What happens during a C&P exam for Internal Saphenous Nerve Paralysis?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Internal Saphenous Nerve Paralysis

Q: What are the VA rating percentages for Internal Saphenous Nerve Paralysis?

Internal Saphenous Nerve Paralysis (DC 8527) is rated at 0%, 10% under 38 CFR § 4.124a, DC 8527. Mild OR moderate incomplete paralysis of the saphenous nerve — sensory disturbance over medial leg below the knee, no motor involvement (saphenous is a purely sensory branch of the femoral nerve). Per § 4.124a, mild and moderate severity of this nerve is noncompensable.

Q: What rates 0% for Internal Saphenous Nerve Paralysis under 38 CFR § 4.124a, DC 8527?

Under 38 CFR § 4.124a, DC 8527 (DC 8527), a 0% rating for Internal Saphenous Nerve Paralysis requires: Mild OR moderate incomplete paralysis of the saphenous nerve — sensory disturbance over medial leg below the knee, no motor involvement (saphenous is a purely sensory branch of the femoral nerve). Per § 4.124a, mild and moderate severity of this nerve is noncompensable.

Q: What rates 10% for Internal Saphenous Nerve Paralysis under 38 CFR § 4.124a, DC 8527?

Under 38 CFR § 4.124a, DC 8527 (DC 8527), a 10% rating for Internal Saphenous Nerve Paralysis requires: Severe incomplete paralysis OR complete paralysis. DC 8527 schedule caps at 10% because the saphenous nerve is purely sensory and § 4.124a preamble limits sensory-only nerves to a maximum severe-to-complete rating of 10%.

Q: What evidence do I need for a Internal Saphenous Nerve Paralysis VA claim?

Key evidence for a Internal Saphenous Nerve Paralysis claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 8527 | 38 CFR § 4.124a, DC 8527 | 

✓ VERIFIED AGAINST 38 C.F.R.§ 4.124a (Neurological conditions and convulsive disorders) · reviewed 2026-05-15 · ClaimRecon Editorial Team

Internal Saphenous Nerve Paralysis is rated by the U.S. Department of Veterans Affairs under DC 8527 of 38 CFR § 4.124a, DC 8527 across 2 severity tiers (0% / 10%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

OVERVIEW

Paralysis of the saphenous nerve causing sensory loss along the medial leg and foot with no motor deficit.

RATING CRITERIA (2 LEVELS)

Mild OR moderate incomplete paralysis of the saphenous nerve — sensory disturbance over medial leg below the knee, no motor involvement (saphenous is a purely sensory branch of the femoral nerve). Per § 4.124a, mild and moderate severity of this nerve is noncompensable.

10%

Severe incomplete paralysis OR complete paralysis. DC 8527 schedule caps at 10% because the saphenous nerve is purely sensory and § 4.124a preamble limits sensory-only nerves to a maximum severe-to-complete rating of 10%.

KEY EVIDENCE TO GATHER

-Service treatment records showing injury or complaints

-Imaging (X-ray, MRI, CT)

-Range of motion measurements

-Flare-up documentation per Sharp v. Shulkin

-Buddy statements describing limitations

-Prescription history

-Physical therapy records

-Employment impact documentation

C&P EXAM TIPS (6)

1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5.If you use assistive devices (brace, cane), bring them.

6.Describe daily activity impact: work, sleep, household tasks.

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SOURCES & EDITORIAL

Rating criteria text quoted verbatim from 38 C.F.R. § 4.124a (Neurological conditions and convulsive disorders). Source verified 2026-05-15 by ClaimRecon Editorial Team during a regulation-text comparison against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

→ View § 4.124a on eCFR → Cornell Law mirror → Editorial Standards → Suggest a correction

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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