🦴 MusculoskeletalFoot/AnkleDC 5276

Flat Feet (Pes Planus)

Loss of the normal foot arch causing the entire sole to contact the ground, resulting in pain, fatigue, and gait changes. Common in veterans due to prolonged standing, ruck marching, and repeated physical strain. Often secondary to or aggravating knee, hip, and lower back conditions.

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VA Rating Tiers

30%
pronounced
20%
severe
10%
moderate
0%
mild

Rating Notes

  • 30%: Pronounced flat foot — marked pronation, tenderness, unable to stand for long periods. Rated per foot. DC 5276.
  • 20%: Severe flat foot — marked pronation and tenderness on use. DC 5276.
  • 10%: Moderate flat foot — weight bearing impaired, orthotics do not fully relieve symptoms. DC 5276.
  • 0%: Mild flat foot — symptoms relieved by arch supports — service connected but non-compensable.
  • DC 5276 (flatfoot, acquired) applies when flat feet were acquired or significantly aggravated during service.
  • Congenital (pre-existing) flat feet may still be ratable if service caused a clear and measurable aggravation.
  • Ratings are per foot — both feet may be rated separately.
  • Bilateral flat feet may qualify for the bilateral factor (adds 10% to the combined bilateral rating).
  • Flat feet frequently aggravate knees, hips, and lower back — consider secondary claims for those conditions.
  • Weight-bearing X-rays are the standard evidence — get these done if you haven't already.

Eligibility Basics

Current symptoms
In-service event
Diagnosis or lay evidence
  • VA rates acquired flat feet under DC 5276 — the condition must be acquired (not congenital) to be service connected, or congenital flat feet must have been aggravated by service.
  • Bilateral flat feet are common — each foot is rated separately and the bilateral factor may apply.
  • Weight-bearing X-rays are the standard diagnostic tool — they show arch collapse under load.
  • Flat feet commonly aggravate knee, hip, and lower back conditions — consider filing as secondary.

Evidence to Gather

Service Records

  • sick call or medical records for foot pain or flat feet during service
  • records of physical training injuries related to feet
  • records of orthotics or insoles prescribed during service
  • separation physical noting foot abnormalities
  • records of duty limitations due to foot problems

Medical Evidence

  • weight-bearing X-rays of both feet showing arch collapse
  • podiatry or orthopedic records documenting pes planus
  • custom orthotic prescriptions
  • primary care records noting flat feet diagnosis
  • physical therapy records

Lay Evidence (Buddy Statements)

  • statement describing foot pain, fatigue, or arch issues during service
  • statement describing how flat feet affect walking, standing, and daily activities
  • buddy statement noting observed foot problems or gait changes during service

Diagnostic Tests

  • weight-bearing X-rays of both feet (AP, lateral, oblique views)
  • gait analysis
  • clinical examination by podiatrist or orthopedist
  • assessment of navicular drop and arch index

C&P Exam Preparation

Exam type: Orthopedic / Podiatry

Be ready to describe

  • when flat feet became symptomatic or worsened during service
  • the physical demands of your MOS that stressed your feet
  • how long you can stand or walk before pain sets in
  • whether orthotics or arch supports provide relief — and how much
  • how flat feet affect your gait and any related knee, hip, or back pain

Prep notes

  • Bring weight-bearing X-rays and podiatry or orthopedic records if you have them.
  • Wear your current footwear to the exam — mention if you use orthotics.
  • Describe how quickly foot fatigue or pain sets in with standing or walking.
  • Walk normally — do not hide your gait pattern.
  • If both feet are affected, make sure both are examined and rated separately.

Quick Facts

Diagnostic Code
DC 5276
Category
Musculoskeletal
Subcategory
Foot/Ankle
Typical Claim Type
secondary
Rating Range
0% – 30%

Also Known As

flat feetpes planusfallen archesflatfootflat footoverpronationlow archesarch collapse

Related Conditions

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