Nexus Letter Example

Date: November 06,

Reference:

VA File Number:

To Whom It May Concern,

I am Dr. , a board-certified specialist in sports medicine and rehabilitation medicine. I earned my medical degree from the College of Osteopathic Medicine & Rehabilitation in 2007 and completed my residency in Physical Medicine & Rehabilitation at University’s Rehabilitation Institute of in 2012. My extensive professional background includes roles as managing partner at , and assistant professor and Director of Sports Medicine at . I specialize in employing advanced diagnostic tools such as ultrasound and electromyography (EMG) for effective, non-invasive management of musculoskeletal injuries.

Over the past several years, I have provided musculoskeletal care to many active-duty service members and veterans within the Hampton Roads area of Virginia. I am well-acquainted with the types of injuries and disabilities commonly seen in military personnel and veterans.

I have been asked to provide a medical statement on behalf of Veteran ’s claim for the following conditions:

  1. Lower Extremity Musculoskeletal Conditions: Pes Planus, Plantar Fasciitis, Posterior Tibial (PT) Tendonitis, and Limited Ankle Dorsiflexion
  2. Lumbar Degenerative Disc Disease, and Lumbosacral Strain
  3. Left Knee Pain

I have personally reviewed Veteran ’s medical history, including his active-duty service records, VA medical records, his service personnel records, and documentation related to his currentVAdisabilityratingincludingpreviousVAdecisionletters.Ihavealsotakenintoaccount thecircumstancesandeventsduringhismilitaryservice.

Mr. is a Gulf War Era veteran who served honorably in the United States Army from July , to August . During his service, he endured significant physical demands, which have since manifested in various service-connected disabilities. He currently holds a total VA disability rating of 90%, Hence, Veteran is seeking service connection for the following conditions:

  1. Lower Extremity Musculoskeletal Conditions:
  2. Lumbar Degenerative Disc Disease, and Lumbosacral Strain
  3. Left Knee Pain

Mr. ’s service-connected right knee strain has led to compensatory gait and postural adaptations directly related to these conditions. Each condition is substantiated by Mr. ’s medical records and supported by relevant studies,

Lower Extremity Musculoskeletal Conditions: Pes Planus, Plantar Fasciitis, PT Tendinitis, Limited Ankle Dorsiflexion and Right Knee Strain

Mr. is diagnosed with bilateral pesplanus (flat feet), plantar fasciitis, posterior tibial (PT) tendinitis, and limited ankle dorsiflexion, as documented in his October, examination records.

Research supports that knee instabilitycan lead tocompensatorystrainon foot structures, particularlythemedialarchandplantarfascia.Whenakneeinjuryorchronickneestraincauses instability, thebody oftenadjusts by shiftingweight andalteringgait to reducediscomfort,

Sincerely,


, DO
Board Certified in Physical Medicine and Rehabilitation
Board Certified in Sports Medicine