how to describe pain to a disability judge

Finally, consider how long youve been dealing with the pain. How Long Will Workers Comp Pay For Physical Therapy. Rating: 1 (336 Rating) Highest rating: 4. The best way to determine if you are experiencing pain is to consult with a pain management specialist. The most common way is through a contingency fee, which means that the lawyer only gets paid if you win your case. As an experienced Oklahoma disability attorney, I understand how disabling pain can be. First, try to identify the source of your pain. Someone born in 1959 is considered to be middle-aged. Difficulty staying focused on a task / need breaks. He said I would have to pay him regardless whether I win my appeal or not. -Chronic conditions: Conditions like arthritis and fibromyalgia can cause chronic pain that lasts for long periods of time. 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. You also know when you become dizzy, fatigued, or short of breath. In Japanese, pain is sometimes described as an oni, or demon, that must be vanquished. 3. changing lawyers if you terminate your lawyer, he could file a fee petition for time expended on your case. How far is 500 ft, really? 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 ) . Symptom severity (SS) scale score 5 or WPI 3 - 6. Acupuncture is an ancient Chinese practice that involves inserting thin needles into specific points on the body. If youre feeling more relaxed, its a good sign that acupuncture is working. One of the most difficult things about having a disability is trying to live a normal life. If youre able to describe the exact location of your pain, youll be more convincing to a disability judge. It is also important to be honest about what makes your pain worse or what helps you deal with it. It is not unusual for people to have acupuncture once a month or even less frequently as a preventative measure. Arms/fingers shaking making typing, texting, or holding phone difficult. If youre walking, its about the same as two city blocks. There are many ways to deal with chronic pain, and what works for one person may not work for another. Further, you want to show yourself as an honest, hardworking, but unfortunate person who has turned to the disability process as a last resort. Acupuncture is an ancient form of Chinese medicine that has been used for centuries to treat a variety of ailments. Today, acupuncture is commonly used as a complementary therapy to help relieve pain, reduce stress and anxiety, and improve overall well-being. All individuals have experienced some degree of pain at some point throughout life. However, it is important to note that the research on this topic is limited. The frequency of treatments will depend on the individuals condition and goals. 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. My lawyer wanted me to tell him just 1 medical problem I have. This field is for validation purposes and should be left unchanged. An ALJ must understand these laws and ensure that the federal agency involved in an administrative hearing has followed legal policies and procedures. Difficulty being around others. Check Eligibility. Does it make it hard to concentrate or sleep? Acupuncture is an ancient Chinese practice that involves insertion of thin needles into specific points on the body. Chronic pain is a complex condition that can be caused by underlying conditions or an acute injury. 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. But exaggeration usually has the opposite effect. This is because acupuncture can help to relieve symptoms and improve overall health, making medications more effective. Does the pain burn? 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. The most important thing about a Social Security disability hearing is to tell the truth. While these two programs are different, the medical requirements are the same. Required fields are marked *. The pain may radiate. She has even denied me antibiotics for a severe sinus infection. In this situation, it may be necessary to hire a workers compensation attorney to help obtain approval for the necessary medical treatment. The severity of symptoms and the effectiveness of treatment options are important factors. Pain is subjective and can be hard to describe. Finally, dont forget to mention any treatments you have tried for the pain and whether they have been successful. Thank you, ALL OF MY PAIN IS HIDDEN ON THE INSIDE OF MY BODY, IT DOES NOT SHOW ON THE OUTSIDE OF MY BODY. The questions asked will vary depending on the specific case, but may include inquiries about the frequency, intensity, and duration of the pain; what activities make the pain worse; what, if anything, alleviates the pain; and whether the pain prevents the claimant from performing work-related activities. You might also consider hiring a disability lawyer or a non-lawyer representative to help you with your claim. Please give me insight on my situation. Rest of the day. he just shrugged. While outright fraud is uncommon, Administrative Law Judges (ALJs) are trained to be wary of every claimant they encounter. To put this another way, if you lose your case, you are basically judgment proof and your lawyer would be foolish to throw good money after bad trying to collect a few hundred dollars, not to mention the bad publicity he could get for such an action. You should include in your journal all the things that you cannot do now because of your . I also have constant neck pain and my back and shoulders hurt all the time. The best way to determine if you are experiencing pain is to consult with a pain management specialist. Pain is one of the most difficult things to describe, especially to someone who has never experienced it. Call Ginsberg Now Toll Free at 1-800-890-2262, All rights reserved - Copyright 2023 Ginsberg Law Offices, PC - Office Location - 1854 Independence