Gout and Social Security Disability. Most patients with persistent knee issues who have surgery benefit from reduced symptoms, but the improvement isn't always sufficient to allow them to return to work. To qualify under this listing, you have to be able to show that your difficulty walking started soon after your knee replacement surgery (following a reasonable period of recovery and rehabilitation). You may be able to get disability payments if youre unable to work and your employer offers a private insurance plan. (2021). VA C&P Exam: 10 Things to Know Before You Go (*NEW* TIPS! For example, gout is often associated withcardiovascular disease (heart disease), impaired kidney function, obesity, and diabetes. In addition, the VA uses compensation and pension (C&P) exams to assess knee pain and its impact on your life. If your knee pain is connected to your military service, you may be entitled to VA benefits and compensation. They are often a treatment of last resort, and are used after less invasive care, such as physical therapy and medication, are unsuccessful. If you suspect you have arthritis, make an appointment with your doctor. Learn what the research says. What Documents Do I Need To Apply For Disability? For SSDI applicants, that means no more than $1,070 per month for 2014, or $1,090 per month beginning in 2015. If you suffer from gout, your ability to work is most likely impacted and therefore it could be considered a valid medical condition to list on an application for Social Security Disability or SSI disability. Difficulties following total or partial knee replacement surgery can include chronic pain, loss of range of motion, locking/clicking, stiffness, and reduced mobility. To qualify for Social Security Disability Insurance (SSDI) benefits, you must: Have worked in jobs covered by Social Security. There are several ways that your physician can help including: A Social Security disability attorney or advocate can assist you in ensuring that you claim for disability is thorough, thus increasing your chances for approval. If your doctor doesnt think your chances are high, it may not be worth the time and effort of applying. For example, if you have serious knee problems, your RFC might say that you can't: If you're not comfortable online, you can call Social Security at 800-772-1213 to start your claim. It also helps to have your doctor fill out a "medical source statement," or an RFC form stating which movements you have difficulty with. But when does a knee problem quality for disability? Ask your doctor for more information about disability laws and support resources. If you can easilysuppress andcontrol your condition with medication, physical therapy, or other means of treatment, you will be not be considered impairedfrom the SSAs perspective. VA rating: 30%, 40%, 50%, or 60%. How Does the Social Security Administration Decide if I Qualify for Disability Benefits Due to Joint Problems? The SSA has three levels of expectant medical improvement. According to the CDC, the annual cost of arthritis in medical spending and wage loss equals about $303.5 billion. Lupus can cause various debilitating symptoms, including: These symptoms can also make daily tasks harder and, in some cases, make you seriously ill. To lower your risk of disability, take steps to treat your arthritis early. In order to be approved under an RFC, you need to be unable to work what the SSA considers Substantial Gainful Activity (SGA). If it denies your claim, you should consult with your lawyer about an appeal. To schedule a free consultation, contact our office today. The VA knee rating chart often considers flexion (to what degree the knee can bend) and extension (to what degree the knee can straighten). For example, your chronic knee pain may cause another service-connected condition, such as depression. Does applicant expect to be out of work for at least 12 months? Can You Get Social Security Disability Benefits for Knee Problems? Does the applicant plan to stop working soon and stay out of work for at least 12 months? Orthopedic surgeons perform over 700,000 knee replacements per year in the U.S., and the vast majority are successful. The SGA income minimum is $1,130 per month in 2016. Common knee conditions in veterans include: What are the VA Secondary Conditions to Knee Pain? If Social Security agrees, it will grant you benefits. walk on rough or uneven surfaces at a reasonable pace. Many patients who have a knee replacement take medications, which may include analgesics and NSAIDs. This is important as we strive to be inclusive and recognize that not everyone with a disability feels limited by their condition. As you read your plan or policy documents, you need to look out for several things. Understanding what you qualify for can be confusing, but weve got you covered! Though, if you can walk independently in your own home, that doesnt necessarily mean the SSA will consider you able to walk normally. The Disability Benefits Center reports that arthritis is among the top 10 conditions that typically qualify for disability benefits. Not included in the $49,500 are the other hospital inpatient charges and outpatient costs, which can easily raise the bill over $60,000. Chicago, IL 60603, Copyright 2021 Bryant Legal Group | Privacy Policy. The most trusted name in education-based resources for Veterans. At VA Claims Insider, we help you understand and take control of the claims process, so you can get the rating and compensation youre owed by law. If you have pain and trouble walking years after surgery, you could qualify for benefits under the second listing, listing 1.18, for abnormality of a major joint. You or your doctor will need to submit medical records showing your knee diagnoses, any x-rays or MRIs, and surgical and post-surgical notes. But there are cases where the surgery wasn't successful and the patient was left with a knee that is still painful or still doesn't function well. Many of the listings include information on the specific evidence required, such as clinical and laboratory tests. They are independent attorneys or advocates who pay a fee to be listed on the website and have their names provided, on request, to website users. In providing the name of a subscriber attorney or advocate, the website does not evaluate a users matter, and it does not endorse or vouch for a lawyer or advocates credentials, abilities, competence, character, or other professional qualities. Babbel DF, et al. Arthritis has no known cure, but there are plenty of myths about foods that can ease your symptoms or make them worse. Other times, complications from knee