How VA rates acquired flatfoot (DC 5276)
| Severity | Bilateral | Unilateral |
|---|---|---|
| Pronounced: marked pronation, extreme tenderness of plantar surfaces, marked inward displacement and severe Achilles spasm, not improved by orthopedic shoes or appliances | 50% | 30% |
| Severe: objective evidence of marked deformity, pain on manipulation and use accentuated, swelling on use, characteristic callosities | 30% | 20% |
| Moderate: weight-bearing line over or medial to the great toe, inward bowing of the Achilles tendon, pain on manipulation and use | 10% | |
| Mild: symptoms relieved by built-up shoe or arch support | 0% | |
Source: 38 CFR § 4.71a, DC 5276.
"I had flat feet before I joined." Can I still claim it?
Possibly. If flat feet were noted on your entrance exam, VA can grant service connection when service aggravated them beyond natural progression (38 CFR § 3.306). If they weren't noted at entry, you're presumed sound, and VA has to show by clear and unmistakable evidence both that the condition pre-existed service and that service didn't aggravate it (38 CFR § 3.304(b)).
Secondary conditions
Altered gait from painful feet can contribute to knee, hip, and back problems. Plantar fasciitis is also common. These may be ratable as secondary conditions with medical support.
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Official sources
Rating criteria summarized for general information. Read the full regulation for details. Last reviewed October 2026.