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Evidence Checklist: Adhesive Capsulitis (Frozen Shoulder)

DC 5201

Evidence Strength0% — Red

Significant gaps — claim likely to be denied or underrated

Specialist Opinion (Highest Value)

Orthopedic evaluation with shoulder range of motion measurementsCritical

An examination documenting shoulder flexion, abduction, internal rotation, and external rotation in degrees, including pain on motion and functional limitations.

Nexus opinion linking adhesive capsulitis to serviceCritical

A medical opinion stating it is "at least as likely as not" that your frozen shoulder is connected to in-service injury, surgery, or prolonged immobilization during military service.

Treatment Records

Documentation of dominant vs. non-dominant armCritical

Medical records noting which arm is dominant. The dominant arm (major extremity) receives a higher rating under the shoulder diagnostic codes.

Imaging showing capsular thickening or joint changes

MRI or arthrogram showing capsular thickening, reduced joint volume, or other findings consistent with adhesive capsulitis.

Physical therapy records documenting ROM progression

Records from physical therapy showing range of motion measurements over time, treatment response, and functional progress or plateau.

Lay Statements & Personal Documentation

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.

Disability Benefits Questionnaire (DBQ)

Completed DBQ Shoulder and Arm ConditionsCritical

Standardized form capturing shoulder range of motion, pain, and functional limitations.

Service Records

Service treatment records (STRs)Critical

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

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