In this guide, we will explain the VA rating for plantar fasciitis, the steps involved in filing a claim, and how to maximize your disability rating.
Plantar fasciitis is a common condition among veterans, characterized by chronic pain in the heel and arch of the foot due to inflammation of the plantar fascia ligament. This condition can significantly affect daily functioning and mobility, especially for veterans who spend long periods on their feet during military service. Veterans suffering from service-connected plantar fasciitis may qualify for VA disability compensation.
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Understanding Plantar Fasciitis
What Is Plantar Fasciitis?
Plantar fasciitis is caused by inflammation or small tears in the plantar fascia, a thick band of tissue that connects your heel bone to your toes. It provides support for the arch of your foot and absorbs shock when you walk. Repeated stress or overuse can cause this ligament to become inflamed, leading to pain, particularly in the heel.
Symptoms of Plantar Fasciitis
Common symptoms include:
- Heel pain: Sharp pain in the heel, especially after prolonged periods of rest.
- Arch pain: Pain extending from the heel to the arch of the foot.
- Stiffness: Tightness or discomfort in the foot, especially upon waking.
- Pain with prolonged standing: Pain may worsen after standing or walking for extended periods.
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VA Disability Ratings for Plantar Fasciitis
The VA rates plantar fasciitis under Diagnostic Code 5284 (foot injuries) or Diagnostic Code 5276 (for flatfoot conditions if they coexist), but more recently it was given its own specific code under Diagnostic Code 5269 in 2021. Ratings are based on the severity of the condition, and whether it affects one or both feet. Ratings can range from 10% to 40%.
10% Rating
- Criteria: Veterans diagnosed with plantar fasciitis in one or both feet who can function with prescribed medical treatment.
- Symptoms: Pain and discomfort that are managed with conservative treatments, such as orthotic devices, stretching, and medications.
- Impact: Minimal impact on daily activities; symptoms can be controlled with treatment.
20% Rating
- Criteria: Veterans diagnosed with plantar fasciitis in one foot whose daily life activities are impacted despite non-surgical or surgical medical treatment.
- Symptoms: Ongoing pain that significantly affects daily life, even after attempts to manage the condition with medical treatments.
- Impact: Moderate limitations on walking, standing, or completing daily activities, despite receiving medical intervention.
30% Rating
- Criteria: Veterans diagnosed with plantar fasciitis in both feet (bilateral plantar fasciitis). This rating applies when daily life activities are impacted despite medical or surgical treatment.
- Symptoms: Severe pain in both feet, affecting walking, standing, and general mobility even after receiving non-surgical or surgical treatments.
- Impact: Substantial interference with daily activities and mobility, including significant limitations in performing basic tasks or work-related activities.
40% Rating
- Criteria: Veterans diagnosed with plantar fasciitis who have lost the use of the affected foot.
- Symptoms: Constant, debilitating pain or permanent damage that has rendered the foot non-functional.
- Impact: Complete loss of mobility in the affected foot, significantly impairing the veteran’s ability to walk or perform daily activities.
How to File a VA Claim for Plantar Fasciitis
Step-by-Step Guide
- Obtain a Diagnosis: A formal diagnosis of plantar fasciitis from a licensed healthcare provider is necessary. Ensure the diagnosis includes detailed documentation of your symptoms and how it impacts your mobility.
- Gather Medical Evidence: Collect medical records showing treatments you’ve received, such as physical therapy, corticosteroid injections, or custom orthotics. X-rays or MRI scans documenting inflammation or tears in the plantar fascia can strengthen your case.
- File VA Form 21-526EZ: Complete this form to apply for disability compensation. You can file it online through the VA Disability Claim portal or submit it by mail to your local VA office.
- Provide Evidence of Service Connection: If your plantar fasciitis began during military service, gather service records showing the onset of the condition. Veterans who served in physically demanding roles or spent long periods standing may have an easier time establishing a service connection.
- Attend a Compensation and Pension (C&P) Exam: The VA will schedule a C&P exam where a medical examiner will assess the severity of your plantar fasciitis. Be honest about the level of pain, the limitations it causes, and the treatments you’ve tried.
- Await the VA Decision: Once the VA reviews your medical evidence, service connection, and C&P exam results, they will assign a rating based on the severity of your condition.
Secondary Conditions Related to Plantar Fasciitis
Plantar fasciitis can lead to or aggravate other conditions, which may qualify for secondary service connection. Common related conditions include:
- Knee, hip, or back pain: Veterans may experience compensatory pain due to changes in their gait or posture to avoid putting pressure on the heel.
- Flatfoot (Pes Planus): Many veterans with plantar fasciitis also have flatfoot, which can worsen the condition.
- Depression or Anxiety: Chronic pain from plantar fasciitis can lead to emotional distress and mental health conditions like depression or anxiety.
Veterans can file for additional compensation if these secondary conditions are related to their service-connected plantar fasciitis.
How to Maximize Your VA Rating for Plantar Fasciitis
- Document Your Symptoms: Keep a log of your pain levels, mobility limitations, and any treatments you’ve tried. Ensure your medical provider documents all details in your records.
- Submit Strong Evidence: Provide detailed medical evidence, including doctor’s notes, X-rays, and any treatments you’ve received. Personal statements or buddy letters from family members or co-workers can also help describe how plantar fasciitis affects your daily life.
- File for Secondary Conditions: If you have any secondary conditions related to plantar fasciitis, include them in your claim to potentially increase your overall disability rating.
Common Mistakes to Avoid
- Underreporting Symptoms: Veterans may downplay their pain or the impact of plantar fasciitis during the C&P exam. Be honest and thorough about how the condition affects your ability to walk or perform daily activities.
- Lack of Medical Evidence: Not providing enough medical documentation can hurt your claim. Ensure you have records of your diagnosis, treatments, and any failed interventions.
- Not Filing for Secondary Conditions: Neglecting to file for secondary conditions can lower your overall rating. Ensure all related conditions are included in your claim.
