Arthrosis deformans is considered a common disease of the joints of the lower extremities. Many people are susceptible to the disease; previously it was the lot of older people; today, increasingly, young patients are treated with arthrosis, which affects the joints of the legs.
The cause of disability due to arthrosis is not a noticeable crunching of the joints, nor constant unbearable pain. The reasons are stiffness, constant discomfort in movements, inability to perform certain types of work. Sometimes patients with arthrosis cannot get out of bed in the morning without assistance.
When considering the determination of a specific degree of disability, a large number of factors are taken into account. To a greater extent, violations of human activity are considered, for which the static-dynamic function is responsible. It affects:
In order for medical workers to prescribe disability for arthrosis, you will need to undergo an appropriate medical and social examination.
To receive disability due to arthrosis, you have to go through a certain number of stages of examination, which are united under the general name of medical and social examination.
Disability caused by arthrosis of the lower extremities is given for a period. Periodically (every year) you will have to confirm by re-taking examinations in order to receive your previous degree again. This is because surgery can be done to improve the condition. After such changes, the degree of disability will be changed, for example, from first to second.
For any disease, arthrosis is no exception, there are three groups that are given to the patient based on the results of a medical and social examination after research.
The main criteria that guide specialists during a medical and social examination are:
People who are classified as the first group of disabilities do not have the opportunity to exist independently. They do not get out of bed, moving, in many cases even standing brings unbearable pain for them, and a lot of other complications. They are unable to perform simple hygiene operations on their own; they have no opportunity to change clothes, eat, or do usual household chores on their own.
The group is prescribed to patients whose lower limb joints have been significantly damaged by deforming arthrosis of the legs. Limited ability to move independently. Actions are possible only with the assistance of outsiders and auxiliary means. Actions bring discomfort, significant pain with any movement. There is an opportunity to work in specially equipped places. You can study in specialized educational institutions for this kind of people, at home.
Disability group 2 is assigned to patients if:
To assign a third disability group to a patient, participants in the medical and social examination are guided by the presence of moderate signs of arthrosis of the legs. The ability to move independently, perform usual work, and household chores is limited to a small extent. The person has not lost the ability for self-service and independent action. They do not require auxiliary aids; more often, a cane can be used to relieve stress from the joints when walking. They need more time to perform their usual actions; after moderate physical activity, patients will need a longer rest than healthy ones.
At work, people who receive the third group of disability due to various types of arthrosis show lower results in terms of labor productivity, work becomes less fruitful, and in certain types of work it is completely impossible.
It is impossible to work in some specialties if a person is diagnosed with the third group of disability due to arthrosis, especially of the ankle joint. Training will require adherence to a special routine, regime, and sometimes the help of outsiders.
Symptoms for which the third disability group is assigned for joint arthrosis:
Not everyone can experience disability due to arthrosis. It is not prescribed to patients who have the following symptoms:
Such patients are more often recognized as able to work.
You should consult your doctor about the possibility of obtaining a disability group. He will give a correct assessment of the condition of arthrosis of the knee, hip, ankle joint, tell you what the probability of a positive result of the medical and social examination will be, and which group can be assigned. You should listen to the doctor’s recommendations first of all.
One of the most common diseases of our time is arthrosis - a disease of the joints. Arthrosis does not belong to the category of incurable diseases and responds well to treatment, especially in the early stages of its course. There are several versions of the causes of this disease: infections, a sedentary lifestyle, insufficient water consumption (dehydration) and others.
Disability and MSE in arthrosis
The symptoms accompanying this disease are varied: joint pain, swelling, limitation of movement and simply acute pain.
The attending physician usually prescribes medications that relieve inflammation in the joints: from tablets and ointments to injections (in case of acute manifestations). In some situations, the patient is referred for surgery.
What to do if long-term treatment does not lead to success, and your health condition is only getting worse or is in remission?
The law provides for the possibility of obtaining disability due to arthrosis, but only in certain cases:
In order to try to register a disability for this disease, it is necessary to carefully collect all the documents regarding the prescription of treatment for arthrosis, all the studies that had to be completed. This is necessary to confirm the fact of long-term, but not entirely successful treatment.
