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February 19, 2018

Knee Pain and Social Security Disability

Can I receive Social Security Disability for knee pain?  Have you suffered an injury to your knees or experienced gradual deterioration in your knees that limits your ability to work? Knee pain can be so severe that an individual is not only unable to stand for long, but it can also limit his/her ability to tolerate prolonged sitting.  When it comes to weight bearing joints like the knees, daily exertion can lead to worsening symptoms.  Common problems include pain, swelling, and instability.  If you are unable to work due to knee problems, I suggest you apply for Social Security Disability Insurance (SSDI) and/or Supplemental Security Income immediately. The inability to stand, walk, or ambulate effectively can limit the performance of most jobs above the sedentary level.  Many vocational experts (VEs) state that most jobs performed while standing up require the ability to stand or walk at least six hours out of an eight-hour day.  If a cane or other assistive device is required, it may prevent the performance of any competitive employment.  In my experience, the number of jobs can greatly decrease if a claimant has been prescribed a cane or walker.  Limiting the number of jobs a claimant can perform, known as eroding the job base, can be the key to a favorable Social Security determination. Many of my clients with chronic knee problems report swelling and pain, even while sitting.  Sometimes, they report that elevation of their legs can reduce that swelling and pain.  Many VEs will testify in disability hearings that elevation of the legs over a certain height can preclude work at the sedentary exertional level.  A statement from a qualified medical source supporting the need to elevate the legs, the height of the elevation, and the duration of the elevation can be crucial to establishing … Continued

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January 29, 2018

A Few Quick Thoughts About Social Security Disability

I represent hundreds of clients every year in Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) claims and there are things that I take for granted people know.  However, since they don’t do this every day, they simply do not.  In this blog I’ll share some things that I believe should be mentioned. Apply right away. What are you waiting for?  File an application the first day you are unable to work full time.  Sure, there may be technical and medical reasons why you do not qualify, but the application is free.  If you do not have an attorney to explain these medical and technical reasons to you, let the Social Security Administration (SSA) explain them.  I have seen clients wait too long to file an application and find themselves having a harder time because their disability insurance had expired.  Also, it is important to note that SSI payments can only be paid retroactively from your date of application. File your appeals timely! Most appeals only allow for 60 days plus a short grace period for mailing time.  You do not want to have to start over from the beginning, so get the Request for Reconsideration or Request for Hearing completed quickly. If you can afford it, see your doctors. Most Social Security disability cases are won through medical records.  Objective tests, progress notes, and physician statements can be crucial in proving you qualify for the benefits you need to support you and your family. When you go to your hearing, strive to ensure your medical record is up to date. If you do not have an attorney, do not count on the SSA to get your medical records.  Why would you?  Up to this point, they have continually denied your claim.  There is no one that has … Continued

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November 18, 2016

Do You Know Why You Are Disabled?

That seems like a strange question doesn’t it? My clients tell me they are disabled, but many have a hard time saying it in a way the Social Security Administration (SSA) understands. Many people have Social Security disability questions.  There can be many reasons why it is hard to explain your inability to work.  You may have a rare condition the SSA is not very familiar with; you may have a combination of impairments that, all added together, make you unable to work; you may have to argue you meet special rules the SSA recognizes; or you may just simply be unable to work a full time job.  Trust me, claiming you are disabled to the SSA can be confusing and difficult, or it can be as easy as they want to make it for you.  That’s why knowing what to tell them can possibly create a make or break situation.   In my experience, you need to be careful how you phrase things to the Social Security Administration. First of all, being disabled is not a joke.  Going to physical and mental examinations the SSA sends you to and taking it lightly may result in that particular examiner noting your attitude to the SSA.  All the way through the process, you need to express accurately to the SSA what you are experiencing.   Fill out the forms the SSA gives you truthfully and in their entirety. Some claims can be processed favorably without much human interaction by giving the SSA ALL of the information they request.  Be proactive in your claim, especially at the initial level, to ensure the SSA gets all pertinent information.  Unfortunately, after initial denials, while waiting for a hearing, your claim may not be looked at again until you find yourself in front of an Administrative Law … Continued

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July 7, 2016

Do I have a good Social Security disability case?

I hear this question probably more than any other question from my clients.  When I was in law school, one of my professors told me, “The facts always matter,” and a Social Security disability case is no exception.  It’s also important to know how Social Security applies its rules to the facts of your case when you are trying to show that you are unable to work.  While there are many variables that affect your chances of winning your claim, I have found that some factors are more important than the others. Medical treatment: One of the first things I ask potential clients is whether or not they are seeing doctors.  In order to find that you are disabled, Social Security must be able to find that you have a medically determinable impairment that affects your ability to work.   You must also have medical records that support the statements you make about how badly your symptoms affect you.  You can’t assume that the Administrative Law Judge (ALJ) at your hearing will know that you are a trustworthy person who doesn’t exaggerate.  Even if the ALJ does find that you are a credible person, he or she will still want to see objective testing (like x-rays or MRIs) and/or progress notes from your physician that back up your testimony.  The ALJ will want proof that you are being treated by doctors who specialize in your type of impairments – for example, that you are seeing an orthopedic doctor if you have degenerative disc disease, a rheumatologist if you have fibromyalgia, a psychiatrist if you have bipolar disorder, or a neurologist if you have migraine headaches.  If your doctor is willing to provide a written statement about your work-related limitations, it can also improve your chances of a favorable outcome. Age, education, and work experience: … Continued

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April 11, 2016

What are ADLs, and why does Social Security care so much if I go on vacation or keep my house clean?

