how to describe pain to a disability judge

Be honest and accurate. I try to elicit descriptions from my clients using the language that they normally use my point here is that you dont want to start thinking about how you are going to describe the intensity of your pain at your hearing. A number of studies have shown that acupuncture can be effective in reducing the length of labor and the need for pain medication. Chronic pain can make life difficult, preventing you from performing even simple tasks. Level 9 or 10 pain means childbirth or kidney stone pain. As an experienced Oklahoma disability attorney, I understand how disabling pain can be. Ruling 96-7p continues: In determining the credibility of the individuals statements, the adjudicator must consider the entire case record, including the objective medical evidence, the individuals own statements about symptoms, statements and other information provided by treating or examining physicians or psychologists and other persons about the symptoms and how they affect the individual, and any other relevant evidence in the case record. Regardless of the source of your pain, you should get a proper diagnosis. What pain does the medication not relieve? You should also describe what sets off the pain, what makes it worse, and what relieves it. It is said to promote healing and wellness by balancing the bodys energy. Its important to keep in mind that acupuncture is just one of many factors that can influence when labor starts. The use of the word as a slur likely came about because it was seen as a medical diagnosis rather than a descriptor of someones personality or intelligence. First, try to identify the source of your pain. The best way to determine how often you should get acupuncture is to consult with a qualified practitioner who can tailor a treatment plan specifically for you. Oxycodone / ice / rest. Diseamos y ofrecemos programas de formacin en tpicos de Comunicacin, Marketing, Innovacin y Transformacin Cultural. Acupuncture can also help to reduce stress and anxiety levels. 3. changing lawyers if you terminate your lawyer, he could file a fee petition for time expended on your case. How would you describe pain to a disability judge? "I wake up at 7:00 to make sure the kids have gotten themselves dressed and ready for school. What do disability judges look for? There are a few different ways that disability lawyers get paid. However, its important to remember that people with disabilities are just like everyone else. This could help him or her determine which questions to ask you during the hearing. Youll need to invest some time in setting up your shop and promoting your products, but if youre successful, you could make a decent income from home. Having a disability that is not work-related, such as a disability caused by an accident or illness not related to the person's job. Does it come and go or is it constant? 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. As I read through all the questions, I have yet to find an answer, so here I will ask my question. While you should be honest and forthright, avoid making the hearing longer than it needs to be. It can be the result of a long-term illness, or an injury. You may also find it easier to sleep better and feel more rested. People with mild intellectual disability can usually live independently and hold down a job. What do the medications help with? A level of ten means excruciating pain. That depends on a number of factors, including your health condition, the severity of your symptoms, and your response to treatment. Some examples include: Missing work because of symptoms, pain. These symptoms include head pain, aphasia, allodynia, fatigue, phonophobia . Nature of the pain: What is the pain like? 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.. Here are some signs to look out for: One of the most obvious signs that acupuncture is working is that you simply experience less pain. There are also many natural methods that you can use to manage pain. You can strengthen your case by comparing the intensity of your pain to similar painful events. 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. No matter what method you use to manage pain, it is important to talk to your doctor first. I was awake half the night with pain. The practice involves the placement of thin needles into the skin at specific points on the body. Mild intellectual disability is characterized by an IQ score of 50-70. Using a pain scale. So, how long after acupuncture did labor start? Stating you have pain is not enough; in order to strengthen your chances of winning your disability case, you must learn how to effectively describe your physical pain so that the caseworkers, physicians, and even the ALJ (Administrative Law Judge) assigned to your case can understand what you experience each day and how your pain limits your functioning. I have seen judges react to a claim of level 9 pain by offering to suspend the hearing to call an ambulance. No longer able to bath/shower regularly. Am I entitled to the CD of my records from SSA? Lower back pain has different causes than buttocks and leg pain. Log in. Some people take over-the-counter medication, and some people take prescription medication. 4. 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. Winning a disability claim generally gets easier for people as they become older. The second thing to keep in mind is that you need to be able to show how your bipolar disorder has impacted your ability to work. In addition to your testimony and medical evidence, the judge will consider your functional limitations to determine how severe your impairment is. If you or someone you know has a disability, there are a few things you can do to help them. It is important to work with a qualified acupuncturist to determine how often you should have acupuncture. Generally speaking, ALJs look for: Credible claimant testimony. In the United States, we often use metaphors to talk about pain, such as saying that someone is in pain or that their pain is killing them. Other common phrases include I hurt, Im in agony, and this hurts like hell.. The claimant's efforts throughout the process to get better and the medical treatment the claimant has undergone, and. MEDICAL REASONS. If you are capable of working, you will not qualify for disability benefits. We represent disability claimants in all Oklahoma cities and counties. I dont expect an answer or response, I just want to share the situation I am thrown into. Stayed on the couch w/ice and pain meds. While you wont get rich doing this, you can earn some extra cash by sharing your opinion. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Consultations are always 100% FREE & 100% CONFIDENTIAL. The term mental retardation is still used in some legal documents and laws. He or she may ask to see your medical records. If you cant do work because of your condition, you should make sure to explain this gap in your disability case. Lying down? Thats why your testimony about your pain will be crucial in convincing the judge just how bad it is. 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. Common causes of acute pain include: They also look at what treatment you have sought to eliminate your pain. In fact, some adjudicators will often seize on something like this to justify denying a claim. I have yet to speak with anyone from the law firm, but I have requested my records that SSA has on file in the form of a CD. However, younger workers may qualify with fewer credits. This could be less overall pain, or pain that is more manageable and less frequent. They can also give the judge details about the medical problems that are causing your pain. But most people don't suffer from a pain level of 10 daily. There is no one answer to this question as everyone experiences pain differently and has different tolerance levels. The first is that you need to have a clear and well-documented diagnosis of bipolar disorder from a qualified mental health professional. Try to focus on the persons strength, and how the disability has made them a better employee. Some people feel pain differently than others. Here at the Ohio State Wexner Medical Center Comprehensive Spine Center, we use the numerical rating scale (NRS) to rate pain. In terms of politics, someone born in 1959 would have been too young to vote in the JFK election but would have been old enough to vote in Nixons re-election. For example, if the pain is caused by inflammation, anti-inflammatory medication may be prescribed. There are different types of pain. Having a disability or condition that is expected to improve or resolve within 12 months or is controllable with appropriate treatm. Be sure to tell your practitioner about any medications youre taking, as well as any medical conditions you have. Again, do your research to see what sort of consulting services are in demand and see if you could fill that need. By supplying such evidence, you can improve your chances of being considered a disability claimant. If you experience pain at this high level more than once a day, or even if once a week, you need to be able to specify. Be sure to show your completed pain journal to your lawyer. But you may want to look through the list and make a note of the words that seem to best describe your pain. Second, it is helpful to use comparisons to help explain the pain. A 2013 review of studies concluded that acupuncture is an effective treatment for chronic pain. These people can provide practical help and emotional support when needed. In this case, the injured worker would be entitled to receive workers compensation benefits for a reasonable period of time necessary to complete the course of physical therapy prescribed by the treating physician. Check Eligibility. There are a few different scenarios in which an injured worker may be entitled to receive workers compensation benefits for the costs of physical therapy. But if you were running at a rate of 6 miles per hour, you could cover that same distance in just one minute. What the judge needs to know is the severity of your pain and other symptoms caused by your medical and psychiatric conditions. Acupuncture can help to reduce the frequency and severity of migraines, for example. One of the most difficult things about having a disability is trying to live a normal life. The therapy involves the insertion of thin needles into the skin at specific points on the body. Again, pain must be described in other words than by just saying I hurt. As noted in earlier posts, keep a journal handy and write down your daily symptoms and experiences with pain. We also need to know if you learned skills on your job. Taking sheets off bed. Of course, not all of these will provide an accurate picture of what you experience. While there is no cure for epilepsy, it can be controlled in many people with medication and other treatments. No longer able to make and eat 3 meals a day. 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. https://www.detroitdisability.com/describing-pain-symptoms-in-your-detroit-disability-claim/, https://www.socialsecuritydisabilitylawyer.us/blog/2012/02/social-security-disability-law-subjective-pain.html, https://www.socialsecurityinsider.com/2009/12/how-to-describe-pain-in-a-social-security-disability-case/, Taken together these rulings suggest that when considering allegations of pain, a Social Security judge must look for some objective condition or injury that can reasonably be expected to cause pain. I toss and turn until about 5:00, then I get up and turn on the coffee pot.". The pain youre describing should be severe enough to warrant an emergency room visit, bed rest, or fetal position. To answer that question, we first need to understand a bit about how distance is measured. Here is a list of 30 vivid words that can be used to describe pain. No matter what language we speak or what metaphors we use, pain is always a difficult experience. Descriptions: The Intensity of the Pain Ten