Claw Foot (Pes Cavus)
DC 5278 §4.71a Musculoskeletal — Foot Direct
VA rating criteria
| Rating | Criteria |
|---|---|
| 50% | Bilateral; marked contraction of plantar fascia with dropped forefoot, all toes hammer toes, very painful callosities, marked varus deformity |
| 30% | Bilateral; all toes tending to dorsiflexion, limitation of dorsiflexion at ankle to right angle, shortened plantar fascia, and marked tenderness under metatarsal heads |
| 20% | Unilateral; same as 30% bilateral |
| 10% | Great toe dorsiflexed, some limitation of dorsiflexion at ankle, definite tenderness under metatarsal heads |
Filing this claim
This is typically filed as a direct service connection claim. You need a current diagnosis, evidence of in-service event or exposure, and a nexus letter linking them. Use the letter generators to draft your nexus letter and Statement in Support of Claim.
Step by step
- File an Intent to File (Form 21-0966) to lock your effective date.
- Confirm you have a current medical diagnosis in a medical record.
- Get a nexus letter — magic phrase: "at least as likely as not."
- Write a Statement in Support of Claim (21-4138).
- If applicable, gather buddy statements (21-10210).
- File the formal 21-526EZ.
Source: 38 CFR §4.71a. For exact regulatory language, consult eCFR Title 38. This is general education — for your specific case, consult a VA-accredited representative.