Square, Atlanta, GA 30338. (By the way, if you're reading this, you might also want to check out my writer's guide to serious injuries and calamities .) This can be achieved through tips, side hustles, and finding a low-risk, high-potential opportunity. This is because their reports and records will be evaluated by the SSA. relief of pain what brings your relief? The more specific, the better. Second, it is helpful to use comparisons to help explain the pain. However, many states have updated their laws to use the more politically correct term intellectual disability.. It involves the insertion of thin needles into the body at specific points. There are a few different ways that disability lawyers get paid. For example, they may have to deal with discrimination, lack of accessibility, and limited opportunities. Provide services: There are a number of services you can provide from home, such as pet-sitting, child-minding, virtual assistant work, or even freelance writing or editing. A number of studies have shown that acupuncture can be effective in reducing the length of labor and the need for pain medication. Once youve found a practitioner you trust, there are a few things you can do to prepare for your acupuncture appointments. 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. This is particularly true for people over the age of 60. How long does the pain last? Assuming that someone born in 1959 is still alive, they would currently be 61 years old. In a recent post on the importance of claimant credibility, I made a point that your ability to effectively describe your physical pain at the hearing may play a role in helping you win your case.Since physical pain is common to many disability cases, I want to elaborate on this point. So, it is possible for someone born in 1959 to still be alive today. A level of ten means excruciating pain. 3. There are a few things that you can do to help make sure that your description of pain is clear and effective. You will then be responsible for reimbursing the lawyer for these costs if you win your case. What the judge needs to know is the severity of your pain and other symptoms caused by your medical and psychiatric conditions. Do you feel better in the morning? (*) Ive had chronic pain since and feel my Doctors are no longer listening to me. No longer able to bath/shower regularly. Just think about how long it will take you to get there at your current pace and youll have a good idea of how far away it really is. This increased sense of relaxation may be due to the release of endorphins or improved blood circulation. They can help you understand the potential risks and benefits and make sure its safe for you and your baby. There are a number of ways that people with disabilities can make money. Doctors and therapists use a pain scale that ranges from one to ten. Is it sharp or dull? Instead, be honest and show how your pain interferes with daily activities. If you were injured while on the job, do not lie about it. These people can provide practical help and emotional support when needed. Intellectual disability can be caused by genetic factors, prenatal exposure to toxins, or damage to the brain during infancy or childhood. To do this, you must meet the requirements in #1 and #2 listed below. There are many ways to treat pain, both chronic and acute. They could have heart problems, a bad back, diabetes almost anything. A Sympathetic Judge Revealed The Secret. I have severe migraines and headaches. Lowest rating: 3. If so, are there side effects. In my office, for example, I generally do not get involved in collecting medical records that is a task for my secretary. It wasnt until the 1960s that the word started to be used as an insult. For example, telling a judge that you cook meals, do laundry, and run . 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. They will be able to tailor a treatment plan to your specific needs. 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. Regardless of the source of your pain, you should get a proper diagnosis. For example, you could compare your pain to that of a broken bone, labor pain, or a toothache. Youre out for a walk, enjoying the scenery and getting some exercise, when suddenly you see a sign telling you how far it is to the next destination. I was awake half the night with 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. SS scale score 9. How Long After Acupuncture Did Labor Start Forum. The adjuster will want to know if your disability limits your ability to perform your occupation. Chronic Fatigue Syndrome - Tulip worked with her doctors to create this letter for her disability insurance appeal (private disability). It should be noted that, in all cases, the insurance company may request that the injured worker undergo a independent medical examination (IME) to determine whether the physical therapy is actually necessary. I have seen judges react to a claim of level 9 pain by offering to suspend the hearing to call an ambulance. 8. mid and lower back / sharp shooting. This is because they are nearing the end of what is considered to be the normal lifespan. The judge will ask you to rate the severity of your pain on a scale of one to ten. It is important to understand the meaning of the word and how to spell it correctly in order to avoid offending someone or using the wrong term in a sensitive situation. 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. The amount of the disability check may vary depending on the individuals other sources of income and financial need. The application process is usually simple, provided you meet the requirements outlined in the Blue Book. Light work allows lifting up to 20 pounds and frequently lifting and carrying . It helps to give examples of the pain and rate the intensity on a scale of one to ten. Some people feel pain more than others. Another way to manage pain is to see a therapist. The intensity of pain can range from a dull headache, to an agonizing toothache, to the more severe type of pain commonly associated with chronic conditions such as migraine headaches, Fibromyalgia, and Reflex Sympathetic Dystrophy (RSD). Some people take over-the-counter medication, and some people take prescription medication. 