WBAMC IPAP, here is a pearl from MAJ (soon to be retired) Raul Villalobos. When seeing and evaluating a patient, make sure to document a thorough SOAP note, and if able give a definitive diagnosis. Pain is a symptom, so in cases where musculoskeletal injuries are being evaluated document strain of an atomic area and pain vs pain alone (I.e. low back strain & low back pain). This will help the patient (and yourself) when finally submitting VA claims.