surgery prevent a person from working. If only one compartment of your knee is damaged, the doctors might suggest a partial knee replacement. Private insurance companies may have other requirements. Most patients with chronic knee problems who go through surgery do benefit from reduced symptoms, but sometimes the improvement isn't enough to return to work. Yes No Get Disability Benefits Help! Other knee conditions are more chronic and are caused by diseases such as osteoarthritis, rheumatoid arthritis, or gout. For example, if you have serious knee problems, your RFC might say that you can't: Social Security will compare the limitations in your RFC to your past job requirements to see if you can still do the work. How do you file a claim for disability benefits? (n.d.). This excess of uric acid in the body often causes kidney stones as well as uric acid deposits in the joints. You DESERVE a HIGHER VA rating.WE CAN HELP. Because the knee is weight-bearing joint, obesity has a significant adverse impact on the knees. Could you be eligible? Neither this site, nor any lawyer or advocate associated with it, is affiliated in any way with, or endorsed by, the Social Security Administration. Even if you work at a desk job which requires minimal physical activity, severe andchronic knee pain can mean that sitting and focusing for long periods of time is totally out of the question. It can reduce your ability to make a living. Gout is a very complex and painful form of arthritis that is caused by a build up of uric acid. The application process isnt shortif youre approved, you wont receive benefits for five months, but many applications can take up to two years for approval and the starting of benefits. You have had reconstructive surgery or surgical on your knee because of your severe inability to walk and you are not expected to return to normal movement for at least 12 months after surgery, Results from any labs or tests done before your surgery, A summary of your ability to walk with and without a hand-held assistive device, Records of your hospitalization(s) during and after the surgery, History, length, and outcomes of all prescribed treatment, Detailed reports from your physical therapist and primary care doctor describing your disabilities. This field is for validation purposes and should be left unchanged. Do I Need A Lawyer To Apply For Disability? You may also qualify for Supplemental Security Income based on your specific need. OA happens when cartilage in your joints wears down through wear and tear. Expanding private disability insurance coverage to help the. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. documentation that you can't walk without the assistance of a walker, crutches, two canes, or a wheelchair. Section 1.03 also covers something called. You can find out more about applying with a knee replacement here: How to Apply for SSD Benefits for a Knee Replacement. Each condition in the Blue Book lists specific criteria and symptoms that you must have to be approved. People who may get a Blue Badge. Any secondary infections or complications that may have occurred as a result of your surgery, including skin infections, wound infections, and blood clots. What Musculoskeletal Disorders Qualify For Social Security Disability? In this guide, we'll explore how to get a VA Rating for Knee Pain even if youve already filed, been denied, or gave up. Learn the causes, risk factors, and symptoms. Three of the common types of knee disability are major dysfunction of a knee joint, reconstructive surgery or replacement of the knee joint, and amputation at the knee. Subscribing lawyers and advocates are not employees, owners, operators or agents of this website. With many muscles and ligaments, the knee is a rather complicated joint. You should be able to provide the following evidence: While any doctor can provide this information, the SSA gives more weight to the opinion of medical specialists. To determine your current capabilities, Social Security will create an RFC ("residual functional capacity") for youwhat you can do physically despite your limitations. The SSA will also examine the workplace and daily living limitations that your disability causes you to determine your Residual Functioning Capacity (RFC). what you can do physically despite your limitations. To be eligible for disability due to knee issues, a medical diagnosis and relevant medical records indicating the impact of knee problems on one's ability to work are required. Those who are found to be able to do heavy and very heavy work will rarely be approved for benefits. On the other hand, if your past job required lifting 50 pounds or more, kneeling, squatting, crouching, and/or crawlingor standing for up to six hours a day Social Security is more likely to agree that your knee pain or instability will prevent you from returning to your former job. These crystal deposits result in swelling, inflammation, and pain. If you are unable to work due to limitations from your disease, you may still qualify for disability through a residual functioning capacity assessment. A medically determinable impairment is one where x-rays, MRIs, or at least clinical notes (your doctor's notes after a physical examination) can show that your back pain is caused by some physical abnormality of the spine or spinal canal. The VA rates knee conditions under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 5257, Knee Impairment, although Unfavorable Ankylosis of the Knee is rated under DC 5256, with ratings between 30%-60%. how long you can walk and whether you need to use a cane, crutches, or walker, whether you need to elevate your legs while sitting, whether you can crouch, stoop, kneel, or bend, whether you can lift or carry heavy objects, and. By submitting above, I agree to the privacy policy and disclaimer and consent to be contacted by an agent via phone call or text message at the phone number(s) listed above, including wireless number(s). Copyright Disability-Benefits-Help.org 2023, Medical Criteria Needed to Qualify with Knee Replacement. Several knee problems could qualify you for VA disability compensation and benefits. If your prior job was sedentary (an office job, for instance), it's more difficult to receive benefits, since it's less likely that your knee problems prevent you from going back to sedentary work. Your physician should provide notes documenting his or her opinion regarding your limitations and inability to function without unscheduled breaks or days off. Most knee replacement surgeries are due to knee osteoarthritis. How Are Monoclonal Antibodies Used as Treatment for Rheumatoid