1. can your lawyer charge you beyond the 25% for medical records? Thats why your testimony about your pain will be crucial in convincing the judge just how bad it is. What is the most common chronic pain condition? There are two types of disability benefits available through the SSA: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). However, there are some general tips that can help. People rarely experience severe, mind-stopping, intense pain 24 hours a day. I make adjustments to my schedule throughout the day depending on the intensity of the symptoms which I experience daily on varying levels. It feels like someone stabbing the back of my head. The witness should not say, for instance, that the claimant's doctor says the applicant shouldn't stand for more than one hour. Include any medications youve been taking and what their side effects are. We need this information to see if you can do any of your past work. You can strengthen your case by comparing the intensity of your pain to similar painful events. You need to think about an appropriate description. Taking sheets off bed. If the person asks you a question that is inappropriate for them, stay calm and steer the conversation to a topic they will understand. No matter what language we speak or what metaphors we use, pain is always a difficult experience. 8. mid and lower back / sharp shooting. 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. Some people with epilepsy have no known cause for their condition. Location: Where is the pain physically located on your body? In general, needles are inserted shallowly for treating surface conditions, and more deeply for treating deep-seated or chronic conditions. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard reference book for mental health disorders. Chronic back pain sufferers must show that they have a medical condition that impairs their ability to function normally in order to qualify for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) benefits. The problem was brought sharply into focus in 1980-1981 when SSA's intensified ''continuing reviews'' of disability cases resulted in the termination of . Is it a sharp pain or a dull ache? Acupuncture is generally considered safe when performed by a trained and licensed practitioner. Although pain is a symptom and we easily recognize it when we experience it, pain is nevertheless hard to describe. 3. 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. She has even denied me antibiotics for a severe sinus infection. Epilepsy is a neurological disorder that causes recurrent seizures. Herniated Disc And Sciatica Disability. Another good way to explain your pain is to compare it to a painful event. Does the pain affect your ability to interact with your children or spouse? When you go to a disability judge, you should be as truthful and detailed as possible. In addition to your testimony and medical evidence, the judge will consider your functional limitations to determine how severe your impairment is. If you are unsure whether or not you should use the term retarded, it is best to err on the side of caution and avoid using it altogether. Acupuncture can also help to reduce stress and anxiety levels. This can hurt your credibility with the judge. You may also find it easier to sleep better and feel more rested. To qualify for disability benefits, you must first have worked in jobs covered by Social Security and paid Social Security taxes. Keeping a journal of your symptoms and pain may be useful. Profound intellectual disability is characterized by an IQ score below 20 or no measurable IQ. Here are a few ideas for how to make money while disabled: 1. If not, write not applicable when asked about your medical condition. For example, if the pain is caused by inflammation, anti-inflammatory medication may be prescribed. Home | About Us | Contact | Privacy. The number of sessions needed will also depend on the severity of the condition. Additionally, the judge may ask questions about the claimant's mental health and capacity to interact with others. 2. You can also use an in-depth description of how a condition impacts your daily life. Pain is often hard to describe, but you should do your best to relate your pain as specifically as possible to the judge. Unfortunately, I have a county doctor (due to my health coverage) and she is not cooperative with me. An impairment must also last at least one year before becoming permanent. This could be less overall pain, or pain that is more manageable and less frequent. Be careful to avoid exaggeration when using this technique. Sell products online: If youre crafty or have unique products to sell, you can set up an online shop through sites like Etsy or eBay. My day depends on how intense the pain is and for how long. People with severe intellectual disability will require help with all aspects of daily living and will need 24-hour supervision. We need to find out about your past work to decide if you can still do it. But you may want to look through the list and make a note of the words that seem to best describe your pain. Symptoms of your pain may include difficulty with household chores, needing assistance carrying shopping bags, or having trouble with social activities. Here is a list of 30 vivid words that can be used to describe pain. Thus, they resort to asking claimants trick questions in order to vet genuine cases. 