Anyone with fibromyalgia knows how debilitating the condition is, and how difficult it is to perform job functions that you may have been able to previously. While the condition affects 5 million adults, only 25 percent are receiving disability benefits. A recent survey conducted by ProHealth.com has found that out of the 316 participants, 60% had fibromyalgia. 68% of the participants were not receiving disability benefits at all. The two most popular responses as to why the survey participants were not receiving disability were that they either felt guilty asking for it, or could not afford to be out of work for two years while awaiting approval. For those who did make claims, 75% had not involved a lawyer.
Even for those who apply for social security disability for fibromyalgia, the outcome is uncertain. The Social Security Administration issued new standards in 2012 to determine disability eligibility based on fibromyalgia symptoms. Previous to the new guidelines, a fibromyalgia claim was not necessarily viable. In determining the eligibility for a claim, the Social Security Administration will look at whether:
• There is at least a 3 month history of widespread pain
• At least 11 of the 18 tender points are found on examination
• Evidence from other disorders were excluded
The SSA also requires medical documentation for a period of 12 months prior to the application date. Documents should include medical evaluations from a physician, and possibly a psychologist. The SSA will also take into consideration evidence of a person’s day to day functioning as reflected by the statements provided by friends, neighbors, clergy, past employers, counselors, or teachers. The SSA will also have their personnel evaluate you in a multiple step process considering:
• Work history
• Severity of symptoms
• Whether the impairments meet medical criteria
• Whether you are capable of performing past work
If you are capable of doing past work, then you do not qualif
y for disability. If you are denied your claim, you may appeal. Many people have found more success with the appeals process.
Navigating through the Social Security Disability system is often frustrating and confusing. If you are experiencing the debilitating pain of fibromyalgia and can no longer work, it is best to contact an attorney who is experienced in handling such claims. Call The Law Offices of McIntyre, Donohue, Accardi, Salmonson, & Riordan, LLP at (866)557-7500.