For many veterans, sleep apnea is not just an isolated condition—it’s linked to other issues like weight gain, medication side effects, or service-connected physical limitations. Fortunately, you may be able to connect these factors through an intermediate step making a case for sleep apnea as secondary to your existing conditions. In this post, we’ll explain how it’s possible to service connect VA sleep apnea secondary to weight gain (as an intermediate step).
Key Takeaways
A 10% increase in weight can dramatically increase the risk of obstructive sleep apnea (OSA).
Weight gain/obesity are not VA ratable conditions.
Because weight gain may “aggravate” OSA, it’s possible to use a secondary intermediate step of weight gain for your VA sleep apnea claim.
A Nexus Letter is valuable medical evidence that is often the missing link between your military service and a secondary service connection.
What is Obstructive Sleep Apnea (OSA)?
There are several sleep-related breathing disorders; the most common is obstructive sleep apnea (OSA). Obstructive sleep apnea occurs due to the relaxation of the throat muscles, blocking the airway. If you have OSA, you are likely aware that with this type of sleep disorder, you stop and start breathing off and on during sleep. Other OSAsymptomsinclude:
Snoring loudly
Excessive sleepiness during the day
Difficulty focusing
Waking during the night, choking or gasping
Dry mouth and throat in the morning
Morning headaches
Mood changes (e.g., depression) from lack of adequate sleep
High blood pressure
Decreased libido (sex drive)
Additionally, sleep studies may use an Apnea-Hypopnea Index (AHI) indicator tool to measure how often your breathing slows or stops during sleep and is used to diagnose the severity of sleep apnea.
What Is Obesity?
Obesity is often diagnosed using an indicator called the “body mass index (BMI).” BMI is a measurement that takes into account your height and weight. The Centers for Disease Control and Prevention (CDC) reports that a healthy BMI ranges from 18.5 to 24.9.
A BMI of 25 to 29.9 means you are overweight; 30 or higher qualifies as obese. Although the CDC indicates that the BMI is not a reliable stand-alone measurement of obesity, the institution says other methods are not widely available and are difficult to standardize
Connections Between Weight Gain and Obstructive Sleep Apnea (OSA)
Weight gain is one of the most prevalent risk factors in developing a specific type of sleep apnea called obstructive sleep apnea (OSA). According to an American Academy of Sleep Medicine report, men who gained at least 22 lbs. were five times more likely to develop moderate to severe OSA; women with the same weight gain had a 2.5 times increased risk.
A 2024 American Journal of Health studyshows sleep apnea is highly prevalent in veterans, and the incidence rises even with a 10% increase in body weight gain.
Obesity, Overweight, and Sleep Apnea
Why the close relationship between obesity and sleep apnea? Fat accumulation around the airway during sleep can contribute to OSA by reducing the size of the airway, making it more likely to collapse during sleep.
OSA disrupts certain hormone balances including:
Increasing ghrelin (i.e., the hunger hormone) which increases appetite
Lowering leptin levels which interferes with the body’s signal of fullness
These hormone imbalances contribute to increased hunger and often cause weight gain and obesity.
VA Sleep Apnea Secondary to Weight Gain Claim
Here’s a real-life scenario example of how a VA sleep apnea secondary to weight gain claim using an intermediate step could occur:
You receive benefits for a service-connected mental health condition, such as depression. Your weight gain was a symptom of depression, or it was caused by the medication you take for depression.
After leaving the military, you were diagnosed with sleep apnea; your sleep apnea has resulted in a 45-pound weight gain (above what you weighed during active duty). It’s possible to file a VA disability claim for sleep apnea secondary to depression with weight gain/obesity as an intermediate step.
Perhaps you take mental health medications that are well known to cause weight gain.
In the above scenario, it’s essential to explain that if you hadn’t gained weight from medications taken to manage your mental health symptoms, you wouldn’t have developed sleep apnea.
Note, this principle also applies when side effects from other medications (e.g., mood stabilizers, corticosteroids, or others) taken for an existing service-connected condition cause an increased appetite and weight gain causing sleep apnea.
Service Connecting VA Sleep Apnea Secondary to Weight Gain
Weight gain can be a bridge connecting disorders that occurred during your military service, such as mental health conditions or physical inactivity due to orthopedic, or other conditions) to weight gain and sleep apnea. Subsequently, when binge eating, reduced exercise ability, or other related factors contribute to your weight gain, it may eventually cause sleep apnea.
Although obesity is not included in the VA’s list of disability-qualifying medical conditions, under 38 CFR 3.310 (a), it may be an “intermediate step” to connect weight gain and obesity to sleep apnea.
Do I Need a Nexus Letter for VA Sleep Apnea Secondary to Weight Gain?
You’ll need a Nexus Letterthat links your sleep apnea secondary to your service-connected condition (e.g., depression, or other condition) with weight gain as an interim link. Your letter should also provide a licensed provider’s medical opinion, explaining the following applicable scenarios:
How your service-connected physical condition adversely impacted your ability to be physically active, leading to weight gain (or)
How your depression symptoms, increased your appetite, resulting in weight gain (and/or)
How your mental health prescriptions, or other applicable medications caused weight gain.
How “it is as likely as not” that your weight gain caused or worsened your sleep apnea.
A Nexus Letter is a valuable resource that is often the missing link between your military service and a secondary condition VA disability rating approval for getting the disability compensation you rightfully deserve.
Did you know that a lack of medical evidence is the #1 reason VA disability claims are denied?
Medical evidence is a crucial piece of the puzzle that VA raters consider when reviewing a disability claim. Telemedica provides solutions for veterans looking to bolster their claims through high-quality medical evidence that wins claims!
Schedule your FREE 20-minute consultationand learn how to get the supporting medical evidence you need to strengthen your VA claim.
If your VA claim was denied or you didn’t receive the disability rating you deserve, you may benefit from a nexus letter.
A nexus letter helps connect your condition to your military service while providing validity to your VA claim.
In this post, we’ll explore how a nexus letter for sleep apnea secondary to depression can be the key to winning your VA claim and how the team at Telemedica can assist you.
A nexus letter for sleep apnea secondary to depression connects your service-related depression to the development or worsening of sleep apnea, providing essential medical evidence to support your VA claim.
Sleep Apnea and Depression Are Linked: Depression can lead to weight gain and sleep disturbances, which increase the risk of sleep apnea. Each condition can worsen the other, creating a challenging cycle.
To establish a service connection for sleep apnea secondary to depression, you need a current diagnosis of both conditions, along with medical evidence showing the link between them.
The VA rates sleep apnea secondary to depression based on severity and treatment requirements, with ratings ranging from 0% to 100%, depending on the use of breathing assistance devices and other factors.
Nexus Letter for Sleep Apnea Secondary to Depression
A nexus letter for sleep apnea secondary to depression is essential evidence when applying for VA benefits.
For example, weight gain from overeating as a coping mechanism for mental distress can lead to sleep apnea. This secondary mechanism is significant because weight gain is the number one risk factor for developing the condition.
Having this information in your nexus letter can prove vital in receiving the VA disability benefits you rightfully deserve.
Obtaining a nexus letter is strongly recommended to strengthen your claim because it links your service-connected depression to the development or worsening of sleep apnea.
Nexus letters provide a healthcare provider’s professional opinion and medical rationale, clearly stating that your sleep apnea is the result of your service-connected depression.
The connection between sleep apnea and depression is complex and bidirectional, meaning each condition can influence and exacerbate the other.
