Primary service-connected condition

DC 8515 — Median nerve, paralysis

Also known as: carpal tunnel, Median, median nerve, CTS, hand numbness, wrist pain, hand tingling, hand weakness, neuropathy, nerve pain

Mapped secondary conditions
3

These are commonly claimed secondary connections linked to this primary disability. Use them as a screening tool for conversations with your doctor, VSO, or VA-accredited attorney.

Primary Secondary

Median nerve, paralysis Generalized anxiety disorder

9400
Moderate

How the connection is commonly explained

Fear of losing hand function and work capability

Filing tip

File as a secondary claim to DC 8515 (Median nerve, paralysis). Provide medical records showing fear of losing hand function and work capability and request a nexus opinion linking Generalized anxiety disorder to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary Secondary

Median nerve, paralysis Major depressive disorder

9434
Moderate

How the connection is commonly explained

Chronic hand pain and loss of function affect quality of life

Filing tip

File as a secondary claim to DC 8515 (Median nerve, paralysis). Provide medical records showing chronic hand pain and loss of function affect quality of life and request a nexus opinion linking Major depressive disorder to your service-connected condition.

Relationship type: Caused by
View condition detail
Primary Secondary

Median nerve, paralysis Upper radicular group, paralysis

8510
Moderate

How the connection is commonly explained

Neck conditions can coexist with and worsen carpal tunnel symptoms

Filing tip

File as a secondary claim to DC 8515 (Median nerve, paralysis). Provide medical records showing neck conditions can coexist with and worsen carpal tunnel symptoms and request a nexus opinion linking Upper radicular group, paralysis to your service-connected condition.

Relationship type: Caused by
View condition detail

This condition may also be secondary to

Diabetes mellitus
DC 7913
Strong

Diabetes increases risk of carpal tunnel syndrome through nerve damage and tissue swelling affecting the median nerve.

Degenerative arthritis, other than post-traumatic
DC 5003
Moderate

Arthritis in wrist joints can compress the median nerve

Lumbosacral or cervical strain
DC 5237
Moderate

Double crush syndrome — cervical nerve compression worsens carpal tunnel

How to File a Secondary Claim

1. Have your primary condition already service-connected.
2. Get diagnosed with the secondary condition.
3. Get a nexus letter from a doctor linking them.
4. File VA Form 21-526EZ and select the claim as a secondary claim.
5. Attend the C&P exam if one is scheduled.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.