Conditions/Neurological

Scalenus Anticus Syndrome

Diagnostic Code 8512Neurological

Compression of the brachial plexus and subclavian artery by the anterior scalene muscle in the neck. Type of thoracic outlet syndrome specifically involving scalene muscle compression. Symptoms include pain radiating from neck to shoulder and arm, numbness and tingling in hand (especially ring and little fingers), muscle weakness, and symptoms worsened by turning head or lifting arm.

VA Rating Criteria (38 CFR)
60%

Complete or nearly complete paralysis. Profound neurological impairment of affected nerve distribution

40%

Severe incomplete paralysis. Marked motor and sensory deficits, severe functional limitation

30%

Moderately severe incomplete paralysis. Persistent symptoms significantly affecting arm and hand function

20%

Moderate incomplete paralysis. Frequent symptoms, noticeable weakness and sensory changes

10%

Mild incomplete paralysis of lower radicular nerve group. Occasional symptoms, minimal functional impact

0%

No functional impairment

Evidence You'll Need

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 scalenus anticus syndrome affects your daily life and when symptoms began

Lay Evidence

Buddy letters from fellow service members or family who can corroborate your symptoms

C&P Exam Tips Preview

During your Compensation & Pension exam for scalenus anticus 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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