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8726
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Femoral nerve pain

Nerve pain affecting the femoral nerve in the thigh, which may cause discomfort in the front of the leg.

What the rating means

Femoral nerve pain (neuralgia) is rated under diagnostic code 8726, which uses the same rating formula as femoral nerve paralysis under code 8526. The possible ratings are 10%, 20%, 30%, and 40%. The regulation distinguishes between complete and incomplete paralysis. A complete paralysis of the quadriceps extensor muscles rates at 40%. Incomplete paralysis is rated by severity: mild at 10%, moderate at 20%, and severe at 30%. Because neuralgia involves sensory symptoms rather than full motor loss, the regulation states that when the involvement is wholly sensory, the rating should be for the mild or, at most, the moderate degree. The ratings listed apply to one side; if both legs are affected, VA combines the ratings and applies the bilateral factor.

Evidence that helps

Medical records and examination findings that document the severity of your femoral nerve symptoms are central to the rating. For a mild rating, records showing some loss or impairment of function — such as occasional pain, tingling, or sensory changes along the femoral nerve distribution — would be relevant. For a moderate rating, findings of more consistent sensory loss, weakness of the quadriceps, or reduced reflexes noted on physical exam help support that level. For a severe or complete rating, exam findings showing marked or total loss of quadriceps function, significant muscle atrophy, or an inability to extend the knee would be relevant. Because neuralgia is a sensory condition, the regulation caps it at mild or, at most, moderate. Statements from you or people who know you describing how pain or numbness limits walking, climbing stairs, or standing at work can help show how your symptoms affect daily function.

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.