Evidence Checklist: Claw Foot (Pes Cavus)

Podiatric or orthopedic evaluation with weight-bearing foot examinationCritical

Weight-bearing examination documenting elevated arch height, heel position (varus/valgus), toe deformities (clawing), callus distribution, and subtalar mobility. VA rates pes cavus under DC 5277.

Nexus opinion linking pes cavus to service ("at least as likely as not")Critical

A medical opinion connecting your claw foot deformity to military service activities or to a service-connected neurological condition (Charcot-Marie-Tooth, peroneal nerve injury) that caused progressive arch elevation.

Neurological evaluation (if neurological etiology suspected)

Neurological workup to evaluate for hereditary or acquired neurological causes of pes cavus such as Charcot-Marie-Tooth disease, spinal cord pathology, or peroneal nerve injury.

Weight-bearing foot X-rays documenting arch elevation

Anteroposterior and lateral weight-bearing radiographs showing increased calcaneal pitch, metatarsal declination angle, and any associated metatarsal stress fractures from abnormal pressure distribution.

Custom orthotic and footwear modification records

Records of custom foot orthoses, extra-depth shoes, and any surgical interventions (plantar fascia release, osteotomies, tendon transfers) addressing the deformity.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Foot ConditionsCritical

Standardized form capturing pes cavus findings, associated deformities, and functional limitations.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.