Disability due to Arthritis Part One
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- čas přidán 11. 10. 2023
- If you are applying for disability due to arthritis this video and the next will help. Arthritis is the number one cause of disability
Medical terms used:
- arthritis - inflammation in a joint
- arthralgia - pain in a joint due to any cause
- cartilage - the smooth, Teflon like material that coats the bones in a joint
- synovial fluid - the fluid inside a joint. Normally it is a greasy lubricant
- synovium - the soft tissue that surrounds a joint
- monoarticular - affecting one joint
- oligoarticular - affecting a few joints
- polyarticular - affecting many joints
- osteoarthritis - the most common type of arthritis, with degeneration of cartilage, bone spur, but not a lot of inflammation
- PIP joint - the joint in the middle of a finger
- DIP joint - the joint near the tip of a finger
- osteophytes - hard bone spurs, typical of osteoarthritis. Seen on X-rays
- systemic effects - effects throughout the whole body, not just the joints
- joint aspiration - removal of some of the synovial fluid by sticking a needle in a joint
- joint effusion - abnormally large amount of fluid in a joint "water on the knee"
- ESR (erythrocyte sedimentation rate) - a test for systemic inflammation. The higher it is, the more inflammation
- CRP (C-reactive protein) - another test for systemic inflammation. The higher, the more inflammation
- white blood cell count - the number of inflammatory cells in the blood. The more inflammation, the higher the white blood cell count
- leukocyte - medical term for white blood cell
- pus - a body fluid with a very large number of white blood cells
- gout - a severe form of arthritis due to the body producing too much uric acid
- tophi - balls of uric acid that can form outside of joints in longstanding gout
- autoimmunity - when the body's immune system attacks a normal part of the body
- malaise - a general feeling of sickness
- bony erosions - where the bone is eaten away, like rotten wood - seen in the bones of joints affected by rheumatoid arthritis. Seen on X-rays - Zábava
These videos are greatly helpful and very informative. 👍
Glad you like them!
Iv got it in both hands, i was dropping food at my work, pizza hut;i t got so bad, im 39 years old and have done physical labor jobs since i was 18
Dude I'm 38 and both of my hands are fanning very crooked
Thanks for the video's Dr. Foster. I'm now 55y/o. Iv'e got sever bi-lateral osteoarthritis in both knee's. Left knee medial bone on bone, right medial is close behind it. Had knee draining's, three ortho surgeries between the two, and three rounds of shots over the years. My doctor had told me because I was so young back after my second left knee ortho surgery, since I was in my early forties, that I needed to put off doing my left TKR for as long as I could and once I had a TKR done I could not go back to the job I was doing. I also have moderate arthritis between lumbar L3-S1, DDD, borderline central spinal canal stenosis, and bi-lateral foraminal stenosis between L3-L5. I get a burning pain on top of my right foot and lighting bolts going into my right toes at times. Carpal tunnel in both hands and both my hands hurt to open in close in the joints although my finger joints are not severely swollen up. After the second left wrist injection, doctor is suggesting surgery. I feel like I drop things more often then I ever did, and I feel clumsier...lol It's just crazy. Iv'e dealt with the joint pain's until I couldn't and it started effecting my working ability. I worked the full spectrum of light to heavy lifting on my feet on concrete all shift at a commercial electrical parts warehouse for 25.5 years, but eventually my body couldn't take it anymore. Have a great Christmas and New Years. I really enjoy your video's which keep me sane while doing this whole SSDI process. While just dealing with my left knee issues and waiting to do a TNR at some point, I tore my right medial meniscus which flared up while working. Had a surgery on it the end of 2018, then injections in both knees in 2019. I had to step away from work towards the end of 2021 and filed for SSDI Feb2022. Later in 2022 the SSA sent me to a CE. The doctor didn't really ask me much and just did like a standard physical which I managed to do one time. I didn't really get to explain much about my symptoms and when they occur because he didn't ask, and I didn't exactly know what I was suppose to say or not say during the CE exam. You seem very thorough and seem to ask the correct questions. Wish you were my CE examiner.
It bothers me when I hear of doctors doing brief, inadequate disability exams. I'm going to do a video for patients on what the doctor is SUPPOSED to do during an exam, that way patients will know if they got a good exam or not.
@@Ephemeral2023That’s how I think I got approved, plus the RA and Anklyosing Spondylitis
Keep us informed. I am 60. Both wrists /thumbs surgeries last year. 2 knee replacement surgeries coming this year. Going on 1 year and now they want me to see their Dr. !!!!Seemed cut and dry to me. Total healing takes up to a year... Which means next fall for wrists and next year spring for knee.!!!!
