Getting a VA Rating for Plantar Fasciitis 

Every step hurts. You get a stabbing pain in the bottom of your foot when you try to walk, and your foot aches, even when you’re just sitting. The pain worsens in the morning and when you try to do any activity. You may have plantar fasciitis. If you do, it could be connected to your military service, especially if you spent a lot of time running, jumping, or standing while in the service. 

If you are a veteran with plantar fasciitis, you could be eligible to receive VA disability benefits. This post explains the plantar fasciitis VA rating, its connection to other conditions, and how it can be related to your military service.

What is plantar fasciitis?

Plantar fasciitis is inflammation of the rubber band-like ligament that runs along the bottom of your foot. It goes from your heel all the way to your toes, connecting the bones in your foot and forming the arch.

The condition develops when you overuse or injure the plantar fascia ligament. This causes swelling and pain, and makes it difficult to move your foot. It can impact one or both feet. 

Veterans may be at greater risk for developing plantar fasciitis because of the rigors of training and military service, including running or jumping (especially on unstable surfaces) and standing for long periods.

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Plantar fasciitis VA rating

The VA rates plantar fasciitis with diagnostic code 5269 in the Schedule of Ratings for the musculoskeletal system, depending on the severity of symptoms following treatment and whether it’s in both feet (bilateral) or one foot (unilateral). The VA rating for plantar fasciitis is as follows:

Description	VA Rating	Monthly payment (vet only)
With the loss of use of the foot	40%	$774.16
No relief from both non-surgical and surgical treatment, bilateral	30%	$537.42
No relief from both non-surgical and surgical treatment, unilateral	20%	$346.95
Otherwise, unilateral or bilateral	10%	$175.51

If a veteran is recommended for surgery but it is determined they are not a candidate, they should be evaluated under the 20% or 30% criteria, depending on which is most applicable.

Plantar Fasciitis and VA Disability

Bilateral plantar fasciitis VA rating

Plantar fasciitis can affect just one foot or both feet. When it affects both feet, this may be referred to as bilateral plantar fasciitis. 

The VA can apply the bilateral factor when you have a condition in both feet. This factor exists because disabilities that affect both sides of the body can be more physically limiting. 

In the case of plantar fasciitis, however, the bilateral factor does not apply. The rating criteria already takes into account whether one or both feet are affected, and this will help determine the veteran’s rating. 

Plantar fasciitis affecting only one foot cannot receive higher than a 20% rating, unless there is complete loss of use of the foot. 

In such a case where the veteran can no longer use their foot, they would be eligible for additional compensation not through the bilateral factor, but instead through special monthly compensation (SMC).

Veterans can get a bilateral plantar fasciitis VA rating of 10%, 30%, or 40%.

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Plantar fasciitis and related conditions

Veterans can receive a secondary service connection for any health issue related to a service-connected condition. 

Conditions that may be service-connected and sometimes result in the development of plantar fasciitis include lupus and rheumatoid arthritis.

More commonly, plantar fasciitis can be linked to flat feet.

Flat feet and plantar fasciitis 

Flat feet, or no arch in the bottom of the foot, can cause plantar fasciitis. People with flat feet walk in a way that strains the plantar fascia muscle. 

Having flat feet doesn’t automatically mean you’ll develop plantar fasciitis, but if you do, the conditions are likely related. However, because of the VA’s pyramiding rule, it’s unlikely you will receive separate ratings for both.

Flat feet is rated using diagnostic code 5276 in the Schedule of Ratings for the musculoskeletal system. The VA may assign the condition a rating between 0% and 50%, depending on the severity of symptoms and whether it’s unilateral or bilateral.

How you walk when you have plantar fasciitis or flat feet can cause other medical conditions that you may also be able to connect. These can include hip or knee problems and over time, obesity. Obesity can result in diabetes, high blood pressure, and more, turning one health issue into many. 

TDIU for plantar fasciitis

In some cases, a veteran may be awarded total disability based on individual unemployability (TDIU) for plantar fasciitis or related conditions. TDIU is also known as individual unemployability or simply IU. Veterans are eligible for these benefits if they can’t hold down “substantially gainful” employment due to their service-connected conditions.

Veterans with plantar fasciitis may struggle to stand or move around in the workplace. Related hip or knee problems could make sitting at a desk equally uncomfortable.

Veterans who receive TDIU benefits are compensated at the same level as those with a 100% disability rating, even though their combined rating is below 100%.

Veterans will typically be eligible for TDIU if they have:

• At least one service-connected disability rated at 60% or more disabling OR
• Two or more service-connected disabilities with at least one rated at 40% or more disabling and a combined rating of 70% or more

How Woods & Woods can help

The VA-accredited attorneys at Woods & Woods have helped thousands of veterans nationwide get the disability benefits they deserve. Call us today for a free case evaluation. You won’t pay us a dime unless we win your case.

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