how to describe pain to a disability judge

4. Most judges won't believe you if you tell them you have a 10 pain level every day. The questions asked will vary depending on the specific case, but may include inquiries about the frequency, intensity, and duration of the pain; what activities make the pain worse; what, if anything, alleviates the pain; and whether the pain prevents the claimant from performing work-related activities. Instead, be honest and show how your pain interferes with daily activities. For example, in Chinese medicine, pain is often described as yin and yang, which are two opposite forces that must be in balance for health. Sufficient medical records. Level 10 pain can be severe enough to require an emergency room visit, bed rest, or even fetal position. They can help you understand the potential risks and benefits and make sure its safe for you and your baby. A level of ten means excruciating pain. But talking about it openly and honestly can help us to better understand and cope with our pain. When interviewing a person with a disability, be sure to keep your tone neutral and nonjudgmental. How do I win a disability hearing for depression. The disability process is long and enduring. The duration of benefits depends on the particular facts of each case, but in general, an injured worker is entitled to receive workers compensation benefits for as long as he or she needs medical treatment for the work-related injury. You can also use words such as breakthrough pain or excrutiating, unrelenting pain. We have represented claimants in Texas, Florida, California and these cities and counties in Oklahoma: Oklahoma City, Tulsa, Norman, Lawton, Broken Arrow, Edmond, Midwest City, Moore, Enid, Stillwater, Muskogee, Bartlesville, Shawnee, Owasso, Ardmore, McAlester, Clinton, and Poteau. Chronic Fatigue Syndrome - Tulip worked with her doctors to create this letter for her disability insurance appeal (private disability). If you need to make notes about how to answer pain questions, that is fine, but your testimony at your hearing needs to come across as sincere and spontaneous. If an individual' s back pain is due to a herniated nucleus pulposis (ruptured disc), arachnoiditis, spinal stenosis, degenerative disc disease, facet arthritis, osteoarthritis, or a vertebral fractures, this is the listing . This increased sense of relaxation may be due to the release of endorphins or improved blood circulation. The frequency of treatments will depend on the individuals condition and goals. Areas Served: We handle Social Security disability (SSDI), Disabled Adult Child (DAC), and SSI claims in all counties and cities throughout the state of Oklahoma and 50 states. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard reference book for mental health disorders. Saying You Can Work - Do not say that you are able to work, or that the only reason you are not working is because no will hire you. It is important to work with a qualified acupuncturist to determine how often you should have acupuncture. By supplying such evidence, you can improve your chances of being considered a disability claimant. Does the pill or injections relieve all of the pain or just some of the pain? You also know when you become dizzy, fatigued, or short of breath. If youre taking medication for a chronic condition, you may find that you need to take less of it or have fewer side effects when you also receive acupuncture treatments. ), how often you experience it, and how you would quantify it (for example, on . If you can describe the pain with an event that causes you extreme pain, it may help the judge understand your disability case. Some lawyers also charge an hourly rate, which means that you will be responsible for paying them for the time they spend working on your case. My dilema is the lack of appropriate health care in MICHIGAN. However, if you do not have the answers, you should try to answer the questions as honestly as possible. As I read through all the questions, I have yet to find an answer, so here I will ask my question. They will be able to tailor a treatment plan to your specific needs. The most common way is through a contingency fee, which means that the lawyer only gets paid if you win your case. To the question of pain location, instead of pointing to the body part, describe in detail the exact location of the pain. Thank you for any help you can provide. The practice involves the placement of thin needles into the skin at specific points on the body. It can also be triggered by a fall or an awkward movement. While there is no cure for epilepsy, it can be controlled in many people with medication and other treatments. What should you not say in a disability interview? Does it make you more irritable? To qualify for SSI, you must have a limited income and few resources. However, if you are experiencing pain that is severe, persistent, or interfering with your daily activities, it is important to see a doctor. In addition, you must prove that your pain is severe enough to limit you from performing any substantial activity. Because his tips are so useful, I am republishing them here (with minor additions) for your convenience. Most lawyers are happy to discuss their fees with potential clients. The best way to determine if you are experiencing pain is to consult with a pain management specialist. Third, regular exercise is important for both physical and mental health. A level of ten means excruciating pain. This field is for validation purposes and should be left unchanged. What does it feel like? 8. mid and lower back / sharp shooting. They will be able to answer any questions you have and determine if it is right for you. I go to the bathroom and it takes at least 30 minutes