A 2003 study at the Stanford University School of Medicine found that people with depression are five times more likely to have a breathing-related sleep disorder than non-depressed people.
In addition, research shows that a 10% weight gain is associated with a sixfold increase in risk of obstructive sleep apnea (OSA). It’s also proven that there is a link between depression and weight gain, which can further increase your risk for sleep apnea.
Depression can disrupt normal sleep patterns, contributing to conditions like insomnia or hypersomnia. These sleep disturbances can worsen sleep apnea by influencing how the body regulates breathing during rest.
The combination of sleep apnea and depression can create a vicious cycle. Poor sleep from sleep apnea exacerbates depressive symptoms, while depression can make it harder to seek or adhere to treatment for sleep apnea, like CPAP therapy.
However, effective treatment of one condition can often alleviate the other. For example, managing sleep apnea with CPAP or other interventions can improve mood and reduce depressive symptoms.
Similarly, treating depression with therapy or medication may lead to better sleep hygiene and fewer apnea episodes.
Proving Service-Connection for Sleep Apnea Secondary to Depression
You must prove service connection when filing a VA disability claim for sleep apnea secondary to depression.
Service connection requires:
A current medical diagnosis of sleep apnea from a sleep study AND
A current service-connected primary disability (Depression) AND
Medical nexus evidence establishing a connection between the service-connected primary condition (Depression) AND the current disability you’re trying to connect secondary (Sleep Apnea)
You’ll be required to attend a sleep study to receive an accurate sleep apnea diagnosis. A sleep study helps identify evidence of irregular breathing, gasping, and other obvious signs of sleep apnea.
How the VA Rates Sleep Apnea Secondary to Depression
The VA rates sleep apnea secondary to depression at 0%, 30%, 50%, and 100%, depending on the severity, frequency, duration of symptoms, and whether the use of a breathing assistance device is required.
The highest VA rating for sleep apnea secondary to depression is 100%, with most veterans receiving a 50% rating for obstructive sleep apnea.
How Telemedica Can Support You in Obtaining Your Nexus Letter
Understanding the need for a nexus letter for sleep apnea secondary to depression may strengthen your claim. The licensed, trusted professionals at Telemedica can provide you with anexus letter, paving the way to the benefits you rightfully deserve.
Did you know that a lack of medical evidence is the #1 reason VA disability claims are denied?
Medical evidence is a crucial piece of the puzzle that VA raters consider when reviewing a disability claim. Telemedica provides solutions for veterans looking to bolster their claims through high-quality medical evidence that wins claims.
Schedule your FREE 20-minute consultationand learn how to get the supporting medical evidence you need to strengthen your claim.
If you are a veteran with sleep apnea, you understand how symptoms can interfere with your day-to-day life. Lack of sleep can interfere with many functions needed to get through the day, such as focusing, remembering things, and completing basic tasks.
If you believe that your sleep apnea was the result of (or worsened by) your military service, you may want to learn how a sleep apnea disability benefits questionnaire (DBQ) form can strengthen your VA disability claim.
In this post, we examine the sleep apnea DBQ, including what it is, who can write one, and how a DBQ can strengthen your sleep apnea claim.
Key Takeaways
A sleep apnea DBQ, completed by a healthcare professional, can strengthen your VA disability claim.
A DBQ helps ensure the severity of your condition is documented in the specific language needed for the VA’s rating process.
The VA uses the Disability Benefits Questionnaire (DBQ) to evaluate the impact of service-connected disabilities on your daily life.
DBQs are completed by medical professionals to streamline your VA disability claim process by ensuring that accurate, consistent, and relevant information is provided as part of your claim.
What is Sleep Apnea?
Sleep apnea is a sleep disorder involving irregular breathing that repeatedly stops and starts. If you snore loudly and experience insomnia (i.e., trouble staying asleep), hypersomnia (excessive daytime sleepiness), morning headaches, or other sleep apnea-related symptoms, you may suffer from sleep apnea.
Types of Sleep Apnea
There are several types of sleep apnea, including:
Obstructive sleep apnea (OSA): The most common type, involving a physical obstruction, such as a large tongue or tonsils, or relaxation of the throat muscles, which blocks adequate airflow to the lungs. This type of sleep apnea is commonly linked with post-traumatic stress disorder (PTSD).
Central sleep apnea (CSA): Occurs when the brain does not send the correct signals to the muscles that control breathing when you are asleep.
Complex sleep apnea: May occur when you have a confirmed diagnosis of OSA — diagnosed with a sleep study — that changes to CSA when receiving treatment.
The VA uses the Disability Benefits Questionnaire (DBQ) to document veterans’ medical conditions.Veterans can use the DBQ to submit medical evidence supporting their disability claims to the Department of Veterans Affairs (VA).
The VA uses a specific sleep apnea disability benefits questionnaire to evaluate the severity of sleep apnea symptoms, ensuring a comprehensive understanding of your condition. While the form is not mandatory, it can help to strengthen your sleep apnea VA disability claim.
How Does a Sleep Apnea DBQ Support a VA Claim?
The standardized DBQ for sleep apnea provides detailed information that:
Ensures the severity of your condition is documented in specific language the VA needs to see to accurately evaluate the severity of your symptoms
Accurately assesses your diagnosis by using specific criteria (e.g., sleep study results, sleep apnea treatments, such as a positive airway pressure (CPAP) machine, and other specific criteria)
Establish the impact of service-related disabilities on your daily life
DBQs are completed by medical professionals who help streamline your VA disability claim process by ensuring that accurate, consistent, and relevant information is provided as part of your claim.
Having a completed DBQ may expedite the claims process by providing the missing link when it comes to a fully developed claim, written per VA regulation.
Where Do You Get a Sleep Apnea DBQ?
Veterans aren’t required to submit a DBQ for sleep apnea. However, taking the extra steps to submit your DBQ form can benefit your claim by showing medical evidence the VA needs to establish your service connection and approve and help rate your disability compensation.
A healthcare provider completes the sleep apnea DBQ. If you choose a civilian physician, you must provide the VA Public DBQ form.
Who Can Write a DBQ for Sleep Apnea?
There are several professionals who can write a DBQ for sleep apnea, including:
VA healthcare providers
VA contract examiners
Private healthcare providers (e.g., Nurse practitioners, Physician Assistants, and medical doctors)
Before seeing your provider, be sure to print out the VA sleep apnea DBQ form or email it to their office for review and completion during your appointment. A valid DBQ form must include the provider’s signature and credentials.
Once completed, remember to review the form to ensure your personal information is accurate. Then, keep a copy for your own records and send the completed form to the VA as part of your disability claim.
Sleep apnea VA disability ratings are 0%, 30%, 50% or 100%, depending on the severity of your symptoms and the requirement for breathing assistance.
Sleep Apnea Nexus Letters
For more info about how the VA rates sleep apnea OR to learn how to obtain a sleep apnea nexus letter, seeHERE.
Medical Evidence Wins VA Claims
Did you know that a lack of medical evidence is the #1 reason VA disability claims are denied?
Medical evidence is a crucial piece of the puzzle that VA raters consider when reviewing a disability claim. Telemedica provides solutions for veterans looking to bolster their claims through high-quality medical evidence that wins claims!
Schedule your FREE 20-minute consultationand learn how to get the supporting medical evidence you need to strengthen your claim.
Post-traumatic stress disorder (PTSD) is primarily known for its psychological, emotional, and mood symptoms, but it can have a significant impact on your life in other ways.
