Evidence Checklist: Hallux Valgus (Bunion)

Podiatric or orthopedic evaluation documenting bunion deformityCritical

Clinical examination documenting the hallux valgus angle, metatarsophalangeal joint (MTP) range of motion, pain, and functional limitations. VA rates under DC 5280.

Nexus opinion linking hallux valgus to service ("at least as likely as not")Critical

A medical opinion connecting your bunion to military service, including ill-fitting military footwear, prolonged marching, or other service-related foot stress.

Weight-bearing foot X-rays with hallux valgus angle measurementCritical

Anteroposterior weight-bearing radiographs documenting the hallux valgus angle (HVA), intermetatarsal angle (IMA), and any arthritic changes at the first MTP joint.

Surgical records (if bunionectomy was performed)

Operative reports, post-operative records, and outcomes documentation if a bunionectomy or other corrective surgery was performed.

Documentation of footwear modifications and orthotics

Records showing prescription for wide-toe box shoes, bunion pads, toe spacers, or custom orthotics.

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 Foot ConditionsCritical

Standardized form capturing first MTP joint findings, deformity angle, range of motion, and functional limitations.

Service treatment records (STRs)Critical

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