Evidence Checklist: Thoracic Spine Strain

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).

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.

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.

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.

Treatment records (physical therapy, medications, injections)

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

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 thoracolumbar range of motion, pain, and functional limitations.

Service treatment records (STRs)Critical

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