Condition
VA Nexus Letters for Migraines & Headaches
Direct and secondary migraine claims, including post-TBI and cervicogenic headache.
Migraine claims hinge on documenting prostrating attacks — headaches that stop you from functioning — and on establishing the underlying mechanism, which is frequently a service-connected head injury, neck condition, or medication side effect rather than an isolated in-service headache complaint.
What the VA requires
- A current headache diagnosis
- An in-service event, injury, or a service-connected primary condition
- A medical opinion establishing direct or secondary connection
- A record of frequency, duration, and prostrating character
How it is rated
Rated under DC 8100 from 0 to 50 percent, keyed to the frequency of prostrating attacks and whether they produce severe economic inadaptability.
How we help
- Opinions linking migraines to TBI, cervical spine conditions, or PTSD medications
- Guidance on headache journaling that supports the prostrating-attack criteria
- Rebuttals where the examiner did not address the secondary pathway
Commonly claimed as secondary
- TBI
- Cervical strain
- PTSD
- Tinnitus
Find out which of your conditions a medical opinion can support.
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