Diagnostic Code 5269 · 38 CFR §4.71a
Plantar fasciitis is inflammation of the plantar fascia — the thick band of tissue running along the bottom of the foot connecting the heel bone to the toes. It causes stabbing heel pain that is typically worst with the first steps in the morning or after periods of rest. This is one of the most common musculoskeletal conditions claimed by veterans due to the extensive marching, running, and standing on hard surfaces during military service. The VA rates plantar fasciitis by analogy, often under DC 5276 (flatfoot) or DC 5284 (other foot injuries), though DC 5269 is the specific code when assigned.
| Rating | Criteria |
|---|---|
| 10% | Moderate symptoms — pain on use of the foot, relieved by arch supports or orthotics. Pain with prolonged standing or walking but manageable with conservative treatment. |
| 20% | Moderately severe symptoms — pain on manipulation and use, not fully relieved by orthotics. Difficulty with prolonged standing or walking even with treatment. May show objective evidence of swelling or tenderness. |
| 30% | Severe symptoms — marked deformity, accentuated pain on manipulation and use, indication of swelling on use, characteristic callosities. Significant functional limitation despite treatment. |
| 50% | Pronounced symptoms with extreme tenderness, marked inward displacement, and severe spasm of the Achilles tendon. This rating is rare for plantar fasciitis alone and typically applies to the most severe bilateral cases. |
MRI or ultrasound showing plantar fascia thickening or tears. Documented history of treatment including orthotics, steroid injections, physical therapy, or surgery. Service treatment records showing foot complaints during active duty. Buddy statements about visible limping and activity limitations. Records of all treatments tried and failed. Podiatry or orthopedic specialist evaluations.