Achilles tendonitis va rating

Rating 5313 Group XIII. Function: Extension of hip and flexion of knee; outward and inward rotation of flexed knee; acting with rectus femoris and sartorius (see XIV, 1, 2) synchronizing simultaneous flexion of hip and knee and extension of hip and knee by belt-over-pulley action at knee joint. Posterior thigh group, Hamstring complex of 2-joint muscles: (1) Biceps femoris; (2) semimembranosus ...

Achilles tendonitis va rating. Pes planus/ pes planovalgus (or flat foot) is the loss of the medial longitudinal arch of the foot, heel valgus deformity, and medial talar prominence. [1] This is often observed with the medial arch of the foot coming closer (than typically expected) to the ground or making contact with the ground. All typically developing infants are born ...

Patellar tendonitis: Inflammation of the tendon connecting the kneecap (patella) to the shin bone. This occurs mostly in athletes from repeated jumping. ... Proposed amendment to musculoskeletal rating. In 2003 , the VA after extensive studies has provided amendment to the rating for musculoskeletal injuries, which was published in the.

2. Orthotics. Wearing simple heel pads in your shoes can reduce the tension on the tendon - a simple yet effective Achilles tendonitis treatment. If altered foot biomechanics is thought to be contributing to your problem, an Orthotist can give you appropriate insoles to help correct the problem. 3.Because the initial ratings assigned to the veteran's service-connected bilateral flat feet with bilateral plantar fasciitis, Achilles tendonitis, and bilateral calcaneal spurring and to service-connected lumbar muscle strain are not the maximum ratings available for each of these disabilities, these claims remain in appellate status. So, ankle tendonitis is typically rated under 38 CFR § 4.17 using diagnostic codes 5270 or 5271. Under diagnostic code 5270, ankle tendonitis is rated according to the ankylosis of the ankle, and ankylosis refers to abnormal stiffening or immobility of that joint. And those ratings can typically be 20, 30, or 40 percent.800-544-9144. Fax. 401-421-3185. Email. [email protected]. Many veterans suffer from hernias that are related to previous injuries or the strenuous nature of their service and can receive VA compensation for hernia.CAT or CT scans can be used to provide a 3-dimensional assessment of the bones and soft tissues in and around your Achilles tendon and may be used to identify a tendon tear. MRIs (magnetic resonance imaging) will provide more detailed information and will help to evaluate the Achilles tendon damage. An MRI can diagnose tendinosis, tissue damage ...To clarify a couple of points, Achilles tendonitis is normally rated as an ankle condition rather than as a foot condition and the amputation rule of a maximum 40 percent combined evaluation applies to ALL disabilities below the knee, not just the foot.

Achilles tendon rupture is the most common tendon rupture in the lower extremity.[1][2][3][4][5] The injury most commonly occurs in adults in their third to fifth decade of life.[6] Acute ruptures often present with sudden onset of pain associated with a "snapping" or audible "pop" heard at the injury site. Patients can describe the sensation of being kicked in the lower leg. The injury causes ...From SSDI to VA benefits, disability lawyers can be the key to getting the best possible results of your claim. They'll review the paperwork from your rheumatologist to see if your gout meets the standards for Total Disability based on Individual Unemployability (the backdoor to a 100% rating from the VA). They'll maintain an attorney ...The Department of Veterans Affairs uses pre-determined rating criteria to assign a percent rating for VA disability claims. The rating schedule for shin splints is as follows: ... Achilles tendonitis, patellofemoral dysfunction, fibula damage, and stress fractures. Despite the commonality of the diagnosis, veterans will need to obtain written ...Background: Gastrocnemius recession is a surgical technique commonly performed on individuals who suffer from symptoms related to the restricted ankle dorsiflexion that results when tight superficial posterior compartment musculature causes an equinus contracture. Numerous variations for muscle-tendon unit release along the length of the calf have been described for this procedure over the ...Oct 10, 2023 · When a veteran experiences marked pronation, inward displacement of the Achilles tendon on manipulation with spasms, and severe tenderness of the plantar surfaces of the feet, they may receive the highest rating for flat feet if the condition is not helped by shoe supports and both feet are affected. 50% for pronounced bilateral flat feet Exercise interventions resulted in an average improvement of 20 points in composite pain and disability (clinically meaningful benefit is 14 points) over 12 ...How Does VA Rate Plantar Fasciitis? Plantar fasciitis is rated under 38 CFR § 4.71a, Diagnostic Code 5285. Veterans receive higher ratings if the condition affects both feet and is considered not responsive to treatment. VA changed the rating criteria in early 2021, adding a diagnostic code specifically for plantar fasciitis.