Many of my clients do not understand why the Social Security Administration (SSA) is so interested in their day-to-day activities.  It might help to think about it this way: since you are not able to work, Social Security can’t ask you how your current symptoms affect your work activities.  Therefore, they have to look instead at what you are actually able (or unable) to do in your daily life.  Social Security refers to these things as your “Activities of Daily Living,” or ADLs. During the Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) application process, Social Security sends each claimant a questionnaire called an Adult Function Report.  This form asks specific questions about how your impairments affect your ability to do what you need to do to get through a typical day.  Similarly, the Administrative Law Judge (ALJ) at your hearing will ask questions about your ADLs, including your ability to: Clean your house (sweep, mop, dust, wash dishes, etc.) Shop for groceries Take care of your yard Drive a car Bathe, shower, and take care of your personal hygiene Dress yourself Do laundry Cook or prepare meals Care for children, other family members, or pets Participate in hobbies Spend time with friends Travel on vacations When you answer questions about your ADLs, it’s important to keep in mind why Social Security is asking them.  The ALJ is not trying to find out of you are a conscientious housekeeper or if you are an interesting person to hang out with.  It can be really hard – embarrassing, even – to admit that you aren’t able to take a shower or wash your dishes as often as you think you should.  It is painful for a lot of my clients to realize that it has been years since they … Continued

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January 6, 2016

Finding an Indiana Social Security Disability Lawyer for your Child

If you have had a difficult time finding an attorney to represent you in your child’s claim for Supplemental Security Income (SSI) benefits, you may not be alone.  When I speak to new clients in my Indianapolis Social Security disability law practice, they often tell me that many of the Social Security disability attorneys they had consulted simply do not take children’s cases.  Some Administrative Law Judges have told me that children’s SSI cases can be more difficult to win than adult cases.  In my experience, the chances of winning a child’s case are affected by the same factors that affect adults’ cases – we need good treatment records, statements from a treating physician supporting the claimant’s descriptions of his or her symptoms, and good preparation for the hearing.   I take great pride in helping the families of disabled children, and I believe my experience with these cases helps to ensure that my clients have the best chance possible at a favorable outcome. One of the reasons some attorneys may be reluctant to accept children’s cases is that the Social Security Administration (SSA) uses different criteria in evaluating a child’s disability that it does when it evaluates an adult’s impairments.  For example, Social Security has a separate Listing of Impairments for adults and children.  Further, the SSA evaluates children’s and adults’ functional limitations using different frameworks.  The main issue in an adult’s case is whether his or her disability is severe enough to prevent full-time work.  Obviously, since children do not work, Social Security cannot analyze a child’s functional limitations in this manner.  Instead, the SSA determines whether a child has “marked” limitations in at least two (or “extreme” limitations in at least one) of six areas of functioning Social Security calls “domains”: Acquiring and using information:  the child’s ability … Continued

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December 31, 2015

Can I Get Social Security Disability For COPD?

If your symptoms are severe enough, Social Security can find you disabled if you have chronic obstructive pulmonary disease (COPD).  However, a diagnosis on its own is not enough.  In my practice, I find that COPD is disabling to my clients in two ways – either because their COPD symptoms are so severe that they are unable to work, or because their COPD symptoms combine with symptoms from other impairments to keep them from working. I am surprised at how many of my clients have breathing difficulties.  Their diagnoses range from asthma to emphysema.  My experience with clients with breathing problems is that their symptoms generally do not improve with time.  If you find you are unable to work due to COPD or any other breathing problem, it may be in your best interest to apply for Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI) as soon as possible. The Social Security Administration (SSA) examines COPD in its Listing of Impairments under listing 3.02 for chronic pulmonary insufficiency.  The listings in section 3 cover many other types of respiratory impairments as well, including asthma, cystic fibrosis, bronchiectasis, persistent pulmonary infections, and cor pulomale due to chronic pulmonary vascular hypertension.  If you have COPD or any other respiratory problem, Social Security will probably order a “pulmonary function test” to objectively determine the extent of the obstruction to your airways.  If you are already being treated by a pulmonologist, you may have already had one or more pulmonary function tests performed.  Social Security will request records from your doctor, which will include these test results as well as your doctor’s diagnoses and clinical impressions. Another way to meet the requirements of the listings in section 3 is to show that you have frequent respiratory exacerbations that require physician intervention.  If … Continued

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December 11, 2015

Is it Easy to Get Social Security Disability?

