Nexus Check
SampleSample Veteran · 2 conditions reviewed · Delivered Mar 14, 2026
412 pages read. Service records: 188 · VA records: 164 · Private records: 60
This record set identifies possible connections for the left knee and PTSD for independent clinician review.
Left knee
Supports
“Twisted L knee during field exercise. Swelling and pain with flexion. Profile 14 days.”
Service treatment record, p. 47
“Chronic L knee pain, limited flexion. Referred to orthopedics.”
VA treatment record, p. 212
Against
“Pt reports L knee pain since a recreational soccer injury in 2019.”
Private orthopedic record, p. 3
A rater may point to this later injury. A letter would need to address it.
Missing
- Any treatment record between 2014 and 2018
- Separation exam
- A current X-ray or MRI report
PTSD
Supports
“Reports nightmares and avoidance since deployment. PTSD screen positive.”
VA treatment record, p. 301
A current diagnosis screen is on record.
Against
“Separation screen: denies nightmares or anxiety.”
Service treatment record, p. 160
No symptoms are recorded at separation.
Missing
- Mental health notes from 2015 to 2019
- Any statement describing a stressor event
Records to get
- VA treatment notes, 2014 to 2018
- Separation exam
- Knee X-ray or MRI report
- Mental health notes, 2015 to 2019
The Nexus Check behind a report like this is free.