Note - The Veteran is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. VA will consider the information you provide on this questionnaire as part of their evaluation in processing the Veteran's claim. VA may obtain additional medical information, including an examination, if necessary, to complete VA's review of theDTR Scale. We are not big believers in grading reflexes (grading muscle power is much more useful). Nevertheless, if you need something beyond "absent," "present," "brisk," or "hyperactive" then use below. If you have a hyperactive reflex don't forget to look for clonus. 0: absent reflex. 1+: trace, or seen only with ...Step 1: Take the 12″ strip of tape and tear the paper backing right at the halfway point. Peel each end back an inch or two until you have enough of the tape backing exposed to place on the bottom of your heel. Firmly adhere this section of tape to your heel without any stretch on the tape just yet.the Achilles tendon builds up and Achilles tendinopathy can develop. There are a number of things that may lead to these repeated tiny injuries to the Achilles tendon, for example: • Overuse of the Achilles tendon. This can be a problem for people who run regularly. Achilles tendinopathy can also be a problem for dancers and for

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Feel the stretch in the Achilles tendon of your back leg. Hold for at least 15 to 30 seconds. Repeat 2 to 4 times a session, up to 5 sessions a day. Stair stretch. slide 4 of 5. slide 4 of 5, Stair stretch, Stand with the balls of both feet on the edge of a step or curb (or a medium-sized phone book). With at least one hand, hold onto something ...Introduction. Chronic disorders of the Achilles tendon (tendinopathy) are a common overuse injury seen in general practice, with an incidence rate of 2-3 per 1000 registered adult patients.1 Most (74%) of these patients have midportion Achilles tendinopathy.2 Runners are most at risk of developing symptoms, with a lifetime risk of 52%.3 The initial treatment of Achilles tendinopathy is ...PRP injections are used for many chronic athletics-related injuries. Research shows that the treatment can be effective in the repair of tendon injuries, such as tennis elbow and achilles ...Achilles tendonitis occurs when the Achilles tendon, which connects the calf muscles in the lower leg to the heel bone, becomes inflamed causing pain and ...

Clinicians may use rigid taping to decrease strain on the Achilles tendon and/or alter foot posture in patients with Achilles tendinopathy. ... Rating Scale (NRS) ...Sep 14, 2018 · VA rates veterans with flatfoot under 38 C.F.R § 4.71a, diagnostic code 5276. Veterans can be rated between 0 percent and 50 percent on a scale of mild (least severe) to pronounced (most severe). The rating schedule is as follows: Pronounced: If veteran experiences marked pronation, inward displacement of the Achilles tendon on manipulation ... Rating 5313 Group XIII. Function: Extension of hip and flexion of knee; outward and inward rotation of flexed knee; acting with rectus femoris and sartorius (see XIV, 1, 2) synchronizing simultaneous flexion of hip and knee and extension of hip and knee by belt-over-pulley action at knee joint. Posterior thigh group, Hamstring complex of 2-joint muscles: (1) Biceps femoris; (2) semimembranosus ...Symptoms. The pain associated with Achilles tendinitis typically begins as a mild ache in the back of the leg or above the heel after running or other sports activity. Episodes of more-severe pain may occur after prolonged running, stair climbing or sprinting. You might also experience tenderness or stiffness, especially in the morning, which ...Today, I’m revealing and explaining the Top 5 VA Secondary Conditions to Depression for VA disability benefits utilizing the legal and medical requirements for secondary service connection.. According to the Top 50 VA Disability Claims, Depression is the #14 most claimed VA disability. While the average VA Rating for Depression is 70%, …summary. Achilles Tendon Ruptures are common tendon injuries that occur due to sudden dorsiflexion of a plantarflexed foot, most commonly associated with sporting events. Diagnosis can be made clinically with weakness of plantarflexion with a positive Thompson's test. MRI studies may be indicated for surgical management of chronic injuries.10% (VA Rating) for Plantar Fasciitis - moderate symptoms that exhibit a downward concave for the tendon Achilles, ... (VA Rating) for Plantar Fasciitis - mild symptoms that are resolved with arch support or more supportive footwear; Secondary conditions resulting from Plantar Fasciitis that could lead to back, hip, knee, or joint pain ...Achilles tendonitis symptoms include pain and inflammation in the Achilles tendon at the back of the heel. The Achilles tendon will be painful to touch. Haglund's deformity. Retrocalcaneal bursitis is inflammation of the bursa at the back of the heel bone and Achilles tendonitis is inflammation of the Achilles tendon.. Over time a bony growth can appear at the back of the heel bone, called ...The mean changes in the Achilles’ tendon Total Rupture Score were −17.0 points in the nonoperative group, −16.0 points in the open-repair group, and −14.7 points in the minimally invasive ...Over time, as the condition progresses, shoulder and arm pain at rest, weakness and stiffness can start to limit function. Supraspinatus tendonitis symptoms may come on: Suddenly: after a shoulder injury. Gradually: over time with no obvious or specific cause. Common symptoms of painful arc syndrome include:The pain associated with Achilles tendinopathy is achy, occasionally sharp, and worsens with increased activity or pressure to the area. 13, 22 Fluoroquinolone use has been shown to precipitate ...