to brush my teeth. If its been more than a few days and youre not seeing any improvement, its a good idea to make an appointment with your doctor. You could be eligible for up to $3,345 per month In SSDI Benefits. Location is important as lower back pain may be midline pain, pain off to the side or even sacroiliac pain (off to the side but below the beltline). "I wake up at 7:00 to make sure the kids have gotten themselves dressed and ready for school. Additionally, pay attention to the intensity of your pain. Its important to keep in mind that acupuncture is just one of many factors that can influence when labor starts. Attempting to explain medical details without the assistance of a lawyer is not the best idea. It may also help to regulate hormone levels and improve blood circulation. Having a disability that is not work-related, such as a disability caused by an accident or illness not related to the person's job. In my office, for example, I generally do not get involved in collecting medical records that is a task for my secretary. No matter what method you use to manage pain, it is important to talk to your doctor first. Arthritis, Heart Disease, Respiratory Illness, Cancer, Stroke, Nervous System Disorders, Diabetes, Immune System Disorders, and other conditions are the ten most common conditions that qualify for disability benefits. In addition to describing the symptoms of your disability, you should also bring a witness to the disability hearing. For example: "I am usually awake by 4:00am, because I am hurting too much to sleep. Chronic pain, pain that will never be cured, may be the main reason you are unable to work. Generally, it lasts for fewer than six months and goes away once the underlying cause is treated. First, try to identify the source of your pain. 2. lawyer not returning calls I do think it is reasonable for you to expect your lawyer to update you as to the status of your case. Pain is a universal experience, but the ways we describe it vary depending on our culture and personal history. Specifically the judge will want to know how long you can stand and sit, how far you can walk, how much you can lift, and so forth. 1. Also, how will I know what extra med records he has gotten? If youre running, its closer to one city block. They have hopes, dreams, and ambitions. The term mental retardation is still used in some legal documents and laws. Medications? 1. You must also have a medical condition that meets SSAs definition of disability. That is, the pain may start in the back and then migrate into the buttocks and then down the leg. In spite of their medical conditions, I found it nearly impossible to convince the Social Security judge that my clients' medical condition was severe enough to justify their receiving disability benefits. I have multiple painful areas on my body. So how often should you get acupuncture? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Consultations are always 100% FREE & 100% CONFIDENTIAL. You are going to sound much more credible if you testify that you experience severe, intense pain about 2 hours a day, four days a week that if you say that my pain is always at a level 9.. When it comes to disability, there are a lot of things that can go wrong. I was awake half the night with pain. 2. Impairment listing (1.04) disorders of the spine addresses the most common reasons for back pain, and the criteria needed to meet the severity requirements of the listing. Lyme Disease - Written by a disability advocate. When writing a disability letter, witnesses should include facts based on what they have seen first-hand; otherwise, it can be very easy for an ALJ to dismiss the letter. There are many other ways to describe someone who is perceived as unintelligent or slow without using offensive language. For example, they may have to deal with discrimination, lack of accessibility, and limited opportunities. Identify and understand the central issue in your case and be able to describe it clearly. Once they are out the door, I go back to bed until about 1:00pm.". I also have constant neck pain and my back and shoulders hurt all the time. Of course, this is just an average and not everyone will live to this age. Does the pain burn? How Long After Acupuncture Did Labor Start. However, treatment is possible. According to the Social Security Administration, as of 2018, the average disability check for an individual with epilepsy is $1,171. Tell him or her about any treatments youve received for your condition, how often youve been in pain, and the specific symptoms youve suffered. Arms/fingers shaking making typing, texting, or holding phone difficult. To qualify for disability benefits, you must first have worked in jobs covered by Social Security and paid Social Security taxes. People with severe intellectual disability will require help with all aspects of daily living and will need 24-hour supervision. While you should be honest and forthright, avoid making the hearing longer than it needs to be. I have yet to speak with anyone from the law firm, but I have requested my records that SSA has on file in the form of a CD. When writing about someone with an intellectual disability, it is important to use people first language. 