PTSD can lead to physical symptoms that affect daily life, from trouble sleeping and muscle tension to chronic pain and digestive issues.
Recognizing when physical signs of PTSD manifest will help ensure you receive the proper care and treatment.
This guide will cover seven physical symptoms of PTSD in veterans, treatment options, and why it’s essential to reach out to your doctor.
PTSD in Veterans
If you’ve witnessed or experienced a traumatic event, you’re at risk of developing PTSD. People with PTSD may experience angry outbursts, negative thoughts, avoidance symptoms, and are easily startled.
Research shows that at some point in their life, 7 out of 10 veteranswill have PTSD. The number of veterans with PTSD varies by service era, with a significant number from Operations Iraqi Freedom (OIF) and Enduring Freedom (OEF).
Risk factors for PTSD include, but are not limited to:
Deployment
Traumatic brain injuries (TBI)
Reintegration stress
Lack of support system
Physical and sexual abuse (i.e., Military sexual trauma)
Childhood abuse
Substance abuse
Experiencing a natural disaster
While combat veterans may be more prone to experiencing PTSD, you don’t have to serve on the front lines to develop a mental illness.
How a Traumatic Event is Linked to Physical Health Problems
PTSD is often much more than a mental health condition. Traumatic events have a lasting impact on more than just the mind; they can also profoundly affect physical health.
When you experience trauma, your body’s stress response kicks into overdrive, leading to physical symptoms that persist long after the initial event.
For veterans with PTSD, these symptoms are often amplified, affecting everything from heart health to immune function.
Research has shown that trauma can lead to conditions such as chronic pain, cardiovascular issues, digestive problems, and even compromised immunity.
Chronic Pain
Many veterans with PTSD experience chronic pain, which can affect various parts of the body. Chronic painoccurs when you have pain in one or more areas of your body for at least three to six months.
When you are constantly in “fight or flight” mode, your muscles tense up, and you’re more prone to strain and injury, creating persistent pain over time.
Veterans with PTSD are more likely to report chronic pain, which can exacerbate other physical and mental health symptoms.
If you have chronic pain, it’s a great idea to keep a “pain diary,” where you can record patterns of pain, effective management techniques, and the effect it has on your daily life.
Examples of chronic pain include:
Headaches
Muscle Tension
Joint Pain
Back Pain
Neck Pain
Pelvic Pain
Fibromyalgia
Chronic pain istreated in various ways, depending on your type of pain, the cause of your pain (if known), and your age and overall health. However, most chronic pain is treated with medication, lifestyle changes, or therapies.
Gastrointestinal Problems
Gastrointestinal (GI) problems are common among veterans with PTSD because the digestive system is sensitive to stress and anxiety. Emotions cause chemical and physical responsesin the body, frequently resulting in pain and discomfort.
For example,researchshows that patients with irritable bowel syndrome (IBS) were found to have high rates of trauma history and PTSD.
Common GI problems include:
Nausea
Irritable Bowel Syndrome
Acid Reflux
Constipation
Most GI problems can be resolved with diet modifications, therapy, or medication. However, if you’re concerned about digestive system issues, following up with your doctor is vital.
Respiratory Symptoms
A 2011 study shows that trauma exposure and PTSD are associated with self-reported asthma and chronic obstructive pulmonary disease.
The same study found that subjects with PTSD had significantly higher odds ratios for most asthma-related symptoms than subjects without PTSD. (If you have PTSD, you’re more than just a study, but statistics show you aren’t alone.)
Additional respiratory symptoms include:
Shortness of Breath
Rapid or Shallow Breath
Hyperventilation
Tightness in the Chest
Coughing
If you have breathing problems, you must seek help immediately. Never wait to see what develops.
When your body is under prolonged stress, it produces increased levels of adrenaline and cortisol, which raise blood pressure and strain the heart.
Veterans who have undergone stressful and traumatic situations often carry this physical stress into daily life, making cardiovascular health a significant concern.
PTSD can significantly impact your cardiovascular system, leading to symptoms like:
Increased Heart Rate
Hypertension (High Blood Pressure)
Chest Pain
Obesity
You must address cardiovascular issues because stress cansignificantly impact your heart.
Sleep Disturbances
Many people have sleep troubles, but you’re more likely to develop sleep disturbances if you’ve been through a traumatic event.
The National Vietnam Veterans Readjustment Study found that 52% of combat veteranswith PTSDexperienced significant nightmares.
Your partner/spouse complains about you snoring or notices you have pauses in breath during your sleep
You wake up gasping or choking during the night
You wake up tired even after a whole night’s sleep
You struggle to stay awake during the day
Immune System Suppression
Chronic stress can weaken the immune system, increasing your risk of autoimmune disease. You may also experience frequent colds, flu, or other infections due to a compromised immune system.
In addition, PTSD may increase inflammatory markers and reduce anti-inflammatory ones.
Regular check-ups and a balanced lifestyle are essential for reducing illness frequency and supporting long-term health.
Fatigue or Low Energy
It’s common for veterans with PTSD to experience fatigue and low energy, affecting their quality of life. Symptoms may range from difficulty concentrating to feeling emotionally numb.
Chronic stress and poor sleep frequently lead to low energy levels and persistent fatigue, making daily life challenging.
Research shows that stress can lead to mental fatigue, affecting your ability to think, process and regulate emotions, and solve problems.
It’s important to note that fatigue isn’t just tiredness but a significant lack of energy that impacts all aspects of life.
Seeking Help for Physical PTSD Symptoms
You should never ignore unexplained pain in your body. Most physical symptoms of PTSD are easily managed with a variety of effective treatments, including medication and therapy.
For example, the U.S. Food and Drug Administration(FDA) approved two selective serotonin reuptake inhibitors (SSRIs) to help treat PTSD symptoms.
By speaking with your doctor or a mental health professional, you can ensure effective management and treatment, leading to a better quality of life.
If you use VA medical services, you should ask your primary care provider to help make an appointment with a VA mental health provider. Contact the closest VA medical center or Vet Center if you’re not already using VA medical services.
If you’re unsure about the resources you need, don’t hesitate to call 877-222-8387for assistance. They’re available Monday through Friday, 8:00 am – 8:00 pm EST.
Veterans Crisis Line
If you need immediate assistance day or night, you can contact the Veterans Crisis Line by:
Call 911 or go to the nearest emergency room for a medical emergency. You can also go to the nearest VA medical center, regardless of your discharge status or enrollment in VA healthcare.
Managing Physical Symptoms of PTSD
Since everyone’s journey with PTSD is unique, the way you manage it also will be. Common ways to manage physical symptoms of PTSD include:
Medical Treatment
Mind-body Practices (i.e., yoga, tai chi, and meditation)
A 2023 study found that individuals with higher levels of physical activity have better mental health status after a traumatic event than those who don’t regularly engage in physical activity.
Remember to always consult your doctor about the best way to manage your PTSD.
VA PTSD Resources
It’s never too late to receive help for PTSD, and getting help may prove vital to managing your symptoms.
The VA has over 200 PTSD treatment programs across the country that offer:
1-to-1 mental health assessment and testing to figure out if you have PTSD
Medicine proven to work for treating PTSD
1-to-1 psychotherapy (also called talk therapy). This includes proven methods like Cognitive Processing Therapy (CPT).
1-to-1 family therapy
Group therapy for special needs, like anger or stress management, or combat support
Group therapy for Veterans who served in certain combat zones or who’ve been through similar traumas
The VA healthcare program covers VA PTSD resources. If you don’t have VA healthcare, you can apply here.
