Osteoarthritis, often referred to as the “wear and tear” arthritis, is a degenerative joint disease that affects millions of individuals worldwide. As it progresses, it can significantly impact one’s quality of life, making everyday tasks challenging.
But is osteoarthritis considered a disability? This comprehensive guide will delve into the symptoms, the impact on daily life, and the criteria set by the Social Security Administration (SSA) to determine if osteoarthritis qualifies as a disability.
UNDERSTANDING OSTEOARTHRITIS
Osteoarthritis occurs when the protective cartilage that cushions the ends of the bones wears down over time. Although it can damage any joint, it most commonly affects joints in your hands, knees, hips, and spine.
The symptoms can range from mild to severe and include pain, stiffness, reduced flexibility, and swelling. These symptoms can make it difficult to perform tasks that require joint movement, such as walking, climbing stairs, or even holding a pen.
OSTEOARTHRITIS AND DISABILITY: SSA GUIDELINES
The Social Security Administration (SSA) recognizes osteoarthritis as a disability or potentially disabling condition. However, not everyone with osteoarthritis qualifies for disability benefits.
The SSA evaluates disability claims based on specific criteria outlined in their Blue Book, which is a list of impairments.
For osteoarthritis, the evaluation focuses on how the condition limits your ability to work and perform daily activities.
WHAT TYPE OF BENEFITS SHOULD I APPLY FOR?
For osteoarthritis, you might consider applying for the following types of benefits:
- SOCIAL SECURITY DISABILITY INSURANCE (SSDI): This is for individuals who have worked and paid Social Security taxes but are now unable to work due to their condition.
- SUPPLEMENTAL SECURITY INCOME (SSI): This is for individuals with limited income and resources who are disabled, blind, or aged 65 or older.
Both programs require detailed medical documentation to prove that your osteoarthritis significantly limits your ability to perform basic work activities.
CRITERIA FOR DISABILITY BENEFITS
To qualify for disability benefits with osteoarthritis, the SSA requires:
MEDICAL DOCUMENTATION
Comprehensive medical records that confirm the diagnosis of osteoarthritis. This includes X-rays, MRI results, and notes from your healthcare provider detailing your symptoms and treatment history.
FUNCTIONAL LIMITATIONS
Evidence showing that osteoarthritis significantly restricts your ability to perform work-related activities. This can include limitations in standing, walking, lifting, or using your hands effectively.
CONSISTENCY AND DURATION
The symptoms and limitations must be consistent and expected to last at least 12 months or result in death.
RESIDUAL FUNCTIONAL CAPACITY (RFC)
Residual Functional Capacity is an assessment that evaluates what level of activity you can still perform despite the limitations caused by osteoarthritis.
WHAT IF MY OSTEOARTHRITIS DOESN’T MEET THE CRITERIA?
If your osteoarthritis doesn’t meet the specific criteria outlined in the Social Security Administration’s (SSA) Blue Book, you might still qualify for disability benefits through a process called a “medical-vocational allowance.” Here’s how it works:
- RESIDUAL FUNCTIONAL CAPACITY (RFC) ASSESSMENT: The SSA will evaluate your ability to perform work-related activities despite your condition. This includes assessing your physical capabilities, such as lifting, standing, walking, and sitting.
- CONSIDERATION OF AGE, EDUCATION, AND WORK EXPERIENCE: The SSA will take into account your age, education level, and work history to determine if you can adjust to other types of work.
- COMBINATION OF IMPAIRMENTS: If you have other medical conditions in addition to osteoarthritis, the SSA will consider the combined effect of all your impairments on your ability to work.
- VOCATIONAL EXPERT TESTIMONY: In some cases, a vocational expert may be consulted to provide insight into whether there are jobs you can still perform given your limitations.
If the SSA determines that your condition, along with your age, education, and work experience, prevents you from performing any substantial gainful activity, you may still be eligible for benefits. It’s often helpful to work with a disability attorney or advocate to navigate this process and present a strong case.
HOW MUCH IS A DISABILITY CHECK FOR OSTEOARTHRITIS?
In 2024, if you qualify for disability benefits due to osteoarthritis, you could receive $1,427.22 up to $3,822 per month from Social Security Disability Insurance (SSDI) and up to $943 per month from Supplemental Security Income (SSI). The actual amount you receive may vary based on your specific situation and work history.
APPLYING FOR DISABILITY BENEFITS
1. GATHER COMPREHENSIVE MEDICAL RECORDS
Begin by collecting all relevant medical documents that support your diagnosis of osteoarthritis. This includes X-rays, MRI results, and detailed notes from your healthcare provider about your symptoms, treatment history, and any functional limitations you experience.
2. DOCUMENT DAILY LIFE AND WORK IMPACT
Prepare a personal statement or diary that outlines how osteoarthritis affects your daily activities and work capacity. Include specific examples of tasks you struggle with and how your condition limits your ability to perform job-related duties.
3. COMPLETE THE DISABILITY APPLICATION
Fill out the official application forms for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI). Ensure that all sections are completed accurately and that your medical documentation aligns with the information provided in your application.
4. SUBMIT YOUR APPLICATION
Once your application is complete, submit it to the Social Security Administration (SSA). This can typically be done online, by phone, or in person at a local SSA office.

5. FOLLOW UP ON YOUR APPLICATION
After submission, keep track of your application’s status through the SSA’s online portal or by contacting them directly. Respond promptly to any requests for additional information or clarification.
6. SEEK PROFESSIONAL GUIDANCE
Consider consulting with a healthcare provider or a legal professional specializing in disability benefits. They can help ensure your application is thorough and accurately reflects your condition, increasing the likelihood of a successful outcome.
7. PREPARE FOR A DISABILITY INTERVIEW
If required, be ready to attend an interview with an SSA representative. Use this opportunity to provide further details about your condition and how it impacts your daily life. Read about the common SSDI and SSi interview questions so you can prepare ahead.
8. CONSIDER AN APPEAL IF DENIED
If your application is denied, don’t be discouraged. You have the right to appeal the decision. Review the denial letter carefully, address the reasons for denial, and seek professional advice to strengthen your case before reapplying.
NEED A LAWYER?
Applying for disability benefits for osteoarthritis can be tricky. Victor Malca, with extensive expertise in disability claims, is ready to help you secure the benefits you deserve. His proven success makes him a reliable choice. Reach out for a consultation and take a confident step to get the support you need.
FINAL THOUGHTS
Osteoarthritis can be a debilitating disease that severely impacts one’s ability to function and work. While it is recognized by the SSA as potentially disabling, qualifying for benefits requires thorough documentation and evidence of how the condition limits your daily life.
If you or a loved one suffers from osteoarthritis, understanding these criteria can be the first step in seeking the support you need. Remember, it is crucial to consult with medical and legal professionals to navigate the complexities of the disability benefits process efficiently.
VICTOR MALCA – Florida Workers Compensation & Social Security Disability Attorney
Victor Malca P.A. has over 27 years of litigation experience in Workers Compensation and Social Security Disability lawsuits. His experience and continued success when fighting for his clients puts him among the most trusted workers’ compensation attorney’s in Florida. He specializes in representing injured workers on compensation benefit cases and disabled individuals claiming lost social security disability benefits.
Book a free consultation today. Our unwavering advocacy for employee rights and privileges are recognized by our past clients across South Florida.