Evidence Checklist: Flatfoot (Pes Planus)

Podiatric or orthopedic evaluation with weight-bearing foot examinationCritical

Weight-bearing examination documenting arch height, foot deformity, heel valgus, and subtalar motion. VA rates pes planus under DC 5276 based on whether it is mild, moderate, severe, or pronounced.

Nexus opinion linking pes planus to service ("at least as likely as not")Critical

A medical opinion connecting your flatfoot to military duties including prolonged standing, marching, heavy loads, or service-issued footwear.

Weight-bearing X-rays showing arch collapse

Weight-bearing anteroposterior and lateral foot radiographs documenting decreased calcaneal pitch, talar declination angle, and arch collapse.

Orthotic prescription and use documentation

Records showing custom orthotics or arch supports were prescribed and whether they relieve symptoms. Failure to improve with orthotics supports more severe ratings.

Documentation of pain, calluses, or secondary joint involvement

Medical records documenting plantar or medial arch pain, painful calluses, and any secondary effects such as Achilles tendinopathy, shin splints, or knee pain caused by the flatfoot.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Flatfoot (Pes Planus) ConditionsCritical

Standardized form capturing foot examination findings, arch height, heel valgus, subtalar motion, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.