Note: You still have options if you don’t have VA healthcare. It’s best to contact a Vet Center near you who can help guide you in the right direction.
Conclusion
Understanding that PTSD affects the mind and body is vital. You should never ignore physical symptoms, especially if they interfere with daily life.
Recognizing these symptoms is crucial for providing comprehensive care that addresses mental and physical health.
It’s not always easy admitting something is wrong. Butremember, being vulnerable is being strong.
If you experience migraines due to your military service, you may be entitled to VA disability benefits.
A disability benefits questionnaire (DBQ) can help add validity to your VA claim by providing comprehensive medical evidence.
Migraines impair numerous aspects of a person’s daily life, so it’s essential you receive the care and compensation you rightfully deserve.
This post will cover the value of a DBQ for migraines, how to get one, who can write a DBQ, and more.
Main Takeaways
A migraines DBQ aids in documenting your medical conditions and associated symptoms when applying for VA disability benefits.
You can get a DBQ for migraines from a VA or private healthcare provider or a VA contract examiner.
Veterans use the DBQ neuro headaches form to document the severity and frequency of their headaches, providing essential medical evidence for a VA disability claim.
Veterans suffering from migraines need a current medical diagnosis to be eligible for VA disability benefits.
What is a Migraine DBQ?
A Disability Benefits Questionnaire (DBQ) is a form the VA uses to document the medical conditions of veterans applying for disability benefits.
In the case of migraines, a specific DBQ is designed to inform the VA of the associated symptoms of your headaches, ensuring they have a comprehensive understanding of your condition.
These standardized forms are intended to provide detailed medical information required by the VA to assess the diagnosis, symptom severity, and impact of service-connected disabilities on your life.
Completed by a healthcare professional, DBQs help streamline the VA’s disability claims process by ensuring that all relevant information is provided accurately and consistently.
How to Get a DBQ for Migraines
You aren’t required to submit a VA DBQ for migraines with your disability claim; however, it may help provide vital medical evidence needed to receive disability compensation and prove service connection.
You can get your DBQ completed during your C&P exam for migraines. During a compensation and pension (C&P) exam, an examiner will ask a series of questions to help determine the severity and frequency of your condition and whether it is service connected.
If you choose to have a civilian physician complete a VA DBQ, you provide them with a VA Public DBQ form.
While it is highly recommended to obtain a VA DBQ, it’s important to note that the VA won’t reimburse you for expenses related to an examination by your private doctor.
It’s essential to have a migraine headache diagnosis to ensure a direct service connection.
Who Can Write a DBQ for Migraine Headaches?
VA healthcare providers, VA contract examiners, or private healthcare providers can fill out DBQs for migraines. We have a team of licensed healthcare providers at Telemedica that are experienced in writing high-quality DBQs.
In addition, Nurse Practitioners (NPs), Physician Assistants (PAs), and Medical Doctors (MDs) can complete DBQ forms for veterans. However, the forms must be signed and include the provider’s credentials to ensure validity.
You must print out a VA DBQ form before visiting your doctor. They will review and complete it at your appointment.
Once completed, you’ll keep a copy for your records and send the completed form to the VA. It’s always best to review the form before mailing it to ensure the information is accurate.
The VA migraine DBQ form your healthcare provider will complete has questions regarding your condition to submit with your VA disability claim.
For example, there are multiple sections where your doctor can further explain your medical history, specific diagnoses, current prescription medications, and whether they reviewed your VA medical records.
In addition, the DBQ form has a section for migraine headache symptoms including, but not limited to:
Constant head pain
Sensitivity to light
Changes in vision
Vomiting
Sensory changes
One of the final sections of the migraine DBQ allows the healthcare provider to specify where they believe your condition affects your ability to work. Finally, the doctor will sign the DBQ with their contact information.
Migraines are a painful headache conditionthat can cause severe throbbing pain or a pulsing sensation, usually on one side of your head.
Migraine headaches can disrupt a veteran’s life, affecting more than half a million veterans.
Causes of migraine headaches in veterans include:
Somatic symptom disorder
Traumatic brain injury
Post-traumatic stress disorder (PTSD)
Toxin exposure
Physical injuries
Stress and sleep deprivation
It’s important to understand that migraines may lead to a secondary condition, which could entitle you to additional benefits and compensation. Ensure you have the appropriate medical evidence to provide a solid VA disability claim.
Your VA disability rating for migraine headaches will depend primarily on the frequency of attacks and the degree to which symptoms are “prostrating.”
A prostrating migraine involves extreme exhaustion, powerlessness, debilitation, or incapacitation with substantial inability to engage in ordinary activities.
For example, if you have migraines with persistent, completely prostrating, and prolonged attacks productive of severe economic inadaptability, you may qualify for a 50% VA rating. However, someone with less frequent attacks would be eligible for a lesser VA rating.
Medical Evidence Wins Claims
If you are a veteran suffering from migraines, our team of licensed providers at Telemedica can help write a disability benefits questionnaire.
Migraine attacks may stop you in your tracks, but we’re here to help guide and educate you through the VA disability claims process.
We can connect you with a licensed provider who understands your unique needs through our secure, private, and convenient platform. Contact us today!
Post-traumatic stress disorder (PTSD) is a condition that affects both combat and non-combat veterans.
PTSD often comes with symptoms that cause occupational and social impairment. But PTSD can also cause other health problems called PTSD secondary conditions.
If you are a veteran with PTSD, it is possible to develop PTSD secondary conditions like sleep apnea, migraines, GERD (acid reflux), hypertension (high blood pressure), or erectile dysfunction because of your PTSD.
If you can prove your service-connected PTSD caused your secondary medical condition, you may qualify for additional VA disability benefits for your secondary condition(s).
This guide will explore some of the most common medical conditions secondary to PTSD, emphasizing VA ratings, how to file secondary claims to PTSD, and requirements for secondary service connections.
PTSD can cause a range of secondary conditions which may qualify you for additional VA disability benefits.
When filing a secondary claim to PTSD, veterans must prove three things: a current diagnosis of your secondary condition, a service-connected PTSD condition, and a medical nexus linking the two.
A credible Nexus Letter from a qualified healthcare provider can significantly strengthen your VA disability claim for secondary conditions.
Understanding the VA rating criteria for these secondary conditions is crucial to maximizing your benefits.
Understanding VA Secondary Conditions to PTSD
PTSD secondary conditions are disabilities that are proximately due to or aggravated by service-connected post-traumatic stress disorder.
Under38 CFR § 3.310, a veteran with a current disability condition that is caused or worsened by a service-connected condition can receive secondary service connection.
Proving Service Connection for PTSD Secondary Conditions
To establish service connection when filing secondary claims to PTSD, three key elements must be demonstrated:
A current medical diagnosis of the secondary condition
A current service-connected primary disability (e.g., service-connected PTSD)
A medical nexus linking the secondary condition to the service-connected PTSD (can be a Nexus Letter)
50% VA Rating: Very frequent prostrating and prolonged attacks productive of severe economic inadaptability.
30% VA Rating: Characteristic prostrating attacks occurring on average once a month over the last several months.
10% VA Rating: Characteristic prostrating attacks averaging one in 2 months over the last several months.
0% VA Rating: Less frequent attacks.
