Bilateral plantar fasciitis is a painful foot condition that affects many veterans, often due to the rigorous physical demands of military service. The VA recognizes plantar fasciitis as a service-connected disability, and veterans may qualify for VA disability compensation based on the severity of their symptoms.
Understanding the VA rating system for plantar fasciitis is crucial for veterans seeking benefits. This guide will cover the VA rating criteria, the claims process, and strategies to maximize compensation.
What Is Bilateral Plantar Fasciitis?
1. Definition and Causes
Plantar fasciitis is a condition where the plantar fascia (a thick band of tissue that supports the arch of the foot) becomes inflamed, leading to chronic pain in the heel and arch. When it affects both feet, it is referred to as bilateral plantar fasciitis.
Common causes among veterans include:
- Prolonged standing and marching during military service.
- Wearing improper footwear with inadequate arch support.
- Repetitive impact activities such as running and jumping.
- Carrying heavy loads, putting excessive stress on the feet.
- Previous foot injuries that contribute to chronic inflammation.
2. Symptoms of Bilateral Plantar Fasciitis
- Sharp heel pain, especially in the morning or after rest.
- Pain that worsens with prolonged standing or walking.
- Swelling and tenderness in the heel area.
- Difficulty walking or performing physical activities.
VA Disability Ratings for Bilateral Plantar Fasciitis
1. Understanding the VA Rating System
As of February 2021, the VA updated its rating criteria for plantar fasciitis under Diagnostic Code 5269. The rating depends on the severity of pain, functional loss, and treatment response.
2. VA Rating Scale for Plantar Fasciitis
10% Rating (Moderate Symptoms)
- Pain is present but manageable with treatment.
- Symptoms do not significantly impact daily activities.
- Veterans may require arch supports, stretching exercises, or mild pain relief medication.
20% Rating (Severe Symptoms in One Foot)
- Persistent pain despite treatment (orthotics, physical therapy, or medication).
- Significant difficulty standing or walking for long periods.
- Possible need for more advanced treatments like steroid injections.
30% Rating (Severe Symptoms in Both Feet – Bilateral Condition)
- Chronic, unrelenting pain in both feet despite treatment.
- Severe mobility issues that impact daily life and employment.
- Limited ability to stand, walk, or perform physical activities without extreme discomfort.
40% Rating (No Relief from Treatment)
- The highest possible rating for plantar fasciitis.
- Veterans must show that they experience constant, severe pain.
- Symptoms do not improve with treatment, surgery, or medical intervention.
- Significant impact on daily activities, requiring mobility aids (canes, braces, or wheelchairs).
100% Rating (Special Consideration for Total Disability Based on Individual Unemployability – TDIU)
- Veterans who are unable to work due to their plantar fasciitis may qualify for TDIU.
- If the condition prevents employment, the VA may grant 100% compensation, even if the schedular rating is lower.
How to File a VA Claim for Bilateral Plantar Fasciitis
1. Collecting Medical Evidence
To support a service-connected claim for plantar fasciitis, veterans must provide:
- A current diagnosis from a medical professional.
- Service records showing activities that contributed to foot pain (marching, running, carrying heavy loads).
- Medical records documenting the progression of symptoms.
- Treatment records (physical therapy, injections, orthotics, surgery attempts, etc.).
- Personal statements explaining how the condition affects daily life.
2. Submitting the VA Claim
Veterans can file their claim:
- Online through VA.gov.
- In person at a VA Regional Office.
- With assistance from a Veterans Service Organization (VSO).
3. Attending the VA Compensation & Pension (C&P) Exam
A C&P exam is required to assess the severity of the condition. The examiner will:
- Review medical history and symptoms.
- Conduct a physical examination of the feet.
- Assess pain levels, mobility, and response to treatment.
- Determine how the condition affects daily activities and employment.
Veterans should be honest about their symptoms and describe the impact on walking, standing, and work-related activities.
Appealing a Denied VA Claim for Plantar Fasciitis
If the VA denies a claim or assigns a lower rating than expected, veterans can appeal through:
1. Supplemental Claim
- Submit new medical evidence (X-rays, MRI results, specialist evaluations).
- Provide additional personal statements or buddy statements from fellow service members.
2. Higher-Level Review
- A senior VA reviewer reassesses the claim without new evidence.
3. Board of Veterans’ Appeals
- A formal hearing with a VA judge to argue the case.
How to Increase Your VA Rating for Bilateral Plantar Fasciitis
1. Provide Stronger Medical Evidence
- Get additional medical opinions from a podiatrist or orthopedic specialist.
- Submit updated X-rays, MRIs, and treatment records.
- Keep a pain and mobility journal documenting daily struggles.
2. Show Functional Loss
The VA evaluates functional impairment more than just a diagnosis. Veterans should emphasize:
- How plantar fasciitis limits their ability to work and perform daily activities.
- The need for assistive devices (canes, orthopedic inserts, mobility aids).
- Failed treatments that prove the condition does not improve with therapy or surgery.
3. Apply for Secondary Service Connection
Plantar fasciitis can lead to or worsen other conditions, such as:
- Knee, hip, or back pain due to altered walking patterns.
- Ankle instability from foot pain compensation.
- Depression or anxiety due to chronic pain.
Veterans can file secondary claims for these related conditions.
VA Benefits for Veterans with Bilateral Plantar Fasciitis
1. VA Healthcare and Free Treatment
Veterans with a service-connected rating for plantar fasciitis may qualify for:
- Podiatry care and physical therapy.
- Orthotic shoe inserts and custom footwear.
- Steroid injections and pain management treatments.
2. Vocational Rehabilitation Services
Veterans struggling with employment due to plantar fasciitis can access:
- Job retraining programs.
- Adaptive workplace accommodations.
- Employment counseling and placement assistance.
3. Special Monthly Compensation (SMC)
If plantar fasciitis causes severe mobility impairment, veterans may qualify for SMC benefits to assist with daily living needs.
Bilateral plantar fasciitis is a debilitating foot condition that can significantly impact a veteran’s mobility and quality of life. The VA rating for plantar fasciitis ranges from 10% to 40%, depending on severity and treatment response.
Veterans seeking VA disability compensation should gather strong medical evidence, attend the C&P exam, and appeal denied claims if necessary. By understanding the VA rating system and available benefits, veterans can ensure they receive the compensation they deserve.