How VA Rates Radiculopathy

Radiculopathy refers to nerve impairment symptoms, such as pain, numbness, tingling, weakness, or sensory changes, that radiate from the spine into an arm or leg. It is often evaluated secondary to a back or neck condition.

VA evaluates radiculopathy based on the specific nerve group affected and the severity of the impairment. Severity language in the rating schedule can include terms like mild, moderate, moderately severe, severe, or complete paralysis, depending on the nerve code.

A spine rating and a radiculopathy rating may be separate when symptoms are distinct. For example, range of motion limitations might be rated under the spine, while radiating nerve pain might be rated under the peripheral nerves. However, this depends on the specific facts of the claim and does not guarantee multiple ratings.

Evidence should document the side affected (left or right), the specific nerve distribution, symptoms experienced, and clinical findings such as reflexes, strength, sensation, and functional impact. The exact diagnostic code depends on the nerve involved.