Nexus letter
Shoulder condition
Rotator cuff, impingement, and instability claims tied to service activity.
$895 for this condition · $149 to start
What this claim turns on
Shoulder claims rest on repetitive overhead loading, a specific traumatic event, or both. Where your service records document either, the opinion connects the mechanism to the current imaging findings — a rotator cuff tear pattern, an impingement geometry, a labral injury — and explains why that pattern is consistent with the history you describe rather than with ordinary ageing.
Commonly claimed as secondary to
If one of these is already service connected, this condition may be claimable as secondary to it. Your intake asks which pathway applies.
Conditions often secondary to this one
If shoulder is already service connected for you, these conditions are frequently claimed as flowing from it. Each needs its own opinion.
Records to have ready
Your physician needs these to form an opinion. Gathering them before you start is the single biggest thing you can do to move your case quickly.
- DD-214 or other separation document
- Service treatment records covering your time in service
- Current VA or private treatment records showing a diagnosis
- Any VA rating decision or denial letter you have received
- Shoulder imaging — X-ray or MRI
- Physical therapy and orthopaedic records
Missing something? Start anyway and tell us in the intake. Sometimes a gap changes the approach rather than stopping the claim. How to request your records.