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Military Feet Injuries and Conditions Caused by Service

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Military service can lead to a variety of feet injuries and conditions due to the physical demands placed on service members. Common injuries include plantar fasciitis, stress fractures, and Achilles tendonitis, often resulting from prolonged periods of marching, running, and carrying heavy loads. Additionally, conditions such as flat feet (pes planus), bunions, and hammertoes can develop or be exacerbated by the rigorous activities and tight footwear associated with military service. These injuries and conditions can lead to chronic pain, mobility issues, and long-term disability if not properly treated.

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Veterans can file claims for these feet-related conditions by providing detailed medical evidence and service records that document the onset and progression of the injury or condition. It is essential for veterans to report their symptoms accurately and comprehensively to their healthcare provider. They should describe the nature, duration, and severity of their pain, as well as any limitations it causes in their daily activities. Documentation should include medical evaluations, imaging results, and statements from fellow service members or superiors who witnessed the condition. By maintaining thorough medical records and clearly communicating their symptoms, veterans can strengthen their claims for disability benefits related to feet injuries sustained during military service. For assistance with filing claims and understanding the VA benefits system, veterans can seek guidance from an accredited VA Disability Advocate.

Pes Planus - Flat Feet

Veterans suffering from service-related pes planus, or flat feet, often experience significant pain and difficulty with mobility. This condition, caused by the flattening of the arches in the feet, can lead to severe discomfort, especially during prolonged periods of standing or walking. The VA can rate this condition up to 50% for pronounced cases with marked deformity and pain that is not relieved by orthopedic shoes or appliances. Regular medical documentation and consistent treatment are crucial for establishing a service connection and obtaining the appropriate disability rating.

Hallux Valgus

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Hallux valgus, commonly known as a bunion, is another foot condition that can be service-related. This deformity, where the big toe deviates towards the other toes, can cause pain, swelling, and difficulty wearing shoes. Veterans with hallux valgus may experience considerable discomfort and impairment in their daily activities. The VA evaluates this condition based on severity, with ratings considering factors such as the need for surgery and the impact on mobility. Veterans are encouraged to seek regular medical care and document all symptoms to support their disability claim.

Plantar Fasciitis

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Plantar fasciitis is a common condition that causes pain in the heel and bottom of the foot. It occurs when the plantar fascia, a thick band of tissue connecting the heel bone to the toes, becomes inflamed due to excessive strain or overuse. This condition is frequently seen in military personnel due to prolonged standing, marching, and running on hard surfaces. Symptoms include sharp, stabbing pain, especially upon waking and taking the first steps of the day. In more severe cases, physical therapy, medications, or surgery may be necessary. Veterans experiencing symptoms of plantar fasciitis should document their condition and seek medical advice.

Feet Conditions

Here is a detailed list of foot conditions that veterans may suffer from, along with their VA rating schedules and descriptions for each condition:

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  1. Pes Planus (Flat Feet)

    • Rating Schedule: Up to 50%

    • Description: Pes planus involves the flattening of the arches in the feet, leading to pain, swelling, and difficulty with prolonged standing or walking. This condition can cause inward rolling of the ankles and other structural foot problems. The VA rates pronounced cases with marked deformity, extreme tenderness, and severe pain not improved by orthopedic shoes or appliances up to 50%.

  2. Plantar Fasciitis

    • Rating Schedule: Up to 30%

    • Description: Plantar fasciitis is characterized by inflammation of the plantar fascia, a thick band of tissue running along the bottom of the foot. This condition causes sharp, stabbing pain in the heel, especially after periods of rest or upon first standing in the morning. Severe cases that show no improvement despite treatment can be rated up to 30%.

  3. Hallux Valgus (Bunion)

    • Rating Schedule: Up to 10% (with or without surgery)

    • Description: Hallux valgus, or bunion, is a deformity where the big toe deviates towards the other toes, causing a bony bump at the base of the big toe. This can lead to pain, swelling, and difficulty wearing shoes. It can be rated 10% if severe enough to require surgery or if there is severe pain with marked deformity without surgery.

