Evidence Checklist: Adhesive Capsulitis (Frozen Shoulder)
DC 5201
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.