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8522
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Superficial peroneal nerve paralysis

Paralysis of the superficial peroneal nerve, which may cause weakness in foot eversion and numbness on the foot's top.

What the rating means

VA rates superficial peroneal nerve paralysis under diagnostic code 8522. The possible ratings are 30%, 20%, 10%, and 0%. The regulation separates the condition into two broad categories: complete paralysis and incomplete paralysis.

Complete paralysis, where eversion of the foot is weakened, is rated at 30%. Incomplete paralysis is divided into three degrees. Severe incomplete paralysis is rated at 20%. Moderate incomplete paralysis is rated at 10%. Mild incomplete paralysis is rated at 0%.

Incomplete paralysis means your lost or impaired function is substantially less than what complete paralysis looks like for this nerve. It can result from where along the nerve the injury occurred or from partial regeneration of the nerve. If your symptoms are entirely sensory, the regulation says the rating should be no higher than mild or, at most, moderate. The ratings above apply to 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 the affected leg are central to showing your rating level. For a complete paralysis rating, records showing weakened eversion of the foot are directly relevant. Nerve conduction studies or electromyography results can provide objective evidence of how severely the nerve is damaged. Physical examination findings that describe muscle strength, range of motion, and sensory deficits help VA place your condition at complete, severe incomplete, moderate incomplete, or mild incomplete.

If your symptoms are purely sensory, the regulation limits the rating to mild or moderate, so records distinguishing motor loss from sensory-only loss matter. Statements from you or people who know you describing how weakness or numbness in your foot affects your ability to walk, stand, climb, or perform work duties can support the functional picture the examiner documents. If both legs are involved, records confirming bilateral involvement allow VA to apply the bilateral factor when combining the two ratings.

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.