  4. Hammer Toe

    • Rating Schedule: Up to 10% for each toe (maximum of 10% for multiple toes)

    • Description: Hammer toe is a deformity where the toe bends downward at the middle joint, resembling a hammer. This can cause pain and problems fitting into shoes. Each affected toe can be rated 10%, but the maximum combined rating for multiple toes is 10%.

  5. Metatarsalgia

    • Rating Schedule: Up to 10%

    • Description: Also known as "stone bruise," metatarsalgia causes pain and inflammation in the ball of the foot. It often results from overuse or high-impact activities. It can be rated up to 10% for moderate to severe chronic pain.

  6. Morton's Neuroma

    • Rating Schedule: Rated under neuralgia, typically up to 10-20%

    • Description: This condition involves a thickening of nerve tissue between the toes, usually between the third and fourth toes. It can cause sharp, burning pain, numbness, and tingling. It is rated under neuralgia, often up to 10-20%, depending on the severity and impact on the veteran’s daily activities.

  7. Achilles Tendonitis

    • Rating Schedule: Rated based on limitation of motion and severity, often up to 20%

    • Description: Inflammation of the Achilles tendon causes pain and stiffness, particularly in the heel and lower leg. This condition can make walking, running, and other activities painful. The rating depends on the limitation of motion and severity, typically up to 20%.

  8. Tarsal Tunnel Syndrome

    • Rating Schedule: Up to 30%

    • Description: Tarsal tunnel syndrome involves compression of the posterior tibial nerve, leading to pain, numbness, tingling, and burning sensations in the foot and ankle. Severe cases that significantly impair mobility and daily function can be rated up to 30%.

  9. Heel Spurs

    • Rating Schedule: Rated based on underlying condition such as plantar fasciitis

    • Description: Heel spurs are bony growths on the underside of the heel bone. They are often associated with plantar fasciitis and can cause heel pain and tenderness. The rating is typically based on the severity of the associated condition, such as plantar fasciitis.

  10. Claw Foot (Pes Cavus)

    • Rating Schedule: Up to 50%

    • Description: Pes cavus is a condition characterized by an excessively high arch. This can lead to significant pain, calluses, and difficulty with balance and mobility. Severe cases with marked deformity, tenderness, and difficulty with function can be rated up to 50%.

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What to Expect During a VA Exam for Feet, Knees, Anklea and Shins

 

Pre-Exam Advice for Foot Conditions

Veterans with foot injuries stemming from their military service need to be well-prepared for their Compensation & Pension (C&P) exam to ensure a thorough evaluation of their condition. Foot injuries are common in military service due to activities such as marching, running, jumping, and carrying heavy loads. These activities can lead to various foot conditions, including plantar fasciitis, stress fractures, flat feet (pes planus), and tendonitis. Proper preparation for your C&P exam can make a significant difference in the outcome of your disability claim.

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Before the exam, gather all relevant medical records, including those from your time in service and any subsequent private or VA medical treatments. A well-documented history of your foot injury will support your claim. Review your medical history to be ready to discuss how the injury occurred, the initial symptoms, and any treatments you received. Additionally, consider writing a detailed statement about your condition, including how it impacts your daily life, the level of pain you experience, and any limitations it imposes on your activities.

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C&P Exams for Foot Injuries

During the C&P exam, the examiner will want a comprehensive history of how you injured your foot during your service. Clearly explain the specific incident or activities that led to your foot condition. Describe in detail the circumstances of the injury, such as a specific fall, a sprain during a march, or any repetitive stress activities. Make sure to mention any immediate symptoms you experienced, such as swelling, bruising, or inability to bear weight on the affected foot, and any initial treatment you received at the time.

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Musculoskeletal DBQ's

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Painful Motion:

During these movements, you should describe any pain or discomfort you feel. Be specific about where the pain occurs (e.g., inner elbow, outer elbow) and how intense it is. Also, mention if there are any movements you cannot perform fully due to pain or stiffness. For instance, if you cannot fully extend your arm or if pronation causes sharp pain, be sure to communicate this to the examiner.

