Evidence Checklist: Recurrent Ankle Instability

Orthopedic evaluation with ankle stability testingCritical

An examination including anterior drawer test, talar tilt test, and other ligament integrity assessments documenting the degree of ankle instability.

Nexus opinion linking ankle instability to serviceCritical

A medical opinion stating it is "at least as likely as not" that your ankle instability is connected to in-service injury or repetitive ankle sprains during military duties.

Imaging studies (stress X-rays showing laxity, MRI)

Stress radiographs demonstrating ligament laxity or MRI showing ligament damage, chronic tears, or joint effusion.

Documentation of recurrent sprains and giving-way episodes

Medical records or personal log documenting the frequency of ankle sprains, giving-way episodes, and functional limitations caused by instability.

Ankle brace prescription and assistive device documentation

Prescription or medical records showing use of an ankle brace, ASO support, or other stabilizing device.

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.

Completed DBQ Ankle ConditionsCritical

Standardized form capturing ankle range of motion, stability testing results, and functional limitations.

Service treatment records (STRs)Critical

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