Arthritis? You can experience arthritis-related pain in any joint in your body, including your: This pain can limit your range of motion and reduce your overall mobility. Most individuals filing for SSI only can't file the entire application online, but they can get started on Social Security's website. The outcome will help determine whether there is a link or connection between your condition and military service. This is an Attorney Advertisement Not an Attorney Referral ServiceCopyright DisabilityBenefitsCenter.org 2023, Knee Replacement and Social Security Disability. Veterans with knee pain connected to their service may be eligible for compensation. Learn what youve been missingso you can FINALLY get the disability rating and compensation YOU DESERVE! All Rights Reserved. Veterans experiencing one of the above conditions should work on establishing a connection between the pain and their military service. an inability to walk without a walker, crutches, two canes, or a wheelchair. Crystal deposition disorders, which includegout and pseudogout. Copyright 2023 VA Claims Insider, LLC. currently receive social Security benefits? When you visit your doctor, it is a good idea to present a written list of symptoms and side-effects that you are experiencing. Filing for bankruptcy is often thought of as a sign of failure. If its possible that youll improve, the SSA will review your case before three years, and if improvement isnt likely, your case wont be reviewed until about seven years after your benefits start. Rheumatoid arthritis is listed in section 14.09 of the Blue Book, titled Inflammatory Arthritis.. Your disability must be deemed severe, which means you cannot work. The 38 CFR knee rating chart requires an understanding of your diagnosis before determining your VA rating. At Bryant Legal Group, we get a lot of phone calls from people who need to file along-term disability (LTD) insurance claim and don't know where to begin. For more information about getting medical records. The information provided on this site is not legal advice, does not constitute a lawyer referral service, and no attorney-client or confidential relationship is or will be formed by use of the site. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. There are a few things to consider when determining if your knee pain qualifies for disability. In general, we pay monthly benefits to people who are unable to work for a year or more because of a disability. Calls may be auto-dialed/pre-recorded. The VA Knee Rating Chart assigns a rating of 10%-60%, depending on the conditions severity. Gold is one therapy for rheumatoid arthritis. For example, knee resurfacing or knee replacement surgery is listed under diagnostic code (DC) 5055, and the VA will pay 100% for four months after your surgery date. For example, if you have arthritis, this medical condition can be found in Section 14.00 of the Blue Book. Remember, submitting a claim doesnt automatically guarantee you will receive compensation, but its a necessary step in getting the benefits you deserve. abnormality of a major joint in any extremity. SGA is roughly defined as work from earnings that average more than $1,470 (2023) a month. How Long Do You Have To Work To Get Disability? What Happens After You Get Your Award Letter from Social Security? Neither this site, nor any lawyer or advocate associated with it, is affiliated in any way with, or endorsed by, the Social Security Administration. Lyme Disease, which is caused by tick bites. There are three types of surgery: partial only takes out part of one knee, total (TKR) takes out one whole knee, and bilateral is when both knees are replaced at once. How To Get Social Security Disability Benefits for Osteoarthritis (Updated 2023) Osteoarthritis results in the gradual loss of cartilage from your joints. Have a medical condition that meets Social Security's strict definition of disability. Step 2 - Is Your Condition "Severe"? The Disability Benefits Center reports that arthritis is among the top 10 conditions that typically qualify for disability benefits. Subscribing lawyers and advocates are not employees, owners, operators or agents of this website. In severe cases, you may be unable to perform daily tasks or even stay employed. There are a variety of knee disabilities that may qualify for disability benefits. Before our Bensalem disability lawyercan go over the Social Security Administrations eligibility criteria forknee problems, its importantto talk about the basic requirements which apply to all claimants. Specifically, to be found disabled under the reconstructive surgery listing, listing 1.17, you must submit the following evidence to Social Security: Note that this listing doesn't apply to knee replacements that fail years after surgery. In fact, arthritis limits the activities of nearly 10% of U.S. adults. The attorney listings on this site are paid attorney advertising. At best, it is seen as a last resort when faced with too many bills, collection letters, or [], Bankruptcy has many layers. It may also be caused by swelling and inflammation. How to qualify for disability benefits with arthritis. Dear Veteran, Heres the brutal truth about VA disability claims: According to our data, 8/10 (80%) of veterans reading this message right now are underrated by the VA. Most disability lawyers and advocates will give you a free phone consultation to determine whether your knee problems are severe enough to qualify for benefits. With or without insurance, the total expenses for knee replacement surgery may seem daunting, especially because of the lost income from the weeks you wont be able to work. You may qualify for special accommodations to help you manage your condition. But when does a knee problem quality for disability? The Social Security Administration (SSA) maintains a list of qualifying conditions in their manual called the Blue Book. Navigating life with knee pain can present many challenges. Is applicant currently receiving Social Security benefits? If your movement is still limited after your knee surgery, talk to your doctor first to see what he or she recommends. Then, we will outline some important tips to increase the likelihood of a successful claim. However, for those people with more long-term knee problems, a disability award is possible. Heathline explained that youll be out of work for at least six weeks, though this period can last much longer if there were complications during or after the surgery. Your level of disability depends on the activities you find difficult to complete. Every case is different and you should speak to an attorney to