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8716
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Ulnar nerve pain (neuralgia)

Nerve pain affecting the ulnar nerve, which may cause sharp or burning pain in the ring and little fingers.

What the rating means

Ulnar nerve neuralgia is rated under diagnostic code 8716. Because it is a neuralgia rather than a paralysis, VA rates it by analogy to the paralysis ratings under diagnostic code 8516 for the ulnar nerve, but the regulation limits neuralgia ratings to the mild or, at most, the moderate degree.

For paralysis of the ulnar nerve, the possible ratings depend on which arm is affected. The dominant arm is called "Major" and the nondominant arm is called "Minor." Complete paralysis rates at 60% for the Major extremity and 50% for the Minor. Incomplete paralysis rates as severe (Major 40%, Minor 30%), moderate (Major 30%, Minor 20%), or mild (Major 10%, Minor 10%). Because your condition is neuralgia — meaning the involvement is wholly sensory — the regulation states the rating should be for the mild or, at most, the moderate degree. Ratings above moderate are not available for a purely sensory neuralgia. The ratings above apply to one side; if both arms are involved, VA combines the ratings and applies the bilateral factor.

Evidence that helps

Because neuralgia of the ulnar nerve is capped at the mild to moderate range, evidence that shows the nature and extent of your sensory symptoms is most relevant. Medical records documenting pain, tingling, or numbness along the ulnar nerve distribution — the ring finger, little finger, and the inner forearm — support the diagnosis. Nerve conduction studies or electromyography results that show sensory nerve involvement, rather than motor loss, help confirm the sensory character of the condition and distinguish it from paralysis.

For a moderate rating, records showing that sensory symptoms noticeably limit function — such as difficulty gripping, handling objects, or performing fine motor tasks — are helpful. For a mild rating, records reflecting intermittent or less limiting sensory complaints are relevant. Statements from you or people who know you describing how pain or numbness affects daily tasks, work duties, or sleep can help show functional impact. Examination findings noting the absence of the muscle wasting or finger-deformity signs associated with motor paralysis also help clarify that the condition is sensory in nature.

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.