@@user-mj7om9ge5f Feb 1st 2024 marked me at 13 months in the reconsideration level for SSDI claim. Well on Sat Feb 3rd....I received an approval letter from the SSA out the blue. I was kind of shocked actually. I fully expected to have to go to the ALJ level although I knew I had a good case. They moved my onset date to the day before my 55th b-day April 2023, and I think the DDS worked must have applied the grid rules to me from the way it reads to me in the approval letter. When you apply you cant count your first five months of application towards the back pay. My SSDI lawyer gave me a onset date of Oct 1st 2021. So Feb. 2022, which is also the date I hired my attorney, would have started backpay count down. Its really my own fault my onset date got moved, because I didn't shore up my medical records concerning my knee's better. I last office visit was in 2019 for bi- lateral knee injections. My lawyer was going after my knee and wrist issues in the claim. I did have my second injection in my left wrist right before I stopped working but I should have updated my medical knee records with X-rays in the beginning of 2021 or right before I stopped working also. I also made the mistake of bringing the RFC packet, I had got from my lawyers office for my knee orthopedic doctor to fill out close to my 55th birthday instead of right away when I stopped working and received the information packet from my attorney Fed 2022. BUT.... I also blame the para legal handling my stuff on not telling me once they reviewed all my medical records that I have a big gap between 2019 and Feb 2022 , the date I hired them, regarding my knee records. They should have told me right away....take the RFC to your doctor and get updated X-rays(which I'm sure would have shown bone on bone in the left knee then like it did April 2023, when I decided to take the RFC stuff on my own. I lost a lot of backpay of course from Feb 2022 to Jan 2024. Instead of receiving all those months I just received backpay for Oct 2023 to Jan 2024. I guess in the grand scheme of things I should count myself lucky and that I will now get some financial help.
@@user-mj7om9ge5f If you are 60y/o and had a on your feet physical job and are now dealing with bi-lateral knee issues like I am, you should apply. Keep in mind it might take up to three years to get approved. Make sure your finances or the wife can handle the financial part to keep yall afloat till a decision. I had applied Feb 2022. The disability lawyer I used set my alleged onset date as Oct2021. I got approved 13 months into my reconsideration appeal a few weeks ago. I was kind of shocked as I fully expected to have to go in front of a ALJ judge eventually. Keep in mind I felt I had a strong physical case of disabilities and felt my eventual approval should qualify under the Grid Rules. I believe that's what happened in my case although I had been told that generally the DDS workers are suppose to apply the grid rules when it comes across their desk....but generally they push it to a ALJ. I guess I got lucky....my reconsideration DDS worker I think, by the way my letter is worded, gridded me out and moved my onset date to the day before my 55th birth day. With this I lost over a year of back pay. I now realize this is my own fault. I had a big gap between being last seen about my knees and when I finally went to my doctor around my 55th birth day to fill out also a RFC on me. I should have updated my knee medical records sooner. I should have went to my knee orthopedic doctor the beginning of 2021 when I thought about resigning from work later in the year, and did some updated knee X-rays and updated the medical notes. Also when I applied in Feb 2022 with a local big box attorney they had sent me a packet in the mail containing information and a RFC form. They never told me I needed to bring that form into my doctor right away. I figured it must be something then that is needed to bring to a ALJ hearing. The para legal assigned to my case should have told me ....."We are going after your knees and wrist issues. You haven't seen your doctor about your knees since 2019, so you need to go right away to update your case medical notes". My knee's were bothering me of course pretty bad in 2021, but my doctor had said he couldn't do anything more for me but the TNR and had told me to try to put it off for as long as I could. Around my 55th birthday, while still in the reconsideration stage I took it upon myself to take a RFC form to my knee orthopedic and my back orthopedic. My knee orthopedic also then did X-rays. My notes were updated and in the RFC it said I had bi-lateral osteoarthritis needing TNR, which is something you need to have down in writing and sent to the SSA. I think this is why the DDS worker moved my onset date to a 55y/o grid out instead of a grid out in the 50-54y/o category. So I'm going to tell you before you apply. Make sure your doctor's medical records are updated before you apply. Like you've seen him at least six months before you applied. Also I would google and download a RFC form from the P/C and bring that in a head of time to. Don't screw yourself over please.
After a really bad case of reactivated EBV/chronic mono at the age of 39, I ended up developing RA. Nearly every symptom you mention was present - very elevated CRP and Sed Rate, left wrist and 3 fingers so stiff and swollen I could barely move them, severe fatigue/malaise, chronic low grade fevers. AVISE test confirmed RA, positive ANA as well as Antiphospholipid disorder. Tried Humira and Methotrexate to no effect, so my rheumatologist ordered a VECTRA test and that led him to try daily Kineret injections. Within a few months, my inflammation markers were normal and the fevers have been much reduced, but the joint flares are worse than ever and are affecting more areas. Any ideas about why this might be? Enjoy your show, and learn so much!