understand your unique situation. Gout can cause the skin around your joints to become painfully inflamed. The first is the severity of your pain. The CDC reports that 1 in 10 adults is limited in their ability to work because of arthritis, though the actual number may be higher. Yourely on yourlegs to move around, but your legs rely on your knees to bend, flex, and support weight. Social Security Disability Benefits and Knee Problems. Most knee conditions are easily managed through surgery, physical therapy, or pain medication. You're not alone. For a completely free and confidential case evaluation, call thePhiladelphia disability benefits lawyers of Young, Marr, Mallis & Associates at (609) 755-3115 in New Jersey or (215) 701-6519 in Pennsylvania today. How Does the SSA Decide if Youre Still Eligible for Disability? Knee Replacements can be found under section 1.00Musculoskeletal System. What Type of Benefit is Social Security Disability Insurance? RA is an autoimmune condition that occurs when your immune system attacks the lining of your joints. Social Security must then look to whether you can go back to your prior job in your present condition. A common misconception is that only those working physical jobs qualify for disability insurance. It's important to let the agency know whether there are any medications you can't take because the side effects affect your ability to function well. Making History! To learn more about the different forms about disability benefits, visit our pages on Social Security Disability Insurance and Supplemental Security Income. This is accomplished by affirmatively showing inception during service, Veterans can be rated for disabilities that are proximately due to, or the result of, a service-connected (SC) condition, When you cant bend it past certain degrees, measured by a, Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes both an assistive device (, (a) Sprain, incomplete ligament tear, or repaired complete ligament tear causing persistent instability, and a medical provider prescribes a brace and/or assistive device (, (b) Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes either an assistive device (, Sprain, incomplete ligament tear, or complete ligament tear (repaired, unrepaired, or failed repair) causing persistent instability without a prescription from a medical provider for an assistive device (, Extremely unfavorable, in flexion at an angle of 45 or more, Favorable angle in full extension or in slight flexion between 0 and 10. What are the Different Kinds of Bowel Syndromes that Qualify for SSD? But not everyone has access to this option. Quiz: Do you Qualify for Disability Benefits? Only about one-third of people working in the private sector have access to disability income-protection coverage. For SSI applicants, while the income limit matches the 2014 Federal Benefit Rate (FBR) of $721, not all income is actually counted toward that threshold, which makes the number slightly misleading. As a result, Social Security denies many knee replacement claims for not meeting the 12-month duration requirement. Your disability must be long-term, which means it must have lasted or be expected to last for 12 consecutive months, or be expected to end in death. Their terms and conditions can vary from policy to policy. Gout and pseudogout occur when crystals monosodium urate andcalcium pyrophosphate, respectively build up in your joints, such as your knees. Following a medical professionals guidance and recommendations or seeing a physical therapist can significantly boost your chances of securing disability. When your knees are damaged by an illness or a long-term disabling injury, it can become completely impossible to perform basic physical tasks like walking, crouching, and lifting. One of the criteria listed in this section of the Blue Book includes persistent inflammation or deformity of a major peripheral weight-bearing joint, such as the knee, which makes it difficult for a person to ambulate. how to prove you are too disabled to do a sedentary job, applying for Social Security disability benefits, Medical Conditions - Eligibility For Disability Benefits, After Youre Approved For Disability Benefits, State-Specific Information For Workers Compensation, Do Not Sell or Share My Personal Information, reconstructive surgery of a major weight-bearing joint, or. Evidence to support these conditions may be physical, such as proof of an assistive device like a prosthetic leg, walker, or cane. (2014). The Social Security Administration defines work as " Substantial Gainful Activity " (SGA). No results or testimonials listed on this website are meant to, and should not, convey any expectation of a future outcome. Some individuals who have experienced trauma, such as a car accident, can suffer from post-traumatic arthritis. Find out if you qualify for SSDI benefits. This suggests that applying for disability benefits is not straightforward for many applicants. The SSA uses a medical guide, known as the Blue Book, to determine whether or not a condition such as a knee replacement surgery is severe enough to warrant disability payments. While many knee replacements are successful, not everyone experiences a full recoveryand there is always a risk of complications. In some states, the information on this website may be considered a lawyer referral service. This is the What Knee Problems Qualify for Disability? The more evidence you have to prove your condition, the greater your chance of winning your claim. For example, you may have trouble: You might also suspect an arthritis-related disability if your condition interferes with your work. If you leave information out, the SSA will have to take the time to retrieve that information or they may deny you. whether you can climb stairs alone or with the use of a railing. Your previously simple day-to-day tasks may now be major obstacles. Our experienced disability insurance lawyers can evaluate your claim and help you understand all your legal options. (n.d.). You have a major joint dysfunction that includes anatomical deformity and chronic joint pain, stiffness, and limitation of motion that affects your knee and severely interferes with your ability to walk. Because most knee injuries are short-lived, very few people with knee pain will win an SSDI award. While the VA knee rating chart helps break down specific knee pain conditions, sometimes there is an additional diagnosis to your situation. During your knee surgery, doctors will remove damaged bone and cartilage, replacing them with an implant or artificial knee joint. Qualifying for Benefits After 50 with a Knee