Evidence Checklist: Restless Legs Syndrome

Polysomnography or actigraphy documenting periodic limb movements

An overnight sleep study documenting periodic limb movements in sleep (PLMS) index, which correlates with RLS severity and supports the diagnosis.

Neurologist evaluation diagnosing RLS using IRLSSG criteriaCritical

A neurologist's evaluation confirming RLS diagnosis using the International Restless Legs Syndrome Study Group (IRLSSG) criteria: urge to move, worse at rest, worse in evening/night, relieved by movement.

Nexus opinion linking RLS to service or service-connected conditionCritical

Medical opinion connecting RLS to in-service iron deficiency, peripheral neuropathy, kidney disease, or a service-connected condition that causes secondary RLS.

Treatment records (dopamine agonists, gabapentin, iron supplementation)

Records of medication trials, response to treatment, and ongoing management documenting the chronic nature of the condition.

Symptom diary documenting severity and sleep disruptionCritical

A personal log documenting nightly RLS symptom severity (using the IRLS rating scale or descriptively), duration, and resulting sleep loss. Supports functional impact for rating purposes.

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 Central Nervous System and Neuromuscular DiseasesCritical

VA standardized form for nervous system conditions capturing symptom severity and functional impact.

Service treatment records (STRs)Critical

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