VA Disability Rating for Tibial Nerve (Posterior Tibial Nerve) Paralysis

Diagnostic Code 8524 · 38 CFR §4.124a

What Is It?

The tibial nerve is one of the two main branches of the sciatic nerve. It runs down the back of your lower leg and controls the muscles that point your foot downward, curl your toes, and turn your foot inward. It also provides sensation to the sole of your foot. When this nerve is damaged, you lose the ability to push off when walking, stand on your tiptoes, and feel the bottom of your foot. Veterans may develop tibial nerve damage from knee injuries, lower leg fractures, deep lacerations to the back of the leg, blast injuries, or compartment syndrome during service.

Rating Criteria

RatingCriteria
40%
30%
20%
10%

Evidence Needed

Medical records documenting tibial nerve injury connected to military service, Electromyography and nerve conduction study results for the tibial nerve, Strength testing for plantar flexion and toe flexion, Sensory testing results for the sole of the foot, Gait analysis showing push-off weakness during walking

Frequently Asked Questions