Understanding Degenerative Disc Disease (DDD) and Disability Benefits
One of the most common disabling conditions clients at Lewis Disability Law share are problems with their backs and necks. Disabling conditions in this area can include, but are not limited to scoliosis, herniated disc, spinal stenosis, sciatica, spondylolisthesis, arthritis, and degenerative disc disease.
These conditions can cause severe chronic pain that may make it unbearable to maintain full or part time employment.
As we age, it is not uncommon for this condition to occur. Causes of degenerative disc disease may include outer layer tears in the disc and fluid loss in the disc.
Depending on the location of the disc or discs affected usually dictates where a person feels the pain.
What is Degenerative Disc Disease?
DDD occurs when the discs between the vertebrae in the spine deteriorate over time, potentially leading to:
- Chronic pain
- Numbness and tingling
- Weakness in the extremities
- Difficulty sitting, standing, or walking for extended periods
Can I qualify for SSDI benefits with Degenerative Disc Disease?
SSA Evaluation Criteria for DDD
The Social Security Administration (SSA) evaluates DDD claims through two primary methods:
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Meeting a listed impairment: While DDD isn’t specifically listed in the SSA’s Blue Book, it may qualify under Listing 1.04 Disorders of the Spine. This listing requires evidence of:
- Nerve root compression
- Spinal arachnoiditis
- Lumbar spinal stenosis
- Medical-vocational allowance: If your condition doesn’t meet a listed impairment, the SSA will assess your Residual Functional Capacity (RFC) to determine if you can perform any type of work.
The Social Security Administration (SSA) recognizes degenerative disc disease in its Listing of Impairments under Listing 1.04 Disorders of the Spine.
To clarify, it is important for Indiana disability appeals claimants to note that they do not have to meet or equal this listing in order to receive Indiana Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits.
Physical residual functional capacity refers to the limitations you may have considering items such as your inability to stand, sit, walk, and lift causing you to be unable to maintain employment.
The SSA may also consider the pain the claimant experiences when deciding if they are able to maintain employment.
Key Factors in SSA’s Evaluation
- Severity and duration of symptoms
- Impact on ability to perform work-related activities
- Age, education, and work history
- Effectiveness of treatments
The Application Process
- Determine Eligibility: Ensure you meet non-medical criteria, including work credits for SSDI or income/resource limits for SSI.
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Gather Medical Evidence:
- Imaging results (X-rays, MRIs, CT scans)
- Doctor’s notes and diagnoses
- Treatment history and outcomes
- Detailed documentation of limitations
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Complete the Application:
- Online at www.ssa.gov
- By phone at 1-800-772-1213
- In person at your local Social Security office
- Await Initial Decision: This typically takes 3-5 months.
- Appeal if Necessary: If denied, you have 60 days to request a reconsideration. Contact us to help you with your SSDI appeal!
Strengthening Your DDD Disability Claim
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Maintain Consistent Medical Treatment:
- Attend regular check-ups
- Follow prescribed treatments
- Keep a pain and limitation journal
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Provide Comprehensive Documentation:
- Detailed medical records
- Statements from treating physicians
- Work history and failed work attempts
-
Explain Functional Limitations:
- Describe how DDD affects daily activities
- Detail work-related tasks you can no longer perform
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Consider Legal Representation:
- Our legal team at Lewis Disability Law can help navigate the complex legal process
- They can ensure your application is complete and compelling
Challenges in Obtaining Disability for DDD
While it’s possible to qualify for disability with DDD, there are several challenges:
- Variability in symptoms and severity
- Emphasis on functional limitations rather than diagnosis
- Need for extensive medical documentation
- High initial denial rate for back-related claims
However, many applicants successfully obtain benefits by providing thorough evidence and, if necessary, pursuing appeals.
Securing disability benefits for Degenerative Disc Disease requires a comprehensive understanding of the SSA’s evaluation criteria and a well-documented application.
By focusing on how DDD impacts your ability to work, maintaining consistent medical treatment, and providing detailed evidence of your limitations, you can build a strong case for disability benefits.
Remember, persistence and thorough documentation are key in navigating this complex process.
Social Security Disability Benefits for Back Pain
Are you suffering from debilitating back pain? You may be eligible for Indiana Social Security disability benefits.
