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Migraine Nexus Letters

A board-certified physician reviews your records and writes an individualized medical opinion letter connecting your migraines to service. $400 flat rate.

Start My Nexus Letter

$50 record review — applied toward your $400 letter.

Pre-Memorial Day Rate — ends May 25

Understanding Your Claim
How migraine VA claims work.

There are several recognized pathways to service-connect migraines. The right approach depends on your service history and medical records.

Direct Service Connection

If your service treatment records document headaches during active duty, or you sustained a head injury, blast exposure, or concussion in service, your migraines may be directly connected to service. A formal migraine diagnosis after separation does not prevent a direct claim if symptoms began in service.

Secondary to PTSD

PTSD and migraines share neurobiological pathways, including central sensitization and serotonin dysregulation. Chronic hyperarousal and sleep disruption from PTSD independently increase migraine frequency and severity. This is one of the most well-established secondary connections. (Peskind ER et al. Psychiatr Ann. 2013)

Secondary to TBI

Post-traumatic headaches are one of the most common sequelae of traumatic brain injury. Veterans with a service-connected TBI frequently develop chronic migraines that persist long after the initial injury. The causal chain runs: in-service TBI → post-traumatic headache disorder → chronic migraines.

Secondary to Cervical Spine / Medications

Cervicogenic headaches arise from service-connected neck injuries and cervical spine conditions. Additionally, some medications prescribed for service-connected conditions cause headaches as a side effect. Both represent recognized secondary pathways to a migraine claim.

Start My Nexus Letter Pre-Memorial Day Rate — ends May 25
Building Your Case
What makes a strong migraine nexus letter.

The stronger your supporting evidence, the stronger the medical opinion we can write. Here is what we look for in your records.

  • ✓A formal migraine diagnosis from a healthcare provider. This can be from your primary care physician, neurologist, or VA provider.
  • ✓Documented frequency and severity of your migraine attacks. A headache diary or treatment notes showing how often attacks occur and how long they last.
  • ✓Evidence of prostrating attacks. This means attacks that force you to stop what you are doing and lie down. Documenting prostrating attacks is critical for ratings above 10%.
  • ✓Impact on work and daily activities. Missed work days, reduced productivity, emergency room visits, or inability to perform routine tasks during an attack.
  • ✓A documented connection to a service event or service-connected condition. This could be a head injury, blast exposure, TBI diagnosis, PTSD rating, or cervical spine condition.
  • ✓Medical literature supporting the causal pathway between your service-connected condition and migraines. We provide this in the letter.

You do not need all six of these elements. Even two or three strong pieces of evidence can support a favorable medical opinion. Upload what you have and we will assess your case.

Rating Criteria
VA rating criteria for migraines (DC 8100).

The VA rates migraines under Diagnostic Code 8100. Here are the four rating levels.

Rating Criteria
50% Very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability.
30% Characteristic prostrating attacks occurring on average once a month over the last several months.
10% Characteristic prostrating attacks averaging one in 2 months over the last several months.
0% Less frequent attacks.
"Prostrating" means the attack forces you to stop what you are doing and lie down. This is the key word in the rating criteria. Documenting that your migraines are prostrating, and how often they occur, is the single most important factor in determining your rating. If your attacks happen monthly and force you to lie down, you may qualify for 30% or higher.
Start My Nexus Letter Pre-Memorial Day Rate — ends May 25
Veterans We Have Helped
What our clients say.

Real results from real veterans.

"My migraines started right after my deployment but I never connected them to my PTSD. Dr. Ryan laid out the medical connection clearly. I filed with the letter and received a 30% rating on my first submission." — Army veteran, 2004–2012
"His letters are exactly what you read about on the forums. Proper medical language, cited literature, clear reasoning. I filed with the letter and my claim was granted on the first submission for a condition my VSO said was unlikely." — Navy veteran, 2006–2015
Pricing
Simple, flat-rate pricing.
Same price for every condition, every time. No hidden fees. No upsells.
Pre-Memorial Day Rate
$500 $400
Save $100
per nexus letter — every condition, every time
Launch pricing ends May 25, 2026
$50 record review — applied toward your letter$50
Letter fee (paid upon completion)$350
Typical turnaround10 business days
If we can't help: If after reviewing your records our team determines that a supportive nexus opinion cannot be provided, you are not charged the $350 letter fee. If we can't support your case, you keep a physician's written analysis of why and what would strengthen it.
Your $50 record review is applied toward the $400 total. You only pay the remaining $350 if we can write a supportive letter.
Start My Nexus Letter Pre-Memorial Day Rate — ends May 25
Get Started

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Upload your records and we'll review your case. $50 record review — applied toward your letter. Takes about 10 minutes.

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$400 Flat Rate — Migraines Get Started