Evidence Checklist: Hip Limitation of Extension

Orthopedic evaluation with hip extension range of motion measurementCritical

Examination documenting hip extension in degrees from neutral (normal ~20 degrees extension). VA rates hip extension limitation under DC 5252. Pain on motion and after repetitive use must be documented.

Nexus opinion linking hip extension limitation to service ("at least as likely as not")Critical

A medical opinion connecting your hip extension restriction to in-service injury, muscle contracture, or repetitive activities during military service.

Imaging studies (X-ray or MRI of hip)

Radiographs or MRI documenting structural changes, arthritis, or soft tissue findings contributing to extension limitation.

Gait analysis and assistive device documentation

Medical records documenting gait abnormalities (antalgic gait, Trendelenburg sign), use of cane or walker, and how hip extension limitation affects ambulation and daily activities.

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 Hip and Thigh ConditionsCritical

Standardized form capturing hip range of motion in all planes with emphasis on extension, pain, and functional limitations.

Service treatment records (STRs)Critical

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