The following basic documents and examinations are required:
The attending physician (surgeon, most often) collects all these documents and gives a referral to a medical commission, which must be passed. As a rule, obtaining disability due to a disease, especially this one, is very difficult. Therefore, you need to be patient and go all the way necessary to register your disability. This path consists of several stages.
At the first stage, the provided package of documents, which records all types of treatment and examinations, is analyzed. The results of treatment are reviewed. The patient’s condition, his complaints, symptoms of the disease, and their degree of manifestation are also examined.
To determine the functionality of the joints, the medical commission (ITU) uses a specially developed x-ray classification, which includes three degrees of motor activity:
At the second stage, social diagnostics of the patient is carried out. The concept of social diagnostics includes the determination of the degree of disability, the level of adaptation in society, the ability to be independent, the psychological state, and so on.
At the third stage, the disability group is determined.
Group 1 is assigned to patients whose motor activity is completely impaired. The characteristics of disabled people of the first group due to arthrosis are as follows: a person cannot walk on his own, which entails severe limitations in everyday activities. This means there is no opportunity to walk, cook, eat food on your own, and so on. In a word, the presence of 3 degrees of disability and ability to live defines this disability group.
From the medical side, there is a clarification that such severe consequences most often result from arthrosis of the hip joint of the 3rd and 4th degrees, as well as the kneecap and ankle joint.
Group 2 can be given to those patients who have partial loss of motor function. This means that a person can move, often with the help of strangers, i.e. has 2nd degree of disability and disability.
According to medical indications, this group can be received by patients with arthrosis of the knee and hip joint of the third degree, with shortening of the upper or lower limb by at least 7 centimeters or more, as well as with ankylosis of large joints.
Group 3 is prescribed to patients with minor or moderate limitations in the motor functions of the joints. This means that the patient can move around on his own, but at a slower speed than normal, with more frequent stops to rest. Can perform limited labor and household functions, i.e. has 1 degree of restrictions.
This category of patients with diseases: gonarthrosis, coxarthrosis of the 2nd degree, arthrosis of the extremities with combined and deforming symptoms
It is worth noting that you will need to constantly confirm the assigned disability. This assumes a case of improvement in the health status of a disabled person.
After receiving disability, you should register a pension in the pension fund and register the benefits that are provided for each of the disability groups.
You must come to the Pension Fund with a passport, pension certificate and a certificate of disability. Write an application, and after that the pension will be credited.
It is also necessary to submit an application to local social protection departments accompanied by originals and copies of a disability certificate, passport and pension certificate. After this, you will be able to use benefits, the list of which is legally approved for each disability group. Among these are benefits for housing and communal services, use of transport, sanatorium treatment, and so on.
Monthly pension for disabled people in 2014:
Monthly monthly allowance for disabled people in 2014:
Disability due to arthrosis is a sad but common fact. Advanced osteoarthritis, which was not paid attention to in time, or treatment was not carried out seriously, leads, unfortunately, to a person’s legal capacity. It is expressed in the patient’s inability to perform simple movements of the limbs, bending the spine, accompanied by severe pain.
This question worries many. Indeed, if a patient’s examination reveals a significant limitation in the mobility of joints, the inability to perform everyday operations (get dressed, go down the stairs, etc.), then disability due to arthrosis can be diagnosed. Usually they put the third disability group, less often - the second, but usually there is no talk about the first disability group.
Typically, one or another disability group for arthrosis is temporary, which will have to be confirmed at intervals once a year or, depending on the provisions of the law. This practice is used because the patient has the opportunity to undergo arthroplasty or any other surgical intervention (arthroscopic debridement, arthrodesis of the knee or hip joint, periarticular osteotomy) and correct a difficult situation. The operation will allow you to restore almost full functionality of joint movements, which will give grounds to lower the disability group (instead of group ll they will put lll) or remove it altogether.
