Evidence Checklist: Postphlebitic Syndrome

Doppler ultrasound showing venous insufficiencyCritical

Duplex Doppler ultrasound documenting venous reflux, valve incompetence, or chronic venous obstruction resulting from prior DVT.

Nexus opinion linking condition to service-connected DVT ("at least as likely as not")Critical

A medical opinion connecting your postphlebitic syndrome to a documented service-connected deep vein thrombosis or other service-related cause.

History of service-connected DVTCritical

Medical records documenting the initial DVT diagnosis and treatment during or related to military service.

Wound care records for ulceration

Records of treatment for venous stasis ulcers, including wound care visits, debridement, and healing progress.

Compression therapy documentation

Records documenting prescription compression stockings, wrapping therapy, and compliance with compression treatment.

Skin change photographs

Dated photographs documenting stasis dermatitis, hyperpigmentation, lipodermatosclerosis, or venous ulceration in affected extremities.

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.

Completed DBQ Artery and Vein ConditionsCritical

Standardized form capturing venous insufficiency findings, skin changes, and ulceration status.

Service treatment records (STRs)Critical

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