Evidence Checklist: Radiculopathy — Cervical (Upper)

EMG/nerve conduction study documenting cervical nerve root involvementCritical

Electrodiagnostic testing confirming cervical radiculopathy with denervation changes in muscles of the affected myotome and slowed conduction in the upper extremity.

Cervical MRI showing nerve root compressionCritical

MRI documenting disc herniation, foraminal stenosis, or other structural findings at the cervical level compressing the affected nerve root.

Nexus opinion linking cervical radiculopathy to service-connected cervical spine conditionCritical

Medical opinion — typically a secondary service connection opinion — connecting your cervical radiculopathy to your service-connected cervical spine condition.

Neurological examination documenting radiculopathy signsCritical

Examination documenting dermatomal sensory loss, muscle weakness graded 0-5, decreased reflexes, and positive Spurling's or Elvey's test findings.

Documentation of dominant vs. non-dominant arm involvementCritical

Medical records noting dominant arm laterality. Under DC 8510-8514, the major (dominant) extremity receives a higher rating.

Treatment records (physical therapy, injections, surgery)

Records of epidural steroid injections, physical therapy, and cervical surgery with functional outcomes.

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

VA standardized form capturing sensory loss, motor weakness, and functional impairment for the specific cervical nerve root affected.

Service treatment records (STRs)Critical

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