C&P Exam Guide

Flat Feet / Foot Conditions C&P Exam

Foot condition exams evaluate pes planus (flat feet), plantar fasciitis, bunions, hammertoes, and other foot problems. For flat feet, the examiner looks at weight-bearing vs. non-weight-bearing alignment, whether orthotics help, pain on manipulation, calluses, and whether the Achilles tendon is misaligned. Bilateral vs. unilateral matters for the rating.

DBQ: DBQ - Flatfoot (Pes Planus)
Exam type: In-person (physical examination required)
Typical duration: 20-30 minutes

What the Examiner Looks For

Degree of pronation, pain on manipulation and use, weight-bearing alignment vs. non-weight-bearing, effectiveness of orthotic insoles, swelling on use, characteristic calluses, Achilles tendon alignment, whether symptoms are improved by orthopedic shoes/appliances, and functional impact.

Related Diagnostic Codes

DC 5276
Flatfoot, acquired
DC 5278
Claw foot (pes cavus), acquired
DC 5280
Hallux valgus
DC 5281
Hallux rigidus
DC 5283
Tarsal or metatarsal bones
DC 5284
Foot injuries, other

General Tips for Every C&P Exam

📝Be honest — do not exaggerate or minimize.
📝Describe your WORST days, not your best.
📝Focus on how the condition impacts your daily life and ability to work.
📝Keep a symptom journal or diary before your exam.
📝Review the DBQ for your condition beforehand.
📝Arrive early and bring all relevant records.
📝You can bring a support person (spouse, friend).
📝The exam is for evaluation, not treatment — do not expect prescriptions.
📝The examiner is not your doctor — they report findings to the VA.
📝If you disagree with the exam results, you can request a new exam.

✅ DO

Wear shoes that show wear patterns — uneven sole wear supports your case.
⚠️ Critical tip
Describe pain after standing and walking — specify how long before pain starts.
Report whether custom orthotics help, partially help, or do not help.
Mention any pain that goes up into ankles, knees, or hips (supports secondary claims).

❌ DON'T

Do not wear brand-new shoes to the exam — worn shoes tell a story.
⚠️ Critical tip
Do not hide your pain response when the examiner manipulates your feet.

📋 BRING

Custom orthotics or insoles you use.
Podiatry records and any imaging (X-rays of feet).
Worn shoes showing abnormal wear patterns.

🔍 EXPECT

⚠️ Critical tip
The examiner will manipulate your feet and observe weight-bearing alignment.
They will check Achilles tendon alignment and callus patterns.
Range of motion testing of ankles and feet.

This information is for educational purposes only. It is not legal or medical advice. Every veteran's situation is unique. Consider consulting with a Veterans Service Organization (VSO) or VA-accredited attorney for personalized guidance.