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Brightview Veteran Independent Medical Examinations

(919) 849-8617

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    • About Us
    • Learn More
    • PTSD & MST
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(919) 849-8617

Brightview Veteran Independent Medical Examinations
  • Home
  • About Us
  • Learn More
  • PTSD & MST
  • Sleep Apnea Nexus Letter
  • Headache Nexus
  • GERD Nexus Letters
  • Secondary Conditions
  • Tinnitus and Insomnia
  • Cancer and Mental Health
  • Hypertension Nexus Letter
  • Traumatic Brain Injury
  • Contact

TBI Nexus Letters

What is a Traumatic Brain Injury?

A traumatic injury is trauma resulting from direct or indirect forces to the head that cause disruption of normal neurological function in the brain. 

Common Causes of TBI

Paratrooper TBI Nexus Letters

Car Accident TBI Nexus Letters

Car Accident TBI Nexus Letters

In a recent study it was found that paratroopers were twice as likely to sustain a  TBI after joining the Army than did non-paratroopers. Head injuries can happen during rough landings and in-air collisions with other paratroopers.


Paratroopers are also at a unique risk from suffering a number of other musculoskeletal injuries as well. 

Car Accident TBI Nexus Letters

Car Accident TBI Nexus Letters

Car Accident TBI Nexus Letters

Car accidents are the second leading cause of TBIs, making up 17.3% each year. So many things can happen during a motor vehicle accident that could result in a TBI-- your head could come into contact with the steering wheel, dashboard, or window; a free-flying object could hit you.   Whiplash can even cause a TBI.


If you were involved in a car or motorcycle accident during active duty, you may have suffered lasting physical or psychological injuries. Interestingly, 39.2% of motor vehicle accident survivors develop PTSD.

IED Exposure TBI Nexus Letters

Car Accident TBI Nexus Letters

IED Exposure TBI Nexus Letters

Per research from Johns Hopkins, "The brains of some Iraq and Afghanistan combat veterans who survived blasts from improvised explosive devices (IEDs) and died later of other causes show a distinctive honeycomb pattern of broken and swollen nerve fibers throughout critical brain regions, including those that control executive function. The pattern is different from brain damage caused by car crashes, drug overdoses or collision sports, and may be the never-before-reported signature of blast injuries suffered by soldiers as far back as World War I. "

Falls TBI Nexus Letters

Recoil from High Powered Firearms TBI Nexus Letters

IED Exposure TBI Nexus Letters

Falls are the leading cause of traumatic brain injury in children and older adults but can occur at any age. 

Physical Assault TBI Nexus Letters

Recoil from High Powered Firearms TBI Nexus Letters

Recoil from High Powered Firearms TBI Nexus Letters

Whether you suffered a blow to the head during a fight or during a contact sport, trauma to the head can result in a TBI.

Recoil from High Powered Firearms TBI Nexus Letters

Recoil from High Powered Firearms TBI Nexus Letters

Recoil from High Powered Firearms TBI Nexus Letters

Firearms with high recoil energies created enough head acceleration to potentially cause concussive brain injury. 

Traumatic Brain INjury Nexus Letters

What is a TBI Nexus Letter?

A TBI Nexus Letter is a document drafted by a physician in approved specialty that describes:

1) Why you meet the diagnostic criteria for TBI

2) Details of onset

3) Course of condition since onset

4) Current Symptoms


Schedule a Free Phone Consultation with a qualified doctor

Can any doctor write a TBI Nexus Letter?

No! The VA only allows certain medical specialties to perform TBI examinations for VA disability claims. A TBI examination can only be performed by a medical doctor (M.D.) who in one of the following specialties:

1) Psychiatry

2) Physical Medicine and Rehabilitation (PM&R)

3) Neurology

4) Neurosurgery


Schedule a Free Phone Consultation with a qualified doctor

Are Headaches Connected to TBI?

Headache is the most common symptom and residual condition attributable to head injury and TBI, both acutely and chronically. Diagnostic Criteria for Post-Traumatic Headaches Based on The International Classification of Headache Disorders, 3rd edition (ICHD-3) published in Cephalgia 2018, post-traumatic headaches are divided into acute or persistent subtypes based upon temporal relation to the trauma and duration.


The diagnostic criteria for Acute Post-Traumatic Headaches are as follows: 

1. Traumatic injury to the head has occurred. 

2. Headache is reported to have developed within seven days after one of the following: 

» The injury to the head 

» Regaining of consciousness following the injury to the head 

» Discontinuation of medication(s) impairing ability to sense or report headaches following the injury to the head 

3. Either of the following: 

» Headache has resolved within three months after its onset 

» Headache has not resolved, but three months have not yet passed since its onset 


If you suffer from co-morbid headaches we will discuss them in your TBI nexus letter. 

Get a Headache Nexus Letter

What Can I Claim Secondary to TBI?

  • Headaches
  • Scars
  • Mental Health Conditions to include Post Traumatic Stress Disorder, Major Depressive Disorder, Insomnia Disorder, etc. 
  • Vertigo
  • Degenerative Brain Diseases (i.e. Alzheimer's disease, Parkinson's disease, or Dementia pugilistica)
  • Seizure Disorders


Some of these conditions are considered presumptive, for those that are not, we are able to offer nexus letters for conditions secondary to TBI. 

Get A Nexus Letter for a Secondary Condition

(919) 849-8617



Wake Forest, North Carolina 27587


Nexus Letter Doctor Providing Nexus letters in all 50 states


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  • PTSD & MST
  • Sleep Apnea Nexus Letter
  • Headache Nexus
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  • Tinnitus and Insomnia
  • Cancer and Mental Health
  • Hypertension Nexus Letter
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