I don’t think so.  Almost every day I hear from somebody who tells me about a neighbor or relative who gets Social Security Disability payments even though there is “nothing wrong with him.”  The fact is there are guidelines and rules that must be met in every Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI) case.  When people tell me stories like the one I just mentioned, my guess is they are not fully informed about the facts regarding the particular case.  Social Security processes each claim for disability very thoroughly, so to think Social Security hands out benefits like candy is just not the truth. First, individuals must meet certain rules regarding resources and whether you have worked enough to be eligible.  The Supplemental Security Income (SSI) program considers various factors regarding financial resources and income to determine eligibility.  The Social Security Disability Insurance (SSDI) program is available to workers who have worked long enough to earn eligibility for benefits.  Unfortunately, some individuals do not qualify for either program; one example is a parent who has taken several years off of work to care for young children but has a spouse who works full time.  The best way to determine whether you qualify is to apply for both programs and let the SSA determine your eligibility. Second, medical records are generally necessary to prove a case and receive benefits.  The Social Security Administration (SSA) recognizes certain impairments as disabling.  Simply saying you have something wrong with you is usually not enough if you cannot provide medical evidence to back you up.  While the SSA will send you to a consultative medical examination, in my experience the results of these examinations are not given a great amount of weight by the disability reviewers or by Administrative Law Judges … Continued

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November 3, 2015

Social Security Disability Payments for Neurological Impairments

There are many medical conditions that can so severely affect an individual’s mental and physical functioning as to qualify that person for Social Security Disability Insurance (SSDI) and/or Supplemental Security Income (SSI) payments. In my Indianapolis Social Security disability practice I represent many Indiana residents suffering from neurological impairments. Many of those clients suffer from a combination of mental and physical symptoms that prevent them from performing what the Social Security Administration (SSA) calls Substantial Gainful Activity (SGA); in other words, they cannot work a full-time job. In cases involving adults with neurological impairments, the SSA will first consult the listings in Section 11 of its Listing of Impairments. The Listing of Impairments is a guideline published by the Social Security Administration outlining certain criteria that, if met, are considered to be proof that the claimant is disabled. The conditions addressed in the Listings are as follows: • Epilepsy (convulsive or non-convulsive) • Central nervous system vascular accident • Benign brain tumors (malignant brain tumors are evaluated under listings for cancer) • Parkinsonian syndrome • Cerebral palsy • Spinal cord or nerve root lesions • Multiple sclerosis • Amyotrophic lateral sclerosis • Anterior poliomyelitis • Myasthenia gravis • Muscular dystrophy • Subacute combined cord degeneration • Other degenerative diseases, such as Huntington’s chorea, Friedreich’s ataxia, or spino-cerebellar degeneration • Cerebral trauma • Syringomyelia Most of the criteria in the Listings for these impairments require evidence of the following: (a) A medical diagnosis and appropriate medical testing (b) Sensory, motor, and/or speech dysfunction (c) Compliance with prescribed treatment See the specific listings for the requirements for each particular impairment. In my experience, a person whose diagnosis and symptoms meet the criteria of the listings should be found disabled in the early stages of the disability process, as long as appropriate medical … Continued

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October 7, 2015

Can I Receive Social Security Disability Payments For Fibromyalgia?

The short answer is yes, you can receive Social Security disability benefits if you have fibromyalgia.  In my experience, though, you may face some obstacles along the way.  Although doctors have been diagnosing fibromyalgia for many years, it was not until 2012 that the Social Security Administration (SSA) issued guidelines addressing fibromyalgia as a disabling condition in policy ruling SSR 12-2p. While SSR 12-2p requires that a diagnosis of fibromyalgia be made by a licensed physician, it has been my experience that having a diagnosis from a rheumatologist greatly improves the likelihood that the SSA will accept that diagnosis as valid.  As with any type of impairment, Social Security gives greater weight to the diagnoses and clinical findings of a physician who specializes in treating your disabling condition. SSR 12-2p states that a diagnosis of fibromyalgia alone is not sufficient proof of a disabling condition.  Social Security will review the doctor’s treatment notes to make sure that the doctor’s clinical findings and treatment notes over time show that your physical strength and functional abilities are limited enough to be disabling.  A short summary of the criteria the SSA considers in determining whether your diagnosis of fibromyalgia is disabling includes: 1.  A history of widespread pain that has persisted for at least three months 2.  At least one of the following: a.  At least eleven positive tender points on examination b.  Repeated manifestation of at least six fibromyalgia signs or co-occurring conditions, especially fatigue, cognitive or memory problems, waking unrefreshed, depression, anxiety disorder, or irritable bowel syndrome 3.  Evidence ruling out other disorders that could cause these symptoms If you have fibromyalgia, you probably know that this short summary cannot begin to convey how completely your symptoms affect your life.  The pain you experience on a daily basis and the other … Continued

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