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8614
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Radial nerve inflammation (neuritis)

Inflammation of the radial nerve, which may cause pain, weakness, or numbness in the wrist and fingers.

What the rating means

Radial nerve neuritis (diagnostic code 8614) is rated under the same formula used for radial nerve paralysis, diagnostic code 8514. VA treats neuritis as a form of incomplete paralysis, so only the incomplete paralysis ratings apply to this condition. The possible ratings are 50% or 40% for severe incomplete paralysis, 30% or 20% for moderate incomplete paralysis, and 20% for mild incomplete paralysis. The higher percentage in each pair applies to the major (dominant) arm, and the lower percentage applies to the minor (nondominant) arm, except at the mild level where both arms are rated 20%. If the neuritis affects both arms, VA rates each side separately and then combines them, applying the bilateral factor. When the condition involves only sensory symptoms and no motor loss, the regulation limits the rating to mild or, at most, moderate.

Evidence that helps

To support a higher rating, medical records and examination findings should reflect how much function you have lost in the affected arm. For severe incomplete paralysis, records would show significant weakness or impaired ability to extend your hand at the wrist, extend your fingers or thumb, rotate your palm upward, or grip objects, falling short of complete paralysis. For moderate or mild levels, findings would show lesser degrees of those same deficits. Nerve conduction studies and electromyography can provide objective evidence of the extent of nerve damage. If your symptoms are purely sensory, such as numbness, tingling, or pain without motor loss, the regulation directs that the rating be no higher than moderate. Statements from you or people who know you describing how weakness or sensory changes affect your ability to work, carry objects, type, or perform daily tasks help show the functional impact of your symptoms.

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.