Osteo arthritis can come from Covid in some ppl. Especially if they had severe aching joints while they were sick. After recovery most of the aching joints heal but sometimes not the hands, which happened to me. I don't have noticable inflammation. The doctor diagnosed me with degenerative arthritis from Covid 19. I have no family history of arthritis and I'm only 50 years old... But your description of Osteo arthritis sounds just like what I have. I have to hold a jug after it's boiled to help take away the pain and be able to move my fingers enough to hold a cup or use a pen etc but the pain remains but not as severe but it doesn't go away... I'm very thankful I don't have gout though... that sounds incredibly painful.....
Hey Dr. Dave, I like your vids and you are very knowledgeable. My question is this. I had my fifth spine surgery last September L/1 L/2 and woke up with more feeling in my legs and feet I had in over 13 years. Problem I encountered Atrophy and struggling to get off of my stupid walker a year later, my muscles is coming back slowly but still having gate issues. If I bump my toe or foot my leg or legs they want to buckle. My orthopedic tells me I need my back broken and fused all the way from my L4 L5 S1 at this time nothing more he can do. My pain management Drs increased my gabapentin to 3000 mg per day because I don't want narcotics due to them hurting my right heart muscle and almost died in my sleep back in 2014 this is what the Drs advised me.
I live in Charlotte Co Florida and was just hoping you might know a specialist in my area to get opinion to help me through this. If I can walk with my cane as I did before surgery that would be a blessing, pain is still about a 5/6 all the time and must position my body to get relief, leg spasms are bad at night, and I have to live with it... The reason I had to have the 5th surgery was stenosis really bad beyond severe and when I would walk anywhere my legs would buckle and I would fall from the zap and numbness that occurred.
At 62 I can't afford to break a hip and have them issues or injuring my back even more. So, how can I contact you or message me and I'll give you, my email. I really appreciate your wisdom and videos you share. G
Sorry I don't know a specialist in Charlotte. If I needed spine surgery, I'd have it done by one of the doctors at the Lyerly Neurosurgical Group, 800 Prudential Drive, Unit 1100, Jacksonville, Florida 32207, phone: 904-388-6518. When I did emergency medicine I worked with their surgeons, and I've referred two of my friends for spinal surgery by them. In my opinion they are first rate. Good luck! You also might consider filing for Social Security Disability. If you have problems feeling your legs, and need a walker, there is a good chance you would qualify.
Doc, would you consider a video regarding Parkinsons Disease?
I have stage 2 arthritis in both feet!! Can barely walk!!
I have been on SDI for tendinitis for 10 months now. It’s very painful to move and it’s throbbing badly throughout the days and night. I am going to do a nerve conduction test soon. If after 1 years and my sdi runs out and my conditions hasn’t improved what can I do. Can I apply for it. By the way I have worked as a blackjack dealers since 1999 and I am 55 yrs old.
Can a 70 year applied for arthritis in right hand and have had surgery with still having a lot of pain
The oldest age at which you can apply for Social Security Disability Income is one year before Full Retirement Age. For most people, that is age 66. Link: www.legalclaimnetwork.com/disability/what-age-too-old-social-security-disability/
Thank you for these informative videos. I am 55, I have controlled gout, osteoarthritis, and have been diagnosed with rheumatoid as well. I have two very bad hips, the worst one is scheduled to be replaced in March. I have cervical impingement in my neck. I have been considering filing for disability. Is there such a thing as cumulative conditions that would make it more likely to qualify? Thanks
Any updates? You’ve been diagnosed with both Osteo arthritis and rheumatoid? Yikes!
Best wishes on your potential disability claim. I’m in a similar position myself. Not really Social Security, but a different type of disability pension.
Osteoarthritis is in my hands and fingers - and since my fingers are disfigured from the OA, that affects my keyboard, accuracy speed so I have to basically lean over my keyboard to be able to do it accurately - with five different discs problems in my back, and I’m not supposed to be hunching forward . Voice software not appropriate 80% of the time due to various software commands and confidential Aliti of speaking out loud
Thanks to Dr Foster ‘s videos, though, I’m trying to keep good notes on the impact of everything. I know how confusing it gets when there are multiple conditions that have to be combined together to actually equal a successful disability claim and I’m working on it myself (I have some other issues as well, which have sort of compounded, the main two, but on their own, probably wouldn’t be much of a factor except for an inconvenience and some missed time from work).
@@bestiefswlady5251 No, not really. I got my worst hip replaced, but I have no idea if I might qualify for disability benefits. The videos indicate that pain alone does not qualify for benefits so I just keep going.
What about psoriatic arthritis.
Psoriatic arthritis can definitely qualify a person for disability if it's severe enough. I've examined some people with really bad psoriatic arthritis for Social Security Disability.
@@DisabilityExamswhat about bilateral carpal instability?
I have Psoriatic Arthritis and Fibromyalgia, I was having trouble with being able to work consistently. I was able to get SSDI, it took me about 2 1/2 years to win my case, with the help of disability lawyer.
Can you have RA and Gout at the same time?
Yes