To qualify for benefits, you must show that your condition is disabling and connected to your military service. There are three main ways to get a flat feet VA rating:1. Direct Service Connection for flat feet rated either unilateral or bilateral, with VA ratings of 0%, 10%, 20%, 30%, or 50%. Secondary Service Connection for flat feet rated ...

Gulf War Veterans. More than 650,000 Service members served in Operation Desert Shield and Desert Storm from August 2, 1990 to July 31, 1991. For VA benefits eligibility purposes, the Gulf War period is still in effect. This means that anyone who served on active duty from August 2, 1990, to present is considered a Gulf War Veteran.Additionally, the March 2007 rating decision explained the criteria for a compensable rating for Achilles tendonitis per Vazquez-Flores v. Peake, No. 05-0355 (U.S. Vet. App. Jan. 2008), and the veteran's claim was subsequently readjudicated by a September 2007 statement of the case and a December 2007 supplemental statement of the case. Haglund's syndrome is a condition where an extra part of the heel bone sticks out and causes irritation and inflammation. Just as nose sizes and shapes vary, so there can be variations in the size and shape of these bone variations. The bony part can rub against the overlying Achilles tendon and causes pain in the tendon.Imaging of the Achilles tendon before and after a 12-week eccentric training protocol showed thinning and normalization of the tendon structure both on ultrasound and MRI [120, 157]. Interestingly, eccentric strengthening produced better results in tendinopathy of the midsubstance of the Achilles compared with insertional tendinopathy .Magnetic resonance Imaging (MRI) shows a hyperintense signal in the tendon on T1 and T2-weighted sequences. First-line therapy should be a conservative approach using a 2 cm heel lift for the first 6 weeks and avoiding tendon stretching (for 12 weeks). This is followed by a reduced heel lift of 1 cm and progressive tendon loading at …Veterans with symptomatic pes planus linked to service may obtain a VA disability rating of 0-50%. Rehabilitation Management and Treatments ... spring ligament reconstruction, or Achilles tendon lengthening. 12 For Stage IIb, lateral column lengthening or isolated subtalar joint arthrodesis is usually performed. Subtalar arthoereisisCommon causes and risk factors for developing flat feet include the following: A foot abnormality present since birth. Torn or stretched tendons. Inflammation or damage to the posterior tibial tendon, which runs from the lower leg, down to the ankle, and to the middle of the arch of the foot. Dislocated or broken bones in the legs or feet.

