Excert from my C&P Exam, what does this mean?

moneyblind

PEB Forum Regular Member
PEB Forum Veteran
Alright, I pride myself in being able to connect the dots between my C&P's and the VASRD, here is an excert under NEUROLOGICAL:


NEUROLOGICAL:

Neurological examination of the lower extremities: Motor functionis within normal limits. sensory exam to pinprick/pain, touch, position, vibration and temperature for the femoral nerve, external cutaneous nerve of the thigh, sciatic nerve, tibial nerve and superficial peroneal nerve(s) is decreased on the right. sensory exam to pinprick/pain, touch, position, vibration and temperature for the femoral nerve, external cutaneous nerve of the thigh, sciatic nerve, tibial nerve and superficial peroneal nerve(s) is decreased on the left.

In regards to the femoral nerve, external cutaneous nerve of the thigh, sciatic nerve, tibial nerve and superficial peroneal nerve(s), the peripheral nerve examination revealed neuralgia. There is sensory dysfunction demonstrated by diminished sensation in the mid back along the scar, there is no motor dys function.
verebellar function is intact. Rombergs test is negative.

NEUROLOGICAL EXAMINATION (SPINE):

CERVICAL RESULTS REMOVED FOR ALL NORMAL. (I dont wanna type them.)

The lumbar spine sensory function is impaired. The sacral spine sensory function is impaired. The modalities used to test function was monofilament. No lumbosacral motor weakness.

L1: Sensory deficit of bilateral upper anterior thighs.
L2: Sensory deficit of bilateral anterior mid-thighs
L3: Sensory deficit of bilateral anterior lower thighs and left inner knee
L4: Sensory deficit of bilateral lateral thighs and right front leg
L5: Sensory deficit of bilateral lateral legs, right dorsal foot and bilateral lateral feet.
S1: Sensory deficit of bilateral back of the thighs, bilateral lateral legs and right lateral foot.

The lower extremiteis show no signs of pathologic reflexes. The examination reveals normal cutanoues reflexes. There are signs of lumbar intervertabral disc syndrom. The most likely peripheral nerve is the femoral nerve, external cutaeous nerve of the thigh, sciatic nerve, tibial nerve and superficial peroneal nerve. The interverebral disc syndrome does not cause any bowel dysfunction, bladder dysfunction and erectile dysfunction.

Removed for All normal

Now I know what this means medically, but how does this translate into the VASRD and what schedule do i look for?
 
Moneyblind, hope this helps:
Sciatic nerve
8520 Paralysis of:
Complete; the foot dangles and drops, no active movement possible of muscles below the knee, flexion of knee weakened or (very rarely) lost 80
Incomplete:
Severe, with marked muscular atrophy 60
Moderately severe 40
Moderate 20
Mild 10
8620 Neuritis.
8720 Neuralgia.
External popliteal nerve (common peroneal)
8521 Paralysis of:
Complete; foot drop and slight droop of first phalanges of all toes, cannot dorsiflex the foot, extension (dorsal flexion) of proximal phalanges of toes lost; abduction of foot lost, adduction weakened; anesthesia covers entire dorsum of foot and toes 40
Incomplete:
Severe 30
Moderate 20
Mild 10
8621 Neuritis.
8721 Neuralgia.
Musculocutaneous nerve (superficial peroneal)
8522 Paralysis of:
Complete; eversion of foot weakened 30
Incomplete:
Severe 20
Moderate 10
Mild 0
8622 Neuritis.
8722 Neuralgia.
Anterior tibial nerve (deep peroneal)
8523 Paralysis of:
Complete; dorsal flexion of foot lost 30
Incomplete:
Severe 20
Moderate 10
Mild 0
8623 Neuritis.
8723 Neuralgia.
Internal popliteal nerve (tibial)
8524 Paralysis of:
Complete; plantar flexion lost, frank adduction of foot impossible, flexion and separation of toes abolished; no muscle in sole can move; in lesions of the nerve high in popliteal fossa, plantar flexion of foot is lost 40
Incomplete:
Severe 30
Moderate 20
Mild 10
8624 Neuritis.
8724 Neuralgia.
Posterior tibial nerve
8525 Paralysis of:
Complete; paralysis of all muscles of sole of foot, frequently with painful paralysis of a causalgic nature; toes cannot be flexed; adduction is weakened; plantar flexion is impaired 30
Incomplete:
Severe 20
Moderate 10
Mild 10
8625 Neuritis.
8725 Neuralgia.
Anterior crural nerve (femoral)
8526 Paralysis of:
Complete; paralysis of quadriceps extensor muscles 40
Incomplete:
Severe 30
Moderate 20
Mild 10
8626 Neuritis.
8726 Neuralgia.
Internal saphenous nerve
8527 Paralysis of:
Severe to complete 10
Mild to moderate 0
8627 Neuritis.
8727 Neuralgia.
Obturator nerve
8528 Paralysis of:
Severe to complete 10
Mild or moderate 0
8628 Neuritis.
8728 Neuralgia.
External cutaneous nerve of thigh
8529 Paralysis of:
Severe to complete 10
Mild or moderate 0
8629 Neuritis.
8729 Neuralgia.
Ilio-inguinal nerve
8530 Paralysis of:
Severe to complete 10
Mild or moderate 0
8630 Neuritis.
8730 Neuralgia.
8540 Soft-tissue sarcoma (of neurogenic origin) 100
Note: The 100 percent rating will be continued for 6 months following the cessation of surgical, X-ray, antineoplastic chemotherapy or other therapeutic procedure. At this point, if there has been no local recurrence or metastases, the rating will be made on residuals.
 
I am curious as well as to what contributes to the severity. If you find anything out, please post it good sir!
 
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