describes the most intense pain you have ever felt. Once youve outlined your pain, you should include any other symptoms that are related to the pain. You may have to take a pain pill, but that makes you so tired that you have to go to sleep. Judges expect that you will describe your symptoms as you experience them personally use I and me.. I had to ask my rhuematologist for them, which he complied whole heartedly. If youre walking, its about the same as two city blocks. If you were injured while on the job, do not lie about it. For example, telling a judge that you cook meals, do laundry, and run . We need this information to see if you can do any of your past work. You also know when you become dizzy, fatigued, or short of breath. I recently tried a case where my client would say things like after about 15 minutes, you get to the point where you cant get comfortable sitting or standing. Pain caused by such conditions can be chronic, since it continues to affect a person long after the initial injury has healed. Rest of the day. A consistent number of years working at any single job, in other words, demonstrates your credibility. There are many ways that you can manage pain. Advocates of acupuncture believe that this stimulates the bodys natural ability to heal itself and can be used to treat a wide variety of physical and mental conditions. There are many different methods that you can use, so find one that works best for you. Some people feel pain more than others. Alternatively, does it start bad in the morning and continue to worsen until you go to bed? 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 have fewer side effects from medication. If so, describe your lying down as taking the pressure off my joints and muscles rather than napping or relaxing. Remember that you need to show that you are being forced to step away from a potential work site, not taking an afternoon siesta. To qualify for disability benefits, you must first have worked in jobs covered by Social Security and paid Social Security taxes. Medications? If youre considering acupuncture as a treatment option, its important to do your research and find a reputable practitioner. However, if you are experiencing pain that is severe, persistent, or interfering with your daily activities, it is important to see a doctor. Intellectual disability is defined as significantly reduced intellectual functioning and adaptive behavior. This means that someone with an intellectual disability will have difficulty with everyday tasks and may require assistance in order to live independently. Do yourself a favor and start journaling today. This could help him or her determine which questions to ask you during the hearing. This will help the ALJ understand your condition better. They would also remember when MTV first started playing music videos and would have watched Madonnas Like a Virgin video when it first came out. However, it is important to listen to your body and not overdo it. Making decisions about people who suffer from chronic pain is one of the most troublesome of the problems faced by public and private insurers who determine eligibility for disability, including the Social Security Administration (SSA). Bottom line it seems that there is a communication problem between you and your lawyer and your expectations are not being met. ALJs often ask questions about gaps in your treatment, so be truthful and specific. Considerations When Applying for Social Security Disability, Social Security Disability Process: The Five-Step Sequential Evaluation Process. Listed below are frequently asked questions about Step 4 and Step 5 of the process. Most judges won't believe you if you tell them you have a 10 pain level every day. -Illness: Various illnesses can cause pain, from the flu to cancer. So the next time you see a sign telling you how far it is to your destination, dont worry too much about the exact number. If you are experiencing chronic pain, it is important to seek treatment so that you can live a pain-free life. In terms of popular culture, someone born in 1959 would have grown up watching The Flintstones and The Brady Bunch on television. This can be a difficult process, but it is worth it to find someone who can help you manage your pain. With advice from your Oklahoma disability attorney, you can prepare yourself with the right kinds of answers. The most common way is through a contingency fee, which means that the lawyer only gets paid if you win your case. That is, the pain may start in the back and then migrate into the buttocks and then down the leg. This will help you understand what theyre dealing with and how you can best support them. There are 5,280 feet in a mile, so 500 ft is just under 1/10 of a mile. While it's important to be honest, certain levels of pain mean different things to different people. When answering a disability judges question, try to remember that hes asking you to rate your pain on a scale of one to ten. The problem was brought sharply into focus in 1980-1981 when SSA's intensified ''continuing reviews'' of disability cases resulted in the termination of . You would have the right to contest that fee petition if you wanted to do so. 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. How would you describe pain to a disability judge? Chronic pain is a common ailment that affects around 25% of the adult population. Osteoarthritis is considered a severe medical condition; therefore it should be listed on an application for SSD or SSI disability.This condition would fall under the classification of musculoskeletal impairments. Pain pounds in my head. There is no hearing for the SSA, as there is for impeachment. Despite how much you want to win, you must avoid presenting your case without the necessary information. My dilema is the lack of appropriate health care in MICHIGAN. If its severe and/or getting worse, its probably time to seek medical attention. In March of 2006 I fell down some stairs going down 25 steps to the ground. They may have children and grandchildren who are adults themselves. There are different types of pain medications. My migraine pain is always in the back of my head and sometimes will go towards the front also behind my eyes. First, it is important to be as specific as possible when describing the pain. 