Evidence Checklist: Peripheral Neuropathy — Upper Extremities

Neurological evaluation documenting upper extremity nerve involvementCritical

Examination documenting numbness, tingling, pain, weakness, and grip strength deficits in hands/arms.

EMG/nerve conduction study of upper extremitiesCritical

Objective test documenting nerve damage severity.

Nexus opinion linking neuropathy to diabetes or other service-connected conditionCritical

Medical opinion documenting the causal connection.

Documentation of dominant vs. non-dominant hand

Medical records noting which hand is dominant — the dominant hand receives a higher rating.

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 Peripheral Nerves ConditionsCritical

Standardized form capturing nerve involvement severity for each extremity.