Fibromyalgia Disability Claims


Sick At WorkThe Social Security Administration recognizes fibromyalgia as a debilitating condition listed in the Compassionate Alllowances for which a claimant can apply for Social Security disability benefits. Filing a disability benefits claim with fibromyalgia as the underlying condition can be challenging for claimants, and the experienced staff at Disability Professionals , which represents claimants throughout the United States, can help.

Although you may suffer from chronic, widespread pain and fatigue, objective test results may not show this. Fibromyalgia is a disorder which does not appear in medical imaging or blood tests. If you are applying for disability benefits with this condition, you should follow these steps to document proof of your disability:

  • Maintain regular medical treatment with your physician. Many disability claims are denied because the claimant does not maintain regular treatment with a physician. The chronic pain fibromyalgia causes can make getting to the doctor difficult at times, but if you do not see a physician regularly, then the medical documentation will not support the disability. The rules of the Social Security Administration state, "a licensed physician (a medical or osteopathic doctor) is the only acceptable medical source who can provide such evidence." SSR 12-2p.
  • Rule out all other possible conditions. Testing should be conducted to rule out other conditions that could be causing the claimant's symptoms. Fibromyalgia may mimic other conditions, such as multiple sclerosis. You will need several lab tests to rule out lupus, rheumatoid arthritis, and other conditions that may cause similar symptoms to fibromyalgia.
  • See a rheumatologist. Fibromyalgia patients may not be referred to the appropriate specialist and maintain treatment with only a family doctor to treat their fibromyalgia. In order to accurately diagnose fibromyalgia and receive appropriate treatment, the claimant should see a rheumatologist.
  • Have a tender point examination. This is key in the diagnosis of fibromyalgia. A tender point examination involves a physician applying an approximate force of 9 pounds to 18 different tender point sites over the patient's body. If the patient experiences pain when pressure is applied, the patient has a "tender point." If the doctor finds at least 11 out of 18 positive tender points, the claimant’s condition is consistent with a diagnosis of fibromyalgia.

Filing a disability claim for fibromyalgia can be challenging because of the nature of the medical condition, but the staff at Disability Professionals is ready to help.

Getting Legal Help

If you or a loved one needs to pursue a disability claim or wishes to discuss claim eligibility, give Disability Professionals a call at 855-201-9569 or email Disability Professionals  to set up your appointment today.



Previous post:

Next post: