Ankle Injury at Work in Virginia: Workers’ Comp and Settlements

Nothing in this article should be taken as legal advice. Every case is different.

There is no average workers’ comp settlement for an ankle injury in Virginia. What an ankle claim pays depends on whether the accident qualifies, what treatment the ankle needs, how long you are out of work, and whether the injury leaves a permanent loss of use. Virginia workers’ comp can pay for your medical treatment, two-thirds of your average weekly wage while you can’t work, and a set number of weeks of pay for a permanent loss of use of your foot or leg. It does not pay for pain and suffering.

A badly hurt ankle doesn’t just hurt. It can keep you off ladders, trucks, loading docks, and job sites for months, and it is one of the injuries insurance companies most often try to write off as “just a sprain.”

What Virginia Workers’ Comp Pays for an Ankle Injury

Benefit What it pays Law
Wage checks while you can’t work (temporary total disability) Two-thirds of your average weekly wage, up to a weekly maximum. For injuries on or after July 1, 2026, the maximum is $1,507.01 a week. Va. Code § 65.2-500
Wage checks on light duty at lower pay (temporary partial disability) Two-thirds of the difference between what you earned before and what you earn now Va. Code § 65.2-502
Medical treatment Treatment that is reasonable, necessary, and causally related to the accident, including surgery Va. Code § 65.2-603
Permanent partial disability A set number of weeks of pay for a permanent loss of use: 125 weeks for a foot, 175 for a leg, paid in proportion to your rating Va. Code § 65.2-503

Wage checks also have a seven-day waiting period. Here’s when Virginia workers’ comp starts paying and how benefits are calculated.

Common Ankle Injuries at Work

The ankle is where the two lower leg bones, the tibia and fibula, meet the talus bone of the foot. Ligaments on both sides hold it together, and the Achilles tendon runs down the back.

Sprains and Torn Ligaments

A sprain stretches or tears the ligaments, usually when the foot rolls inward on a step, a curb, a pallet, or uneven ground. A “high ankle sprain” injures the ligaments that hold the tibia and fibula together and often takes much longer to heal. A sprain that doesn’t get better can mean a full ligament tear that shows up only on an MRI, and some need surgery to repair or rebuild the ligament.

Fractures

Falls from ladders or trucks, missed steps, and crush injuries can break one or more of the bony bumps on either side of the ankle. Breaks of two or three of them (bimalleolar and trimalleolar fractures) usually need surgery with plates and screws. A fracture at the bottom of the tibia (a pilon fracture), often from a fall from a height, is one of the most serious ankle injuries and can lead to arthritis later. See broken ankle at work below.

Achilles Tendon Ruptures

A sudden push-off, a jump down from equipment, or a missed step can tear the Achilles tendon. Many people feel a pop, as if they were kicked in the back of the leg. Here’s our full guide to an Achilles tendon rupture at work.

Dislocations

A hard twist or fall can push the ankle joint out of place, often along with a fracture.

Complications: CRPS and Arthritis

Some ankle injuries don’t follow the usual recovery. Complex regional pain syndrome (CRPS) can develop after a fracture, a sprain, or even surgery, causing burning pain, swelling, and color and temperature changes that spread beyond the ankle. A badly broken ankle can also lead to arthritis in the joint years later. When a later condition flows from the work injury or its treatment, it can be covered as part of the same claim. So can a knee or hip you hurt by favoring the injured ankle. These are among the most fought-over parts of an ankle case, because they change what the claim is worth.

Does Workers’ Comp Cover Your Ankle Injury?

Virginia workers’ comp covers an ankle injury caused by a specific accident at work that produces a sudden structural or mechanical change. The accident must also arise out of and in the course of your job, meaning an actual risk of your work caused it (Va. Code § 65.2-101).

That second part is where many ankle claims are fought. If you rolled your ankle simply walking across a flat, clear floor, expect the insurance company to argue that nothing about your job caused it. If you rolled it on a high or awkward truck step, on a cluttered floor, on uneven ground at a job site, on a ladder, or while carrying something heavy for work, the work connection is much stronger. The details of exactly what you were doing, and what was under your foot, matter.

The insurance company will also look for any earlier ankle sprains or injuries. A prior injury does not automatically end a claim. If the work accident caused a new structural or mechanical change, or a structural aggravation of the old condition, that injury can still be covered.

Steps to Take After an Ankle Injury at Work

  1. Get medical care. Tell every doctor that you hurt your ankle at work and how it happened, so your records say so from the start. If your knee, hip, or back hurts from the same fall, say so.
  2. Give your employer written notice within 30 days. Virginia law requires you to notify your employer within 30 days of the accident. Do it in writing. Late notice can limit or even bar your benefits. Include the date, the place, what you were doing, and what you hurt.
  3. Write down what was under your foot. A step, a curb, debris, a wet spot, a pallet edge. Take photos if you can, and note who saw it.
  4. File your claim with the Virginia Workers’ Compensation Commission. Notice to your employer is not the same as a claim. The claim must generally be filed with the Commission within two years of the accident, although exceptions apply (Va. Code § 65.2-601). File it even if the insurance company accepts your injury and starts paying. Here’s how to file a workers’ comp claim.
  5. Watch for the insurance company’s answer. After you file, the Commission will order the insurance company to respond to your claim within 30 days. It may accept or deny it. Whatever it decides, you can ask the Commission for a hearing.

What If Your Ankle Needs Surgery?

Many ankle fractures, ligament tears, and Achilles ruptures need surgery: plates and screws for a fracture, a ligament repair or reconstruction, or an Achilles repair. A badly damaged joint may eventually need a fusion or an ankle replacement.

