Qualifying conditionsrheumatoid arthritis, chronic tendinopathy, or another diagnosed inflammatory or musculoskeletal condition
What the letter must saythat cold-water immersion or sauna therapy treats that named condition, rather than supporting recovery in general
How to askAsk the specialist managing the condition rather than a general-practice visit — these claims draw more scrutiny than most, and a rheumatologist naming the diagnosis carries far more weight.
Informational only — not tax, legal, or medical advice. Consult a qualified tax professional about your situation. Rules version 2026-08-15, last verified July 2026.