Disability Qualifications for Knee Valgus Conditions - Orthopedics

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Regarding the disability qualifications for knee valgus?


I have congenital genu valgum in both knees, and there is a certain degree of cartilage wear.
Years ago, due to knee pain, I sought medical attention and was referred to a teaching hospital, where an orthopedic physician issued a certificate stating that I should avoid squatting, kneeling, and bearing weight on my knees, and that I should minimize climbing stairs.
Unfortunately, I was recently assigned new job responsibilities at my company that require frequent bending and lifting heavy objects in the warehouse.
I have been trying my best to manage this, but my knee pain has worsened, prompting me to visit the rehabilitation department.
An ultrasound revealed fluid accumulation in my knees.
I presented the medical certificate from years ago to my employer, but they blamed me for not disclosing my condition during the hiring process and requested that I provide a disability assessment to qualify for special job accommodations within the company to maintain fairness in employee management.
However, since I can walk like a normal person, I am genuinely confused about whether my genu valgum, which makes squatting, kneeling, and bearing weight difficult, qualifies as a disability.
Do I need to make an appointment at the teaching hospital to consult with my original treating physician regarding this matter?

Duo Duo, 30~39 year old female. Ask Date: 2020/09/11

Dr. Cai Shanglin reply Orthopedics


Generally, patellar valgus or degenerative arthritis may qualify for disability assessment only if there is severe impairment in knee joint mobility.
It is recommended that you visit a medical facility for a re-evaluation and assessment; this will provide a clearer understanding of your physical condition.

Reply Date: 2020/09/11

More Info


Understanding disability qualifications for knee valgus conditions, particularly in the context of congenital knee valgus, involves a nuanced approach that considers both medical and functional aspects of the condition.
Knee valgus, or genu valgum, is characterized by an inward angulation of the knee, which can lead to various complications, including pain, instability, and degenerative changes in the knee joint. In your case, you have a history of congenital knee valgus and associated cartilage wear, which can significantly impact your daily activities and overall quality of life.
From a medical standpoint, the symptoms you describe—such as pain during squatting, kneeling, and bearing weight—are common in individuals with knee valgus. These symptoms can be exacerbated by certain activities, especially those that require repetitive bending or weight-bearing on the knees. The presence of effusion (fluid accumulation) in the knee, as noted in your ultrasound, further indicates that the joint is under stress, which may be related to your work requirements.

Regarding disability qualifications, the criteria can vary significantly depending on the jurisdiction and specific regulations in place. In general, to qualify for disability status, there must be a demonstrable impact on your ability to perform daily activities or work-related tasks. The fact that you have a medical certificate advising against certain movements (like squatting and kneeling) is a strong point in your favor. However, the determination of disability often hinges on functional limitations rather than just the presence of a medical condition.

In the United States, the Americans with Disabilities Act (ADA) defines a disability as a physical or mental impairment that substantially limits one or more major life activities. In your case, if your knee condition significantly limits your ability to perform essential job functions (like lifting, bending, or climbing), you may have grounds for a disability claim. However, the ability to walk normally does complicate the situation, as it may suggest that your condition does not substantially limit a major life activity.

To pursue this matter further, it would be advisable to consult with your primary care physician or an orthopedic specialist who can provide a comprehensive evaluation of your knee condition. They can assess the severity of your symptoms, the impact on your daily life, and whether your condition meets the criteria for disability. Additionally, they can assist in documenting your condition and its effects on your work capabilities, which may be necessary for your employer's disability assessment process.

If your physician determines that your knee valgus condition does indeed limit your functional abilities significantly, they can provide a detailed report that you can present to your employer. This report may help clarify your situation and support your request for reasonable accommodations or a reassignment to a less physically demanding role.

In summary, while your ability to walk normally may complicate the assessment of disability, the presence of pain and functional limitations associated with your knee valgus condition is significant. Seeking a thorough evaluation from a medical professional and obtaining proper documentation will be crucial steps in navigating your employer's requirements and advocating for your rights.

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