Evidence Checklist: Lumbar Strain (Low Back Pain)
DC 5237
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Orthopedic evaluation with range of motion measurementsCritical
An examination documenting forward flexion, extension, lateral flexion, and rotation in degrees, including pain on motion and after repetitive use.
Nexus opinion linking back condition to serviceCritical
Medical opinion connecting your lumbar condition to in-service injury, duties, or events.
Treatment Records
Imaging studies (X-ray, MRI, or CT scan)
Diagnostic imaging showing degenerative changes, disc herniation, or other structural findings.
Documentation of flare-ups (frequency, duration, severity)
Records or personal log showing how often flare-ups occur, how long they last, and how they limit your function. DeLuca factors (pain, weakness, fatigability, incoordination) can support higher ratings.
Ongoing treatment records (physical therapy, injections, surgery)
Records showing the history and course of treatment.
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 Back (Thoracolumbar Spine) ConditionsCritical
Standardized form capturing 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.