Shoulder Replacement and Social Security Disability, Social Security Disability Benefits for Shoulder Pain, Tips on Applying for Disability with Rheumatoid Arthritis, Social Security Disability Insurance (SSDI), How to Apply for Social Security Disability. The SSA published SSR 12-2p, “Evaluation of Fibromyalgia,” for individuals filing a claim disability for chronic pain from the disease. Because fibromyalgia's symptoms are generally self-reported, disability claims examiners and administrative law judges are often reluctant to approve fibromyalgia claims, even when an individual has received consistent treatment from a physician who supports their case. Determining whether a patient suffers from FM can often be determined only through a “diagnosis of exclusion,” after other possible conditions including bone, muscle, or nerve disease, cancer, rheumatoid arthritis, anemia, or possible infection are ruled out by extensive testing. This ruling does not really change the system already in place to determine the severity of the symptoms from FM when determining total disability, but it reminds SSA adjudicators and ALJs of the value of non-medical observations. These cases are difficult, but not impossible, to win if you take the right steps. Social Security Disability for Chronic Pain: Fibromyalgia. Fibromyalgia is a chronic illness that is characterized by diffuse pain in the muscles, tendons and other soft tissues. 4. Individuals with fibromyalgia may be almost entirely without symptoms on some days, while other days they may be unable to function due to pain, fatigue and other complications. Under the second set of criteria for proving a medically determinable impairment with a diagnosis of fibromyalgia, the first and third points are the same. In an effort to clarify the qualification criteria for SSD applicants with fibromyalgia, the Social Security Administration (SSA) has published revised disability ruling details for the condition. Musculoskeletal Disorders and Social Security Disability. Many people are under the mistaken assumption that Social Security Disability benefits last forever. The SSA’s new disability ruling for fibromyalgia issued in July 2012 lays out two instances in which fibromyalgia may be considered a medically determinable impairment. Medical evidence documenting that other disorders that can cause the same or similar symptoms have been ruled out by a qualified medical professional. Neither this site nor any lawyer or advocate associated with it is affiliated in any way with or endorsed by the Social Security Administration. BLUE BOOK! SSDI and fibromyalgia is a sometimes complicated relationship. Does the applicant plan to stop working soon and stay out of work for at least 12 months? Disability Evaluation Under Social Security Listing of Impairments - Adult Listings (Part A) The following sections contain medical criteria that apply to the evaluation of impairments in adults age 18 and over and that may apply to the evaluation of impairments in children under age 18 if the disease processes have a similar effect on adults and younger children. This was due to the fact that the Social Security Administration’s Blue Book and the Social Security Ruling (the guides used to determine if a condition qualifies for disability benefits) did not include the condition fibromyalgia. Is applicant receiving treatment from a doctor? Top 5 Reasons Why Disability Claims are Denied. In order to qualify for disability benefits with degenerative disc disease, your condition need to meet the criteria laid out in the Social Security's Blue Book listing. The Blue Book shows all of the listed disabling impairments (in great detail) that can make you automatically considered as “disabled” and thus eligible for Social Security disability benefits. There are other issues recorded that do match this condition and when symptoms are equal to or worse than previously documented ailments, the individual may be automatically qualified. The Social Security Administration’s impairment listing manual (called the blue book) lists a number of impairments, both physical and mental, that will automatically qualify an individual for Social Security disability benefits (SSDI) or Supplemental Security Income (SSI), provided the individual’s condition meets the specified criteria for a listing. Can I receive both SSI and SSDI at the same time? Social Security has a special book full of descriptions of different illnesses and conditions. Formally, the Blue Book is titled “Disability Evaluation Under Social Security”. If you are disabled because of a Fibromyalgia disability that prevents you from working, you may well be entitled to Social Security Disability benefits. Determine if an individual is working (engaging in substantial gainful activity) according to the SSA definition. list of impairments with detailed requirements for when the SSA should judge a medical condition to be disabling In addition, the DDS will often place much greater value on a Fibromyalgia diagnosis made by a medical specialist, such as an orthopedist or rheumatologist (doctors who focus on bone or tissue disorders), than on one made by a family doctor, general practitioner, or mental health professional. Does Fibromyalgia Qualify Me for Disability Benefits? This isn't necessarily the case. In many cases, enlisting the help of medical and legal professionals to help ensure that all necessary materials are present to completely and accurately support a Fibromyalgia disability case can greatly increase a claimant’s chances for approval. Rheumatoid arthritis is listed in section 14.09, titled “Inflammatory Arthritis.” Each condition in the Blue Book contain specific criteria and symptoms that you must have to be approved. The application and related forms ask for a description of the claimant’s impairment (s), treatment sources, and other information that relates to the alleged disability. [NOTE: On January 18, 2017, SSA published final rules in the Federal Register titled “Revisions to Rules Regarding the Evaluation of Medical Evidence” (82 FR 5844) that revised how we consider medical evidence in disability claims and continuing disability reviews under titles II and XVI of the Social Security Act. 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