Evidence Checklist: Spinal Stenosis

Neurological evaluation documenting stenosis symptoms and neurological deficitsCritical

Examination documenting neurogenic claudication (leg pain/weakness with walking relieved by sitting), sensory deficits, weakness, reflex changes, and how far you can walk before symptoms occur.

Nexus opinion linking spinal stenosis to service ("at least as likely as not")Critical

A medical opinion connecting your spinal stenosis to in-service injury, degenerative changes from military duties, or a service-connected disc condition that progressed to stenosis.

Spinal range of motion measurementsCritical

Examination documenting lumbar or cervical range of motion in degrees, as VA rates the spine primarily on forward flexion and other motion measurements under 38 CFR 4.71a.

Documentation of radiculopathy (separate ratings for nerve involvement)

Records documenting which nerve roots are involved and the severity of motor and sensory deficits, which may support separate ratings for associated radiculopathy in the extremities.

MRI documenting degree of spinal canal or foraminal stenosisCritical

MRI findings quantifying the degree of central canal stenosis, lateral recess narrowing, or foraminal stenosis, and identifying the levels affected and any cord or nerve root compression.

Treatment records (epidural injections, physical therapy, surgical decompression)

Records documenting epidural steroid injections, laminectomy or laminotomy, spinal fusion, physical therapy, and response to treatment.

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 Back (Thoracolumbar Spine) ConditionsCritical

Standardized form capturing spinal range of motion, stenosis diagnosis, neurological findings, and functional limitations.

Service treatment records (STRs)Critical

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