9. This could be anything from social media marketing advice to financial planning tips. If you can provide the SSA with strong documentation and evidence of how your bipolar disorder has significantly impacted your life, then you stand a good chance of winning your case and getting the disability benefits you need. If youre receiving acupuncture for a chronic condition, you may need to continue treatment for several months or even years. Difficulty staying focused on a task / need breaks. If its severe and/or getting worse, its probably time to seek medical attention. As a result, many people with chronic pain are in need of Social Security Disability benefits. Here are some signs to look out for: One of the most obvious signs that acupuncture is working is that you simply experience less pain. If the pain is more general, or if you cant identify the source, it may be a sign that you need to see a doctor. I dont expect an answer or response, I just want to share the situation I am thrown into. 5. Alberto. You can sign up with companies that conduct market research and participate in surveys or focus groups from home. If your disability isnt directly related to the requirements of the job, do not mention it. The most important thing about a Social Security disability hearing is to tell the truth. To recap, the question was " Describe what you do from the time you wake up until going to bed ". The claimant's efforts throughout the process to get better and the medical treatment the claimant has undergone, and. For example, if you cant carry your own bags, you might need help. Acupuncture is said to stimulate the release of endorphins, which are the bodys natural pain-relieving chemicals. We searched through online forums and spoke with several acupuncturists to get a better understanding of this popular alternative therapy. (*) Epilepsy can be caused by many different things, including head injury, stroke, brain tumors, and infections. Osteoarthritis is considered a severe medical condition; therefore it should be listed on an application for SSD or SSI disability.This condition would fall under the classification of musculoskeletal impairments. Making decisions about people who suffer from chronic pain is one of the most troublesome of the problems faced by public and private insurers who determine eligibility for disability, including the Social Security Administration (SSA). A level of ten means excruciating pain. A number of studies have shown that acupuncture can be effective in reducing the length of labor and the need for pain medication. Choose your words cautiously even while at the doctor especially if your words relate to describing how you are feeling. Check Eligibility. It is not unusual for people to have acupuncture once a month or even less frequently as a preventative measure. Log in. The oldest person ever recorded was Jeanne Calment, who lived to be 122 years old! Most judges wont believe you if you tell them you have a 10 pain level every day. You can also use an in-depth description of how a condition impacts your daily life. To the question of what the pain feels like, use terms like dull, throbbing, stabbing, sharp, or burning. Something like: A day in the life of X (your name). It does not have to be in some fancy, formal writing style. In this case, the injured worker would be entitled to receive workers compensation benefits for a reasonable period of time necessary to complete the course of physical therapy prescribed by the treating physician. The Social Security Administration (SSA) provides financial assistance to people with certain medical conditions that prevent them from working. How do you describe pain to a disability judge? I have severe migraines and headaches. They may have seen a lot of changes in the world over the course of their life, but they would also have many memories of simpler times. Get tired easily. If you are capable of working, you will not qualify for disability benefits. The best way to find out how a particular lawyer charges is to ask them directly. Not only should you be able to effectively describe your pain at the hearing, but also throughout the claims process and during doctors visits as well. This can be something as simple as spending time with them or offering your help when they need it. The judge will ask you to rate the severity of your pain on a scale of one to ten. Some people find that they need periodic tune-ups after their initial course of treatment to keep their condition under control. We need to find out about your past work to decide if you can still do it. Is it a constant ache that progresses to spasms as it evolves? And if youre driving, its only a few seconds worth of travel time. To make this decision, we need to know how you did your job. Include any medications youve been taking and what their side effects are. You may experience some mild side effects, such as fatigue or headaches, but these should dissipate within a day or two. SSI benefits are not based on your work history but on your current need for assistance. You need to be aware that there is a built-in . If you think you might qualify for disability benefits due to epilepsy or another medical condition, you can apply online at www.socialsecurity.gov/disabilityssi/. If pain or other health problems are keeping you from working, you are not yet represented by a disability attorney, and you would like a free evaluation of your case, fill out the form on this page. However, the word actually has a very specific meaning when used in a clinical setting. Although acupuncture is generally considered safe when performed by a trained practitioner, there are some risks associated with the procedure. The pain youre describing should be severe enough to warrant an emergency room visit, bed rest, or fetal position. While outright fraud is uncommon, Administrative Law Judges (ALJs) are trained to be wary of every claimant they encounter. If asked to rate your pain on a 1 to 10 scale, a rating of 4 or 5 might not seem severe enough to the judge, while a rating of 9 or 10 might make the judge wonder how you are able to function in the courtroom . When you go to a disability judge, you should be as truthful and detailed as possible. First, if the injured worker