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Evidence checklist

Shoulder Limitation of Motion

DC 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 shoulder range of motion measurementsCritical

Examination documenting forward flexion, abduction, internal rotation, and external rotation in degrees. The VA rates primarily on forward flexion and abduction under DC 5200-5203. Pain on motion and after repetitive use must be documented.

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

A medical opinion connecting your shoulder motion limitation to in-service injury, repetitive duties, or events during military service.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Imaging studies (X-ray or MRI of shoulder)

Radiographs showing arthritis, calcifications, or structural changes; MRI documenting rotator cuff integrity, labrum, and joint effusion.

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

Medical records noting which arm is dominant. The major (dominant) extremity receives a higher rating than the minor (non-dominant) extremity under the VA schedule.

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

Records documenting the course of treatment including physical therapy, corticosteroid injections, and any surgical procedures.

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 in all planes, pain on motion, 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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