Evidence Checklist: Degenerative Arthritis (Osteoarthritis)

Orthopedic evaluation with range of motion measurements of affected joint(s)Critical

Examination documenting range of motion in degrees for each affected joint, pain on motion, crepitus, and functional limitations. VA rates degenerative arthritis primarily on limitation of motion.

Nexus opinion linking degenerative arthritis to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" that your osteoarthritis is connected to military service, including repetitive stress, injury, or occupational wear during service.

X-rays showing joint space narrowing, osteophytes, or subchondral sclerosisCritical

Weight-bearing radiographs demonstrating classic osteoarthritis findings such as joint space narrowing, osteophyte formation, subchondral sclerosis, or subchondral cysts. X-ray findings alone do not establish the rating — motion is key.

Documentation of painful flare-ups (frequency, duration, functional impact)

Records or personal log documenting how often flares occur, duration, and how they limit function. Pain on motion and after repetitive use (DeLuca factors) can support higher ratings even when resting ROM appears adequate.

Treatment records (injections, physical therapy, medications, surgery)

Records showing history of treatment including NSAIDs, corticosteroid injections, hyaluronic acid injections, physical therapy, bracing, and any surgical procedures.

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 for affected joint (e.g., DBQ Joint Conditions)Critical

Standardized VA form capturing range of motion, pain, instability, and functional limitations for the specific joint affected by arthritis.

Service treatment records (STRs)Critical

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