Evidence Checklist: Trigger Finger (Stenosing Tenosynovitis)

Hand surgery or orthopedic evaluation documenting triggeringCritical

Examination documenting the affected finger(s), presence of a palpable nodule, locking in flexion, pain at the A1 pulley, and range of motion of the finger(s). VA rates trigger finger under DC 5230 or as limitation of motion of the affected digit.

Nexus opinion linking trigger finger to service ("at least as likely as not")Critical

A medical opinion connecting your trigger finger to repetitive gripping, tool use, or traumatic flexor tendon injury during military service.

Finger range of motion measurementsCritical

Documentation of flexion and extension of the MCP, PIP, and DIP joints of the affected finger, including any fixed flexion contracture or inability to fully extend.

Documentation of dominant vs. non-dominant hand

Medical records specifying which hand is affected and which is dominant, as this affects the rating under the VA schedule.

Treatment records (corticosteroid injections, splinting, trigger release surgery)

Records documenting injection therapy into the tendon sheath, finger extension splinting, and operative trigger finger release (A1 pulley release).

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 Hand and Finger ConditionsCritical

Standardized form capturing finger range of motion, triggering findings, and functional limitations.

Service treatment records (STRs)Critical

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