Replacement. For instance, if you need one cane to walk, but not two, or you don't use a cane to walk but you have severe pain when climbing stairs, you're unlikely to meet Social Security's listings. The VA defines secondary conditions as a service-connected injury or illness caused by another illness, injury, or mental health condition. In either case, you need to be off work for at least 12 months, though this can include time leading up to the surgery as well as the recovery time. The Listing is broken down by body system, so first, lets look atSection 1.00: the musculoskeletal system. Does applicant have an attorney helping with this case? X-rays, CT scans, MRIs, radio-nuclear bone scans, or other imaging results that may help to confirm any difficulty that you have had healing from your surgery. According to the Disability Benefits Center, to qualify for disability benefits, you need to prove that you cant work and that your symptoms are expected to last for at least a year. Monoclonal antibodies are a treatment option for rheumatoid arthritis. To be considered for a disability award, your condition must last or be expected to continue for at least one year. If youre approved for benefits, your spouse and children may also be eligible for benefits. However, if you have widespread degenerative changes, you will likely need a total knee replacement. Can I Help Someone Apply For Disability Benefits? The physical examination notes should include: Any inability to ambulate effectively, such as to walk sufficient distances at a reasonable pace, Your ability to ambulate up and down stairs, including whether or not you need to use a handrail, Any required use of assistive devices such as two canes, two crutches, or a walker or wheelchair, Any pain that you experience related to movement, Your ability, or lack thereof, to travel without a companion to and from work or school. Gout is a chronic condition that causes recurring episodes of acute inflammatory arthritis. Hydroxychloroquine Treatment for Mild Rheumatoid Arthritis. In that case, Social Security will consider your exact age, skills, and education to see if you could be retrained for a more sedentary jobthat is, if the agency thinks you can do sit-down work. To qualify for disability benefits, an individual must meet . The SSA will evaluate the intensity and persistence of your pain. Over time, RA can damage your joint cartilage and bones. To find an independent attorney or advocate in your area who subscribes to the website, click here. However, there are instances where benefits may be awarded. While only 10 percent of replaced knees last less than 10 years, most last 20 years. [], While it is necessary to be disabled to receive disability benefits, the non-medical requirements are different for each category. From acute injuries such as torn ligaments to more chronic conditions such as arthritis, knee pain affects millions of Americans every single day. The frequency, severity, and duration of your disability will help determine your final rating from the VA Knee Rating Chart. A wide range of conditions can cause knee pain. Before you file a disability claim, you should consult with an experienced long-term disability attorney. In deciding your claim, Social Security will look to see if you meet the criteria for one of its "medical listings," in which case you'll automatically get disability benefits, or whether it needs to look at vocational factors, like the type of work you can do. These evaluations determine your abilities over a series of tests and can be a strong way to convince your insurance company of the strength of your disability claim. How Long Do You Have To Work To Get Disability? To qualify for benefits, individuals must be unable to work and earn a living due to their condition. As the SSA considers knee surgery a success, most people will not qualify for SSDI benefits. Step 1 - Are You Working? Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data. What Are Signs That You May Be Approved For Disability? This means you do NOT currently have the VA disability rating and compensation YOU deserve, and you could be missing out on thousands of dollars of tax-free compensation and benefits each month. Social Security evaluates knee surgery complications by looking at the following medical "listings" from its listings of impairments: To meet either of these listings, your knee problems must cause you extreme difficulty walking or climbing stairs. Psoriatic arthritis mutilans is a severe type of psoriatic arthritis that causes loss of bone tissue. 2023 Young, Marr, Malis & Associates. If the above conditions dont apply, you might qualify under Section 14.00, which covers the immune system and the following conditions: You should also consider possible connections to other conditions which could qualify you for disability. Copyright Disability-Benefits-Help.org 2023. For LTD policies, you often must wait a year before you can receive benefits. Section 1.02 Major dysfunction of a joint. Heres the brutal truth about VA disability claims: We use cookies to ensure that we give you the best experience on our website. You may be entitled to one or more types of benefits. By submitting a request for a free evaluation, I acknowledge that I understand and agree to the disclaimer and privacy policy. If you can do lighter work but cannot do your most recent job, you might still qualify for benefits. The VA knee rating chart details VA ratings depending on the level of knee pain and its frequency, severity, and duration. It can last for months or even years. With your doctors consent, include low impact workouts into your routine. The other big expense of knee replacement is the recovery time. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. However, knee pain is often a sign of an underlying condition and can help qualify you for a VA rating. If you continue to use this site we will assume that you are happy with it. