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.

How the VA rates this condition

The VA rates this condition based on how much it affects your ability to work and carry out daily activities. The examiner will focus on the functional limitations your condition causes, not just the diagnosis itself.

Diagnostic code

DC 5271

Rating range

10% – 20%

Rating levels

Rating criteria are defined in 38 CFR 4.71a, DC 5271. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

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.