/ Conditions · Neurological

Tension headaches VA Claim Guide

Tension headaches is rated by the VA under the neurological portion of the rating schedule. Document frequency and functional impact — for neurological claims, the VA needs to see how often symptoms occur and how much they interrupt your life.

38 CFR §4.124a

Common symptoms

  • Pain, numbness, tingling, or weakness
  • Loss of balance or coordination
  • Headaches, dizziness, or cognitive changes
  • Episodes that interrupt daily activity

Common evidence

  • Neurology evaluation and diagnosis
  • Imaging (MRI, CT) or EMG/nerve conduction studies
  • Symptom log documenting frequency and severity
  • Medication and treatment records
  • Lay statements on functional impact

Primary service connection examples

  • Blast/TBI exposure or head trauma in service
  • In-service neurological treatment or diagnosis
  • Documented exposure to neurotoxins

Secondary service connection examples

  • Secondary to TBI, PTSD, or tinnitus
  • Secondary to spine or orthopedic condition (radiculopathy)
  • Secondary to diabetes (peripheral neuropathy)

Rating basics

Rated under 38 CFR §4.124a based on severity, frequency, and functional impact. Many neurological codes use 'mild / moderate / severe' incomplete paralysis criteria. Episodic conditions (e.g., headaches, seizures) are rated by frequency of incapacitating episodes.

Common denial reasons

  • No diagnostic workup or imaging
  • No frequency log for episodic conditions
  • Missing nexus to in-service event
  • Examiner attributes symptoms to age or unrelated cause