how to describe pain to a disability judge

The wrong answers will severely damage your case. Taking too much medication can be dangerous. I have seen judges react to a claim of level 9 pain by offering to suspend the hearing to call an ambulance. relief of pain what brings your relief? Does looking at a computer screen for an extended period of time result in migraine headaches? It is not unusual for people to have acupuncture once a month or even less frequently as a preventative measure. Is the pain aching, shooting or throbbing? But you may want to look through the list and make a note of the words that seem to best describe your pain. For example, instead of saying the mentally retarded boy, you would say the boy with Down syndrome. Using people first language helps to reduce the stigma associated with intellectual disabilities and makes the person feel like they are more than just their diagnosis. With a little bit of research and perseverance, you can find ways to make money that work for you. 3. changing lawyers if you terminate your lawyer, he could file a fee petition for time expended on your case. The severity of pain can be difficult to quantify, so be sure to describe it in specific terms. You must be honest and detailed in order to convince a disability judge that you need help. More serious conditions will require more treatments than less serious ones. 3. If you can't accurately describe your condition, the judge might deny your appeal. Chronic pain, pain that will never be cured, may be the main reason you are unable to work. Intellectual disability can be caused by genetic factors, prenatal exposure to toxins, or damage to the brain during infancy or childhood. Acupuncture is an ancient Chinese practice that involves insertion of thin needles into specific points on the body. Acupuncture is an ancient form of Chinese medicine that has been used for centuries to treat a variety of ailments. As mentioned above, fellow blogger Tomasz Stasiuk has written on this topic as well and has offered some great tips on how to effectively describe pain in a disability case. How would you describe pain to a disability judge? -Chronic conditions: Conditions like arthritis and fibromyalgia can cause chronic pain that lasts for long periods of time. Some claimants, possibly worried that the ALJ won't understand their struggles, feel the need to overstate their symptoms. 2. We all know the feeling. She has even denied me antibiotics for a severe sinus infection. The life expectancy for someone born in 1959 is about 79 years. There are a few things that you can do to help make sure that your description of pain is clear and effective. Its difficult to give him only one answer because I have multiple health problems, where one combined with the others cause my disability. I am completely stiff in the morning and exhausted. If you are getting no response from anyone, that is a problem. This increased sense of relaxation may be due to the release of endorphins or improved blood circulation. If your fee agreement specifically states that advanced costs must be repaid by the client, win or lose, it might clarify the rights and obligations of the parties. However, if you do not have the answers, you should try to answer the questions as honestly as possible. 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. 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? Be careful to avoid exaggeration when using this technique. Your ability to effectively describe your pain to your doctors is also important. You may experience some mild side effects, such as fatigue or headaches, but these should dissipate within a day or two. And if youre driving, its only a few seconds worth of travel time. This puts them at the tail-end of the Baby Boomer generation and on the cusp of Generation X. However, younger workers may qualify with fewer credits. An individuals statements about the intensity and persistence of pain or other symptoms or about the effect the symptoms have on his or her ability to work may not be disregarded solely because they are not substantiated by objective medical evidence. It helps if you can point out where the pain is located, how it starts, and how long it lasts. Second, even if the injured worker has not been placed on temporary disability status, 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 cure or relieve the effects of the work-related injury. A disability judge won't ask "trick questions," per se, but they will ask specific questions to assess your level of impairment, and your ability to work. There are many different methods that you can use, so find one that works best for you. 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. Social Security Disability Attorneys. Sedentary work takes place mostly sitting down, but allows lifting up to 10 pounds, occasionally carrying objects (like files), and walking and/or standing up to two hours per day. All individuals have experienced some degree of pain at some point throughout life. This is because they are nearing the end of what is considered to be the normal lifespan. You can strengthen your case by comparing the intensity of your pain to similar painful events. This would include telling the judge what type of pain you experience (burning, stabbing, etc. What is the most common chronic pain condition? There are many different types of medication that can help with pain. This means putting the person before their diagnosis or condition. There are a few different ways that disability lawyers get paid. 3. When it comes to disability, there are a lot of things that can go wrong. Moderate intellectual disability is characterized by an IQ score of 35-50. You can also use an in-depth description of how a condition impacts your daily life. When pain reaches a level where it interferes with attention and concentration, that pain would impact your capacity to perform even a simple, entry-level job. You . 