By the way, the presence of one of the most striking symptoms of arthrosis - severe pain - is not a reason for giving a person a disability. To do this, you need to fall under the definition of life activity limitation - when significant deformations in the bones and disorders of the musculoskeletal system are detected, confirmed by radiography and arthroscopy. That is, it is difficult to take pain into account; you need documentary evidence of certain problems caused by arthrosis.
In fact, when they ask what stage of arthrosis is necessary to obtain the third group of disability, it is impossible to give an unambiguous answer. As in the case of conscription into the army, everything here is decided individually. The diagnosis of “arthrosis” is considered from the perspective of how joint disease affects the limitation of life activity.
Of course, the more severe the degree of osteoarthritis, the stronger the severity of OA, but the relationship is not directly proportional. Simply put, the law does not provide that, for example, in case of second degree knee arthrosis, a third disability group is assigned. However, most often the third stage of osteoarthritis is a reason for disability, if it concerns gonarthrosis, coxarthrosis, arthrosis of the ankle joints. Such issues are resolved by a medical commission after a thorough examination.
Mildly expressed problems of static-dynamic functions of arthrosis of 1-2 degrees do not provide grounds for obtaining disability. Violations at these stages are considered minor.
Moderate violations of static-dynamic functionality are considered coxarthrosis of the 3rd (third) degree when one hip joint is affected or when both joints are affected with high problems of movement at the second stage of coxarthrosis. The same applies to gonarthrosis: at the second stage, with damage to both knee joints with the inability to move, or gonarthrosis of the third stage with the identification of violations of static-dynamic functions. Stable, clearly expressed contractures of these functions are a reason for issuing the criterion of life support, since a person is unable to fully work, move, or be socially active. This formulation of the definition of disability provides grounds for obtaining disability of the third group.
Ankylosis of the knee joints, as well as ankle and hip joints, coxarthrosis of 2-3 degrees with shortening of the limbs by 7 cm or more (without taking into account compensation for orthopedic devices), with endoprosthetics of two or more joints, manifested in a stable violation of motor functions, gives grounds for considering receiving the patient disability of the second group.
Disability of the first group with deforming arthrosis occurs when a person constantly needs outside help, is unable to take care of himself in everyday life, and is unable to move without the help of special devices (wheelchairs).
Based on the severity of the disease with arthrosis, disability is determined by a medical commission that considers how well a person fits the criteria for limited ability to live. In order to prevent disability, it is necessary to pay attention to the slightest symptoms of osteoarthritis, to prevent the disease from affecting the joints to such an extent that it remains either to undergo an expensive operation or to receive a disability group. In addition, as practice shows, it is not so easy to prove this very group to medical luminaries and officials responsible for receiving benefits for legal capacity.
3. Main profession according to diploma and what job the patient worked for the most. Is he currently working and, if so, in what profession (1 rate, 0.5 rate, 1.5 rate, etc.).
4. The number of sick leaves for the main pathology (all sorts of acute respiratory infections, acute respiratory viral infections, etc. - do not count) for the last 12 months. and their duration in days is possible, but the more precise the better.
5.Number of inpatient treatments over the past 12 months. and full (without abbreviations) diagnoses from there - main and accompanying ones.
Added (04.01.2012, 13:23)
37 years old, female, main profession is veterinary assistant for 10 years, then transition to veterinary laboratory assistant for 5 years, I work at 1st rate to the present time.
Sick leave in the spring in the fall during periods of exacerbation of brucellosis for about 10 days in the hospital.
extracts: Infectious diseases hospital - chronic brucellosis, osteoarticular form.
Clinic of the Research Institute of Medicine and Labor and Human Ecology - the main diagnosis of prof. chronic brucellosis, osteoarticular form, bilateral gonarthrosis of the 1st degree (X-ray from 11/11/10), moderate pain syndrome. Concomitant diagnosis: Dorsopathy. Osteochondrosis of the lumbar spine, period 2. Right-sided lumbar ischialgia, chronic relapsing course of stage remission. Tension headache, chronic form against the background of astheno-vegetative-vascular syndrome, with vegetative peripheral disorders, permanent course.
