Primary service-connected condition

DC 5025 — Fibromyalgia

Also known as: Fibromyalgia, fibro, widespread pain, chronic pain, body aches, tender points

Mapped secondary conditions
7

These are commonly claimed secondary connections linked to this primary disability. Use them as a screening tool for conversations with your doctor, VSO, or VA-accredited attorney.

Primary Secondary

Fibromyalgia Chronic Fatigue Syndrome (CFS)

6354
Strong

How the connection is commonly explained

Persistent fatigue is a hallmark of fibromyalgia

Filing tip

File as a secondary claim to DC 5025 (Fibromyalgia). Provide medical records showing persistent fatigue is a hallmark of fibromyalgia and request a nexus opinion linking Chronic Fatigue Syndrome (CFS) to your service-connected condition.

Relationship type: Caused by
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Primary Secondary

Fibromyalgia Generalized anxiety disorder

9400
Strong

How the connection is commonly explained

Chronic widespread pain causes significant anxiety

Filing tip

File as a secondary claim to DC 5025 (Fibromyalgia). Provide medical records showing chronic widespread pain causes significant anxiety and request a nexus opinion linking Generalized anxiety disorder to your service-connected condition.

Relationship type: Caused by
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Primary Secondary

Fibromyalgia Irritable bowel syndrome (IBS)

7319
Strong

How the connection is commonly explained

Fibromyalgia and IBS frequently co-occur — shared central sensitization

Filing tip

File as a secondary claim to DC 5025 (Fibromyalgia). Provide medical records showing fibromyalgia and ibs frequently co-occur — shared central sensitization and request a nexus opinion linking Irritable bowel syndrome (IBS) to your service-connected condition.

Relationship type: Caused by
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Primary Secondary

Fibromyalgia Major depressive disorder

9434
Strong

How the connection is commonly explained

Fibromyalgia and depression are strongly comorbid

Filing tip

File as a secondary claim to DC 5025 (Fibromyalgia). Provide medical records showing fibromyalgia and depression are strongly comorbid and request a nexus opinion linking Major depressive disorder to your service-connected condition.

Relationship type: Caused by
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Primary Secondary

Fibromyalgia Migraine

8100
Strong

How the connection is commonly explained

Central sensitization links fibromyalgia and migraines

Filing tip

File as a secondary claim to DC 5025 (Fibromyalgia). Provide medical records showing central sensitization links fibromyalgia and migraines and request a nexus opinion linking Migraine to your service-connected condition.

Relationship type: Caused by
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Primary Secondary

Fibromyalgia Sleep Apnea Syndromes

6847
Moderate

How the connection is commonly explained

Fibromyalgia severely disrupts sleep architecture

Filing tip

File as a secondary claim to DC 5025 (Fibromyalgia). Provide medical records showing fibromyalgia severely disrupts sleep architecture and request a nexus opinion linking Sleep Apnea Syndromes to your service-connected condition.

Relationship type: Caused by
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Primary Secondary

Fibromyalgia Temporomandibular disorder (TMD)

9905
Moderate

How the connection is commonly explained

Jaw pain and TMJ commonly co-occur with fibromyalgia

Filing tip

File as a secondary claim to DC 5025 (Fibromyalgia). Provide medical records showing jaw pain and tmj commonly co-occur with fibromyalgia and request a nexus opinion linking Temporomandibular disorder (TMD) to your service-connected condition.

Relationship type: Caused by
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How to File a Secondary Claim

1. Have your primary condition already service-connected.
2. Get diagnosed with the secondary condition.
3. Get a nexus letter from a doctor linking them.
4. File VA Form 21-526EZ and select the claim as a secondary claim.
5. Attend the C&P exam if one is scheduled.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.