Can Knee Replacement Qualify for Disability Benefits?

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Knee replacement surgery, or total knee arthroplasty, is a common procedure to relieve pain and restore function in severely diseased knee joints. While many individuals recover and return to their daily activities, some may experience long-term complications or limitations that affect their ability to work.

If you or a loved one is facing difficulties post-surgery, you might be wondering if Social Security disability benefits are available. Let’s take a look at whether knee replacement surgery could qualify you for disability benefits, the benefits application process, potential challenges, and the importance of legal representation.

Understanding Knee Replacement Surgery

Knee replacement surgery involves replacing a damaged knee joint with an artificial one, typically due to severe arthritis or injury. While the surgery can significantly improve mobility and reduce pain, some individuals may experience complications such as these:

  • Persistent pain
  • Limited range of motion
  • Difficulty standing or walking
  • Swelling and inflammation

All of these issues can make it difficult to hold down a job.

Does knee replacement surgery qualify for Social Security disability benefits?

Yes, knee replacement surgery can qualify for disability benefits if it results in significant functional limitations. The Social Security Administration (SSA) evaluates knee replacement cases under its “Musculoskeletal System” listing.

To qualify for Social Security disability benefits, you must demonstrate that you have been unable to walk effectively for at least 12 months post-surgery.

Applying for Social Security disability benefits for knee replacement surgery

The process of applying for Social Security disability benefits involves several key steps:

  • Gathering medical records, including surgical reports, physician notes, and physical therapy records
  • Completing the application, providing detailed information about your condition, limitations, and work history.
  • Submitting the application online, by phone, or in person at your local SSA office. Keep in mind that the SSA may require an additional evaluation by one of its doctors.

You may have to go through initial steps if your initial claim is denied.

What pitfalls should you watch out for when you apply for disability benefits?

Applying for Social Security disability benefits can be a frustrating, time-consuming process. Here are common pitfalls to avoid to avoid claim denials and delays in the process:

  • Make sure to thoroughly complete all sections of the application
  • Work with your doctors to obtain detailed medical documentation
  • Explain clearly how your surgery affects your daily life and work capacity
  • Follow all application and appeal deadlines

Navigating the disability benefits application process can be overwhelming. Our team can help you understand the benefits eligibility criteria and gather the necessary medical evidence. We will also work with you to ensure your application is complete and accurate, reducing the risk of denial. And, if your claim is denied, we can represent you during the appeals process, increasing your chances of approval.

If you have any questions or need assistance with your Social Security disability benefits application, contact the experienced disability attorneys in our Richmond, Virginia, office today. We’re here to help you.

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