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8514
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Radial nerve paralysis

Paralysis of the radial nerve, which may cause weakness in wrist and finger extension.

What the rating means

VA rates radial nerve paralysis under diagnostic code 8514. The rating depends on whether the paralysis is complete or incomplete, and on which arm is affected — the major arm (your dominant arm) or the minor arm (your nondominant arm).

Complete paralysis is rated at 70% for the major arm and 60% for the minor arm. Complete paralysis means the hand and fingers are perpetually flexed, the thumb is adducted, you cannot extend the hand at the wrist, extend the fingers at the proximal joints, extend the thumb, or make side-to-side wrist movements. Supination and elbow flexion and extension are weakened, and the loss of extensor coordination seriously impairs hand grip.

Incomplete paralysis means your lost or impaired function is substantially less than the complete picture above. Incomplete paralysis is divided into three levels. Severe incomplete is rated 50% for the major arm and 40% for the minor arm. Moderate incomplete is rated 30% for the major arm and 20% for the minor arm. Mild incomplete is rated 20% for either arm. When the involvement is wholly sensory, the rating is for the mild or, at most, moderate degree.

Evidence that helps

Medical records that document your specific functional deficits help show which rating level applies. For a complete paralysis rating, records and examination findings would need to show the full picture: perpetual flexion of the hand and fingers, inability to extend the wrist or fingers, adduction of the thumb, and weakened supination and elbow motion, along with seriously impaired hand grip.

For incomplete paralysis, the severity level matters. Examination findings that measure grip strength, range of motion, and sensory loss help distinguish mild, moderate, and severe. If your nerve damage affects only sensation and not motor function, the regulation limits the rating to mild or at most moderate.

Statements from you or people who know you describing how wrist drop, grip weakness, or loss of hand control affects your work tasks and daily activities can help show real-world functional impact. Records noting which hand is your dominant hand are relevant because the major and minor arm ratings differ at most levels.

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.