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Direct service connection requires you to show three things. A current disability, an in-service injury event, manifestation, or illness, and a nexus between those two. So, for example, in a claim for service connection of a knee disability, a veteran would need to show the knee disability, usually current treatment records showing the diagnosis and symptoms, evidence that he or she injured the knee during service or that the knee condition began during service, and then the medical nexus between the
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current disability and the in-service injury or manifestation. With secondary service connection, you only have to show that your current disability is caused or aggravated by an already service connected condition. So, for example, if a veteran has depression caused by the chronic pain from his or her service connected back condition, then he or she can file a claim for secondary service connection for that depression. Secondary service connection eliminates the need to show the in-service event, injury, manifestation,
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etc. Speaking with an accredited attorney can help you determine whether direct, secondary, or both is the best route in order to maximize your benefits.
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