Understanding Arthritis and Disability Benefits

Arthritis refers to inflammation in one or more of your joints, and there are different types, including osteoarthritis, rheumatoid arthritis, and psoriatic arthritis. Each type of arthritis can affect your joints differently, causing pain, swelling, stiffness, and reduced range of motion. The severity of arthritis varies from person to person, but for those whose arthritis is severe enough to prevent them from working, Social Security Disability benefits may be an option.

The Social Security Administration (SSA) evaluates disability claims based on whether the condition severely limits your ability to perform substantial gainful activity (SGA). In the case of arthritis, the SSA will assess how the condition affects your functional capacity, such as your ability to walk, lift, carry, sit, or perform repetitive tasks.

SSA’s Listing of Impairments and Arthritis

The SSA maintains a Listing of Impairments, which includes a list of medical conditions that may qualify for Social Security Disability benefits if they meet certain criteria. Arthritis may qualify under these conditions if it is severe enough to limit your ability to work.

To qualify for SSD benefits with arthritis, you must meet the SSA’s definition of a disability, which means that:

• Your condition must prevent you from working for at least 12 months or is expected to result in death.
• The arthritis must be so severe that it significantly limits your ability to perform basic work activities, such as standing, sitting, walking, lifting, and carrying objects.

Arthritis and the SSA’s Disability Criteria

The SSA evaluates arthritis based on its impact on your ability to function. There are a few key points the SSA will consider when determining if your arthritis qualifies for disability benefits:

• Severity of Your Symptoms: The SSA will assess how your arthritis affects your daily activities. This includes whether you are unable to perform tasks like walking, standing for long periods, lifting objects, or using your hands for fine motor skills.
• Medical Documentation: One of the most important factors in determining your eligibility for disability is medical evidence. You will need to provide the SSA with medical documentation from your healthcare provider(s) detailing the severity of your arthritis and how it affects your ability to work.
• Functional Limitations: The SSA will look at whether your arthritis severely limits your ability to perform basic work activities. If arthritis prevents you from doing tasks such as standing for long periods, lifting heavy objects, or using your hands for repetitive tasks, it may support your claim for disability.
• Duration of the Condition: Arthritis must have been causing limitations for at least 12 months, or it must be expected to last for that long, in order to meet the SSA’s criteria for disability.

How to Apply for Disability Benefits for Arthritis

If you believe your arthritis prevents you from working, you can apply for Social Security Disability benefits. Here’s how:

• Gather Medical Evidence: Before applying, make sure you have comprehensive medical records that show the extent of your arthritis and how it affects your ability to work. These records may include x-rays, MRIs, lab tests, and your doctor’s notes regarding your symptoms, treatments, and limitations.
• Complete Your Application: You can apply for benefits online at the SSA website or in person at your local SSA office. Be sure to provide complete and accurate information, including your medical history and any treatments you have undergone for arthritis.
• Provide a Doctor’s Statement: A letter or statement from your doctor can help your case. This statement should describe your arthritis, how it limits your ability to work, and any treatments you’ve received. The more detailed the statement, the stronger your case will be.
• Submit Your Work History: As part of your application, the SSA will need to know about your work history. They will look at whether you can still perform your previous job or any other type of work based on your skills, education, and experience.

Can I Qualify for SSDI or SSI with Arthritis?

Depending on your situation, you may qualify for either Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI):

• SSDI: If you have worked and paid into the Social Security system, you may qualify for SSDI benefits. You must meet the work credit requirements and prove that your arthritis is severe enough to prevent you from working.
• SSI: If you have limited income and resources, you may qualify for SSI benefits, even if you don’t have a work history. For SSI, you need to meet the financial eligibility requirements in addition to proving your disability.

How Long Does It Take to Get Approved for Disability Benefits with Arthritis?

The approval process for Social Security Disability benefits can vary, but here’s a general timeline:

• Initial Application: On average, it takes 3 to 5 months to get a decision on your initial disability claim. If your application is approved, you will begin receiving benefits after the approval.
• If Denied: Unfortunately, many initial applications are denied. If this happens, you have the right to appeal. The appeals process can take additional time, often between 1 and 2 years, especially if a hearing before an Administrative Law Judge (ALJ) is necessary.