At the end of December, brucellosis worsened, I could barely walk, I took X-ray pictures on December 20, 11, I consulted an orthopedic traumatologist. Diagnosis: Bilateral secondary gonarthrosis of 1-2 degrees, osteoarthritis of the ankle joints of 1-2 degrees. Pain syndrome. Idiopathic thoracolumbar scoliosis, osteochondrosis of the lumbar spine. Relative shortening of the right lower limb of 1.0 cm due to distortion of the pelvic bones. Lumbodynia syndrome. Bilateral transverse-longitudinal flatfoot, grade 2-3. He recommended taking X-rays of the hip, shoulder, and wrist joints to clarify the degree of arthrosis.
Thank you for answering my questions.
1. Right-sided lumbar ischialgia, chronic relapsing course of stage remission.
2. Tension headache, chronic form against the background of astheno-vegetative-vascular syndrome, with vegetative peripheral disorders, permanent course.
4. Relative shortening of the right lower limb of 1.0 cm due to distortion of the pelvic bones.
6. Bilateral transverse-longitudinal flatfoot of 2-3 degrees.
The degree of scoliosis is not indicated here, but I don’t think that it will be very pronounced and leading to ASD - on our website there is an article: “MSE and disability in scoliosis.”
Regarding osteochondrosis (there is also an article: “MSE and disability in osteochondrosis”) - everything depends on the frequency and duration of its exacerbations (documented).
According to the data you provided - “Sick leave in the spring in the fall during periods of exacerbation of brucellosis for about 10 days in the hospital.” - this is definitely not enough to establish disability due to osteochondrosis, since EXACTLY with him - there were no sick days at all, and one can talk about disability with him in the case of being on sick leave specifically for osteochondrosis - at least 4 months. during the last year before passing the ITU.
These diagnoses are “weak” by ITU standards and “do not qualify” for disability.
Your exacerbation at the end of December was caused not so much by ARTHRosis, but by ARTHRITIS against the background of chronic brucellosis.
But arthritis is a chronic and transient phenomenon.
That is, during an exacerbation of arthritis, the patient is TEMPORARILY disabled - he is treated on sick leave - the exacerbation is removed and the patient is discharged to work (without disability).
Disability is a PERSISTENT pathology, therefore, in case of arthritis (including brucellosis etiology), the possibility of establishing disability directly depends on the frequency and duration of exacerbations of arthritis during the last year before undergoing MSE.
These exacerbations, of course, must be documented: stay on sick leave EXACTLY with brucellosis arthritis, discharge from the hospital.
Moreover, exacerbations of arthritis during outpatient treatment should be confirmed not only by records of the issuance of sick leave for this pathology, but also by tests (high ESR, etc.).
If such documented exacerbations of brucellosis arthritis are recorded during the last 12 months before undergoing MSA for at least 4-5 months, then we can say that the patient has grade 1 OD for work, which corresponds to the 3rd disability group.
If you have an occupational disease, then you have the right to undergo an examination at the ITU bureau for the percentage of loss of occupational disability (LOC).
Based on the data you provided, you have no grounds for establishing a GROUP of disability, but there are grounds for establishing the % of the disability level.
Without a disability group, % UPT ranges from 10 to 30%.
“The basis for determining the cause of disability with the wording “occupational disease” is an act on the case of an occupational disease, drawn up in the manner prescribed by the Regulations on the investigation and recording of occupational diseases, approved by Decree of the Government of the Russian Federation of December 15, 2000 N 967 (Collection of Legislation of the Russian Federation , 2000, No. 52, Art. 5149), or a court decision establishing the fact of an occupational disease.”
To date, there is no effective treatment tactic that would completely stop the destruction of the structure of joint elements affected by psoriatic arthritis. This is due to the fact that experts cannot establish the true cause of the launch of autoimmune mechanisms, as a result of which protective cells in the human body begin to destroy not pathogenic agents, but their own cellular structures.
Psoriatic arthritis is characterized by a chronic course and provokes a significant deterioration in the patient’s quality of life, caused by a feeling of intense pain in the inflamed joints and a significant limitation of their mobility. Therefore, the question becomes quite relevant for people who have been diagnosed with psoriatic arthritis: are they given disability or not if they have this disease?
