Compression of the median nerve as it passes through the carpal tunnel in the wrist, causing pain, numbness, and tingling in the hand and fingers. Symptoms often include nighttime numbness, weakness in grip strength, and difficulty with fine motor tasks. May result from repetitive hand movements, wrist injuries, or underlying medical conditions.
Complete paralysis of the median nerve (major/dominant hand). Total loss of median nerve function, complete thenar muscle atrophy, profound functional impairment.
Complete paralysis of the median nerve (minor/non-dominant hand). Total loss of median nerve function, complete thenar muscle atrophy, inability to oppose thumb.
Severe incomplete paralysis of the median nerve (either hand). Marked sensory loss, significant muscle atrophy (thenar eminence), severe weakness affecting most hand functions.
Moderate incomplete paralysis of the median nerve (major/dominant hand). Significant sensory loss, moderate weakness affecting daily activities, difficulty with fine motor tasks.
Moderate incomplete paralysis of the median nerve (minor/non-dominant hand). Persistent numbness and tingling, noticeable weakness in grip, moderate functional impairment.
Mild incomplete paralysis of the median nerve (either hand). Symptoms include mild sensory disturbances, occasional numbness or tingling, minimal impact on hand function.
No symptoms or findings
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how carpal tunnel syndrome affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for carpal tunnel syndrome, examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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