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Loss of Function - Upper Limb. Table 17.1 provides criteria for evaluating the ability to use the upper limb as whole in performing every day activities. Only one rating may be selected for each upper limb. If more than one rating is applicable, the ratings are compared and the highest selected.1 thg 7, 2004 ... Impact of Achilles Tendon Lengthening on Functional Limitations and Perceived Disability in People With a Neuropathic Plantar Ulcer · OBJECTIVE ...The aim of this case series was to determine the long-term outcomes on pain and Achilles tendon structure. Methods: 18 consecutive patients (13 males; 5 females; mean age 39 years; mean symptom duration 28 months), of which three were elites, were included. Clinical examination, b-mode ultrasound (US) and Ultrasound Tissue Characterisation (UTC ...Under diagnostic code 5270, ankle tendonitis is rated according to the ankylosis of the ankle, and ankylosis refers to abnormal stiffening or immobility of that joint. And those ratings can typically be 20, 30, or 40 percent. Under diagnostic code 5271, ankle tendonitis is rated at 10 or 20 percent based on limited motion of the ankle.Introduction. Calf strains are a common injury. The "calf muscle" or triceps surae consists of three separate muscles (the gastrocnemius, soleus, and plantaris) whose aponeuroses unite to form the Achilles tendon. The clinical history and physical exam along with imaging studies allow localization of the injured muscle.Behind the heel (Achilles tendonitis) There are also two types of tendonitis that frequently impact the fingers: DeQuervain's tenosynovitis happens when the tendon sheath in the thumb become swollen. Trigger finger (or thumb) occurs when a tendon in a finger gets inflamed and becomes thicker, which may cause it to "lock."You can help your Achilles tendon to recover by staying active but limiting your walking and other activities to a level that doesn't aggravate your symptoms too much. A useful rule that we ask our patients to use is the "niggle rule". If you feel only a niggle in your tendon while you're walking - meaning a level of pain or discomfort of ...The 8 Best Shoes for Heel Spurs, According to Podiatrists. Anatomical arch and cushioning: A well-cushioned, anatomical arch will help support and hold the plantar fascia and prevent it from ... ….