VA Rating Criteria for Migraine Headaches (DC 8100)
VA Disability Rating
Migraines with very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability
50%
Migraines with characteristic prostrating attacks occurring on an average once a month over last several months
30%
Migraines with characteristic prostrating attacks averaging one in 2 months over last several months
10%
Migraines with less frequent attacks
0%
Migraines VA Ratings chart
VA Claim for Migraines Secondary To PTSD
To support your VA claim for migraines secondary to your PTSD, you will want to include relevant medical evidence. This can include:
Documentation: Documentation of your migraine diagnosis and any relevant treatment records.
Nexus Letter: An independent medical opinion linking your migraines to PTSD.
Medication Side Effects: Note that some PTSD medications, like SSRIs, may also contribute to headaches. Documenting your side effects, including keeping a record of your migraines, can help to strengthen your claim.
Related: See our post on migraines secondary to service-connected PTSD here.
Sleep Apnea Secondary to PTSD
Sleep apnea is notably prevalent among veterans with PTSD.
While PTSD may not directly cause sleep apnea, research from 2015 shows that veterans with severe PTSD symptoms are at a higher risk of developing obstructive sleep apnea (OSA). The connection may be linked to factors like obesity, which can be exacerbated by PTSD.
Sleep Apnea VA Rating Criteria
Sleep apnea secondary to PTSD can be 0%, 30%, 50%, or 100%, and is rated under Diagnostic Code 6847:
100% VA Rating: Chronic respiratory failure with carbon dioxide retention or cor pulmonale or requires tracheostomy.
50% VA Rating: Requires use of a breathing assistance device such as a CPAP (Continuous Positive Airway Pressure) machine.
30% VA Rating: Persistent daytime hypersomnolence.
0%: VA Rating: Asymptomatic but with documented sleep disorder breathing.
VA Rating Scale: Sleep Apnea
VA Disability Rating
Chronic respiratory failure with carbon dioxide retention or cor pulmonale, or requires tracheostomy
100%
Requires use of breathing assistance device such as a CPAP machine
50%
Persistent daytime hypersomnolence
30%
Asymptomatic but with documented sleep disorder breathing
0%
Sleep Apnea VA Ratings chart
VA Claim for Sleep Apnea Secondary to PTSD
Valid VA disability claims for sleep apnea secondary to PTSD typically include:
Nexus Letter: A medical opinion connecting your obstructive sleep apnea to PTSD, possibly through an intermediary condition like obesity.
CPAP Use: If you use a CPAP machine, this can help support your claim.
Gastroesophageal Reflux Disease (GERD) Secondary to PTSD
Gastroesophageal Reflux Disease (GERD) is often seen in veterans with PTSD, especially those on continuous medication for PTSD symptoms. The stress and side effects of PTSD treatment can contribute to digestive issues.
GERD VA Rating Criteria
The new VA rating criteria for GERD became effective May 19, 2024. GERD is now rated under Diagnostic Code 7206 for Esophageal Stricture, with VA ratings of 0%, 10%, 30%, 50%, or 80%.
New VA Rating Criteria for GERD
GERD VA Rating Criteria Under DC 7206, Esophagus, Stricture of:
VA Disability Rating
Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia with at least one of the symptoms present: (1) Aspiration, (2) undernutrition, and/or (3) substantial weight loss as defined by § 4.112(a) and treatment with either surgical correction or percutaneous esophago-gastrointestinal tube (PEG tube)
80%
Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia which requires at least one of the following (1) dilation 3 or more times per year, (2) dilation using steroids at least one time per year, or (3) esophageal stent placement
50%
Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia which requires dilatation no more than 2 times per year
30%
Documented history of esophageal stricture(s) that requires daily medications to control dysphagia otherwise asymptomatic
10%
Documented history without daily symptoms or requirement for daily medications
0%
Note (#1): Findings must be documented by barium swallow, computerized tomography, or esophagogastroduodenoscopy
Note (#2): Non-gastrointestinal complications of procedures should be rated under the appropriate system
Note (#3): This diagnostic code applies, but is not limited to, esophagitis, mechanical or chemical; Mallory Weiss syndrome (bleeding at junction of esophagus and stomach due to tears) due to caustic ingestion of alkali or acid; drug-induced or infectious esophagitis due to Candida, virus, or other organism; idiopathic eosinophilic, or lymphocytic esophagitis; esophagitis due to radiation therapy; esophagitis due to peptic stricture; and any esophageal condition that requires treatment with sclerotherapy
Note (#4): Recurrent esophageal stricture is defined as the inability to maintain target esophageal diameter beyond 4 weeks after the target diameter has been achieved
Note (#5): Refractory esophageal stricture is defined as the inability to achieve target esophageal diameter despite receiving at least 5 dilation sessions performed at 2-week intervals
New GERD VA Ratings chart
VA Claim for GERD Secondary to PTSD
Valid VA disability claims for GERD secondary to PTSD typically include:
Medical Evidence: Provide records showing GERD diagnosis and its symptoms (can be from a primary care physician).
Nexus Letter: Obtain a GERD nexus letter linking your GERD to PTSD or its treatment.
Medication Side Effects (if any): Highlight how medications for PTSD might contribute to GERD.
IBS Secondary to PTSD
Irritable Bowel Syndrome (IBS) is another condition commonly linked to PTSD. Research indicates a high prevalence of IBS among individuals with PTSD. Stress from PTSD can exacerbate gastrointestinal symptoms.
NEW IBS VA Rating Criteria
On May 19, 2024, the 0% non-compensable rating for IBS was removed; the new minimum compensable VA rating for IBS is now 10%.
IBS secondary to PTSD is rated at 10%, 20%, or 30%, under Diagnostic Code 7319.
New IBS VA Rating Criteria (Diagnostic Code 7319)
VA Disability Rating
– Abdominal pain related to defecation at least one day per week during the previous three months; and – Two or more of the following: 1. Change in stool frequency 2. Change in stool form 3. Altered stool passage (straining and/or urgency) 4. Mucorrhea 5. Abdominal bloating 6. Subjective distension
30%
– Abdominal pain related to defecation for at least three days per month during the previous three months; and – Two or more of the following: 1. Change in stool frequency 2. Change in stool form 3. Altered stool passage (straining and/or urgency) 4. Mucorrhea 5. Abdominal bloating 6. Subjective distension
20%
– Abdominal pain related to defecation at least once during the previous three months; and – Two or more of the following: 1. Change in stool frequency 2. Change in stool form 3. Altered stool passage (straining and/or urgency) 4. Mucorrhea 5. Abdominal bloating 6. Subjective distension
10%
IBS VA Ratings chart
VA Claim for IBS Secondary to PTSD
VA disability claims for IBS secondary to PTSD typically include:
Medical Evidence: Show documentation of IBS diagnosis.
Nexus Letter: Establish a connection between PTSD and IBS through a qualified medical professional.
Service-Connected Disability: Demonstrate how your PTSD or its treatment has led to or aggravated your IBS.
ED Secondary to PTSD
Veterans with PTSD are at an increased risk of sexual dysfunction, including erectile dysfunction (ED). This sexual dysfunction can be due to the psychological impact of PTSD or the side effects of PTSD medications.
ED Secondary to PTSD VA Ratings
ED VA ratings are 0%, and eligible veterans can receive Special Monthly Compensation (SMC) for loss of use of a creative organ. SMC-K is paid out each month in addition to other VA disability compensation.
0% VA Rating: Non-compensable VA rating.
VA Special Monthly Compensation (SMC): SMC-K is available for loss of use of a creative organ.
The 2024 pay rate for SMC-K for Erectile Dysfunction is $132.74 monthly.
