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Evidence checklist

Thoracic Spine Strain

DC 523738 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 3 collected
Orthopedic evaluation with thoracic spine range of motion measurementsCritical

Examination documenting thoracic flexion, extension, and lateral flexion in degrees, along with pain on motion and after repetitive use. The thoracic spine is rated under the same general spine schedule (DC 5235-5243).

Private provider · independent opinion
Nexus opinion linking thoracic spine strain to service ("at least as likely as not")Critical

A medical opinion connecting your thoracic spine condition to in-service injury, heavy physical duties, or cumulative military service stress.

Private provider · independent opinion
Combined spinal range of motion (thoracolumbar) documentation

Since the thoracic and lumbar spines are rated together as the thoracolumbar segment, total thoracolumbar motion measurements are important for the overall rating level.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Imaging studies (X-ray or MRI of thoracic spine)

Radiographs showing degenerative disc disease, vertebral body changes, or fractures; MRI documenting disc pathology, cord involvement, or nerve root compression.

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

Records documenting treatment including physical therapy, NSAIDs, muscle relaxants, and thoracic nerve block or medial branch block injections.

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 Back (Thoracolumbar Spine) ConditionsCritical

Standardized form capturing thoracolumbar range of motion, 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
Condition guideRating criteria and what VA looks forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

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