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Guide for Aviation Medical Examiners

Decision Considerations - Aerospace Medical Dispositions
Item 43. Spine and other Musculoskeletal - Arthritis

Common Conditions and Course of Action

Disease/Condition Class Evaluation Data Disposition
Osteoarthritis and variants on PRN NSAIDS only All Symptoms are well controlled with no persistent daily symptoms and no functional limitations Issue - warn for changes in condition or additional medication use
Osteoarthritis, Rheumatoid Arthritis, and Variants on meds other than NSAIDS All Review a current status report to include functional status (degree of impairment as measured by strength, range of motion, pain), medications with side effects and all pertinent medical reports See CACI - Arthritis Worksheet (PDF). If airman meets all certification criteria - Issue.

All others require FAA Decision. Submit all evaluation data.

Initial Special Issuance - Requires FAA Decision

Followup Special
- See AASI Protocol

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