The Social Security Administration uses the guidelines laid out in the Blue Book to determine whether or not a claimant qualifies for Social Security disability benefits. The Blue Book divides disabling conditions into fourteen broad categories. Each of these categories breaks down the basic requirements to qualify for disability benefits. The first category deals with disorders of the musculoskeletal system.
While the Blue Book recognizes several distinct causes of musculoskeletal disorders (including heredity, injury, disease, etc.), the main thing the SSA concerns itself with is not the cause of the disability but the extent to which it affects your ability to perform meaningful work. The guidelines laid out in the Blue Book for deciding disability claims for musculoskeletal disorders relate primarily to how the disability affects your ability to move, perform tasks, and concentrate on a job.
The SSA breaks musculoskeletal disorders down into several categories:
- Joints. Disorders involving the knees, hips, ankles, shoulders, elbows, wrists, etc. are judged based on how they affect your ability to walk, push, pull, stand, sit, lift, and perform fine motor skills. The SSA will seek to determine whether you could continue to work with reasonable accommodation.
- Spine. Here again, the SSA is looking to determine whether a spinal disorder affects your ability to move, perform standard work tasks, stand, sit, or concentrate.
- Amputations. Generally, two limbs need to be amputated to qualify for Social Security disability (though you may qualify with one amputated limb in many cases). In some cases, you will need to show that prosthetic devices could not be used to help you work again.
- Fractures. Fractures can qualify you for disability benefits in some cases, but you must be able to show that the fracture is expected to make it impossible for you to work for a year or more.
For most musculoskeletal conditions, you will need to show that you have been treated by a doctor. Medical imaging (X ray, CAT scan, MRI, etc.) is generally accepted as one form of proof of the disability. Depending on the type of musculoskeletal condition, you may also have to undergo a battery of physical tests.
Many types of musculoskeletal conditions improve with time. In order to qualify for Social Security disability benefits, you will need to demonstrate that your disability has lasted or is expected to last twelve months or more. It’s important that those who are claiming disability benefits due to musculoskeletal conditions to continue seeing their doctors. The SSA will consider whether you have been following prescribed treatments and whether they have had an impact on your condition.
Here is a list of specific conditions that falls within evaluation for the musculoskeletal system:
- Anterior Poliomyelitis
- Back Pain
- Bone Spurs
- Degenerative Disc Disease
- Low Birth Weight
- Major Dysfunction of a Joint
- Spine Disorders
- Spinal Cord Injury
- Carpal Tunnel Syndrome
- Joint Pain
- Knee Replacement
- Fracture of the Femur, Tibia, or Pelvis
- Fracture of an Upper Extremity
- Herniated Disc
- Hip Replacement
- Inflammatory Arthritis
- Lumbar Stenosis
- Muscular Dystrophy
- Spinal Arachnoiditis
- Reflex Sympathetic Disorder
- Rheumatoid Arthritis
- Ruptured Disc
- Soft Tissue Injury (Burns)
- Torn ACL
- Undifferentiated and Mixed Connective Tissue Disease
- Shoulder Replacement
- Neck Pain and Neck Problems
- Shoulder Pain and Shoulder Problems
- Club Foot Deformity
- Piriformis Syndrome
- Avascular Necrosis
- Spinal Fusion