Claw Foot (Pes Cavus) VA Disability Rating

Diagnostic Code 5278 · 38 CFR §4.71a

What Is It?

Claw foot, medically called pes cavus, is a condition where the foot has an abnormally high arch that does not flatten during weight bearing. The toes may curl downward into a claw-like position. The high arch concentrates weight on the heel and ball of the foot, causing pain, calluses, and instability. The condition can worsen over time due to nerve damage, muscle imbalance, or the prolonged physical stress of military service. Walking and running become increasingly painful as the arch prevents normal shock absorption.

Rating Criteria

RatingCriteria
10%
20%
30%
50%

Evidence Needed

Podiatric or orthopedic records documenting the pes cavus diagnosis, Imaging showing the high arch and any bony deformities, Examination documenting toe position, ankle motion, and callus formation, Records of orthotic devices or special footwear prescribed, Statements describing pain with walking and standing

Frequently Asked Questions