Foot bone malunion or nonunion

Medical records that document how the bone healed — or failed to heal — are central to this rating. Imaging such as X-rays, CT scans, or MRI studies can show the degree of malalignment, bone gap, or failed union. Records from orthopedic or podiatric providers that describe pain levels, weight-bearing ability, gait abnormalities, swelling, or tenderness help VA gauge whether your condition is moderate, moderately severe, or severe. Functional testing that captures how far you can walk, whether you need a brace or assistive device, and how your foot responds to standing or activity is also relevant. For the 40 percent loss-of-use level, evidence would need to show that the foot provides no effective function — for example, documentation that you cannot bear weight or propel yourself at all. Statements from you or people who know you describing how foot pain or instability limits your work, daily tasks, or mobility can support the overall picture of severity.