What we can write an opinion for

Post-traumatic stress disorder (PTSD)

A written opinion connecting your PTSD diagnosis to a specific in-service stressor.

Major depressive disorder

Direct service connection, or depression secondary to a painful or limiting service-connected condition.

Often secondary to: PTSD, Lower back, Migraines, Tinnitus

Generalized anxiety disorder

An opinion addressing anxiety as a direct result of service or secondary to another rated condition.

Often secondary to: PTSD, Tinnitus, Lower back

Obstructive sleep apnea

The most common secondary claim we see — most often secondary to PTSD, sinusitis, weight gain, or tinnitus.

Often secondary to: PTSD, Sinusitis, Tinnitus, Lower back, GERD

Chronic sinusitis and rhinitis

Often tied to burn pit exposure, deployment dust, or persistent in-service upper respiratory complaints.

Often secondary to: GERD

Asthma and reactive airway disease

For asthma that began in service or was permanently worsened by deployment exposures.

Often secondary to: GERD, Sinusitis

Lumbar spine condition (lower back)

Degenerative disc disease, strain, and other lumbar conditions tied to service.

Cervical spine condition (neck)

Neck conditions from load-bearing, vehicle incidents, or repetitive strain in service.

Often secondary to: Lower back, Shoulder, TBI

Knee condition

Meniscal injury, patellofemoral syndrome, and degenerative knee conditions.

Often secondary to: Lower back, Ankle / foot

Shoulder condition

Rotator cuff, impingement, and instability claims tied to service activity.

Often secondary to: Neck

Ankle and foot condition

Plantar fasciitis, ankle instability, and related foot conditions.

Often secondary to: Lower back, Knee

Radiculopathy

Nerve pain radiating from a service-connected spine condition — a common secondary claim.

Often secondary to: Lower back, Neck

Migraine headaches

Direct claims and migraines secondary to TBI, neck injury, or PTSD.

Often secondary to: TBI, Neck, PTSD

Traumatic brain injury (TBI)

Residuals of head trauma, including blast exposure without a documented loss of consciousness.

Peripheral neuropathy

Nerve damage from toxic exposure, or secondary to service-connected diabetes.

Often secondary to: Diabetes

Tinnitus

Connecting persistent ringing to documented in-service noise exposure.

Often secondary to: Hearing loss, TBI

Sensorineural hearing loss

For hearing loss from in-service noise exposure, including delayed-onset claims.

Often secondary to: TBI

Gastroesophageal reflux disease (GERD)

Most often claimed as secondary to medications taken for a service-connected condition.

Often secondary to: Lower back, PTSD, Knee

Irritable bowel syndrome (IBS)

Functional gastrointestinal claims, including those secondary to PTSD or deployment infection.

Often secondary to: PTSD, Anxiety

Hypertension

High blood pressure claimed directly or as secondary to PTSD, sleep apnea, or diabetes.

Often secondary to: PTSD, Sleep apnea, Diabetes

Type 2 diabetes mellitus

Direct, presumptive, and secondary pathways including medication-induced weight gain.

Often secondary to: PTSD, Lower back

Erectile dysfunction

Most commonly secondary to psychiatric medication, diabetes, or a service-connected mental health condition.

Often secondary to: PTSD, Depression, Diabetes, Hypertension