If the surgery is reasonable, necessary, and related to your work injury, the insurance company is required to pay for it, along with follow-up care such as physical therapy. That does not mean it will. If the insurance company refuses, you can ask the Commission for a hearing. Your doctor’s written opinion on why the surgery is needed and how it connects to the accident is usually the key evidence.

Broken Ankle at Work: Recovery Time and Settlement

A broken ankle from a fall, a missed step, or a crush at work is usually a clear accident under Virginia workers’ comp. What the claim is worth depends mostly on the type of break, whether it needs surgery, and whether the joint is left permanently damaged. The insurance company rarely argues that a fracture didn’t happen. It argues about how long you are out, what your rating should be, and whether later problems belong to the work injury.

Type of break Usual treatment What it means for your claim
One bone, not out of place Cast or walking boot Weeks of wage checks; often a smaller permanent rating
One bone, out of place or unstable Surgery with screws or a plate Longer time off; a surgical scar and hardware in the joint
Two or three bones (bimalleolar or trimalleolar) Usually surgery with plates and screws Months off; higher risk of a lasting rating and later arthritis
Fracture with a torn syndesmosis (the ligaments between the tibia and fibula) Surgery; the screws may be removed later A possible second surgery, which is part of the same claim

Treatment details are from the American Academy of Orthopaedic Surgeons (AAOS). Your surgeon decides what your break needs.

How Long Will You Be Out of Work?

Most ankle fractures take at least 6 weeks for early healing and 10 to 12 weeks to heal completely. Most people return to normal activities in 3 to 4 months, and full recovery from some fractures can take up to 2 years (AAOS). A job on ladders, trucks, or uneven ground usually takes longer to return to than a desk job.

While your doctor keeps you out of work, you are owed wage checks at two-thirds of your average weekly wage (Va. Code § 65.2-500). Once you are released to light duty, the rules change. If your employer offers a job within your restrictions and you refuse it, your checks can stop (Va. Code § 65.2-510). If the light-duty job pays less, you may be owed two-thirds of the difference (Va. Code § 65.2-502).

Hardware Removal, Arthritis, and Later Surgery

A broken ankle can need care long after the bone heals. Screws or plates sometimes have to come out, and arthritis can develop years after the injury (AAOS). Arthritis can lead to a fusion or an ankle replacement. If that later care is reasonable, necessary, and related to the work injury, the insurance company is required to pay for it while your medical benefits are open (Va. Code § 65.2-603). That does not mean it will. A full and final settlement usually closes your medical benefits for good, so the chance of a second surgery belongs in any settlement decision.

What Is a Broken Ankle Worth?

It depends on the factors in the next sections: your rating, your wage, your time out, and your future medical care. Our case results include a $150,000 settlement in a broken ankle case. Every case is different, and past results don’t predict the result in yours.

How Is a Permanent Ankle Injury Rated?

Once you reach maximum medical improvement, meaning your doctor says you are as healed as you are going to get, a doctor may rate a permanent loss of use. The ankle itself is not listed on Virginia’s schedule (Va. Code § 65.2-503), so an ankle rating is usually treated as a loss of use of the leg. Some ankle injuries are rated to the foot instead, depending on the injury and the medical evidence. That choice matters:

Rating As loss of use of the leg (175 weeks) As loss of use of the foot (125 weeks)
10% 17.5 weeks of pay 12.5 weeks of pay
20% 35 weeks of pay 25 weeks of pay
30% 52.5 weeks of pay 37.5 weeks of pay

Each week is paid at your compensation rate. Here’s more on how impairment ratings work in Virginia. Insurance companies frequently send injured workers to their own doctors for a lower rating. Here’s what happens after an IME in Virginia.

What Is an Ankle Injury Worth in Virginia?

No one can fairly value an ankle claim without the medical records. The same diagnosis can be worth very different amounts. What usually moves the value:

  • Whether the accident qualifies at all, especially in a “rolled it walking” case
  • Surgery, and whether hardware, a fusion, or a replacement is in your future
  • Complications such as CRPS or post-traumatic arthritis
  • Time out of work, and whether you can go back to a job on your feet
  • The impairment rating, and whether it is to the leg or the foot
  • Your average weekly wage
  • Future medical care, since a full and final settlement closes your medical benefits for good

A settlement is optional, and the Commission must approve it (Va. Code § 65.2-701). Here’s more on how much compensation you can get for a work injury and how a Virginia workers’ comp settlement is calculated. Our case results include a heavily contested ankle case that developed into CRPS. Every case is different, and past results don’t predict the result in yours.

Ankle Injury Questions

Is a sprained ankle at work worth filing a claim?

Yes, file it. Many sprains heal in a few weeks, but some turn out to be ligament tears or fractures that only show up later on an MRI. A filed claim protects your deadline if the ankle doesn’t heal the way everyone expected.

Can I get workers’ comp if I rolled my ankle walking at work?

Possibly, but it depends on why you rolled it. Virginia requires that an actual risk of your work caused the accident. A defect in the floor or the steps, debris, an unusually high or awkward step, or something your job had you carrying can help supply that risk. Simply walking on a clear, level surface usually does not.

How long will I be out of work with a broken ankle?

That depends on the break and your job. Most ankle fractures take 10 to 12 weeks to heal completely, and most people are back to normal activities in 3 to 4 months (AAOS). A surgically repaired fracture can mean longer before a return to heavy work. Wage checks continue while your doctor keeps you out of work, and partial checks may continue on light duty at lower pay.

Talk to Pathfinder Injury Law About Your Ankle Injury

Pathfinder Injury Law handles only Virginia workers’ compensation claims. Call 804-505-0633 or use our online contact form. Hurt your foot instead? Here’s our guide to foot injuries at work.

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