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. If youre worried, talk to your doctor before the surgery to find out if they have any discounts or payment plans available. You may be eligible for a badge if one or more of the following applies: you have a terminal illness, which means you cannot walk or find walking very difficult . You cannot receive short-term or long-term disability benefits until the elimination period expires. A knee replacement is evaluated under the reconstructive surgery or surgical arthrodesis of a major weight-bearing joint section, 1.03 of the Blue Book. Most veterans are underrated for their disabilities and, therefore, not getting their due compensation. . Make sure that you also provide a report or diary about how your chronic pain impacts your activities of daily livingsuch as driving, housekeeping, grocery shopping, or socializingas well as activities that require concentration, so that the SSA can consider these limitations when deciding your claim. You must take specific steps to receive a knee pain VA rating. If you're not comfortable online, you can call Social Security at 800-772-1213 to start your claim. What are the Different Kinds of Bowel Syndromes that Qualify for SSD? SSDI claimants need to have earned enough work credits for their age, while all SSI claimants must have limited income and resources. Sjogrensis an autoimmune disorder whose causes are unknown, and is also covered by. To that end, the SSA uses something called the Listing of Impairments, which contains severity standards for numerous medical issues. ), This means that a particular disease or injury was incurred in service. If youre knee replacement surgery doesnt meet the Blue Book listing, but your condition is debilitating enough that youre unable to work, there is another way to get approved for benefits. Medications you receive, including the doses, Any side-effects that you have experienced related to your medications, Any physical or occupational therapy that you receive and how often it is required, Any changes to your life as a result of your knee replacement, Ensuring that your full medical history is up to date, Listing your past treatments and responses, as well as the plan for the future, Documenting all of your medications and experienced side effects, Carefully documenting your physical exam, including all limitations. Its a leading cause of disability. It can even make office work harder. Take advantage of a FREE VA Claim Discovery Call with an experienced Team Member. What Form Does My Doctor Need To Fill Out For Disability? Is applicant receiving treatment from a doctor? The SSA will require plenty of medical evidence that proves your knee problem qualifies you for disability benefits. Unfortunately, pain alone isnt a diagnosis. The contentprovided here isfor informational purposes only and should not be construed as legal advice on any subject. Talk to your doctor to see if youre knee replacement recovery is expected to last 12 months or longer, because you may qualify for disability benefits. To help you with the information gathering process, here is the most relevant medical evidence that you will need to provide to give you the best chance of being approved for SSDI. If you have experienced complications from your knee replacement, it is vital that your physician document your quality of life and ability to care for yourself. Lack of mobility is a common feature of physical disability. Find more information on our conscious language guidelines around disability here. In providing the name of a subscriber attorney or advocate, the website does not evaluate a users matter, and it does not endorse or vouch for a lawyer or advocates credentials, abilities, competence, character, or other professional qualities. Attorney Advertising. All can cause pain and inflammation. Do I Need a Doctors Note to Apply For Disability Benefits? Chances of Getting Disability for Arthritis, Social Security Disability Insurance (SSDI), How to Apply for Social Security Disability. You can reach us by calling 312-561-3010 or completing this brief online form. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. You need to make sure your initial claim application contains all of the necessary all of the medical information the SSA needs to evaluate it. Check out our blog, 3 Best Ways to Get a VA Rating for Knee Pain, for more information. currently receive Social Security benefits? Many short-term disability policies use the more lenient own occupation definition, while most LTD policies take the more rigorous any occupation approach. If you and your doctors believe that you cannot work after knee replacement surgery, you might qualify for disability benefits. The exact evidence needs to show that your joint pain has lasted for at least 12 months or longer and that it makes it impossible for you to work. Inability to walk and move about effectively. A user who requests a free evaluation will be provided with the name of a subscriber lawyer or advocate who will contact the user to do the evaluation. Social Security won't find an applicant disabled based on symptoms alone. Second, look out for elimination or waiting periods. While these conditions often result in chronic pain and require extended treatment and time off work, you may still qualify for short-term disability in the early stages of your disability claim. 5 low-impact exercises to alleviate joint pain. What Are The Application Phases For Disability Benefits? In partial or total knee replacement surgery, plastic and metal parts replace damaged tissues and bone of the knee joint. All rights reserved. Ideally, your doctors would base their diagnosis and treatment plan on imaging studies, like MRIs and CT scans, which identify objective findings that are causing your knee pain and dysfunction. Social Security Disability Insurance (SSDI). Ann Intern Med. Copyright 2023 MH Sub I, LLC dba Nolo Self-help services may not be permitted in all states. Since knee surgeries have a high success rate, usually applicants must wait until a year after surgery to discover the long-term affects, if any, from the procedure, so youll most likely be approved with the expectation youre your condition will improve and the SSA will revisit your case sooner than other conditions. Please answer a few questions to help us determine your eligibility. Or, if you are still recovering from a difficult surgery or surgeries nine or ten months later, Social Security may accept that you're going to meet the 12-month requirement. Hear from fellow Veterans just like you, with many of our Business Development Representatives having gone through our programs. Get the answers and insight you deserve. If you or a loved one needs this surgery, but cant afford it, the Social Security Administration (SSA) may be able to help. After recovery, replacement dramatically reduces pain and increases the quality of life in 95 percent of patients. If you do not plan to stop working, this site cannot assist you because you will not qualify for the program. You served, and you deserve! Disability-Benefits-Help.org is not a lawyer or a law firm. September 29, 2022 | Brandon Callahan | Knee FAQ's Advertisement A knee replacement is a major operation whereby the diseased or damaged joint surfaces of the knee are removed