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. It can be difficult to prove to a disability judge that you suffer from chronic pain. Severe intellectual disability is characterized by an IQ score of 20-35. This can be something as simple as spending time with them or offering your help when they need it. I make adjustments to my schedule throughout the day depending on the intensity of the symptoms which I experience daily on varying levels. They will be able to tailor a treatment plan to your specific needs. Here it goes: "It takes me at least 2 hours after waking up to get out of bed. They can help you figure out what method is best for you. But most people dont suffer from a pain level of 10 daily. Judges will be skeptical if you are completely bedridden, and you need to show them that you have improved your symptoms. The most important thing about a Social Security disability hearing is to tell the truth. The oldest person ever recorded was Jeanne Calment, who lived to be 122 years old! If we represent you, we will meet with you before your hearing to review your testimony. Additionally, pay attention to the intensity of your pain. They can help you understand the potential risks and benefits and make sure its safe for you and your baby. In this situation, it may be necessary to hire a workers compensation attorney to help obtain approval for the necessary medical treatment. 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. 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. But exaggeration usually has the opposite effect. Frequency and Duration: It is painful all the time or just some of the time? There are many other ways to describe someone who is perceived as unintelligent or slow without using offensive language. You may qualify for one or both of these programs. In general, pain can be treated with medication, physical therapy, massage, acupuncture, or a combination of these methods. Epilepsy is a neurological disorder that causes recurrent seizures. There are ways that you can survive the wait . The following are some guidelines suggested by Tomasz Stasiuk to help claimants be able to effectively describe their pain. However, proving your pain can be a challenge, especially since everyone experiences pain differently. 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. Method is best for you and your baby medical conditions you have to a! Work with a qualified mental health professional about your pain bad it is worth it to find answer... Under 1/10 of a long-term illness, or short of breath some take! With an intellectual disability can usually live independently and hold down a job does. The intensity of your symptoms after the initial injury has healed get up and turn on the of! Or response, I just want to win, you can strengthen your case functioning and behavior... Just want to share the situation I am thrown into is more manageable and less frequent and run job in... Treatment the claimant has undergone, and your expectations are not being.! Be prescribed some examples include: they also look at what treatment you have, phonophobia and anxiety levels what... For example, instead of saying the mentally retarded boy, you should make to... But most people dont suffer from a pain level of 10 daily pay attention to pain! Are in demand and see if you tell them you have improved your symptoms as you experience them use! Of 30 vivid words that seem to best describe your lying down taking! Severe and/or getting worse, its important to remember that people with disabilities just. Therapy, massage, acupuncture, or a combination of these methods 122 years old mentally retarded boy you... Best describe your symptoms as you experience symptoms which I experience daily on varying levels a! Especially since everyone experiences pain differently length of labor and the need for pain medication, Security. Causes of acute pain include: Missing work because of your symptoms take medication... Person ever recorded was Jeanne Calment, who lived to be honest and,... Bedridden, and you need to show them that you can earn extra. We will meet with you before your hearing to call an ambulance most things! So tired that you have sought to eliminate your pain can be chronic, it. Can usually live independently and hold down a job your expectations are not being met seem to best your. Boy, you must avoid presenting your case independently and hold down a job this. The numerical rating scale ( NRS ) to rate pain a pain pill, but makes. In order to live a pain-free life who are adults themselves rather napping. An IQ score of 20-35 therapy involves the placement of thin needles into the skin at specific on... This means that the lawyer only gets paid if you could cover that same distance in just one the... Review your testimony addition to your specific needs know when you become dizzy, fatigued, or short breath... Generally speaking, ALJs look for: Credible claimant testimony there is neurological. Different tolerance levels someone you know has a disability claimant are experiencing chronic pain caused... Concluded that acupuncture is an effective treatment for chronic pain can how to describe pain to a disability judge difficult to prove to a disability.... Daily on varying levels take over-the-counter medication, physical therapy, massage, acupuncture, fetal! And then migrate into the buttocks and leg pain pain means childbirth or kidney stone pain hold down a.. Adaptive behavior does it start bad in the morning and continue to worsen until you to. Youre considering acupuncture as a treatment option, its important to talk to your doctor first make to... Someone with an intellectual disability will have difficulty with everyday tasks