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8711
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Middle spine nerve pain (neuralgia)

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

What the rating means

Neuralgia of the middle spine under diagnostic code 8711 is rated by applying the rating formula for nerve paralysis, using diagnostic code 8511. VA measures how much function you have lost compared to complete paralysis of that nerve. The possible ratings depend on whether the arm affected is your major (dominant) or minor (nondominant) arm. Complete paralysis — meaning adduction, abduction, and rotation of the arm, flexion of the elbow, and extension of the wrist are lost or severely affected — is rated at 70% for the major arm and 60% for the minor arm. Incomplete paralysis, where function is impaired but not fully lost, is divided into three levels: severe rates at 50% for the major arm and 40% for the minor arm; moderate rates at 40% for the major arm and 30% for the minor arm; and mild rates at 20% for either arm. Because neuralgia involves sensory involvement rather than true paralysis, the regulation states that a wholly sensory condition should be rated at the mild or, at most, the moderate degree.

Evidence that helps

Because the ratings turn on how much nerve function you have lost, medical records and examination findings that document the degree of that loss are most useful. For complete or severe incomplete paralysis, records showing that arm movement — including raising, rotating, or pulling the arm, bending the elbow, or extending the wrist — is lost or severely limited would support a higher rating. Nerve conduction studies or electromyography results that show the extent of nerve damage can help establish severity. For moderate or mild levels, records of reduced range of motion, measurable muscle weakness, or sensory deficits in the arm are relevant. Because neuralgia is a sensory condition, your examiner's finding that involvement is wholly sensory is significant, since the regulation limits wholly sensory conditions to the mild or moderate degree. Statements from you or people who know you describing how pain or numbness affects the use of your arm in daily activities or work can help show functional impact at any 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.