Ratings range from 10 to 30 percent – if the plantar fasciitis is affecting both feet and not responding to treatment, veterans will generally receive a higher rating. The specific criteria for each VA rating are: 30 percent – If the veteran has no relief from both non-surgical and surgical treatment; bilateral.26 thg 10, 2021 ... Ankle conditions are common disabilities among Veterans. Tune in to learn the most common ankle VA disability claims such as arthritis in ...Through the posterolateral portal an arthroscope sleeve and trocar are advanced into the space anterior to the Achilles tendon and superior to the Haglund's deformity prominence. The trocar is switched out for an arthroscope once the calcaneus is palpated. The authors prefer to use a 2.7 mm arthroscope as the working space is limited.The flexor hallucis longus can be used to augment the Achilles tendon by tendon transfer if more than 50% of diseased tendon was removed (Fig. 5). Schon et al. 36) reported significant improvement in terms of Achilles tendon function, physical function and pain intensity with this procedure in relatively inactive, older, and overweight patients ...The VA may require documentation that shows the range of motion of the ankle. This documentation may include medical records, notes from a medical practitioner, or physical evidence like x-ray images. In many cases, ankle instability itself would receive a rating of between 0 and 20% on the rating schedule.Achilles tendinopathy is a condition that causes pain, swelling and stiffness of the Achilles tendon that joins the heel bone to the calf muscles. It is thought to be caused by repeated tiny injuries to the Achilles tendon. These may occur for a number of reasons, including overuse of the tendon - for example, in runners.The Achilles tendon gives your leg strength to walk, run and jump. An Achilles tendon rupture is a full or partial tear of the Achilles tendon. This acute (sudden) injury occurs when the tendon stretches to its breaking point. It happens most frequently while playing sports. Tripping, falling or twisting your ankle can also cause an Achilles tear.6. Asics Gel Kayano 27. For individuals who engage in competitive sports or just need a shoe to help relieve Achilles Tendonitis symptoms, the Asics Gel Kayano 27 is a terrific choice for runners. Both men and women can benefit from the maximum cushioning and medium support.That's why we provide free information to help veterans with their claims. Download our free book, The Essential Guide to VA Disability Claims, or call us today at 402-933-5405 to ask us a question about your disability case. by Sean D. Cuddigan. SSA and VA Disability Attorney in Omaha, Nebraska. Comments are closed.Tendonitis refers to an overuse injury at the tendon portion of your muscle group. Tendonitis can happen in various areas throughout the body, such as the elbow, shoulder, and knee. Another common area that tendonitis occurs is in the Achilles. Your Achilles tendon is the thick band of tissue at the most distal end of your calf muscle. Achilles tendonitis va rating, Definition/Description. Heel spur. A calcaneal spur, or commonly known as a heel spur, occurs when a bony outgrowth forms on the heel bone. Calcaneal spurs can be located at the back of the heel (dorsal heel spur) or under the sole (plantar heel spur). The dorsal spurs are often associated with achilles Tendinopathy, while spurs under the sole ..., The Achilles tendon or heel cord, also known as the calcaneal tendon, is a tendon at the back of the lower leg, and is the thickest in the human body. It serves to attach the plantaris, gastrocnemius (calf) and soleus muscles to the calcaneus (heel) bone. These muscles, acting via the tendon, cause plantar flexion of the foot at the ankle joint, and (except the …, Case Discussion. Achilles enthesopathy and plantar fasciitis are two common causes of posterior heel pain. Enthesopathy refers to a disorder involving the site of attachment or insertion of ligaments, tendons, fascia, or articular capsule into bone. This site of attachment is called enthesis, and its inflammation is known as enthesopathy., Foot Puncture Wounds are common work place injuries which are at high risk for soft tissue infection and development of osteomyelitis. Diagnosis is clinical with inspection of the plantar foot for the puncture site as well as surrounding erythema and drainage. MRI studies are indicated when there is concern for osteomyelitis., Background: The optimal management of Achilles tendon ruptures continues to be a subject of debate in orthopedics. These injuries are common in the active duty military population. The purpose of this study was to retrospectively compare the results of operative and nonoperative management of Achilles tendon ruptures in the active duty military population following the publication of a ..., Achilles tendinopathy. The Achilles tendon connects the calf (the back of the lower part of your leg) muscles to the heel bone. It helps you to push up onto your tiptoes. Achilles tendinopathy is an injury to this tendon. Symptoms include: pain. stiffness and swelling on the back of the heel. the tendon might be warm and tender to touch., Citation Nr: 0306637 Decision Date: 04/07/03 Archive Date: 04/10/03 DOCKET NO. 02-03 268A ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Baltimore , Symptoms. The pain associated with Achilles tendinitis typically begins as a mild ache in the back of the leg or above the heel after running or other sports activity. Episodes of more-severe pain may occur after prolonged running, stair climbing or sprinting. You might also experience tenderness or stiffness, especially in the morning, which ..., Since the federal law (rating schedule) is written in legal language, it is often misinterpreted by clinicians. This guide, therefore, bridges this gap and explains the law in clinical terms. Both this Guide and the worksheets should be utilized when performing C&P examinations. 0.2 How to use this guide, Achilles tendon rupture is the most common tendon rupture in the lower extremity.[1][2][3][4][5] The injury most commonly occurs in adults in their third to fifth decade of life.