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This requires: Evidence of an in-service event, injury, or activity that could cause CTS (e.g., job duties involving repetitive hand movements, use of vibrating tools, heavy lifting) Service medical records documenting complaints of or treatment for hand/wrist pain or other CTS symptoms A medical nexus statement from a healthcare provider linking your current condition to your military service Secondary Service Connection If your carpal tunnel syndrome developed as a result of another service-connected condition, you may qualify through secondary service connection