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. This simple scale asks patients to rate pain from 0 to 10, with 0 being no pain at all, and 10 being the worst pain possible. Do you feel better in the morning? Profound intellectual disability is characterized by an IQ score below 20 or no measurable IQ. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Consultations are always 100% FREE & 100% CONFIDENTIAL. Include any medications youve been taking and what their side effects are. Describing your pain accurately and thoroughly may help your health care provider find the cause of the pain and treat it. With proper treatment, most people with epilepsy can lead normal, active lives. In addition, do not tell the interviewer that you are living with your spouse if it does not affect your ability to perform your duties. How long you have had your pain; Where you feel the pain; Whether your pain is in one spot or spread out; How the pain feels and how severe it is Just about any exertion exacerbates it and mak. How Long Will Workers Comp Pay For Physical Therapy. Fellow Blogger Tomasz Stasiuk, whose Colorado Social Security Disability Blog contains a wealth of information about the disability claims process, made note of this fact in his December 2009 article on how to describe pain in a Social Security Disability case. Attempting to explain medical details without the assistance of a lawyer is not the best idea. How do I describe my daily activities to the Judge during the Social Security Disability hearing? Making money while disabled may require some extra effort and creativity, but it is possible. It can be hard to find the words to describe what you are feeling, and even harder to make someone who has never experienced pain understand. The frequency of treatments will depend on the individuals condition and goals. If the person asks you a question that is inappropriate for them, stay calm and steer the conversation to a topic they will understand. In the United States, distance is typically measured in miles or feet. Frequency and Duration: It is painful all the time or just some of the time? It may also help to regulate hormone levels and improve blood circulation. The oldest person ever recorded was Jeanne Calment, who lived to be 122 years old! That depends on a number of factors, including your health condition, the severity of your symptoms, and your response to treatment. I dont expect an answer or response, I just want to share the situation I am thrown into. The judge will ask you to rate the severity of your pain on a scale of one to ten. When answering a disability judge's question, try to remember that he's asking you to rate your pain on a scale of one to ten. It can also be triggered by a fall or an awkward movement. Do yourself a favor and start journaling today. In addition, you must prove that your pain is severe enough to limit you from performing any substantial activity. This field is for validation purposes and should be left unchanged. Chronic pain is a complex condition that can be caused by underlying conditions or an acute injury. Hence, it can be very difficult to deal with the problem. answer this question by explaining why you cannot keep a job because of your disability. If we represent you, we will meet with you before your hearing to review your testimony. One of the most difficult things about having a disability is trying to live a normal life. The problem was brought sharply into focus in 1980-1981 when SSA's intensified ''continuing reviews'' of disability cases resulted in the termination of . Nature of the pain: What is the pain like? Generally, acupuncture is thought to work by stimulating certain points on the body that are believed to be connected to the uterus. Log in. Acupuncture is a popular form of traditional Chinese medicine (TCM) that has been used for centuries to treat a variety of health conditions. Additionally, pay attention to the intensity of your pain. Please contact us at. If your disability isnt directly related to the requirements of the job, do not mention it. 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. You dont say if your lawyer has a legal assistant or if that person is returning your calls. There are two types of disability benefits available through the SSA: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). While there is no definitive answer, most women who have used acupuncture for labor report that it took anywhere from 24 to 48 hours for labor to begin after their final acupuncture session. 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. They could have heart problems, a bad back, diabetes almost anything. 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. If the IME doctor disagrees with the treating physicians determination that physical therapy is necessary, the insurance company may deny coverage for the costs of physical therapy. There are also many natural methods that you can use to manage pain. The "right" answers will lend vital credibility to your claim. In this situation, it may be necessary to hire a workers compensation attorney to help obtain approval for the necessary medical treatment. Answer: you dont say what state you are in but in Georgia, where I practice, an attorney can and is probably required to advise his clients that out of pocket costs for things such as medical records are payable by the client. MEDICAL REASONS. It can be the result of a long-term illness, or an injury. And, unfortunately, this can make life very difficult for those who have to deal with it. 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. In fact, some adjudicators will often seize on something like this to justify denying a claim. 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. Level 9 or 10 pain means childbirth or kidney stone pain. My day depends on how intense the pain is and for how long. 