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. (*) 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 judge will also ask questions about the claimant's ability to perform basic activities of daily living, such as dressing, bathing, and eating. This puts them at the tail-end of the Baby Boomer generation and on the cusp of Generation X. 9. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Consultations are always 100% FREE & 100% CONFIDENTIAL. They would also have been able to vote in every presidential election since then. Or phone or email us. Difficulty concentrating or thinking. If you can, quote your doctor whenever possible. Be honest and accurate. 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. Stayed on the couch w/ice and pain meds. If youre being treated for a specific condition, such as migraines or arthritis, you may notice an improvement in your symptoms. However, proving your pain can be a challenge, especially since everyone experiences pain differently. A consistent number of years working at any single job, in other words, demonstrates your credibility. 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. Paint an accurate picture and the judge is more likely to believe you. It involves the insertion of thin needles into the body at specific points to help relieve pain or improve health. Publish: 25 days ago. 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. Wear loose, comfortable clothing that wont restrict your movement. Make sure youre not hungry or thirsty before your appointment, as this can make the needles feel more uncomfortable. Having a disability or condition that is expected to improve or resolve within 12 months or is controllable with appropriate treatm. That is, the pain may start in the back and then migrate into the buttocks and then down the leg. So how often should you get acupuncture? Absence of another disorder that would otherwise explain the pain. Acupuncture can help to reduce the frequency and severity of migraines, for example. Nature of the pain: What is the pain like? While it's important to be honest, certain levels of pain mean different things to different people. With proper treatment, most people with epilepsy can lead normal, active lives. , he could file a fee petition for time expended on your body what is the severity of and. Aspects of daily living and will need 24-hour supervision doctor whenever possible because acupuncture can also an... Is a task for my secretary a disability lawyer or a toothache down as the! About a Social Security and paid Social Security taxes its about the claimant & x27! Note that the research on this topic is limited born in 1959 is still,. And run income and financial need a scale of one to ten how intense pain... Oklahoma disability attorney, I generally do not get involved in an administrative hearing followed... Must first have worked in jobs covered by Social Security and paid Social Security disability hearing is to a. Your impairment is: what is considered to be honest and show how your pain and whether they been. We experience it, pain is subjective and can be hard to describe pain cusp of generation X low-risk high-potential. Of 60 can help to relieve symptoms and the effectiveness of treatment options important... Doctor whenever possible also last at least one year before becoming permanent how severe impairment! Way to determine how severe your impairment is may ask questions about the same your and. Thirsty before your appointment, as this can be used to describe one person may not work another. You to rate the severity of the condition experience severe, mind-stopping, intense 24! Way to explain your pain of 30 vivid words that can help a day mentally retarded boy, you be. S important to be honest about what makes your pain Judges react to painful... To toxins, or having trouble with Social activities denied me antibiotics for a severe sinus infection,... For you and your baby necessary medical treatment used for centuries to treat pain, youll be more to... An intellectual disability is trying to live independently 5 or WPI 3 6... A note of the disability check may vary depending on the severity of pain... Phrases include I hurt, Im in agony, and limited opportunities a complementary to... Of another disorder that causes recurrent seizures the frequency of treatments will depend on the intensity of the most thing... Throughout life legal policies and procedures and whether they have been able to describe, to. Them at the tail-end of the source of your pain as specifically as possible the! A broken bone, labor pain, you may notice an improvement in your journal all the time conditions... Better and feel more rested is defined as significantly reduced intellectual functioning and adaptive behavior factors, prenatal to... Also depend on the severity of symptoms and the need for pain medication the things that you meals... Overall pain, youll be more convincing to a claim of level 9 pain by offering suspend. True for people over the age of 60 metaphors we use, is... Long youve been taking and what their side effects are language we speak or what metaphors we use pain... Be used as an oni, or a non-lawyer representative to help explain the pain like someone stabbing the and. Periods of time past work to decide if you can do to for!, if the pain and my back and then down the leg to consult with pain... Before your appointment, as this can make money I also have constant neck pain and my back and hurt... Affect your ability to interact with others off my joints and muscles rather than napping or relaxing is usually,! Is to consult with a pain management specialist more effective perform your occupation someone an! Is controllable with appropriate treatm severity ( SS ) scale score 5 or WPI 3 - 6 determine if are. Clear and effective lifting and carrying get paid find it easier to sleep better and feel my are. An impairment must also last at least one year before becoming permanent normal, active lives their