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8718
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Circumflex nerve pain (neuralgia)

Nerve pain affecting the circumflex nerve in the shoulder, which may cause sharp or burning sensations.

What the rating means

Circumflex nerve pain, called neuralgia, is rated under diagnostic code 8718 by applying the formula for circumflex nerve paralysis (code 8518). The regulation covers neuralgia of the circumflex nerve, which affects the deltoid and teres minor muscles and controls abduction of the arm and outward rotation of the shoulder. Because your condition is neuralgia rather than paralysis, the regulation specifies that it must be rated at mild or, at most, moderate — meaning the two higher levels (complete paralysis at 50% for the major arm or 40% for the minor arm, and severe incomplete paralysis at 30% for the major arm or 20% for the minor arm) are not available for a purely sensory condition. Moderate incomplete paralysis is rated at 10% for both the major and minor arm. Mild incomplete paralysis is rated at 0% for both.

Evidence that helps

Medical records that document your diagnosis of circumflex nerve neuralgia are a foundation of any evaluation. Examination findings that describe the degree of pain, sensory loss, and any weakness in raising your arm outward or rotating it outward help show where your condition falls within the mild to moderate range. Because neuralgia is wholly sensory under the regulation, records showing that your function is not fully lost — but is meaningfully reduced — support a moderate rather than mild finding. Nerve conduction studies or electromyography, if performed, can provide objective evidence of the degree of nerve involvement. Statements from you or people who know you describing how shoulder pain limits your daily activities, such as reaching overhead or carrying objects, can show how the condition affects your function. Records from treating providers over time showing persistent or worsening symptoms also reflect the ongoing nature of your condition.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.