VA Claim for ED Secondary to PTSD
VA disability claims for ED secondary to PTSD typically include:
Medical Evidence: Document your ED diagnosis and symptoms.
Nexus Letter: Get an independent medical opinion linking ED to PTSD.
SMC: If applicable, veterans can apply for Special Monthly Compensation (SMC) due to loss of use.
Hypertension Secondary to PTSD
Hypertension, or high blood pressure, is a significant health issue that can be linked to PTSD. Chronic stress from PTSD may elevate blood pressure, increasing the risk of serious health complications.
Hypertension is defined by consistent readings of 140/90 mmHg or higher. Physical symptoms can include headaches, dizziness, and blurred vision, though some people may not experience noticeable symptoms that cause significant concern.
Hypertension Secondary to PTSD VA Ratings
Hypertension is rated under 38 CFR § 4.104, DC 7101. VA disability ratings for hypertension can be 0%, 10%, 20%, 40%, or 60%, based on the severity of your symptoms and the need for continuous medication.
60% VA Rating: Diastolic pressure 130 or more.
40% VA Rating: Diastolic pressure 120 or more.
20% VA Rating: Diastolic pressure 110 or more, or systolic pressure predominantly 200 or more.
10% VA Rating: Diastolic pressure 100 or more.
0% VA Rating: Diastolic pressure below 100 and systolic pressure below 160.
Diastolic pressure predominantly 100 or more, systolic pressure predominantly 160 or more, or requiring continuous medication.
20%
Diastolic pressure predominantly 110 or more, or systolic pressure predominantly 200 or more.
40%
Diastolic pressure predominantly 120 or more.
60%
Diastolic pressure predominantly 130 or more.
Hypertension VA ratings chart
PTSD’s Impact on Hypertension
PTSD can exacerbate hypertension through stress, anxiety, and unhealthy behaviors. Medications for PTSD may also contribute to high blood pressure.
VA Claim for Hypertension Secondary to PTSD
To support your VA claim for hypertension secondary to PTSD and help you to prove service connection:
Medical Evidence: Show diagnosis and severity of hypertension
Supporting Documentation: Provide proof of service-connected PTSD and its impact on your hypertension
Nexus Letter: Obtain an opinion linking hypertension to PTSD
Frequently Asked Questions (FAQs)
What causes PTSD?
Post-Traumatic Stress Disorder (PTSD) is a serious mental health condition triggered by experiencing or witnessing a traumatic event (or multiple traumatic events). It is characterized by symptoms such as flashbacks, nightmares, severe anxiety, and emotional numbness.
What is the average PTSD VA rating?
The average PTSD VA rating is 70%, highlighting its significant impact and severe impairment on veterans’ lives.
What are medical conditions secondary to PTSD?
Medical conditions secondary to PTSD are conditions caused by your service-connected PTSD in some way. For example, if your PTSD causes you to have insomnia or migraines, or if the medication you take for PTSD causes erectile dysfunction (ED), you may have a secondary condition. Veterans suffering from these PTSD secondary conditions may qualify for additional VA disability benefits.
Many veterans don’t realize that there are additional high-value VA disability claims that can be claimed secondary to their service-connected PTSD.
Does a nexus letter for conditions secondary to PTSD help your claim?
Nexus letters are critical for proving secondary service connection, in most cases. A nexus letter is a key document that can improve your VA disability claim and help you increase your VA disability rating. It explains how your secondary condition is caused or worsened by your primary service-connected disability.
Why are nexus letters valuable?
A credible medical nexus letter from a qualified mental health professional helps the VA understand the connection between your conditions and your military service. Independent medical opinions can also help to provide credibility and support to your VA disability claims. This has the potential to help you increase your disability benefits.
Do I need a nexus letter for medical conditions secondary to PTSD?
While a nexus letter is not mandatory, it is highly recommended. It provides a professional medical opinion linking your secondary condition to your primary service-connected disability. This can make a big difference in proving that your secondary condition is related to your existing service-connected condition.
Understanding and claiming medical conditions secondary to PTSD can significantly increase your VA disability rating and benefits.
Six common secondary conditions to PTSD include: Migraine headaches, sleep apnea, GERD, IBS, erectile dysfunction, and hypertension.
Additionally, it is almost always recommended to get a credible nexus letter when trying to service connect a secondary condition.
Medical Evidence Wins VA Claims
Whether you need a nexus letter for secondary conditions or something else, we make it easy for veterans to connect with a licensed provider through our HIPAA-compliant telemedicine platform—anytime, anywhere!
From DBQs and Nexus Letters to Psych Evals and Telemedicine Evaluations, the Telemedica team is standing by to serve you. Get the evidence you need to win your VA claim today.
As a veteran, you may qualify for a VA disability rating for dental conditions, which could cover some or all of your dental care through the VA.
The good news is that if you don’t qualify for a dental VA disability rating, you may still be able to get dental insurance at a discounted rate through the VA Dental Insurance Program (VADIP).
This post will cover the various dental conditions rated by the VA, corresponding VA disability ratings, basic eligibility criteria, and more.
Main Takeaways
VA dental disability ratings can range from 0% to 100%, depending on the specific dental or oral condition and its severity as outlined in detailed rating codes and criteria.
To accurately diagnose dental conditions, you’ll likely undergo specific imaging studies like an x-ray, CT, or MRI.
The VA assigns specific classes to veterans based on their eligibility, which helps determine what type of VA benefits they’ll receive.
How the VA Rates Dental Conditions
Like other ratable conditions, the VA doesn’t have one diagnostic code for dental conditions. Instead, your condition could fall under one of various VA dental disability ratings.
When determining your dental VA disability rating, you’ll likely receive one of the following diagnostic imaging studies:
Conventional radiography (X-ray)
Computed tomography (CT)
Magnetic resonance imaging (MRI)
Positron emission tomography (PET)
Radionuclide bone scanning
Ultrasonography
In addition, you’ll be evaluated for loss of vocal articulation, loss of smell and taste, neurological impairment, respiratory dysfunction, and other impairments under the appropriate VA diagnostic codes, with each condition rated separately and then combined for the overall evaluation.
Mandible, loss of, including ramus, unilaterally or bilaterally: Rating depends on involvement with temporomandibular articulation and whether it is replaceable by a prosthesis.
For eligible veterans, dental care benefits are based on several factors like military service history, current health, and living situation.
Does the VA Cover Dental?Here’s a closer look at the eligibility criteria and the type of dental care available for different classes:
Class I: Veterans with a service-connected dental disability or condition receiving compensation qualify for any needed dental care.
Class IIC: Former prisoners of war are eligible for any required dental care.
Class IV: Veterans with service-connected disabilities rated 100% disabling, or those unemployable and receiving disability compensation at the 100% rate due to service-connected conditions, can access any needed dental care.
Class II: Veterans who served during the Persian Gulf War era for 90 days or more may qualify for one-time dental care, provided they meet specific criteria, including applying within 180 days of discharge and not having received a complete dental exam and treatment before discharge.
Class IIA: Veterans with a service-connected non compensable dental condition or a disability resulting from combat wounds or service trauma are eligible for dental care needed to maintain a functioning set of teeth.
Class III: Those whose dental condition is linked to and exacerbating a service-connected health condition can receive dental care to treat these oral conditions.
Class V: Active participants in a Veteran Readiness and Employment program can receive dental care necessary for program participation, goal achievement, or job adjustment.
