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Evidence checklist

Shoulder Impingement Syndrome

DC 5299-520138 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
Orthopedic evaluation with impingement testing and range of motionCritical

Examination documenting positive impingement signs (Neer, Hawkins-Kennedy), painful arc, shoulder range of motion in degrees, and subacromial tenderness.

Private provider · independent opinion
Nexus opinion linking shoulder impingement to service ("at least as likely as not")Critical

A medical opinion connecting your shoulder impingement to repetitive overhead military duties, heavy lifting, or a specific in-service injury.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
MRI shoulder documenting bursal thickening, partial tear, or acromion morphologyCritical

MRI findings of subacromial bursal thickening, partial-thickness rotator cuff tears, or acromial morphology (Type II/III) that contributes to mechanical impingement.

VA or private records · written request
Documentation of dominant vs. non-dominant armCritical

Medical records specifying which shoulder is affected and which arm is dominant, as the major extremity receives a higher rating.

VA or private records · written request
Treatment records (physical therapy, subacromial injections, surgery)

Records documenting subacromial corticosteroid injections, physical therapy focused on rotator cuff strengthening, and any surgical procedures (subacromial decompression, acromioplasty).

VA or private records · written request
03

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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Shoulder and Arm ConditionsCritical

Standardized form capturing shoulder range of motion, impingement findings, pain, and functional limitations.

Provider-completed · VA DBQ formHow to get this →
05

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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