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8728
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Obturator nerve pain

Nerve pain affecting the obturator nerve in the inner thigh, which may cause discomfort in the hip or groin area.

What the rating means

Obturator nerve pain (neuralgia) is rated under diagnostic code 8728, which applies the same rating criteria used for paralysis of the obturator nerve under code 8528. VA rates this condition at either 10% or 0%. A 10% rating applies when the condition is severe to complete. A 0% rating applies when the condition is mild or moderate. Because this is a neuralgia — meaning the involvement is wholly sensory — the regulation states that the rating should be for the mild, or at most, the moderate degree. The ratings are for unilateral involvement, meaning one side of the body. If both sides are affected, VA will combine the separate evaluations and apply the bilateral factor.

Evidence that helps

Because the regulation limits neuralgia to a mild or at most moderate rating, medical records that document the nature and extent of your sensory symptoms are central. Exam findings that describe the character of your pain — such as its location along the obturator nerve's distribution in the inner thigh and groin — and any objective sensory testing results help show the severity of impairment. Records showing lost or impaired function that is substantially less than complete paralysis support how VA measures incomplete involvement. Statements from you or people who know you, describing how pain affects your daily activities, movement, or work, can show whether the condition is mild or moderate. If both sides are affected, separate documentation of each side is needed so VA can evaluate each and apply 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.