TurboVets is fully live. For support, please submit tickets in app.
Sign In to TurboVets
Your Data is Protected. Never Sold. Never Used for Profit.
Read our FAQ
8712
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Lower spine nerve pain (neuralgia)

Nerve pain affecting the lower spine nerve roots, which may cause sharp or burning pain in the hand and fingers.

What the rating means

Neuralgia of the lower spine is rated under diagnostic code 8712. Because the regulation text for neuralgia of peripheral nerves specifies that when the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree, the possible ratings are mild or moderate. The condition is rated by analogy to the paralysis formula for the same nerve, meaning VA looks at how much function has been lost or impaired compared to complete paralysis. A key rule in this section is that incomplete paralysis means a degree of lost or impaired function substantially less than what would be seen with complete paralysis, whether because of where along the nerve the damage sits or because of partial recovery. The ratings for peripheral nerves apply to one side of the body; if both sides are affected, VA combines the ratings and also applies the bilateral factor.

Evidence that helps

Because neuralgia is treated as wholly sensory involvement, records that document the nature and extent of your sensory symptoms carry the most weight. Medical records showing a confirmed diagnosis, nerve conduction studies or electromyography results, and clinical exam findings that describe the location, frequency, and character of pain or altered sensation help establish where your symptoms fall on the mild-to-moderate scale. Records from treating providers that describe how your pain affects your ability to stand, walk, sit, or carry out daily tasks are relevant. Your own statements, and statements from people who see you regularly, describing how nerve pain limits your work duties or daily activities can help show functional impact. If both sides of your lower spine are affected, records documenting symptoms on each side support application of the bilateral factor.

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.