Deformation of the joints as the disease progresses significantly reduces ability to work.
When there is a need for regular therapeutic measures to stop the inflammatory reaction in the joints caused by the psoriatic process, the patient naturally turns to the attending physician with the question - do social services give a certain status to this category of patients, which would allow them to count on government assistance?
In the case of the appearance of primary signs of psoriasis, as well as in arthritis that has developed as a complication, the issue of assigning social benefits is not raised. In order to apply for disability for psoriatic arthritis and receive financial assistance from the state for its treatment, the patient must have certain indications.
In particular, the prerequisites for receiving government support is the patient’s loss of ability to work due to the inability to lead a normal lifestyle due to pathological changes in the joints.
In order to give a patient a certain category of disability, social services must establish the presence of the following unfavorable conditions:
When assigning a disability group, not only the degree of development of psoriatic arthritis, but also the presence of associated complications is of great importance.
If these legal conditions exist, the patient has the right to contact the attending physician with a request to prepare for a medical and social examination, after which a decision is made whether or not to give this person a disability group.
The decision to assign a certain disability group to a patient due to temporary disability caused by progressive psoriatic arthritis is made at a meeting of the medical and social expert commission (MSEC).
This government body carefully studies the medical documentation, which records the history of the disease, and determines the severity of the complications that developed against its background. After this, the commission members decide on the advisability of prescribing state assistance to this patient.
Since the MSEC consists of independent employees who are not involved in the patient’s treatment process, it is necessary to prepare for its meeting in advance. To do this, the attending physician writes out directions for the following diagnostic measures:
After the necessary laboratory and instrumental examinations have been carried out and the attending physician has received all the results of the diagnostic measures, the medical documentation is submitted for examination to a medical commission (MC) organized at the medical institution where the patient is being observed. If the commission does not have any complaints regarding the execution of documents, the patient is issued a referral for MSE.
MSEC members carefully study all medical documentation provided to them and personally assess the general condition of the patient, therefore the presence of a person applying for state assistance at the commission meeting is mandatory.
Before the MSEC meeting, the patient must undergo a complete diagnosis of the entire body.
If the patient’s motor activity is significantly limited, as a result of which he cannot independently get to a government agency, it is possible to hold a meeting at his home.
To do this, during the preparatory stage and collection of all documentation, the patient or his representative additionally fills out a special petition.
During the meeting, commission members examine the following issues:
Based on the provided medical documents, MSEC can assign the following disability groups:
The duration of the period during which the assigned disability group is valid is 1 year. To confirm and extend it, the patient undergoes an in-depth examination in advance, collects the necessary documents and undergoes the MSA again.
Assignment of a disability group entitles the patient to receive government assistance - a monthly cash allowance, free services in medical institutions (within the accepted quota), and sanatorium-resort treatment.
In some cases, when conducting a medical and social examination, members of the commission may refuse to assign a disability to a patient. You can appeal such a decision by contacting higher authorities - the ITU Main Bureau.
In some controversial cases, it is necessary to conduct an in-depth examination of the joints affected by psoriatic arthritis to obtain a complete picture of the violation of the structure of their elements.
This organization deals with controversial issues in the most complex clinical situations, when additional expert examination is required to obtain an objective assessment of the patient’s condition. Sometimes, after contacting the Main Bureau, even after a preliminary negative response from MSEC, the patient is still assigned a disability group.
In case of long-term treatment of psoriatic arthritis (more than 1 year), the patient has the right to contact the attending physician, who will help in preparing the necessary documents for MSEC. The assigned group allows the patient not only to receive a disability pension, but also to switch to easier working conditions on a permanent basis, as well as free sanatorium and resort treatment.
The status of “disabled” is not a death sentence. With proper care and support from loved ones, a person can remain an active member of society, and not be a prisoner of his own apartment.
Few people think that disability due to arthritis makes it easier to endure the pathology, since one can count on social security. Arthritis is a rather dangerous joint disease. It does not select people by gender or age.
