Back to Articles

Resources · September 28, 2023

How to Prove Service Connection for Secondary Conditions

By Jackie Schabacker, MA, CRC, LPC, RSW — Honor Bound Evaluations

Many veterans suffer from secondary conditions caused by their primary service-connected injuries. For example, a veteran with a service-connected knee injury might develop lower back problems due to an altered gait over many years.

The Nexus Requirement

The key to winning a secondary claim is establishing the "nexus" or link between the already established primary condition and the new secondary condition. This requires strong medical evidence.

Independent medical opinions (IMOs) play a vital role here. A qualified professional can review your records and provide a rationale detailing exactly how the primary condition proximately caused or aggravated the secondary condition.

Take the Next Step

Free TDIU Screen See if you qualify for an independent vocational assessment.

Pricing & Services Transparent flat-rate pricing for a vocational expert report.

More TDIU Guides Browse all articles, resources, and VA news updates.