DVA ClaimsConditionsJoint Instability

Making a DVA Claim for Joint Instability

A joint that tends to give way or feel unstable under load — most often in the shoulder, knee, or ankle — is claimable where it stems from service-related injury.

Joint instability is frequently a flow-on from a prior traumatic injury during service — a ligament tear, labral damage, or recurrent dislocation — and can be claimed alongside that original injury rather than instead of it.

Why Joint Instability Shows Up So Often in Veterans

Ligament injuries and recurrent dislocation during physical training, combat activities, and parachuting are the leading causes of joint instability in veterans, with the shoulder the most commonly affected joint given its inherent structural mobility.

What the Statement of Principles requires

DVA measures every claim against a Statement of Principles (SoP) — a legally binding document setting out the specific factors that can connect a condition to service. Here are the pathways that most often apply to joint instability claims, in plain language.

Trauma causing ligamentous injury or dislocation

Physical trauma to the joint causing acute instability, which doesn't necessarily need to have been formally recorded at the time.

This is the plain-English version. Read every factor of the Joint instability Statement of Principles exactly as the Repatriation Medical Authority wrote it.

How DVA Approaches the Impairment Assessment

Assessment considers the frequency and severity of giving-way episodes, functional limitation during load-bearing or overhead activity, pain, and whether stabilisation surgery has been performed — recurrent instability that genuinely limits daily activity or work capacity attracts a higher rating than mild, infrequent episodes. Where instability coexists with the original injury, both are assessed separately, with instability adding its own component on top of the primary condition. If you've had stabilisation surgery, make sure the post-operative functional status is properly documented — residual instability or functional restriction following surgery remains assessable in its own right.

The evidence that decides it

Most initial liability decisions currently take DVA somewhere between 3 and 6 months, longer for complex or multi-condition claims. A complete, well-organised submission up front tends to shorten that wait considerably.

  • A clinical assessment documenting the instability
  • Imaging confirming the underlying structural pathology
  • Service records establishing the initial traumatic event

On the PAMT list

Joint Instability is one of the conditions covered by Provisional Access to Medical Treatment, meaning funded treatment could begin before DVA reached a liability decision. This included:

  • Physiotherapy and joint stabilisation programs
  • Orthopaedic specialist consultations
  • Imaging where clinically indicated

Questions veterans ask about Joint Instability

Can I claim instability in the same joint where I also have osteoarthritis?

Yes — they're assessed as distinct conditions and both contribute to your overall impairment score.

Related conditions

The same service exposure that causes joint instability often produces related conditions that are separately claimable. It's worth having these assessed at the same time rather than as an afterthought.

Ready to Look Into a Joint Instability Claim?

Book a free consultation and we'll go through whether your circumstances meet the SoP factors, what evidence would strengthen your case, and what to expect next.

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This page is general information, not medical, legal, or financial advice. Statement of Principles factors, thresholds, and program details are current as at the update date above but can change — always confirm against your own determination letter and the current SoP instrument. For medical concerns, speak with a qualified health professional; for legal advice, a solicitor experienced in military compensation law.

Presumptive liability · from 1 July 2026

Joint instability may be accepted without proving the link to service

Joint instability is listed in Part 2 of the determination as attributable to defence service, provided the criteria below are met.

  • Qualifying service: Any defence service.
    Onset: during the qualifying service.

A diagnosis is still required, and the presumption may not apply where there is clear evidence of a cause other than service. "Onset" means when an injury was sustained, or when all the signs and symptoms of a disease were first present — not the date of diagnosis. Applies to claims made on or after 1 July 2026.

How presumptive liability works →

Dr Thomas Perkins, Veterans Health Centre

Reviewed by Dr Thomas Perkins

Founding doctor, Veterans Health Centre · former RAAF aviation medical officer · 13 years working exclusively with ADF members and veterans. Full profile →