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8625
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Posterior tibial nerve inflammation (neuritis)

Inflammation of the posterior tibial nerve, which may cause pain or numbness in the heel and sole.

What the rating means

Posterior tibial nerve inflammation (neuritis) is rated under diagnostic code 8625. VA rates neuritis using the same scale as paralysis of the posterior tibial nerve, but neuritis cannot be rated higher than the moderate degree when the condition affects sensation only, with no motor loss. The possible ratings are 30%, 20%, 10%, and 10%. A 30% rating reflects complete involvement: paralysis of all muscles of the sole of the foot, often with painful, burning (causalgic) symptoms, inability to flex the toes, weakened adduction, and impaired plantar flexion. A 20% rating reflects severe but incomplete loss of function. Both the mild and moderate levels of incomplete involvement are rated at 10%. The ratings described here are for one side; if both legs are affected, VA combines the two ratings and applies the bilateral factor.

Evidence that helps

Medical records that document the degree of motor and sensory loss in your foot are central to this rating. Nerve conduction studies or electromyography can show the extent of posterior tibial nerve damage. Physical examination findings are especially important: records showing whether you can flex your toes, how strong adduction is, and how much plantar flexion you retain help VA place your condition at the complete or a specific incomplete level. Reports of painful, burning (causalgic) sensations in the sole of the foot support the higher end of the scale. If your symptoms are purely sensory with no motor involvement, the regulation limits the rating to mild or, at most, moderate. Statements from you or people who know you describing how foot pain or weakness affects standing, walking, or your ability to work can help show functional impact at each 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.