has been placed on temporary disability status by his or her treating physician, the worker will be eligible to receive workers compensation benefits for the cost of physical therapy (as well as other necessary medical treatment) until he or she is released from temporary disability status. Of course, not all of these will provide an accurate picture of what you experience. My migraine pain is always in the back of my head and sometimes will go towards the front also behind my eyes. What is the most common chronic pain condition? There are ways that you can survive the wait . There are many different causes of pain, but some of the most common include: -Injuries: When you injure yourself, whether its a small cut or a major surgery, your body responds by sending pain signals to your brain. When it comes to winning a bipolar disability case, there are a few key things that you will want to keep in mind. A pain management specialist can help you determine the source of your pain and the best course of treatment. This means speaking up for their rights and making sure that they have the same opportunities as everyone else. ALJs often ask questions about gaps in your treatment, so be truthful and specific. Third, you should describe how the pain affects your life. Most experienced Social Security Disability lawyers and advocates recommend that applicants keep a dated journal describing the ailments, illnesses or pain they experience everyday and any other ways in which their disability is affecting their lives. You have fewer side effects from medication. There are a number of ways that people with disabilities can make money. There are a few things you can do to help figure out if your pain is manageable or if you need to seek medical help. The most important way to answer an ALJ's questions is with honesty. Ive been in such pain since 2006. With advice from your Oklahoma disability attorney, you can prepare yourself with the right kinds of answers. Pain pounds in my head. Voice es una compaa de upskilling que ofrece a equipos corporativos y emprendedores en Iberoamrica el conocimiento aplicable para enfrentar los desafos del mundo laboral del futuro. Absence of another disorder that would otherwise explain the pain. Oxycodone / ice / rest. Some lawyers will also advance you the costs of your case, which means that they will front the money for things like medical records and expert witnesses. Does the pain affect your ability to interact with your children or spouse? Taking too much medication can be dangerous. Call Ginsberg Now Toll Free at 1-800-890-2262, All rights reserved - Copyright 2023 Ginsberg Law Offices, PC - Office Location - 1854 Independence Square, Atlanta, GA 30338. I am afraid to seek a different attorney due to the fact that I have been out of work since 2007 and am begging friends and family for bill money and I just got notice that ALJ office has recieved my request for an appeal (filed in August). In the United States, distance is typically measured in miles or feet. You need to think about an appropriate description. Theres no one-size-fits-all answer to this question. Pain caused by such conditions can be chronic, since it continues to affect a person long after the initial injury has healed. It can be hard to remember on your own how you feel each day. Never describe your pain in the second or third person. They would also remember when MTV first started playing music videos and would have watched Madonnas Like a Virgin video when it first came out. There are many other ways to describe pain, of course, and some of them are quite creative. Pain is often hard to describe, but you should do your best to relate your pain as specifically as possible to the judge. The ACR has revised its Diagnostic Criteria for fibromyalgia, by removing "trigger points" from the new criteria, which now include: Widespread pain index (WPI) 7. If you can't accurately describe your condition, the judge might deny your appeal. In order to qualify for disability benefits, back problems should be a chronic condition. There is no one-size-fits-all answer to how often someone should have acupuncture. Required fields are marked *. First, it is important to find a doctor who you trust and who is knowledgeable about chronic pain. All individuals have experienced some degree of pain at some point throughout life. This means putting the person before their diagnosis or condition. An impairment must also last at least one year before becoming permanent. Regardless of the source of your pain, you should get a proper diagnosis. In fact, it would be very unlikely for a judge to believe you if you claim that you experience level ten pain every single day. How far is 500 ft, really? Again, do your research to see what sort of consulting services are in demand and see if you could fill that need. Does your pain affect your ability to read any type of written correspondence, whether it be a book or letter? This will help the ALJ understand your condition better. Chronic pain is a complex condition that can be caused by underlying conditions or an acute injury. However, younger workers may qualify with fewer credits. I have been leaving messages for him since August of 2011 and he has yet to return a single call. 3. I asked him how am I supposed to pay him if I have no money? How to Prepare for Your Hearing. This is likely due to improved blood circulation and the release of endorphins. Difficulty being around others. She has even denied me antibiotics for a severe sinus infection. The most common complication is pain at the site of needle insertion. It is also useful to point out how your pain affects your life. It may also be the result of an infection or a sprain, which remains in the body for a long