Is Polymyalgia Rheumatica a Disability?

We are often asked, “Is polymyalgia rheumatica a disability?” Polymyalgia rheumatica may be considered a disability if your symptoms and limitations are severe enough to prevent you from working.

This post will guide you through the relevant information, shedding light on the nuances of the condition in relation to disability benefits. We will explain:

• What polymyalgia rheumatica is.
• How a claim for long-term disability benefits for polymyalgia rheumatica is evaluated.
• The evidence needed to support a disability claim for polymyalgia rheumatica.
• How working with a long-term disability attorney can help you win your claim.

What Is Polymyalgia Rheumatica?

Polymyalgia rheumatica is an inflammatory condition that causes muscle pain and stiffness. Most people with polymyalgia rheumatica are diagnosed after the age of 65. Patients with polymyalgia rheumatica are rarely under the age of 50. Women and Caucasians are diagnosed more often than other demographics. While there is no known cause, people who have relatives with polymyalgia rheumatica or other inflammatory conditions are more likely to develop it themselves.

Symptoms of Polymyalgia Rheumatica

Symptoms of polymyalgia rheumatica are usually felt on both sides of the body and worsen in the morning and after periods of inactivity. Often, symptoms include:

• Pain and stiffness in the shoulders, neck, or arms.
• Pain and stiffness in the hips, buttocks, thighs, or knees.
• Pain and stiffness in the elbows, wrists, or hands.
• Limited range of motion in the affected areas.

Other symptoms of polymyalgia rheumatica may include fever, fatigue, loss of appetite, malaise, weight loss, and depression. People with polymyalgia rheumatica may experience remissions in their symptoms, which later reappear and may worsen.

Polymyalgia rheumatica is associated with giant cell arteritis, a condition that causes inflammation in the lining of the arteries and can cause serious health issues. This is because many people with one of these conditions have symptoms of the other. Patients diagnosed with polymyalgia rheumatica may also experience headaches, jaw pain, scalp tenderness, and vision problems.

Diagnosing Polymyalgia Rheumatica

Diagnosis of polymyalgia rheumatica involves clinical exams and diagnostic testing. In a clinical exam, a doctor can evaluate a patient’s medical history, symptoms, and range of motion. They may also conduct neurological exams or test the patient’s reflexes. Diagnostic testing can include:

• Blood tests to check for signs of inflammation.
• Imaging tests, usually ultrasounds or MRIs, check for signs of other conditions that may cause similar symptoms.

Patients diagnosed with polymyalgia rheumatica are typically monitored for the progression of their symptoms and signs of rheumatoid arthritis and giant cell arteritis.

Treating Polymyalgia Rheumatica

The most common treatment is oral corticosteroids. Many patients find significant improvement in their pain and stiffness with corticosteroid treatment. Physical therapy is commonly used in conjunction with medication to help relieve symptoms and prevent further issues. Pain and stiffness associated with polymyalgia rheumatica often improve with movement or exercise.

Like other disorders that involve chronic pain, mental health care is an integral part of the overall treatment plan. Cognitive-behavioral therapy has shown some benefits in reducing pain and improving a patient’s quality of life when dealing with this illness. Alternative therapies such as acupuncture, massage, or meditation may also be helpful when used with other treatments.

Qualifying for Disability for Polymyalgia Rheumatica

Typically, LTD policies define a person as disabled if, due to a medical condition, they:

• Cannot perform their current job duties for the initial two years covered by the policy.
• Are unable to undertake any other job role after this initial two-year span.

However, policies vary, so it’s crucial that you thoroughly understand the specifics of your plan.

While not every case of polymyalgia rheumatica is disabling, people who have severe polymyalgia rheumatica may struggle to work due to their condition. The severe pain and stiffness may prevent someone from performing jobs involving bending, lifting, or carrying objects.

Since pain and stiffness often worsen with a lack of movement, sedentary positions may be difficult or impossible. Patients may have difficulty performing basic tasks such as getting out of a chair, bathing, or getting dressed. Someone with severe symptoms may be unable to perform daily functions or work activities without using assistive devices.

It is also essential to inform the insurance company about other medical conditions affecting a person’s ability to work. Disability evaluations consider the person’s total health, so someone with polymyalgia rheumatica may qualify when their other medical conditions are taken into consideration. 

Evidence You Need to Support Your Disability Claim for Polymyalgia Rheumatica

For your claim to be successful, the insurance company needs evidence of your diagnosis, ongoing symptoms, and the impact of these symptoms on your daily life. You should send those records to your insurance company yourself – do not count on the insurer to obtain the documents for you. 

A Residual Functional Capacity (RFC) assessment can be crucial to the success of your claim. They outline how your condition affects you and what tasks you can perform despite your limitations. Ensure you maintain transparency with your doctors, facilitating a precise RFC assessment. If you need an RFC form, you can download one from our website.

If you suffer from multiple medical conditions affecting your quality of life, it’s crucial to furnish details about each condition and the treatments.

Working with a Disability Attorney

Don’t lose hope if your disability benefits claim is initially denied; many experience this setback during the disability claim process. Remember, you have the right to appeal and to supplement your claim with additional information.

FREE RESOURCE: Appeal a Denial with our Long-Term Disability Insurance Appeal Guide

Given the complexities of the appeals process, it’s wise to consult a disability attorney early on. Collaborating with a disability attorney significantly boosts your chances of securing the benefits you rightly deserve. They will help you manage deadlines, organize necessary documentation, support you during interviews, and provide invaluable guidance. The best part? They only get paid if they successfully recover benefits.

The Ortiz Law Firm has a commendable track record of representing individuals in disability cases nationwide. If you’re seeking expert advice regarding your polymyalgia rheumatica disability claim, we are here to help. We offer a free, no-obligation case evaluation. Any questions you have about your claim will be addressed. To learn more about how we can assist in your disability case, call us at (888) 321-8131.