Class VI: Veterans needing dental care for an issue that complicates the treatment of a health condition they are receiving VA care for are eligible for relevant dental services.
Class IIB: Participants in the Homeless Veterans Dental Program can access a one-time course of dental care for specific needs like pain relief or job assistance.
Inpatient Status: Veterans receiving inpatient care in various care settings may qualify for dental services to manage a health condition being treated by a doctor.
Establishing Service Connection for Dental Conditions
To qualify for service-connected dental VA disability, you must prove your military service caused or aggravated your condition.
This means that your dental condition must be linked to your time in the military, either directly or as a secondary condition to another service-related injury or illness.
You can prove service connection with these key three elements:
A current medical diagnosis of your dental condition
An in-service event, injury, or illness that caused or aggravated your condition
A medical nexus, or link, connecting your military service to your condition (can be a Nexus Letter)
While not required, a nexus letter frequently proves to be the missing link in VA disability claims. Our team at Telemedica can help provide you with a solid Nexus Letter.
If you don’t qualify for VA dental benefits, you may be able to buy dental insurance at a reduced cost through the VA Dental Insurance Program (VADIP) if you meet at least one of the requirements listed below.
At least one of these must be true:
You are signed up for VA health care (Apply now) or
You are signed up for our Civilian Health and Medical Program (also called CHAMPVA, a health insurance program for dependents of Veterans). Find out if you can sign up for CHAMPVA
Secondary Dental Conditions
If you don’t qualify for VA disability for dental conditions as a primary condition, you may be eligible to receive VA disability for dental secondary conditions.
Frequently, service-connected conditions lead to secondary conditions. This means your primary condition caused or aggravated an additional condition.
For example, if you have service-connected asthma, you may develop tooth loss as a result, which could lead to a VA disability rating for dental conditions.
In addition, if you have service-connected PTSD and it causes you to grind your teeth (bruxism), you may be eligible for a teeth grinding VA disability rating.
(FAQs) Frequently Asked Questions
What is the bruxism VA rating?
There is no specific bruxism VA rating; however, you may be eligible to receive a rating based on a secondary condition. Your bruxism VA disability rating will depend on the severity of your condition, including the extent of damage to your teeth.
To receive a VA rating for bruxism, you must prove your military service caused or aggravated your condition.
What is the VA disability rating for wisdom teeth removal?
There is no specific diagnostic code for wisdom teeth removal. VA disability for tooth extraction and tooth loss are rated from 0% to 40% with breaks at 10%, 20%, and 30%.
However, to be eligible for a VA disability rating, your tooth loss must be due to a service-related injury, accident, disease, or illness. In addition, tooth loss alone is not rated by the VA if you could get dentures or false teeth to fix the condition.
Can I get a VA disability rating for dental implant?
You may qualify for VA disability for dental implants, if your military service is the reason for the procedure. For example, if you have a service-connected condition that leads to tooth loss, your dental implants may be covered by the VA.
Is there a VA disability rating for receding gums?
There is no specific VA disability rating for receding gums; however, if you can prove your service-connected condition led to receding gums, you may be eligible for compensation.
For example, if you have trauma or injury to your mouth while on active duty that caused gum disease, you may qualify for a VA disability rating for receding gums.
Since gum disease is common, it’s important you have medical evidence to prove your military service led to your condition.
Conclusion
Recognizing what VA disability rating for dental conditions you’re entitled to will help you on the path to the compensation and benefits you deserve.
If you need a nexus letterto provide that missing link between your disability and an in-service event, injury, or disease, Telemedica is here as your nexus letter expert.
We can connect you with a licensed provider who understands your unique needs through our secure, private, and convenient platform. Contact us today!
If you suffer from migraines secondary to PTSD, you may be entitled to additional VA compensation and benefits.
A secondary service connection occurs when a current service-connected condition causes or aggravates another disability, expanding your ability to claim VA benefits.
This post will explain the following:
The connection between migraines and PTSD
How the VA rates migraines secondary to PTSD
The importance of a nexus letter
How to prove service connection, and more
Keep reading to learn more about how to claim migraines secondary to PTSD to help you on your journey to the benefits you rightfully deserve.
Main Takeaways
The VA ratings for migraines secondary to PTSD are 0%, 10%, 30%, and 50%, depending on the severity, duration, and frequency of your migraines.
A nexus letter for migraines secondary to PTSD may help strengthen your VA claim, while adding credibility.
You must service-connect your secondary condition of migraines to your primary service-connection of PTSD to be eligible for VA benefits.
Migraines and PTSD: What’s the Connection?
Migraines are headaches on one side of your head, causing throbbing and pulsing. On the other hand, post-traumatic-stress disorder (PTSD) is a mental health condition that’s caused by an extremely stressful or terrifying event. But what’s the connection?
According to the Association of Migraine Disorders, 69% of people with both episodic migraine and PTSD had PTSD-related symptoms prior to the onset of headaches.
While researchers are still working on the exact link between PTSD and migraines, they have found the following connections between the two conditions:
Shared genes and biological pathways – Both conditions involve changes in brain chemistry and function.
Stress and hyperarousal – Veterans with PTSD frequently experience heightened stress, which can trigger migraines.
Sleep disturbances – Sleep disturbances can exacerbate PTSD symptoms, which can trigger migraine headaches.
Emotional and physical strain – PTSD’s emotional burden may trigger migraine headaches.
Environmental factors – Living in high-risk environments may exacerbate symptoms of PTSD and migraines.
A 2011 study found that PTSD may greatly increase the impact of migraines, but that behavioral PTSD treatment alone can positively influence chronic pain conditions and disability.
Note: Migraines are only one of the secondary conditions to PTSD, so it’s important to speak with your healthcare provider about any concerns.
Migraines Secondary to PTSD VA Ratings
The VA rates migraines under 38 CFR § 4.124a, Schedule of Ratings – Neurological Conditions and Convulsive Disorders,Diagnostic Code (DC) 8100.
The VA ratings for migraine headaches secondary to PTSD are 0%, 10%, 30%, and 50%.
DC 8100, Migraine Headaches
VA Disability Rating
Migraines with very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability
50%
Migraines with characteristic prostrating attacks occurring on an average once a month over last several months
30%
Migraines with characteristic prostrating attacks averaging one in 2 months over last several months
10%
Migraines with less frequent attacks
0%
(Migraine VA Ratings Chart)
Note: Your VA rating for migraine headaches secondary to PTSD will depend on the severity, duration, and frequency of your migraines.
Migraines Secondary to PTSD: Proving Service-Connection
The three essential elements that must be satisfied to service-connect migraines as a secondary condition to PTSD are:
A current medical diagnosis of migraines
Evidence of a service-connected primary disability (PTSD), AND
Medical nexus evidence establishing a connection (nexus) between the current disability (migraines) as proximately due to, the result of, or aggravated by PTSD. This can be a nexus letter.
Note: Aggravation refers to the worsening of a non-service-connected condition due to a service-connected condition.
The VA claims process for secondary conditions is anything but straightforward; however, there are considerations when applying for VA benefits, including:
Consider a DBQ (disability benefits questionnaire), which may benefit your claim.
Obtain lay statements from close family and friends.
Submit a personal statement in support of your claim.
Do I Need a Nexus Letter for Migraines Secondary to PTSD?
The VA doesn’t require nexus letters; however, we highly recommend obtaining a nexus letter for migraines secondary to PTSD.
A nexus letter is a medical opinion that links your secondary condition (migraines) to your primary service-connected condition (PTSD).
