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8725
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Posterior tibial nerve pain

Nerve pain affecting the posterior tibial nerve in the lower leg, which may cause discomfort in the ankle or foot.

What the rating means

Posterior tibial nerve pain (neuralgia) is rated under diagnostic code 8725 in the VA schedule for neurological conditions. Because this is a neuralgia — a pain condition rather than full paralysis — VA rates it using the same percentage levels that apply to posterior tibial nerve paralysis under code 8525, but the regulation limits purely sensory involvement to no higher than the mild or, at most, the moderate degree.

The possible ratings are 10% for mild incomplete involvement, 10% for moderate incomplete involvement, 20% for severe incomplete involvement, and 30% for complete paralysis. Complete paralysis means all muscles of the sole of the foot are paralyzed, toes cannot be flexed, adduction is weakened, plantar flexion is impaired, and the condition frequently involves painful, causalgic-type symptoms. Because neuralgia is a sensory condition, the regulation directs that it be rated at the mild or moderate level at most. These ratings are for one side; if both feet are affected, the two ratings are combined with the bilateral factor applied.

Evidence that helps

Medical records that describe the character and frequency of your pain — such as burning, shooting, or causalgic sensations along the sole of the foot — help show where your condition falls between mild and moderate. A physical examination that documents any measurable loss of sensation, diminished reflexes, or weakness in the foot muscles adds objective support to the degree of nerve involvement.

Nerve conduction studies or electromyography results can provide objective evidence of how much the posterior tibial nerve's function is impaired. Because the regulation distinguishes mild from moderate based on how much function is lost compared to complete paralysis, records that track whether your symptoms have stayed the same, worsened, or improved over time are also relevant.

Statements from you or people who live and work with you describing how foot pain limits standing, walking, or other daily activities can help show the practical effect of your symptoms. These statements are most useful when they connect specific limitations to the nerve pain itself.

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.