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5269
§ 4.71a Schedule of ratings—musculoskeletal system.

Plantar fasciitis

Inflammation of the thick tissue on the bottom of the foot, causing heel pain.

What the rating means

VA rates plantar fasciitis under diagnostic code 5269. There are three possible ratings: 30%, 20%, and 10%.

The 30% rating applies when both feet are affected and neither non-surgical nor surgical treatment has provided relief. The 20% rating applies when one foot is affected and neither non-surgical nor surgical treatment has provided relief. If you have been recommended for surgery but are not a surgical candidate, VA evaluates your condition under the 20% or 30% criteria, whichever fits your situation.

The 10% rating applies in all other cases, whether one or both feet are affected.

One additional note: if plantar fasciitis results in actual loss of use of the foot, a 40% rating applies.

Evidence that helps

To support a 30% or 20% rating, your records need to show that you received both non-surgical and surgical treatment and that neither provided relief. Non-surgical treatment might be documented through records of physical therapy, orthotics, corticosteroid injections, or other conservative care. Surgical records and post-operative notes showing continued symptoms would help show that surgery also failed to provide relief.

If you have been recommended for surgery but a provider determined you are not a surgical candidate, a written statement from that provider explaining the recommendation and why surgery cannot be performed is important for reaching the 20% or 30% level.

For any rating level, examination findings documenting pain, tenderness, and functional limitations support your claim. Statements from you or people who know you describing how foot pain affects your ability to stand, walk, or carry out work and daily activities can help show the severity of your symptoms.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.

  • Knee instability or laxity
  • Lower back or neck strain