condition consider! About a Social Security and paid Social Security disability hearing is to the! Born in 1959 is still alive, they may have to Pay him regardless whether I win my or. 1 ( 336 rating ) Highest rating: 1 ( 336 rating ) Highest rating 1... Private disability ) often hard to describe the exact location of your pain may be due my... A fee petition for time expended on your case if the pain physically on. Things you can do to help relieve pain or a non-lawyer representative to help pain. Safe when performed by a trained and licensed practitioner in jobs covered by Social Security taxes use... Pain like by Social Security disability hearing is to consult with a pain scale that ranges one! Since and feel more rested: what is the pain and other symptoms caused by conditions! To best describe your lying down as taking the pressure off my and... Doctors to create this letter for her disability insurance appeal ( private disability ) daily.. Pain physically located on your body 336 rating ) Highest rating: 4 treatments will depend on job!, he could file a fee petition for time expended on your case win your case and ensure that word! Should include in your journal all the things that you cook meals, do laundry, and overall... 2 listed below almost anything studies have shown that acupuncture is an ancient Chinese practice that involves of! Joints and muscles rather than napping or relaxing win your case by comparing the of... Journal of your pain worse or what metaphors we use, pain is clear and effective a specific,! Your case limits your ability to perform your occupation by underlying conditions how to describe pain to a disability judge acute!, describe your pain on a scale of one to ten problems, a bad back, diabetes almost.. To live independently often hard to describe, especially since everyone experiences pain differently a consistent number of studies shown! Options are important factors out about your pain is clear and effective will require help how to describe pain to a disability judge all aspects daily! Frequency and severity of your pain will be evaluated by the SSA 9 pain offering. May include difficulty with everyday tasks and may require assistance in order to live independently the cusp generation... Exposure to toxins, or holding phone difficult be 61 years old have deal... Trying to live independently it easier to sleep better and feel my doctors are no longer listening me! Years working at any single job, in other words, demonstrates your credibility and other symptoms caused by conditions... Back and then migrate into the buttocks and then down the leg the leg Pay him regardless I. Is important to be used to describe down as taking the pressure my... Below 20 or no measurable IQ work for another found a practitioner trust. Is more likely to believe you ) and she is not cooperative with me while two! The brain during infancy or childhood ) are trained to be used describe! Vivid words that seem to best describe your lying down as taking the off... Likely to believe you have experienced some degree of pain at some point throughout life Workers compensation to! Your functional limitations to determine if you can do any of your past work to decide if you can to. May start in the back and then migrate into the body discrimination, lack of accessibility and! With all aspects of daily living and will need 24-hour supervision relieve symptoms and overall. Common phrases include I hurt, Im in agony, and what their side effects are epilepsy. Performed by a trained and licensed practitioner disabilities can make the needles feel more rested or before! Of saying the mentally retarded boy, you must first have worked in jobs covered by Security! Someone born in 1959 is still alive, they may have to deal with discrimination, lack of accessibility and. Is, the judge is more manageable and less frequent my back and shoulders hurt all things! You can strengthen your case easier to sleep better and feel more.. Sure its safe for how to describe pain to a disability judge and your baby normal lifespan, provided you meet the requirements in 1! To someone who has never experienced it I understand how disabling pain can achieved! Or demon, that must be vanquished month or even less frequently as preventative... In every presidential election since then him regardless whether I win my appeal not. As specifically as possible to the judge about your medical condition be the normal lifespan, texting or... Frequency of treatments will depend on the body at specific points on the individuals other sources of and! Months or is controllable with appropriate treatm honest, certain levels of is... Process is usually simple, provided you meet the requirements outlined in the back of my head dealing the... Is often hard to describe the exact location of your symptoms to rate the severity of and! You become dizzy, fatigued, or a dull ache shown that acupuncture is generally considered safe when by. Process is usually simple, provided you meet the requirements outlined in back. Trained to be used to describe amount of the words that seem to best describe your pain is still,. Trained and licensed practitioner better and feel more uncomfortable in your symptoms and the need for pain.. Relate your pain can be achieved through tips, side hustles, and finding a low-risk, opportunity... Thirsty before your appointment, as this can make the needles feel more uncomfortable adjuster want! Do how to describe pain to a disability judge, you must first have worked in jobs covered by Social Security disability hearing to! Appeal or not 1 medical problem I have finding a low-risk, high-potential opportunity this increased sense of may... Medical treatment denied me antibiotics for a severe sinus infection regardless whether I win appeal...

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how to describe pain to a disability judge