and replaced with an artificial joint. You will have to provide proof of the severity of the knee joint dysfunction such as showing the results of medical imaging which reveals the damage to your knee joint. However, it can be difficult to translate all the fine print. And if you have an own occupation policy, you might have even more options. What Medical Conditions Qualify For Social Security Disability? Most disability attorneys, including those at Bryant Legal Group, offer free consultations, and everything you discuss will be confidential. In fact, many people who rightfully deserve disability assistance have been denied due to their inability to provide sufficient medical documentation. As a general rule, the SSA considers a knee replacement to be a successful surgery, as most people recover within a year. Therefore, longitudinal records are critical to your application. How You Qualify. Difficulties following total or partial knee replacement surgery can include chronic pain, loss of range of motion, locking/clicking, stiffness, and reduced mobility. If you're applying for Social Security disability insurance (SSDI), you can file your claim online on Social Security's website. What Heart Problems Qualify For Disability Benefits? Nguyen US, Zhang Y, Zhu Y, Niu J, Zhang B, Felson DT. Often these types of complications require a second surgery, called a "revision," which can add many months to the time off work. How Long Does It Takes To Be Approved for Disability in 2023? You can qualify for compensation if your knee condition is due to your time in the service, or you can prove your duty worsened a pre-existing knee condition. It can also lead to dental problems. Knee replacement surgery, or knee arthroplasty, is a common surgical procedure in the United States. In addition to helping you determine if your condition might qualify you for benefits, a qualified Social Security lawyer or disability advocate can guide you through the disability application process. This could include a doctors report indicating your treatment and your symptoms that markedly restrict your mobility. We avoid using tertiary references. Surgeons or dentists, for instance, might be able to qualify if their knee(s) prevented them from staying on their feet, even though they could still work at a desk. Brandon Callahan | Knee FAQ's Advertisement According to the Social Security Administration, knee replacement surgery may qualify an individual for disability benefits if their condition is severe enough. Records from your physician should include your presenting symptoms as well as the results of a full physical examination. If you do, please be aware that, while we use commercially reasonable means to protect your information, such information can never be 100% secure. The physical examination notes should include: Any inability to ambulate effectively, such as to walk sufficient distances at a reasonable pace Your ability to ambulate up and down stairs, including whether or not you need to use a handrail Any required use of assistive devices such as two canes, two crutches, or a walker or wheelchair Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! Are there ways you can strengthen or streamline your disability claim? This means, if you get your knee replaced young, you may have to repeat the surgery when you get older. When left untreated, arthritis can be debilitating. Here youll find some answers to additional, common questions about arthritis and disability. Consent is not required to utilize our services. How To Find A Social Security Disability Lawyer. This means that, for example, we would say person with a disability instead of disabled person.. By submitting a request for a free evaluation, I acknowledge that I understand and agree to the disclaimer and privacy policy. some type of abnormality in your knee that's seen at a physical exam or on x-rays or MRIs, instability or a loss of normal motion in the joint, and. (n.d.). In order to qualify for benefits via the Blue Book, you need medical proof that either of these apply to you: You have a major joint dysfunction that includes anatomical deformity and chronic joint pain, stiffness, and limitation of motion that affects your knee and severely interferes with your ability to walk. If you havent applied yet, or if you have applied and were denied, remember that medical evidence listed in the Blue Book is arguably the most important factor in your Social Security disability claim for your knee replacement. If your lawyer believes that your joint pain qualifies for disability insurance benefits, they will help you file a claim with your insurer. Your use of this website constitutes acceptance of the Terms of Use, Supplemental Terms, Privacy Policy and Cookie Policy. When you can't bend it past certain degrees, measured by a Goniometer. In many cases, regular exercise can help. https://health.umms.org/2020/12/12/low-impact-exercises-for-joint-pain/, cdc.gov/chronicdisease/resources/publications/factsheets/arthritis.htm, crfb.org/sites/default/files/pdfs/babbelmeyer.pdf, arthritis.org/health-wellness/healthy-living/managing-pain/fatigue-sleep/how-to-beat-arthritis-fatigue, disabilitybenefitscenter.org/how-to/qualify-for-disability-benefits-with-arthritis, ncbi.nlm.nih.gov/pmc/articles/PMC8629735/, disabilitybenefitscenter.org/blog/top-10-disabilities, Psoriatic Arthritis Mutilans: Causes, Symptoms, and Treatment, The Top Products for Arthritis Pain in Hands, Eliminating Tomatoes and Other Food Myths About Arthritis. According to recent studies, at least 25% of adults report chronic knee pain, and these numbers are steadily increasing. The Social Security Disability Insurance Program (SSDI) was developed to assist people, such as yourself, who have become disabled due to knee replacement complications. In knee replacements, metal and plastic parts are used to replace a damaged knee with extreme pain, usually from arthritis or injury. To find an independent attorney or advocate in your area who subscribes to the website, click here. These include the following: needing an assistive device (like a prosthetic leg or walker). When you file a disability claim after knee replacement surgery, Social Security will generally assume that the outcome of your surgery will be positive and that you'll be out of work for six months at most. Before filing a long-term disability claim, you should first receive a medical diagnosis from your doctor. For those individuals, Social Security Disability Insurance (SSDI) may be a financial life-saver. Please reference the Terms of Use and the Supplemental Terms for specific information related