peroneal nerve dysfunctionCritical

Electrodiagnostic testing documenting peroneal nerve conduction velocity, amplitude, and denervation changes in tibialis anterior and extensor digitorum muscles.

Nexus opinion linking peroneal nerve injury to service ("at least as likely as not")Critical

Medical opinion connecting peroneal nerve palsy to in-service knee injury, fibular fracture, prolonged kneeling/squatting during military duties, or traction injury.

Neurological examination documenting foot drop and sensory lossCritical

Examination documenting ankle dorsiflexion and eversion weakness (foot drop), toe extension weakness, and sensory loss over the dorsum of the foot and lateral lower leg.

Functional assessment documenting gait abnormality and fall risk

Physical therapy or physiatrist assessment documenting steppage gait, tripping, fall episodes, and need for AFO brace.

AFO brace prescription

Prescription for ankle-foot orthosis (AFO) documenting the functional need for assistive device due to peroneal nerve weakness.

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 Peripheral Nerves ConditionsCritical

VA standardized form for DC 8521 (peroneal nerve) capturing motor strength, sensory deficits, and functional impairment.

Service treatment records (STRs)Critical

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