Evidence Checklist: Stress Fracture Residuals

Nexus opinion linking stress fracture residuals to serviceCritical

A medical opinion stating it is "at least as likely as not" that your stress fracture residuals are connected to basic training, high-impact military activity, or repetitive physical demands of service.

Imaging showing fracture, periostitis, or residual changesCritical

X-rays, bone scans, or MRI showing stress fracture lines, periosteal reaction, callus formation, or residual bone changes from healed fractures.

Ongoing pain and functional limitation documentation

Medical records or personal statement documenting persistent pain at the fracture site, activity limitations, and impact on daily function.

Bone density testing (DEXA scan, if applicable)

Bone density testing to document any underlying osteopenia or osteoporosis that may have contributed to or resulted from recurrent stress fractures.

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 Bone ConditionsCritical

Standardized form capturing the affected bone, fracture history, residual symptoms, and functional limitations.

Documentation of basic training or high-impact military activity

Service records showing participation in basic training, forced marches, running programs, or other high-impact activities that caused the stress fracture.

Service treatment records (STRs)Critical

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