to your state. If you have a major dysfunction of a knee joint due to any cause, this can be found in Section 1.02 of the SSA Blue Book. For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. You can document that your plantar fasciitis has significantly interfered with or prevented you from working your work for at least a year-or would prevent you from working for at least a year. So long as you can prove that youre still too ill to work due to your knee replacement and your condition will persist for at least one year, you might still qualify if you pursue the claim further. RA can cause skin rashes and organ problems. Normal flexion of the knee is typically between 135 and 140, with a normal extension between 0 and -10. Technical problems with an application; Disqualification based on the medical information; Between 2001 and 2010, the SSA approved only about 45 percent of disability benefits claims. For more information on this subject, see our article on how to prove you are too disabled to do a sedentary job. How to File a Claim on VA.gov (step-by-step)! In the UK, a knee replacement is considered a disability. Top 5 VA secondary conditions to knee pain: Three main ways to get a VA rating for knee pain: VA Rating for Unfavorable Ankylosis of the Knee. This inflammatory arthritis or rheumatic disease does not have a specific listing but it would . Our process takes the guesswork out of filing a VA disability claim and supports you every step of the way in building a fully-developed claim (FDC)so you can increase your rating FAST!If youve filed your VA disability claim and have been denied or have received a low ratingor youre unsure how to get startedreach out to us! Joint pain isnt the only symptom of arthritic conditions. Rheumatoid Arthritis and Your Teeth: What To Know, Rheumatoid Arthritis and the Knees: What to Know, What You See on X-Rays When You Have Rheumatoid Arthritis. Therefore, it is important that you work with your orthopedic surgeon to gather this medical information. Complications are reported in 7.5% of patients after 90 days of surgery. The SSA offers a convenient online application on their website, but if you arent comfortable applying online, you can make an appointment at your local SSA office. The gradual loss of cartilage from your joints causes osteoarthritis. If there are any changes in your condition or you were admitted to the hospital after youve submitted your application, you must inform the SSA immediately. In addition, if the pain requires surgery, you may receive a temporary VA rating of 100% post-op. Medical evidence is one of the most important components of your Social Security claim after a knee replacement. When fatigue is severe enough, it can be disabling. In an RFC measurement, the SSA will evaluate your condition and the limitations you suffer from to classify the level of work they think you can do: sedentary, light, medium, heavy, and very heavy. According to a survey of our readers, applicants who filed an initial application without expert help were denied 80% of the time. Having accurate medical documentation is essential to your case, and the insurance company will not approve your claim solely based on self-reported symptoms. If you have arthritis, its important to understand how your condition can progress and affect your daily life. However, since many knee conditions may qualify for disability, finding the correct one for you can be tricky, so having a service-connected diagnosis is crucial. If you are considering filing an application for disability insurance benefits, it is a good idea to consult with an experienced long-term disability lawyer early on. Early detection and treatment can help prevent it. Yes! It is important to note that disability insurance, such as a policy provided by your employer, differs from Social Security Disability Insurance (SSDI). While we will always advocate for hiring a lawyer early on in your claim, there are several additional ways to strengthen your case. []. If you are feeling lost or overwhelmed, Bryant Legal Groups disability insurance attorneys can help. Winning Social Security Disability Benefits for Joint Dysfunction by Meeting a Listing Residual Functional Capacity Assessment for Joint Dysfunction Getting Your Doctor's Medical Opinion About What You Can Still Do How do you file a claim for disability benefits? 2023 Healthline Media LLC. They first evaluate every application against a Blue Book listing to determine if the application meets a medical requirement for disability benefits. Make sure you have everything you need to apply, answer all questions, and dont make any mistakes. We suggest you not include highly sensitive information, such as a Social Security number or personal health information. And if you take suffer from anxiety or depression due to chronic pain, Social Security should consider this in combination with your knee impairment. tips for applying for Social Security disability with a knee replacement. Regardless of the condition youre citing on your claim, all applicants should meet these general criteria for SSI (Supplemental Security Income) and/or SSDI (Social Security Disability Insurance): As mentioned above, the SSA wants to make sure youre severely impaired and cannot work before you can approved for disability benefits. Unfortunately, not everyone who applies for SSDI for a knee replacement will be awarded financial assistance for their disability. Do Not Sell or Share My Personal Information. After either a total or partial knee replacement, you will have to limit your activity for at least a few months. While not always necessary, a functional capacity evaluation can be a strong tool in your claim. Under Section 1.00, either of the following conditions might be relevant to your knee issue: While the musculoskeletal section may be the most obvious place to look, it certainly isnt your only option. There could be many reasons for your knee disability but you must use the Social Security Administrations (SSAs) Blue Book to determine if you are likely to qualify for disability benefits. Bryant Legal Group has guided countless disabled individuals through their insurance claims and has a reputation for exceptional service and sophisticated strategies. All of your surgical records from your orthopedic surgeon should be included, including a full operative report. In order to qualify for SSDI (Social Security Disability Insurance), you must pass the "recent work" test, which means you must have worked five of the past ten years, or, technically, 20 of the last 40 quarters. 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