Body system: Neurological Conditions and Convulsive DisordersRegulation: 38 CFR § 4.124a
This diagnostic code covers paralysis of nerves, though the specific nerve isn't named in the title. Based on the rating criteria, it appears to focus on nerve damage affecting foot and toe movement, particularly the ability to point your foot downward (plantar flexion) and move your toes. The VA rates this condition from 10% for mild paralysis up to 40% for complete paralysis where you've lost most foot and toe movement. The higher ratings reflect more severe loss of function that significantly impacts your daily activities and mobility.
Rating levels
40% — Complete paralysis of the tibial nerve means you've lost the ability to point your foot downward (plantar flexion) and cannot pull your foot inward toward your other foot. You also cannot bend or spread your toes apart, and none of the muscles in the bottom of your foot work. If the nerve damage is high up near the knee area, you'll also lose the ability to push your foot down against resistance.
30% — Incomplete, severe damage to the internal popliteal nerve (also called the tibial nerve, which controls muscles in your calf and foot) means you have significant but not total loss of function. You would experience major weakness or partial paralysis in your ability to point your foot downward, push off when walking, or control some toe movements, along with possible numbness or tingling in the bottom of your foot and toes.
20% — The internal popliteal nerve (also called the tibial nerve, which controls muscles in your calf and foot) has moderate damage but still works partially. You would have noticeable weakness in pointing your foot downward, pushing off when walking, or controlling some toe movements, but you haven't lost all function in these areas. The nerve damage causes clear problems with movement and possibly some numbness, but you can still use the affected muscles to some degree.
10% — You have mild, partial damage to the tibial nerve (a major nerve that runs down the back of your leg and controls muscles in your calf and foot). This causes some weakness in pointing your foot downward or controlling your toes, but the nerve damage is not severe and you still have most of your normal function.
Disclaimer: This tool is for informational purposes only and is not legal or medical advice. Always consult with your VSO representative or a qualified veterans benefits attorney for guidance on your specific claim.