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8710
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Upper spine nerve pain (neuralgia)

Nerve pain affecting the upper spine nerve roots, which may cause sharp or burning pain in the shoulder and upper arm.

What the rating means

Neuralgia of the upper spine (diagnostic code 8710) is rated under the same formula used for paralysis of the long thoracic nerve (code 8510). Because this condition involves the peripheral nerves, VA rates it as "incomplete paralysis," since neuralgia reflects lost or impaired nerve function rather than complete loss of movement. The regulation also states that when the involvement is wholly sensory — as nerve pain often is — the rating should be for the mild, or at most, the moderate degree of incomplete paralysis. The possible ratings are 20% for mild incomplete paralysis of either the major or minor side; 30% for moderate incomplete paralysis of the minor side; 40% for moderate incomplete paralysis of the major side; 40% for severe incomplete paralysis of the minor side; and 50% for severe incomplete paralysis of the major side. "Major" refers to your dominant arm or hand side, and "minor" refers to your nondominant side. If both sides are affected, VA combines the two ratings and applies the bilateral factor.

Evidence that helps

Because the ratings turn on how much nerve function is lost and whether the involvement is sensory, motor, or both, medical records that describe your specific symptoms and their severity are the most useful. Examination findings that document the degree of pain, any weakness, reduced range of motion at the shoulder or elbow, and sensory deficits help place the condition at a particular level. Nerve conduction studies or electromyography results that show the extent of nerve impairment can support a higher severity rating. Imaging reports identifying a structural cause at the upper spine may help establish the nature of the nerve involvement. Statements from you or people who know you describing how pain or weakness affects your ability to lift, reach, carry, or perform work tasks can show functional impact. Records noting whether both sides are affected matter because bilateral involvement changes how the ratings are combined.

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.