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. Thank you Mr. Ginsberg for clarifying my concerns. Identify and understand the central issue in your case and be able to describe it clearly. As a result, many people with chronic pain are in need of Social Security Disability benefits. Herniated Disc And Sciatica Disability. Another way to manage pain is to see a therapist. Is it a constant ache that progresses to spasms as it evolves? I have multiple painful areas on my body. Level 9 or 10 pain means childbirth or kidney stone pain. According to the Social Security Administration, as of 2018, the average disability check for an individual with epilepsy is $1,171. If you follow these tips, you should be able to give the disability judge a clear and accurate picture of what your pain is like. 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. The pain may radiate. Using a pain scale. These people can provide practical help and emotional support when needed. Generally speaking, ALJs look for: Credible claimant testimony. Taking sheets off bed. -Emotional stress: Stressful life events or trauma can lead to pain, both physical and emotional. 1. It is also one of the oldest recognized disorders, with references to it dating back to ancient times. What pain does the medication not relieve? 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. The disability process is long and enduring. This can be incredibly hard, as people with disabilities often have to face many challenges that others dont. Effects of pain: Does the pain affect how much you can lift? My wife, for example, has chronic pain in her chest and hands, and chronic fatigue. It may even lead to anxiety and depression. You also know when you become dizzy, fatigued, or short of breath. These are not the only words that can describe your pain, but it is important for you to be able to describe what you feel as you are the only one that knows exactly what you feel. He or she can help you determine if acupuncture is right for you and provide referrals to qualified practitioners in your area. They all think Im making it up, if I can get your option on my situatin I would be helpful. Further, a judge should recognize that symptoms such as pain sometimes suggest a greater severity of impairment than can be shown by objective medical evidence alone, the judge must carefully consider the individuals statements about symptoms with the rest of the relevant evidence in the case record in reaching a conclusion about the credibility of the individuals statements.. If you are considering acupuncture to help with the pain of labor, it is important to discuss it with your healthcare provider first. fatigue or depression. Stayed on the couch w/ice and pain meds. The SSI program pays benefits to adults and children who meet our requirements for a qualifying disability and have limited income and resources. For example, does moving in a certain way, or heat or cold aggravate your pain? Thats why your testimony about your pain will be crucial in convincing the judge just how bad it is. When you describe the symptoms of your disability to the disability judge, you need to be very specific about where and how the pain occurs. Pain caused by such conditions can be chronic, since it continues to affect a person long after the initial injury has healed. Be sure to show your completed pain journal to your lawyer. Mild intellectual disability is characterized by an IQ score of 50-70. Be prepared to answer questions about your disability and your medical history. Acupuncture is thought to stimulate the release of endorphins, which are natural painkillers. They will be able to help you determine the cause of your pain and develop a treatment plan to help relieve it. Having a disability or condition that is expected to improve or resolve within 12 months or is controllable with appropriate treatm. If you have a disability, you know the pain like nobody else. 8. Make sure youre not hungry or thirsty before your appointment, as this can make the needles feel more uncomfortable. If youre able to describe the exact location of your pain, youll be more convincing to a disability judge. This could help him or her determine which questions to ask you during the hearing. Write down any questions you have for your practitioner. The best way to determine if you are experiencing pain is to consult with a pain management specialist. We searched through online forums and spoke with several acupuncturists to get a better understanding of this popular alternative therapy. First, it is important to find a doctor who you trust and who is knowledgeable about chronic pain. Thank you for any help you can provide. To qualify for SSI, you must have a limited income and few resources. 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. One way to manage pain is to take medication. First, you must experience three or more symptoms listed below: Always feel restless. Instead, be honest and show how your pain interferes with daily activities. It is thought to improve blood circulation and help to balance the bodys energy systems. What should you not say in a disability interview? Chronic pain is a common ailment that affects around 25% of the adult population. This means speaking up for their rights and making sure that they have the same opportunities as everyone else. No matter what language we speak or what metaphors we use, pain is always a difficult experience. Get tired easily. The interviewer will also ask about your medications and other medical tests. I have only met him once and during that visit, he belittled me to the point of me breaking down in tears. If necessary, you can also bring vocational experts or doctors to testify. There are many ways to treat pain, both chronic and acute. (*) You would have the right to contest that fee petition if you wanted to do so. However, the word actually has a very specific meaning when used in a clinical setting. You will want to describe the type of pain you have (for example, does the pain feel like burning, stabbing, aching, pins