Migraine headaches require meticulous documentation for successful VA disability claims because they are purely subjective conditions with no objective tests to verify symptoms. Bethanie Spangenberg of Valor 4 Vet explains the critical components of the Migraine DBQ and rating criteria.

• "Prostrating" is the magic word determining VA ratings—meaning attacks causing extreme exhaustion, powerlessness, debilitation, or incapacitation
• Frequency of prostrating attacks directly correlates to rating percentages
• Secondary service connection (linking to already service-connected conditions) is often easier to establish than direct service connection
• Documentation is crucial—keep headache journals, seek proper medical care, get imaging when appropriate, and ensure workplace supervisors are aware of your condition
• Evidence wins claims—gather and maintain all medical records, civilian and military, in a fireproof safe

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