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Evidence checklist

Flatfoot (Pes Planus)

DC 527638 CFR § 4.71aMusculoskeletal

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
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.

Private provider · independent opinion
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.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Weight-bearing X-rays showing arch collapse

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

VA or private records · written request
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.

VA or private records · written request
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.

VA or private records · written request
03

Lay statements

0 of 2 collected
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Flatfoot (Pes Planus) ConditionsCritical

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

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

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

NPRC / milConnect · SF-180

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