There is a certain psychological barrier in the heads of people suffering from arthritis: for some time, patients cannot recognize themselves as disabled, especially if the person is far from old, this seems wrong. But you have to admit to yourself that arthritis is incurable, and you need to learn to live with it, and the form of disability will make it easier to fit into society in a new status.
Rheumatoid arthritis is characterized by joint disease associated with an autoimmune disorder. Pathology develops due to infection. In order to obtain disability for rheumatoid arthritis, it is necessary to know the forms of the pathology and to which functional class each specific case can be classified.
Rheumatoid arthritis can be mild, moderate or severe. They differ in the significance of the symptoms, with each subsequent form of pain becoming stronger. And if at the initial stage they come periodically, then in severe form the pain becomes constant, and the joints practically do not work.
Functional classes are also divided into several categories and differ in their ability to work and the ability to care for themselves:
If a patient, especially in the initial stages of the disease, does not think about getting a disability and starting supportive therapy, then he is at great risk. The risk is that arthritis can lead to dangerous complications and, as a result, death.
Complications can affect the heart, eyes, kidneys, bone marrow, hematopoietic function of the body, and can also lead to cancer of the blood or other organs.
Despite the fact that rheumatoid arthritis is considered incurable, the patient still needs supportive therapy. It includes the course:
In especially severe cases, the patient undergoes surgery to restore the functionality of the joint.
A poor prognosis occurs in older women (over 60 years of age), in people with gradually developing arthritis, or if there have been 3-4 exacerbations per year. In patients under 40 years of age with a rapidly developing disease that was discovered no more than a year ago, the prognosis is quite favorable. Of course, such a patient will not be able to recover completely, but his quality of life will be quite satisfactory.
If the patient has suffered several exacerbations of the pathology during the year, his joint mobility is impaired, and he loses the ability to self-care, then the medical commission considers assigning him a disability group. So, disability is granted in the following cases:
For a patient of any severity, it is important not to drop out of public life. If a person is not able to work in production, you can come up with an occupation suitable for his capabilities. The patient should not withdraw into himself and remain lonely. Disability is not the lot of an abandoned person; friends and relatives of the patient must convey this idea to the patient’s consciousness. The attending physician or psychologist can give advice on social adaptation.
Therapeutic measures should be continued in order to prevent the disease from affecting all joints, since rheumatic lesions are characterized by their constant development.
With psoriatic arthritis, disability is assigned to approximately 5–7% of patients with this disease. This is due to the fact that with it a person loses the ability to work and perform simple actions to serve himself.
In general, psoriasis does not affect the joints and most often affects the skin. The reasons for the development of the disease are currently unknown to science. However, it has been established that psoriatic arthritis can cause complications in the heart, tendons, muscle tissue and bone marrow.
As a rule, psoriatic arthritis is accompanied by the most striking symptom - a characteristic skin lesion that turns red and becomes covered with flaky scales. But there are cases when traces of the disease are not visible on the skin, but above the affected joint it has a purple tint.
Psoriatic arthritis prefers the joints of the toes and hands. Sometimes the ankle is affected. At the same time, the fingers lose their usual shape and become thick without visible bends.
The affected joints move poorly, preventing the patient from performing basic finger manipulations. If the disease affects the toes or ankles, then the person is forced to give up his usual shoes, as the limbs become very swollen and the joints move poorly.
Psoriasis is not a disease for which a person is assigned a disability. Therefore, patients with affected joints are wondering whether psoriatic arthritis gives them disability or not. The answer is simple - they do. However, only group 3 disability, no matter the severity of the disease. After all, psoriasis does not imply disability in principle.
But group 3 still gives the patient the right to review his work regime or change his specialty if the work is physical. A group 3 disabled person can count on social assistance when purchasing necessary medications and even a small pension.
The attending physician at the clinic at your place of registration will tell you how to obtain disability. The only thing that can be said is that it usually takes up to 4 months to complete the paperwork and review the patient’s medical history by a medical commission.
