Early-2000s Air Force veteran • Long-term headaches • No in-service documentation
The Challenge
VA denied migraines as “not related” to service or any service‑connected disabilities, despite long‑term headache complaints.
What Existed Before
- Longstanding headache complaints
- Recent formal diagnosis of migraine disorder
- Existing service connection for chronic tinnitus
The record lacked a clear medical explanation tying migraines to existing service‑connected issues.
Our Contribution
- Physiologic explanation of how Tinnitus can trigger migraine patterns
- Chronological analysis of Tinnitus, and migraine onset
- Structured opinion supporting migraines as secondary to service‑connected conditions.
Key Takeaway
After the secondary nexus opinion was added to the file, the veteran later received a favorable VA decision granting migraines as secondary to service‑connected disabilities.
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