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8626
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Femoral nerve pain or damage

Inflammation or damage to the femoral nerve, which may cause pain, numbness, or weakness in the thigh and knee.

What the rating means

Femoral nerve damage is rated under diagnostic code 8626 as neuritis, which follows the same rating formula as paralysis of the femoral nerve under code 8526. VA rates this condition based on how much function you have lost. The possible ratings are 40%, 30%, 20%, and 10%. A 40% rating applies when there is complete paralysis of the quadriceps extensor muscles. Below that, ratings are based on how incomplete the paralysis is: 30% for severe incomplete paralysis, 20% for moderate incomplete paralysis, and 10% for mild incomplete paralysis. The regulation also notes that when the nerve damage affects sensation only, the rating should be no higher than mild or, at most, moderate. These ratings are for one side of the body. If both legs are affected, VA combines the ratings and applies the bilateral factor.

Evidence that helps

Medical records and examination findings that document how much strength and function you have lost in your quadriceps are central to this rating. A VA or private examination that directly tests the power of the quadriceps extensor muscles helps show whether paralysis is complete or, if incomplete, how severe it is. Nerve conduction studies or electromyography can provide objective evidence of the degree of nerve damage. Records showing you have difficulty straightening your knee, climbing stairs, or bearing weight support a higher level of incomplete paralysis. If your nerve damage causes only sensory symptoms such as numbness or pain rather than weakness, the regulation limits the rating to mild or moderate. Statements from you or people who know you, describing how weakness or sensory loss affects your ability to walk, work, or perform daily activities, can help show the functional impact at each level.

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.