Conditions/Musculoskeletal

Hallux Rigidus

Diagnostic Code 5281Musculoskeletal

Degenerative arthritis of the first metatarsophalangeal joint (big toe joint) causing stiffness and pain. Progressive condition limiting toe dorsiflexion (upward movement), essential for normal walking gait. Symptoms include pain with walking, stiffness, swelling, bone spurs, and difficulty with toe-off phase of gait. Can significantly impact ambulation and footwear tolerance.

VA Rating Criteria (38 CFR)
30%

Severe symptoms. Nearly complete loss of motion (ankylosis), persistent pain with any weight-bearing, significant gait disturbance, inability to wear normal shoes

20%

Moderate symptoms. Marked limitation of motion (less than 25% normal), frequent pain affecting walking and standing, difficulty with inclines or stairs, requiring shoe modifications

10%

Mild symptoms. Slight limitation of motion (less than 50% normal), occasional pain with activity, minimal impact on gait

0%

Asymptomatic or minimal stiffness without pain

Evidence You'll Need

Medical Evidence

Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history

Service Connection

Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)

Personal Statement

Your detailed account of how hallux rigidus affects your daily life and when symptoms began

Lay Evidence

Buddy letters from fellow service members or family who can corroborate your symptoms

C&P Exam Tips Preview

During your Compensation & Pension exam for hallux rigidus, examiners will assess your symptoms against the rating criteria above.

Be specific: Describe your worst day, not your average day

Document everything: Bring copies of all medical records and evidence

Functional impact: Explain how symptoms affect work, sleep, and daily activities

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