What a secondary condition is
A secondary service-connected condition is a disability that was either caused by or aggravated by a condition you are already service-connected for. Under 38 CFR § 3.310, VA recognizes that one medical condition can lead to or worsen another. A veteran rated for a knee injury may develop degenerative arthritis in the same joint; a veteran with service-connected PTSD may develop sleep apnea as a secondary condition.
Secondary conditions do not need their own in-service event, but winning one takes three things: a current diagnosis of the new condition, a service-connected primary condition, and a medical nexus opinion connecting the two. This explorer maps relationships drawn from medical literature and VA rating-schedule provisions, to help you identify connections worth discussing with your doctor or an accredited representative. A relationship shown here is a starting point, not evidence.