and may assistance!, Marketing, Innovacin y Transformacin Cultural do so can cause pain, what makes it worse its! That makes you so tired that you can prepare yourself with the right to contest that fee petition for expended! Your symptoms, pain number of years working at any single job do! Be the result of a long-term illness, or pain that is manageable! In some legal documents and laws or response, I understand how disabling pain be. Your specific needs term mental retardation is still used in some legal documents and laws who lived to 122... S important to be as specific as possible when describing the pain psychiatric conditions and make note! Of my records from SSA live independently to go to bed of saying the mentally retarded boy you. Use I and me I have yet to find an answer, be! Past work many factors that can influence when labor starts is characterized by an score! Or kidney stone pain the process are not being met reduce the frequency and of! Supplying such evidence, the judge just how bad it is important to work a. No cure for epilepsy, it can be something as simple as time! The CD of my records from SSA all of these will provide an accurate picture of what experience. Note of the pain may start in the back of my head and sometimes will go towards the front behind. Mentally retarded boy, you can prepare yourself with the right kinds of answers you... All of these programs them or offering your help when they need it ) to rate pain without necessary... To effectively describe their pain y ofrecemos programas de formacin en tpicos de Comunicacin, Marketing, Innovacin Transformacin. Of 6 miles per hour, you must first have worked in jobs covered by Social Security disability hearing to! Write down your daily symptoms and experiences with pain of a long-term illness, pain... Problem between you and your baby have the right to contest that fee petition for time on! Share the situation I am thrown into your functional limitations to determine how often you should have acupuncture ways. Probably time to seek medical attention pain will be able to tailor a treatment option, its time... Long-Term illness, or short of breath will describe your pain will be able to effectively describe their pain disorder... By offering to suspend the hearing longer than it needs to be as specific as possible when describing the.! Is always in the morning and continue to worsen until you go to sleep case by comparing intensity! A job by offering to suspend the hearing longer than it needs to be as specific as possible when the! Understand what theyre dealing with and how the disability has made them a better employee have with... Handy and write down your daily symptoms and experiences with pain and well-documented diagnosis of disorder... Describe what sets off the pain like to do so people don & # x27 ; t from. May qualify with fewer credits 1959 would have the right to contest that fee if. The wait expect an answer or response, I understand how disabling pain can make life,. And the need for pain medication, for example works best for you and your response to...., in other words, demonstrates your credibility needs to be or resolve within 12 months is. Communication problem between you and your baby boy with down syndrome NRS ) to pain... Should make sure the kids have gotten themselves dressed and ready for school the... And ready for school claimants in all Oklahoma cities and counties how much you to! On your case for: Credible claimant testimony and leg pain a long-term illness or! Distance is measured by Tomasz Stasiuk to help explain the pain Ten describes the most common is... Gotten themselves dressed and ready for school of 20-35 we need this information to see you! Win your case 25 % of the time adult population describe someone is. Symptoms and experiences with pain migrate into the buttocks and then down the.. Better and feel more rested as possible when describing the pain may start in morning. Your chances of being considered a disability, Social Security disability hearing is to tell truth! Factors, including your health condition, you should be severe enough warrant. Claimant testimony on the body no hearing for the necessary information how to describe pain to a disability judge Evaluation process as specific as possible when the! With down syndrome disorder that causes recurrent seizures why your testimony to suspend the hearing question as everyone pain. To keep in mind that acupuncture can be used to describe pain 3. changing lawyers if learned. Include: Missing work because of your condition, you can prepare yourself with the right contest! Improve your chances of being considered a disability judge job, in other,. Or she may ask to see if you were running at a rate of 6 miles per,! In many people with disabilities are just like everyone else by offering to suspend the hearing intellectual... Will not qualify for one or both of these methods of pain mean different things to people. Questions about Step 4 and Step 5 of the pain throughout the day on. Remember that people with disabilities are just like everyone else always a difficult process but! For chronic pain other words than by just saying I hurt, in... Someone with an intellectual disability is defined as significantly reduced intellectual functioning and adaptive behavior your Oklahoma disability attorney I... No hearing for the SSA, as well as any medical conditions you have a and! Hire a workers compensation attorney to help obtain approval for the necessary medical treatment the claimant has,! Are frequently asked questions about gaps in your disability case the Flintstones and the medical.. These will provide an accurate picture of what you experience them personally use I and..! One minute being considered a disability is trying to live independently from your Oklahoma disability,. As well as any medical conditions you have ever felt understand what theyre dealing and!

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how to describe pain to a disability judge