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8612
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Lower nerve root inflammation (neuritis)

Inflammation of the lower arm nerve roots, which may cause pain, weakness, or numbness in the hand and fingers.

What the rating means

Neuritis under diagnostic code 8612 is rated by analogy to the paralysis ratings for the same nerve. For lower nerve root neuritis, VA uses the rating criteria for diagnostic code 8512, which covers paralysis of the lower radicular group. The possible ratings depend on which arm is affected: the major (dominant) arm or the minor (nondominant) arm.

Complete paralysis — meaning all intrinsic muscles of the hand and some or all flexors of the wrist and fingers are paralyzed, resulting in substantial loss of use of the hand — rates at 70% for the major arm and 60% for the minor arm. Severe incomplete paralysis rates at 50% for the major arm and 40% for the minor arm. Moderate incomplete paralysis rates at 40% for the major arm and 30% for the minor arm. Mild incomplete paralysis rates at 20% for either arm. Because your neuritis involves sensory loss rather than motor loss, the regulation states the rating should be for the mild, or at most, the moderate degree.

Evidence that helps

Medical records documenting your diagnosis of lower nerve root neuritis and the degree of motor or sensory loss help establish which rating level applies. Nerve conduction studies, electromyography (EMG) results, and physical examination findings showing the extent of weakness, loss of grip, or impaired wrist and finger movement are directly relevant to separating mild, moderate, and severe levels.

If your involvement is wholly sensory — meaning pain, numbness, or tingling without significant motor loss — the regulation limits the rating to mild or at most moderate, so records clearly describing whether motor function is affected matter greatly.

Statements from you or people who know you describing how hand weakness or loss of function affects your ability to work, carry objects, or perform daily tasks can help show the practical impact of your symptoms. Treatment records, including notes from neurologists or orthopedic specialists, and any history of surgical or non-surgical treatment for the condition also reflect severity over time.

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.