[6] Acute ruptures often present with sudden onset of pain associated with a "snapping" or audible "pop" heard at the injury site. Patients can describe the sensation …, Achilles tendonitis causes and risk factors. Achilles tendonitis is a common sports injury. People of all ages can get Achilles tendonitis. Some common causes and risk factors include: Runners who increase the intensity of their workouts. New runners, or those who have not adequately prepared. Exercising in cold weather or in hilly areas., When evaluating any claim involving muscle injuries resulting in loss of use of any extremity or loss of use of both buttocks (diagnostic code 5317, Muscle Group XVII), refer to § 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. Note (2):, The incidence of Achilles tendon rupture in the general population is approximately 5 to 10 per 100,000, but may be higher in some regions and populations, and is increasing overall [ 2-5 ]. Over 80 percent of ruptures occur during recreational sports. Approximately 10 percent of patients who sustain an Achilles tendon rupture had preexisting ..., Elastoplast Advanced Performance Ankle Support, Ankle Support for Ligament Damage, Achilles Heel, Tendonitis, Sprains, Strains and Weak/Inured Ankles, ..., How Does VA Rate Ankle Tendonitis? Once service connection is established, VA will assign a disability rating depending on the severity of the condition. Ankle tendonitis is usually rated under 38 …, If you have an Achilles tendonitis injury, there are several doctors who you can consult and these include; Family medicine physicians who have specialized with ankle and foot injuries. Sports medicine specialists. Podiatrists who have specialized in sports injuries. Emergency medical specialists who attend severe and sudden Achilles issues., Tendinosis is a degeneration of the tendon’s collagen in response to chronic overuse; when overuse is continued without giving the tendon time to heal and rest, such as with repetitive strain injury, tendinosis results. Even tiny movements, such as clicking a mouse, can cause tendinosis, when done repeatedly. The confusion about the ..., Haglund's deformity is a bony bump or ridge that appears on the back of the heel bone, where the Achilles tendon attaches to the heel. Changing footwear and doing exercises may help, but some ..., Given this revision, VA has added a note (Note (1)) explaining that the patellofemoral complex consists of the quadriceps tendon, patella (knee cap), and patellar tendon. Proposed Note (2), despite technical edits, still provides that certain surgical procedures do not qualify as surgical repair under the patellar instability provisions of this DC., Entitlement to a rating higher than 30 percent for an Achilles tendon strain/tear with Achilles tendinitis, bursitis, and Haglund's deformity of the right foot. 2. Entitlement to an initial compensable rating for a post-operative scar., Ankylosis VA ratings are classified under Diagnostic Code 5250. This describes ankylosis as a fusion of the bones causing abnormal stiffness and immobility. As mentioned earlier, ankylosis-caused hip pain starts at 60% and can be rated up to 90% disability rating for hip pain. Hip replacement Hip pain VA rating. VA rates hip replacements under ..., Pes planus/ pes planovalgus (or flat foot) is the loss of the medial longitudinal arch of the foot, heel valgus deformity, and medial talar prominence. [1] This is often observed with the medial arch of the foot coming closer (than typically expected) to the ground or making contact with the ground. All typically developing infants are born ..., The DBQ for knee and lower leg impairments includes the following as potential diagnoses for compensable conditions: -Knee strain. -Knee tendonitis/tendonosis. -Knee meniscal tear. -Knee anterior cruciate ligament tear. -Knee posterior cruciate ligament tear. -Patellar or quadriceps tendon rupture. -Knee joint osteoarthritis., Introduction. Chronic disorders of the Achilles tendon (tendinopathy) are a common overuse injury seen in general practice, with an incidence rate of 2-3 per 1000 registered adult patients.1 Most (74%) of these patients have midportion Achilles tendinopathy.2 Runners are most at risk of developing symptoms, with a lifetime risk of 52%.3 The initial treatment of Achilles tendinopathy is ..., 10 percent - VA assigns veterans a 10 percent rating if they exhibit moderate symptoms of IBS, such as "frequent episodes of bowel disturbance with abdominal distress.". Examples of bowel disturbance include episodes of diarrhea, severe gas, and bloating. 30 percent - VA assigns veterans a 30 percent rating, the highest rating for IBS ..., Defense and Veterans Pain Rating Scale SEVB?E (Red) MODERATE ( Yellow) @ MILD ( Green ) @ As bad as It could be, nothing matters v Notice pain, does not interfere with activities Sometimes Distracts me, distractsme can do usua activities Interrupts some activities Hardto ignore, avoid UsUa activities Focus of attention, prevents doing daily, Achilles tendonitis occurs in about 10 percent of runners, but the condition also occurs in dancers, gymnasts, and tennis players. 3, 4 Running produces forces up to eight times the body's weight, ..., Appealing a VA disability denial can be a complex and difficult process. The experienced attorneys and advocates at Chisholm Chisholm & Kilpatrick LTD may be able to help you receive a grant of VA disability benefits for arthritis. Contact our office today for a free case evaluation: 844-549-4500. Phone., Yes, Carpal Tunnel is a VA disability and can be rated at 10%, 20%, 30%, 40%, 50%, 60%, or 70% depending upon the non-dominant (Minor) versus dominant (Major) hand as well as the Frequency, Severity, and Duration of your symptoms. Your final rating for Carpal Tunnel also depends on Painful Motion, Limitation of Range of Motion (ROM), …, Treatments can include medications, physical therapy, orthotics, and lifestyle changes. People with enthesopathy typically experience pain and may have stiffness or difficulty moving the affected ..., Achilles tendonitis is rated analogously to limitation of motion of the ankle under Diagnostic Code 5271, which assigns a 10 percent rating when there is moderate limitation of motion of the ankle and a 20 percent rating when there is marked limitation of motion of the ankle., The rating schedule is as follows: Pronounced: If veteran experiences marked pronation, inward displacement of the Achilles tendon on manipulation with spasms, and severe tenderness of the plantar surfaces of the feet, they may receive the highest rating for flat feet. To be considered pronounced, the condition cannot be helped by shoe supports ..., Retrocalcaneal bursitis is a common cause of heel pain due to inflammation of the bursa at the back of the heel. Repetitive friction or pressure over the area causes irritation and inflammation of the bursa leading to pain and swelling. Heel bursitis symptoms tend to be worse when running uphill or when standing on tiptoes.