Such a long period is due to the fact that the patient must be examined and carried out the necessary studies by a variety of doctors. A consultation with a surgeon, ophthalmologist, ENT specialist, neurologist, cardiologist is necessary, and you will also need to undergo an X-ray scan and ultrasound examination of internal organs and joints.
All these tests and consultations have two main goals: to prevent a pretender from receiving a pension certificate, and to help a truly sick person move into a group of people with increased social security.
When receiving disability, I would like to wish the patient patience and good spirits, since during this process not only his body, but also his psyche will be tested. In order to overcome all this, the patient’s relatives and friends must be involved in psychological treatment.
Is rheumatoid arthritis eligible for disability or not? Rheumatoid arthritis is a rare autoimmune disease, the causes of which remain unclear. The essence of the pathology is the damage to connective tissue cells by antibodies produced by the immune system. In the early stages, rheumatoid arthritis impairs the function of small joints, which limits range of motion and makes a person temporarily disabled.
Obtaining a certificate of incapacity or disability begins with diagnosing the disease. For these purposes, laboratory and instrumental research methods are used. A general blood test reflects an increase in ESR and the number of leukocytes, which indicates a long-term course of the inflammatory process. The use of antibacterial drugs does not help alleviate the patient's condition. Rheumatoid arthritis is not the result of bacterial activity; it is a special form of dysfunction of the immune system, in which it begins to destroy healthy cells.
The first symptoms of the disease usually appear at a young age, mainly in women. More than half of patients are eventually recognized as temporarily unable to work or disabled. The group is assigned depending on the stage of rheumatoid arthritis and the person’s ability to self-care. A disease of the 1st degree is an indication for issuing a certificate of temporary incapacity for work; in the future, the patient will need the creation of special conditions; he is not able to engage in every type of professional activity. During periods of exacerbations and deterioration of general condition, a person is recognized as incapacitated.
The duration of the sick leave depends on the severity of the symptoms of the disease. For grade 1 rheumatoid arthritis, it is issued for 30 days; the indication for extension is the rapid development of the disease and its transition to the next stage. A certificate of temporary incapacity for work for a period of 3 months is issued after surgery to remove the joint capsule. In the articular-visceral form of the pathological process, this period increases to 120 days.
The patient's return to work is subject to some restrictions. It is contraindicated to work in conditions of low or high temperatures, high humidity and polluted areas. It is prohibited to perform high-altitude work or maintain dangerous equipment. You will have to give up activities associated with prolonged standing or sitting, or lifting weights. Work that requires extreme precision is also contraindicated.
We also recommend this video about how to treat arthritis without pills:
If the duration of the disease exceeds the terms of the VUT, the patient is recommended to apply for disability. The process begins with passing a medical and social examination. Disability for rheumatoid arthritis is assigned in the following cases:
When undergoing the examination, the patient will have to provide the results of a biochemical blood test and x-ray examination of the joints. Disability for rheumatoid lesions of the musculoskeletal system is given taking into account the following factors:
The official cause of disability is recognized as:
The third disability group is given in the following situation: rheumatic joint damage of the 1st degree with preservation of the ability for self-care, movement and employment. In this case, the patient needs to change profession, improve working conditions, and reduce working hours.
The second group can be received by a person who has a moderate or severe degree of illness, the need for help from third parties and limitations in actions. Such a patient can partially take care of himself and work from home during periods of improvement.
The first group is assigned to a severe form of rheumatoid arthritis, accompanied by a lack of ability to move and self-care. Bed rest and the use of a wheelchair are indicated. The patient needs constant assistance from third parties.
Rehabilitation measures help a person with a disability adapt to new living conditions, realize their professional potential and avoid the development of depressive disorders. At the first signs of exacerbation, you should consult a doctor. It will not be possible to completely get rid of the disease, but it is quite possible to enter a period of long-term remission. After receiving disability, you can go to special institutions and take advantage of social programs aimed at adapting patients. Relatives must provide a person with comfortable living conditions, surround him with care and attention. The development of the Internet provides people with disabilities the ability to work without leaving home.