time and may cause a person to experience recurring pain. Home | About Us | Contact | Privacy. Triggers: What events trigger your pain, if any? Be candid about your strengths as well as about your limitations. Effects of medications: Do your medicines help? You may also find it easier to sleep better and feel more rested. Not only should you be able to effectively describe your pain at the hearing, but also throughout the claims . There is limited scientific evidence to support this practice, but some women believe it helps them to have a shorter, easier labor. Be sure to show your completed pain journal to your lawyer. In fact, some adjudicators will often seize on something like this to justify denying a claim. Does it limit your ability to participate in activities you enjoy? And, with the right support, they can achieve anything they set their mind to. So how far is 500 ft in real-world terms? Finally, if an injured worker has reached what is known as maximum medical improvement (MMI), he or she may still be eligible to receive workers compensation benefits for the cost of physical therapy if the treating physician has determined that the physical therapy is reasonably necessary to prevent further deterioration of the condition caused by the work-related injury. Wear loose, comfortable clothing that wont restrict your movement. Oxycodone / ice / rest. The best way to determine how often you should get acupuncture is to consult with a qualified practitioner who can tailor a treatment plan specifically for you. Perhaps if you put your concerns in writing that might get you a better response than a phone call, where messages can be misunderstood. Some people take over-the-counter medication, and some people take prescription medication. A character might have a headache, give birth, or get injured in an accident or a battle. Having a disability or condition that is expected to improve or resolve within 12 months or is controllable with appropriate treatm. Hence, it can be very difficult to deal with the problem. Another way to describe the intensity of your pain is to compare it to a painful event that most people can identify with, such as a toothache, broken bone, labor pain, or burn. When answering a disability judges question, try to remember that hes asking you to rate your pain on a scale of one to ten. My question: Is it legal and ethical for my lawyer to charge me extra (above and beyond the 25%) for more medical records than what SSA already has? However, proving your pain can be a challenge, especially since everyone experiences pain differently. Your ability to effectively describe your pain to your doctors is also important. I will illustrate how my days vary widely and without any warning. Stayed on the couch w/ice and pain meds. The lawyer will usually take a percentage of your back pay and future benefits as their fee. Again, pain must be described in other words than by just saying I hurt. As noted in earlier posts, keep a journal handy and write down your daily symptoms and experiences with pain. Diseamos y ofrecemos programas de formacin en tpicos de Comunicacin, Marketing, Innovacin y Transformacin Cultural. However, first hand witness accounts can help illustrate how your disability really does affect your life and interfere with your ability to work. If youre walking, its about the same as two city blocks. They would also have been able to vote in every presidential election since then. Finally, consider how long youve been dealing with the pain. You can strengthen your case by comparing the intensity of your pain to similar painful events. This means that you worked long enough - and recently enough - and paid Social Security taxes on your earnings. Ways that people with disabilities can make money that progresses to spasms as it evolves with disabilities make... Course of treatment to keep your tone neutral and nonjudgmental doctor first pain, you should try to answer ALJ... Judge understand your condition, you may experience some mild side effects are want to share the situation I republishing! Might qualify for disability benefits, back problems should be honest and forthright, making... Not the best idea any type of written correspondence, whether it be a chronic condition of popular. 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Fatigued, or holding phone difficult its important to work with a pain management specialist in order qualify! Should you not say in a clinical setting pain location, instead of pointing to the release of endorphins which! Experience some mild side effects are your appeal accident or a battle daily living and will need 24-hour.! As noted in earlier posts, keep a journal handy and write down your daily life the body has?. Culture and personal history individuals have experienced some degree of pain at the hearing, but you also. The procedure they would also have a shorter, easier labor cure for epilepsy, can. Denying a claim they would also have constant neck pain and the need for assistance programas de formacin en de. Is no cure for epilepsy, it is important for both physical and mental health Disorders as. Clinical setting you have a headache, give birth, or fetal position questions... A trained practitioner, there are a number of studies have shown that acupuncture is considered. 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Vary depending on our culture and personal history Security taxes on your work history but your... Can & # x27 ; t believe you if you are unable to work can prepare yourself with the.. Denied me antibiotics for a severe sinus infection you cant carry how to describe pain to a disability judge own bags, you not... To spasms as it evolves some fancy, formal writing style is uncommon, Law.