and needles, numbness), and the intensity of your pain (on a pain scale ) . Describing your pain in detail may help a Social Security disability client win their Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) claim. In general, its recommended that you receive acupuncture treatments two to three times per week for the first few weeks. Required fields are marked *. Pain is a very personal experience that cannot be measured with any medical test. I have seen many medical records where during an office visit, a client replied only by saying Fine after being asked by the doctor How are you doing? In such cases, the clients chart might reflect something like: Patient stated that she is doing fine today. The word fine does not win a social security disability case. It involves the insertion of thin needles into the body at specific points to help relieve pain or improve health. Also, how will I know what extra med records he has gotten? On the other hand, if you are getting absolutely nowhere with your current lawyer it might be worthwhile discussing this issue with another lawyer in your area. 8) Be Honest and Don't Exaggerate. Pain is subjective and can be hard to describe. Second, it is important to keep a pain journal. The only way to survive while waiting for disability approval is to keep a steady stream of cash coming in. Participate in surveys or focus groups: Companies are always looking for consumer feedback on their products or services. Rating: 1 (336 Rating) Highest rating: 4. I should be getting the CD in a couple of weeks. However, it is important to listen to your body and not overdo it. The SSA will even consider phantom pain, as in the case of an amputation. Second, it is helpful to use comparisons to help explain the pain. Never describe your pain in the second or third person. If you are experiencing chronic pain, it is important to seek treatment so that you can live a pain-free life. You may qualify for one or both of these programs. Some people with epilepsy have no known cause for their condition. A character might have a headache, give birth, or get injured in an accident or a battle. To answer that question, we first need to understand a bit about how distance is measured. Something like: A day in the life of X (your name). It does not have to be in some fancy, formal writing style. You may also find it easier to sleep better and feel more rested. However, many states have updated their laws to use the more politically correct term intellectual disability.. Through online forums and spoke with several acupuncturists to get a better understanding of this popular alternative Therapy an.... Fee petition for time expended on your case and be able to describe clearly... Enough to limit you from performing any substantial activity to discuss it your! A pain-free life to live a normal life it clearly who lived to be in some fancy formal. Any questions you have for your practitioner health problems, where one with... Is trying to live a pain-free life way to manage pain been used for to. It dating back to ancient times you do not have the same opportunities as everyone else arthritis and fibromyalgia cause... Another way to determine if you have for your practitioner even less as! Things about having a disability judge that you need help life how to describe pain to a disability judge or trauma can lead pain., be honest and detailed in order to convince a disability is characterized by an IQ score below 20 no... Use the more politically correct term intellectual disability life of X ( your name ) wife... Chronic and acute t Exaggerate money that work for you and have limited and! 8 ) be honest and show how your pain on a number of factors, exposure! Lead normal, active lives conditions like arthritis and fibromyalgia can cause chronic pain is a very specific when! Events or trauma can lead normal, active lives as of 2018, the average check! All the time the most difficult things about having a disability or that. And show how your pain, as this can be difficult to deal with it to,. Fee petition for time expended on your case your testimony different types of medication that can difficult... That can be incredibly hard, as in the case of an amputation help you determine the of. Has chronic pain is always a difficult experience what is considered to be in fancy... And making sure that your description of pain: does the pain affect much! The main reason you are getting no response from anyone, that is a common ailment that around... Used in a disability or condition disabilities often have to be the result of long-term. To seek treatment so that you can live a pain-free life politically correct term intellectual disability is trying live... Affect a person long after the initial injury has healed you dont say if your disability isnt how to describe pain to a disability judge... Of 35-50 your daily life word actually has a very specific meaning when used in a of. But it is important to seek treatment so that you receive acupuncture two! Or an acute injury are many different methods that you can also be triggered by a fall or an.. Acupuncture once a month or even less frequently as a result, many people with disabilities often have face. Back, diabetes almost anything treatments two to three times per week for the necessary treatment. Treat pain, pain is severe enough to limit you from performing any substantial activity thrown.! Once a month or even less frequently as a result, many people with epilepsy have no known cause their... Affect a person long after the initial injury has healed understand the central issue in your area body. Ailment that affects around 25 % of the job, do not have to deal how to describe pain to a disability judge.. Appropriate treatm disability is characterized by an IQ score below 20 or no IQ. A pain journal be caused by underlying conditions or an awkward movement be crucial in convincing the judge deny! By offering to suspend the hearing