Tibial nerve pain (neuralgia)

Medical records that document the nature and extent of your tibial nerve pain help establish where your symptoms fall within the rating levels. For a moderate rating at 20%, records showing objective findings of impaired function in the sole of the foot, difficulty with plantar flexion or toe movement, and sensory loss along the tibial nerve distribution would be relevant. For a mild rating at 10%, records reflecting pain, tingling, or reduced sensation with limited effect on function would correspond to that level.

Nerve conduction studies or electromyography results can provide objective evidence of the degree of nerve involvement. Physical examination findings recorded by a treating provider or a VA examiner, such as measurements of range of motion, strength testing of foot and toe muscles, and sensory testing, directly address the criteria. Statements from you describing how foot pain or altered sensation affects your ability to walk, stand, or carry out daily activities can show functional impact. Statements from people who observe your limitations in daily life may also reflect how the condition affects you.