Nexus letters for secondary conditions help add credibility to your VA claim and may expedite your case. Although, it’s important to understand that nexus letters don’t guarantee service connection.
Our team at Telemedica can help provide you with a nexus letter with high probative value from one of our licensed providers.
When submitting a nexus letter, ensure it has the following four key elements:
The physician’s credentials, particularly ones that make them a trustworthy source for your current medical condition.
A reference indicating that the physician composing the letter has thoroughly reviewed the veteran’s medical and military records about the claim.
The physician’s opinion regarding the cause of the current diagnosed condition and its relation to the veteran’s military service.
Medical rationale that fully supports the physician’s opinion.
Generally, one nexus letter per VA claim is sufficient; however, you can submit multiple nexus letters from different physicians, particularly if you have a complex case.
Filing a VA Claim for Migraines Secondary to PTSD
When you have your official medical diagnosis of migraines, you can begin filing your VA claim. (If you don’t have a medical diagnosis for your secondary condition, you should schedule an appointment with your doctor.)
You can file your VA claim for migraines secondary to PTSD online or download VA Form 21-526EZ and submit your application in one of the following ways:
By mail to:
Department of Veterans Affairs Claims Intake Center PO Box 4444 Janesville, WI 53547-4444
Via fax:
Inside the U.S. (844) 531-7818 | Outside the U.S. (248) 524-4260
Note: If you plan to file for disability compensation using a paper form, you may want to submit an intent to file formfirst. This gives you time to gather your evidence while avoiding a later potential start date
(FAQs) Frequently Asked Questions
Does PTSD cause migraines?
No, PTSD doesn’t directly cause migraines. However, the stress and anxiety associated with PTSD can trigger migraine symptoms. You can help manage migraines by drinking enough water, using cold or warm compresses, and drinking ginger tea.
Do I need a DBQ for migraines secondary to PTSD?
No, you don’t need to provide a Disability Benefits Questionnaire (DBQ) with your VA disability claim for migraines secondary to PTSD. However, a DBQ may help support your VA claim by providing medical evidence from your health care provider.
What is the cost of a nexus letter for secondary conditions?
The cost of a VA nexus letter for secondary conditions can vary based on several factors, including, but not limited to, the complexity of your case and the level of expertise of your medical professional.
You may be able to get a nexus letter from your treating physician at no additional cost, particularly if you have a strong rapport with them.
However, there might be associated fees if a specialized opinion is needed, such as from a medical specialist.
Is there a time limit for filing a secondary service connection claim?
While there is no specific time limit for filing a secondary service connection claim, it’s best to file it as soon as possible after your secondary condition develops to ensure that you receive the maximum VA disability benefits available.
Whether you need a nexus letter for migraines secondary to PTSD or something else, we make it EASY for veterans to connect with a licensed provider through our HIPAA-compliant telemedicine platform—anytime, anywhere!
From DBQs and Nexus Letters to Psych Evals and Telemedicine Evaluations, the Telemedica team is standing by to serve you. Get the evidence you need to support your VA claim today.
You can contact us with any questions; we will gladly assist you.
Is a nexus letter for migraines secondary to tinnitus the missing link to winning your VA claim?
While not required, a nexus letter helps connect your disability to your military service, and frequently makes a significant difference when qualifying for VA disability benefits.
This article will explore the impact of a nexus letter for migraines secondary to tinnitus, how to obtain a high probative value nexus letter, and what VA ratings you can expect.
Research shows a strong connection between migraines and tinnitus, with tinnitus ranking as the number one condition among veterans.
The VA rates migraines secondary to tinnitus at 0%, 10%, 30%, and 50%, depending on the severity, frequency, and duration of symptoms.
Despite not being required, a nexus letter with high probative value helps validate your claim to the VA.
Nexus Letter for Migraines Secondary to Tinnitus
Nexus letters aren’t required by the VA; however, they are highly recommended to help prove a secondary service connection.
A nexus letter for secondary conditions with high probative value can significantly impact your VA claim for migraines secondary to tinnitus by providing validity to the VA.
A solid nexus letter for migraines secondary to tinnitus should include the following four elements:
The physician’s credentials, particularly ones that make them a trustworthy source for the following opinion
A reference indicating that the physician composing the letter has thoroughly reviewed the veteran’s medical records and military records that pertain to the claim
The physician’s opinion regarding the cause of the current diagnosed condition and its relation to the veteran’s military service
Medical rationale that fully supports the physician’s opinion
While one nexus letter per VA claim is typically sufficient, you can submit additional nexus letters from various physicians, particularly if you have a complex case.
Note: The VA only accepts nexus letters written from licensed providers.
Tinnitus is the number one service-connected condition, affecting over two million veterans. The common condition causes a ringing in the ears and can be triggered by migraines.
According to theAmerican Migraine Foundation, some patients report that their tinnitus worsens only and consistently during migraine attacks. However, there are various theories behind the connection.
Some researchers suggest that it could be from spontaneous abnormal neural activity, while others suggest it may be an allodynic symptom.
Similar complaints experienced from migraines and tinnitus include, but are not limited to:
To win a VA disability claim for migraines secondary to tinnitus you must be able to prove service connection.
The three essential elements that must be satisfied to service-connect migraines as a secondary condition to tinnitus are:
A current medical diagnosis of migraines
Evidence of a service-connected primary disability (tinnitus), AND
Medical nexus evidence establishing a connection (nexus) between the current disability (migraines) as proximately due to, the result of, or aggravated by tinnitus rated at 0% or higher.
Migraines Secondary to Tinnitus VA Ratings
The VA rates migraines under 38 CFR § 4.124a, Schedule of Ratings – Neurological Conditions and Convulsive Disorders, Diagnostic Code (DC) 8100.
The VA rating for migraine headaches secondary to tinnitus can be 0%, 10%, 30%, or 50%. Your migraines secondary to tinnitus VA rating will depend on the severity, duration, and frequency of your migraines.
DC 8100, Migraine Headaches
VA Disability Rating
Migraines with very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability
50%
Migraines with characteristic prostrating attacks occurring on an average once a month over last several months
30%
Migraines with characteristic prostrating attacks averaging one in 2 months over last several months
10%
Migraines with less frequent attacks
0%
Migraine Secondary to Tinnitus VA Rating Chart
(FAQs) Frequently Asked Questions
Does tinnitus cause migraines?
A study published byBiochemistry Research Internationalfound that there is a significant relationship between tinnitus and headache laterality (side of the head) and a temporal interaction of both condition in most cases.
This suggests that the cooccurrence of tinnitus and headaches isn’t purely coincidental, and both disorders may be linked by shared pathophysiological mechanisms.
What is the highest VA rating for migraines secondary to tinnitus?
The highest VA rating for migraines secondary to tinnitus is 50%. A VA rating of 50% for migraines means you have very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability.
How can I get a Nexus Letter for migraines secondary to tinnitus?
You can receive a migraines secondary to tinnitus nexus letter from a licensed medical professional, including one of our Telehealth professionals at Telemedica.
How Telemedica Can Help You Win Your VA Disability Claim
Whether you need a nexus letter for migraines secondary to tinnitus or something else, we make it EASY for veterans to connect with a licensed provider through our HIPAA-compliant telemedicine platform—anytime, anywhere!
From DBQs and Nexus Letters to Psych Evals and Telemedicine Evaluations, the Telemedica team is standing by to serve you. Get the evidence you need to win your VA claim today.
You can contact us with any questions; we will gladly assist you.
