Recurrent Ankle Instability

DC 5271Musculoskeletal38 CFR 4.71a, DC 5271

Chronic instability of the ankle joint causing repeated sprains and giving way. The VA rates recurrent ankle instability based on the severity of the instability, from moderate to marked.

Rating Levels

You have marked ankle instability with frequent giving-way episodes and severe recurrent sprains. You require an ankle brace for most weight-bearing activities and are at constant risk of further injury. This is the maximum schedular rating for ankle limitation of motion under DC 5271.

What the VA looks for

Frequent giving-way episodes documented in treatment records
Positive stress X-rays showing ligament laxity
Marked instability on anterior drawer and talar tilt testing
Constant use of ankle brace or supportive device
Functional limitations in walking and standing documented

Common Pitfalls

⚠Not documenting each recurrent sprain in medical records — a pattern of repeated sprains is key evidence for instability.
⚠Not requesting stress X-rays to objectively demonstrate ligament laxity.
⚠Not mentioning giving-way episodes during the C&P exam — the examiner needs to hear how often your ankle gives out.
⚠Failing to document use of an ankle brace, which supports the severity of the condition.

Related DBQ Forms

DBQ Ankle Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…