{"page":"https://casescribe.ai/explorer/conditions/median-nerve-paralysis","generated_at":"2026-10-03T18:34:15.297Z","data_as_of":{"decisions":944125,"first_year":2017,"last_year":2026,"latest_decision":"2026-04-30","cfr":"2026-10-01","m21":"2026-09-29"},"about":{"publisher":"CaseScribe AI (VA Law Explorer)","source":"Public Board of Veterans' Appeals decisions (appeals of VA decisions, not VA's first decisions), M21-1 Adjudication Procedures Manual, 38 CFR Parts 3 and 4.","method":"Outcomes are issue-level: each condition the Board decided in a decision counts once. Decision data is extracted by AI and can contain errors. Rates describe past appeals and do not predict any claim.","disclaimer":"For research only. CaseScribe AI is not a law firm and this is not legal advice. Verify figures against the source decisions and regulations.","attribution":"Cite as: VA Law Explorer, CaseScribe AI, with the page URL."},"data":{"condition":"Median nerve paralysis","all_conditions_granted_pct":19.4,"decisions":5678,"years":"2017-2026","granted_pct":17.9,"denied_pct":32.7,"remanded_pct":49.4,"granted_on_merits_pct":35.4,"by_year":[{"year":2017,"issues":472,"granted_pct":12.3,"denied_pct":34.5,"remanded_pct":46.8},{"year":2018,"issues":846,"granted_pct":13.8,"denied_pct":33.5,"remanded_pct":49.1},{"year":2019,"issues":842,"granted_pct":13.5,"denied_pct":36.5,"remanded_pct":48.2},{"year":2020,"issues":837,"granted_pct":13.5,"denied_pct":40.6,"remanded_pct":44.3},{"year":2021,"issues":871,"granted_pct":15,"denied_pct":32.6,"remanded_pct":51.1},{"year":2022,"issues":846,"granted_pct":18.2,"denied_pct":29.4,"remanded_pct":51.1},{"year":2023,"issues":975,"granted_pct":17.6,"denied_pct":25.1,"remanded_pct":55.2},{"year":2024,"issues":973,"granted_pct":22,"denied_pct":28.9,"remanded_pct":46.8},{"year":2025,"issues":896,"granted_pct":24.7,"denied_pct":29.8,"remanded_pct":44.6},{"year":2026,"issues":374,"granted_pct":27.3,"denied_pct":30.2,"remanded_pct":42}],"benefit_of_doubt_in_grants_pct":66.1,"evidence_on_merits":[{"evidence":"va_exam_favorable","decisions_with":614,"granted_pct_with":58.4,"granted_pct_without":30.9},{"evidence":"va_exam_unfavorable","decisions_with":4150,"granted_pct_with":33.8,"granted_pct_without":42.3},{"evidence":"nexus_positive","decisions_with":788,"granted_pct_with":68.2,"granted_pct_without":27.3},{"evidence":"nexus_negative","decisions_with":2937,"granted_pct_with":32.4,"granted_pct_without":39.4},{"evidence":"private_opinion","decisions_with":1592,"granted_pct_with":46.4,"granted_pct_without":30},{"evidence":"treating_physician","decisions_with":263,"granted_pct_with":59.4,"granted_pct_without":33.9},{"evidence":"lay_statement","decisions_with":4616,"granted_pct_with":35.2,"granted_pct_without":36.9},{"evidence":"buddy_statement","decisions_with":173,"granted_pct_with":50.5,"granted_pct_without":34.9},{"evidence":"combat_service","decisions_with":253,"granted_pct_with":40.3,"granted_pct_without":35.2}],"top_reasons":{"granted":[{"reason":"current diagnosis established","decisions":151},{"reason":"caused by the service-connected disability","decisions":41},{"reason":"continuity of symptomatology since service","decisions":28},{"reason":"service connection established","decisions":21},{"reason":"criteria for service connection met","decisions":18},{"reason":"service connection granted","decisions":9}],"denied":[{"reason":"no in-service complaints, treatment or diagnosis","decisions":293},{"reason":"va examiner: less likely than not related to service","decisions":231},{"reason":"preponderance of the evidence against the claim","decisions":196},{"reason":"service records negative or silent","decisions":177},{"reason":"no current diagnosis","decisions":168},{"reason":"current diagnosis established","decisions":92}]},"recent_examples":{"granted":[{"case_id":"A26040130","year":2026,"judge":"MARTIN B. PETERS","rationale":"Current right wrist disorder diagnosed as carpal tunnel syndrome.; Treatment records from civilian hospital and Statement of Medical Examination and Duty Status dated July 21, 2017, indicate injury on that date.; Disorder had onset during ACDUTRA in 2017."},{"case_id":"A26039418","year":2026,"judge":"D. SMART","rationale":"Private medical opinion found condition at least as likely as not caused by service-connected left wrist injury.; VA opinions found condition less likely than not related to service.; Evidence found to be in approximate balance, with doubt resolved in Veteran's favor."},{"case_id":"A26039129","year":2026,"judge":"K. PARAKKAL","rationale":"Continuity of symptomatology since service established; Credible lay statements regarding in-service onset of pain/tingling; MOS involved copious typing; Service treatment records silent on left upper extremity issues, but this is not substantive negative evidence"}],"denied":[{"case_id":"A26039785","year":2026,"judge":"J. B. FREEMAN","rationale":"No evidence of current diagnosis or in-service complaints; Symptoms began after service, not in service; No competent medical opinion linking to service"},{"case_id":"A26039615","year":2026,"judge":"CORY M. PICTON","rationale":"Persuasive evidence weighs against in-service injury or disease.; No relevant findings in service treatment records.; Normal separation examination findings.; Substantial gap between service separation and first documented symptoms."},{"case_id":"A26038602","year":2026,"judge":"CYNTHIA M. BRUCE","rationale":"Symptoms are mild and wholly sensory.; Evidence weighs against a rating in excess of 10 percent.; Benefit-of-the-doubt rule does not apply."}]},"how_va_rates":null,"rules":[]}}