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Pain Description: Clearly describe the type of pain you experience during these movements. Use descriptive terms such as:

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  • Sharp: A sudden, intense pain.

  • Dull: A persistent, low-level ache.

  • Throbbing: Pain that pulsates in intensity.

  • Burning: A hot, tingling pain.

  • Stabbing: A piercing, acute pain.

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Explain any difficulties you have with these tasks and how the condition affects your work, hobbies, and overall quality of life. Additionally, mention any treatments you have received, including medications, physical therapy, or surgeries, and their effectiveness. If your condition disrupts your sleep, be sure to describe this as well. Providing detailed and honest information will help ensure the VA accurately assesses your disability and assigns the appropriate rating.

 

Impact on Daily Life

Daily Activities: Describe how your condition affects your ability to perform everyday tasks. This includes:

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  • Lifting and Carrying: Discuss any difficulties you have with lifting objects, even if they are light. Mention if you avoid lifting due to pain or fear of injury.

  • Reaching Overhead: Explain any limitations or pain when reaching for items on high shelves or performing tasks above shoulder height.

  • Repetitive Movements: If repetitive movements aggravate your condition, describe which activities cause issues and the severity of the impact.

  • Work Impact: Discuss how your shoulder condition affects your ability to work. Mention any job duties you can no longer perform, modifications you have made, or if you have had to change jobs due to your condition.

  • Sleep Disruption: If your pain affects your sleep, be sure to mention this. Describe how the pain wakes you up or prevents you from finding a comfortable sleeping position. Note any medications or treatments you use to manage sleep disruptions.

  • Medication and Treatment: Discuss any medications you are taking for your condition, including pain relievers, anti-inflammatory drugs, or muscle relaxants. Mention any physical therapy, surgeries, or other treatments you have undergone and their effectiveness.

  • Activities That Aggravate Condition: Be specific about any activities that make your condition worse. Whether it’s certain exercises, movements, or tasks, detailing these can help the examiner understand the severity and triggers of your pain.

  • Questions for the Examiner: Be ready to ask questions during and after the exam. If you need clarification on any part of the assessment or the findings, don’t hesitate to speak up. Being proactive and engaged can ensure all aspects of your condition are thoroughly evaluated.

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Painful Motion:

During these movements, you should describe any pain or discomfort you feel. Be specific about where the pain occurs (e.g., inner elbow, outer elbow) and how intense it is. Also, mention if there are any movements you cannot perform fully due to pain or stiffness. For instance, if you cannot fully extend your arm or if pronation causes sharp pain, be sure to communicate this to the examiner.​

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What Happens Once the C&P Exam is Complete

After completing your Compensation and Pension (C&P) exam, the next steps involve a review and decision-making process by the VA to determine your disability rating and benefits. Here's an overview of what you can expect:

 

Examination Report and Review:

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Examiner's Report: The examiner will compile a detailed report based on the findings from your C&P exam. This report includes your medical history, the results of the physical examination, and any diagnostic tests performed. The examiner will also assess your condition, noting the severity, symptoms, and how the condition impacts your daily life and work.

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Submission to VA: The completed report is sent to the VA Regional Office handling your claim. This report becomes part of your official VA file and is reviewed along with your other medical records and evidence submitted in support of your claim.

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Second Opinions and Delays: After the veteran's exam is complete and the examiner submits their report to the VA, the VA may send the report back for corrections, clarification, or a second opinion if it finds the report incomplete or unclear. This process can delay your claim, as the VA requires thorough and accurate information to make a decision. Your claim will only move to the decision phase once the VA is satisfied with the evidence and documentation provided. This ensures that all aspects of your condition are thoroughly considered, ultimately impacting the outcome of your claim.

The VA Disability Advocates Main Office is Located in Las Vegas, NV. We Represent Veterans throughout the United States. 702-992-4883 

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