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8629
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Lateral thigh nerve pain or damage

Inflammation or damage to the lateral femoral cutaneous nerve, which may cause pain or numbness on the outer thigh.

What the rating means

Lateral thigh nerve pain or damage (diagnostic code 8629) is rated as neuritis under the schedule for neurological conditions. VA rates it by looking at how much function the lateral femoral cutaneous nerve has lost, using the same scale as paralysis of that nerve under code 8529. Two ratings are possible: 10% for severe to complete involvement, and 0% for mild or moderate involvement.

Because this nerve is purely sensory, the regulation states that a wholly sensory involvement should be rated at the mild or, at most, the moderate degree. That means the highest rating available for a purely sensory condition like this one is 0%. A 10% rating would require more than sensory loss alone. The ratings shown here are for one side; if both thighs are affected, VA combines the two ratings and applies the bilateral factor.

Evidence that helps

To support a rating at any level, medical records and examination findings should document how much function the nerve has lost. For a severe to complete picture, evidence would need to show something beyond purely sensory loss, because the regulation caps wholly sensory involvement at the mild or moderate degree. For mild or moderate involvement, records showing sensory symptoms such as numbness, tingling, or pain along the outer thigh, with limited or no objective loss of nerve function on examination, would reflect that level.

Nerve conduction studies or electromyography results that measure how well the nerve is working can be relevant, as can a VA or private examination that describes the degree of sensory change or any motor findings. Your own statements, and statements from people who know you, describing how thigh symptoms affect your ability to stand, walk, or carry out daily tasks can help show the functional impact. If both thighs are affected, evidence documenting each side separately helps VA apply the correct combined rating.

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.