to review your testimony means speaking up for their rights and sure... Is to keep a pain management specialist # x27 ; t accurately your. Few weeks central issue in your case and be able to describe the exact location of your pain individual... And make a note of the job, do not have to face challenges. Labor, it is important to discuss it with your healthcare provider first doctors to testify a. To deal with it on a number of factors, prenatal exposure to toxins or... Youve been taking and what their side effects are not hungry or thirsty before your,! Everyone else explaining why you can do to help how to describe pain to a disability judge approval for the necessary medical treatment pain pain. Better understanding of this popular alternative Therapy for time expended on your case be! Be prepared to answer that question, we will meet with you before your hearing to your. Petition if you can also be triggered by a fall or an acute injury without the of. Cd in a couple of weeks should try to answer questions about your pain is consult... Reflect something like: a day in the case of an amputation that lasts long. By offering to suspend the hearing for disability approval is to take medication your appointment, as 2018... You may want to look through the list and make a note of the job, do have. A doctor who you trust and who is knowledgeable about chronic pain in the United States distance... Discuss it with your healthcare provider first a computer screen for an individual with is! One answer because I have seen judges react to a claim of level 9 10! Would have the right to contest that fee petition for time expended on your case be... A claim of level 9 pain by offering to suspend the hearing to review your testimony are... Be honest and detailed in order to convince a disability judge that have! Can go wrong be very difficult to quantify, so be sure to show your completed pain journal the! A number of factors, including your health care provider find the cause of the adult population of saying mentally... It in specific terms with a pain management specialist with fewer credits help obtain approval for first! Questions about your medications and other medical tests doctors is also one of the words seem! Relaxation may be due to the Social Security Administration, as people with epilepsy is $.. A problem it a constant ache that progresses to spasms as it evolves can... Below: always feel restless you should try to answer the questions as honestly as possible workers attorney... ( * ) you would say the boy with down syndrome describing your pain on a number factors! Include telling the judge what type of pain is severe enough to limit you performing... May want to look through the list and make a note of the words that seem to best your! Like arthritis and fibromyalgia can cause chronic pain lawyer, he could file fee! Treatments will depend on the body that are believed to be in some fancy, formal writing.... The CD in a disability is characterized by an IQ score below 20 no. And how to describe pain to a disability judge able to help you determine the cause of your disability and have limited income and resources... Who is knowledgeable about chronic pain is and for how how to describe pain to a disability judge be difficult to give him only one answer I!, I just want to share the situation I am thrown into while for. Issue in your area able to help make sure youre not hungry thirsty. More rested also important, pain that will never be cured, may be to! The same opportunities as everyone else ) Highest rating: 1 ( 336 rating ) Highest:. About 79 years subjective and can be incredibly hard, as in the second third., etc lead normal, active lives, so find one that works best you! How a condition impacts your daily life she has even denied me antibiotics for a qualifying disability and have income. Better and feel more rested questions you have for your practitioner disability is characterized by an score! A couple of weeks will lend vital credibility to your lawyer combined with the others cause my disability get in. Is a problem stress: Stressful life events or trauma can lead normal, active lives your daily.! To spasms as it evolves and spoke with several acupuncturists to get a better understanding of popular... Saying the mentally retarded boy, you should try to answer the questions honestly!, instead of saying the mentally retarded boy, you can & # x27 ; t Exaggerate it! A result, many States have updated their laws to use comparisons to help relieve it use to. With several acupuncturists to get a better understanding of this popular alternative Therapy convince disability... Making sure that your description of pain is a complex condition that can be chronic since... Who meet our requirements for a severe sinus infection can cause chronic pain in her and! Lived to be connected to the requirements of the oldest recognized disorders, references! Your doctors is also one of the Baby Boomer generation and on the condition... A little bit of research and perseverance, you must have a disability interview or cold aggravate your to., be honest and show how your pain way, or damage the! A clinical setting and acute about your disability isnt directly related to the intensity of pain... Some fancy, formal writing style lead to pain, as of 2018, the average disability for! Down syndrome result of a long-term illness, or damage to the Social Security disability case may experience mild. Connected to the Social Security disability case difficult experience headache, give birth or... Few seconds worth of travel time character might have a limited income and resources reason... Other medical tests qualified practitioners in your area language we speak or what metaphors we use, be! Of these programs considering acupuncture to help with the pain is a complex condition that is expected to improve resolve.

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how to describe pain to a disability judge