Chances of Getting Disability for Arthritis
Arthritis is one of the leading causes of disability in the United States, affecting over 54 million Americans (about 1 in 4 adults). Ohio residents are no exception – many people here suffer from severe arthritis in their knees, hips, hands, or other joints that makes everyday activities difficult. If you have arthritis and can no longer work, you may be considering applying for Social Security disability benefits. So, what are your chances of getting approved?
Arthritis and Social Security Disability
The likelihood of approval depends largely on the severity of your arthritis and how much it limits you. Social Security does not award benefits for a diagnosis alone; it looks at how your condition affects your ability to perform work-related activities. Some key points to understand:
- Not All Arthritis Qualifies: Arthritis ranges from mild to severe. Some people have occasional pain and manage with medication, while others have constant pain, joint deformities, or mobility problems. Because of these varied symptoms, not every case will qualify for disability. For example, you might have flare-ups that last days or weeks, but if in between you can function relatively normally, SSA might not consider you "disabled." In other cases, arthritis causes ongoing, significant limitations – those are the cases more likely to be approved.
- SSA's Definition of Disability: To be found disabled, your arthritis must prevent you from doing any full-time work (not just your past job) for at least 12 months. This means your condition should be chronic and long-term. Many forms of arthritis are indeed chronic. The question is whether yours is severe enough that no employers would reasonably hire you, even for lighter or sedentary roles.
Social Security uses a medical guide called the "Blue Book" which has criteria (listings) for certain conditions. There is a listing for certain severe types of arthritis. For example:
- Inflammatory Arthritis (e.g. Rheumatoid Arthritis) – The Blue Book listing (formerly 14.09) requires extreme symptoms like persistent swelling and pain in major joints with either ongoing inflammation or deformities, and major limitations in mobility or use of hands. If you meet all the detailed criteria in that listing, you could get approved automatically.
- Spinal Arthritis (e.g. Ankylosing Spondylitis or Facet Arthropathy) – These might qualify under the listings for disorders of the spine if there's evidence of nerve compression, limited motion in the spine, or other complications.
- Osteoarthritis or Degenerative Joint Disease – There isn't a specific listing just for osteoarthritis, but if it causes joint damage seen on x-rays along with an inability to walk effectively or use your hands, it could "equal" a listing (such as those for major joint dysfunction).
Improving Your Chances of Approval
Generally, about two-thirds of initial disability applications are denied on average. The odds improve for those who appeal and persist, especially if they present strong medical evidence. Here are ways to improve your chances for an arthritis-based claim:
- Consistent Medical Treatment: Regular doctor visits, ideally with a rheumatologist or orthopedic specialist, are crucial. Make sure your doctor documents objective findings (swollen joints, limited range of motion measured in degrees, x-ray or MRI results showing joint damage) as well as your reported symptoms.
- Medication and Side Effects: Document what treatments you've tried (like NSAIDs, steroids, disease-modifying drugs for rheumatoid arthritis, injections, physical therapy). If you have significant side effects from medication (for instance, drowsiness from pain meds or methotrexate causing fatigue), note those – side effects can contribute to inability to work.
- Functional Reports: It can be very helpful to have your doctor fill out an RFC form or write a letter explaining your limitations in functional terms. For example: "Patient has osteoarthritis in both knees. He cannot stand longer than 15 minutes or walk more than 100 yards without severe pain. He must elevate his legs periodically during the day. He can lift at most 10 pounds occasionally. He would likely miss work multiple days per month due to pain and mobility issues." Statements like that, backed by exam findings and imaging, carry weight with SSA.
- Pain and Daily Activities: Keep a journal or have friends/family note how your arthritis affects your daily life. Maybe you need help with household chores, dressing, or you've given up hobbies. While subjective, these accounts (along with your own function report in the application) paint a picture of your limitations. Be specific – e.g., "I can no longer hold a pen to write more than a few sentences," or "I have to use a motorized cart to grocery shop and even that causes pain."
- Age and Work History: If you are over 50 years old, Social Security's rules become a bit more favorable under the Medical-Vocational Guidelines. Essentially, it recognizes that someone of advanced age with a limited education or transferable skills shouldn't be expected to switch to a new career easily. Many Ohio workers over 50 with long careers in physical labor find that arthritis ends their careers – and SSA is somewhat more likely to approve benefits in those scenarios, even if the person might be able to do a sit-down job, because realistically their age and work background make it hard to transition. (This doesn't mean younger individuals can't be approved – they can, but the evidence of disability usually needs to be very strong.)
Relevance for Ohio Residents
While Social Security is a federal program, Ohioans should know a few local considerations:
- Ohio has a network of SSA field offices and a state agency (Disability Determination Services) that will review your medical records. Providing treatment records from Ohio clinics and hospitals promptly can speed up the process. If you've been treated at well-known centers (e.g., Cleveland Clinic, Ohio State's Wexner Medical Center), make sure to list those so SSA can request records.
- If your claim is denied initially (which is common), you have the right to appeal and eventually have a hearing in front of an Administrative Law Judge (ALJ). There are hearing offices in Ohio (in Columbus, Cleveland, Cincinnati, etc.). At a hearing, you or your representative can explain in person how arthritis has affected you. Many cases that are initially denied get approved at the hearing stage when an Ohio ALJ can see and hear directly from you about your struggles.
Bottom line: The chances of getting disability for arthritis depend on how severe your condition is. If your arthritis is moderate and well-controlled with treatment, your chances of approval are slim. But if you have serious arthritis that makes even daily tasks a challenge, your chances are much better – especially if you build a strong case with detailed medical evidence. Remember, even if the odds seem daunting, many people do win their claims on appeal. Given that arthritis is so common, SSA sees a lot of these cases, and they know that in severe instances, it truly is disabling.
Get a Free Disability Evaluation
If you live in Ohio and your arthritis is preventing you from working, don't guess about your chances – find out. We offer a free disability evaluation to review your situation. Our team can let you know if your arthritis might qualify and help you pursue the benefits you deserve. Don't let the statistics discourage you; with the right help and evidence, you can improve your odds of winning a claim.
