Severe scoliosis can qualify for Social Security Disability (SSD) benefits, if it causes an impairment that has prevented or will stop you from working for at least 12 months. There is no dedicated disability listing for this spinal disorder though, which means you may have a more difficult time proving you are unable to work. Use the following tips to simplify the application process and potentially increase your chances of approval.
Is Scoliosis a Disability?
Although the SSA does not consider scoliosis to be a disability, the medical disorder can generate severe enough symptoms to qualify you for disability benefits.
The SSA has created a medical guide called the Blue Book, which lists the medical conditions and symptoms that qualify applicants for financial assistance. It is one of the spine conditions that qualify for disability benefits.
Under Section 1.04 of the Blue Book, which lists disorders of the spine, you might qualify for disability benefits if you demonstrate you suffer from one of the following symptoms.
- Compression of the nerve roots that inhibits spinal motion, as well as triggers significant pain
- Lumbar spinal stenosis causes inflammation of the spinal column nerves
- Swelling of the spinal membrane that triggers intense pain
You also might qualify for Social Security disability benefits by proving scoliosis has negatively impacted your ability to work because the SSA concludes the medical condition is a musculoskeletal disorder.
The Blue Book lists several medical conditions that fall under the category of a musculoskeletal disorder. You have to show your symptoms match the severity of symptoms listed under the section of the Blue Book devoted to musculoskeletal conditions such as inflammatory arthritis.
Ensure Your Medical Records are Lengthy and Detailed
The Social Security Administration (SSA) reviews scoliosis claims with skepticism, because most people with this spinal disorder are able to continue working. To prove your disability, you will need a clear record of all your symptoms and complications. Keep in mind too that the SSA is more likely to approve applications that are filed for:
- Severe scoliosis that compromises your ability to move or walk
- Scoliosis where other serious complications are present, like breathing issues and heart problems.
The most common reason the SSA denies disability claims is due to a lack of sufficient medical evidence. The specific issues you experience determine the type of information your medical records should contain. Work with your doctor to ensure your records adequately document all of your symptoms and complications and not just the changes in your spine.
Be Prepared to Provide Additional Information on Your Everyday Limitations
Because the SSA views scoliosis as a marginally disabling condition in most cases, you may need to provide more evidence than applicants with other types of spinal disorders. If your scoliosis:
- Does not involve heart or lung complications
- Does not meet or closely match the SSA’s listing for Disorders of the Spine in Section 1.04,
then you will need to go through a “residual functional capacity” (RFC) analysis. This is a process through which you and your doctor provide the SSA detailed information on your daily limitations, including how you cook, clean, shop, drive, and care for yourself.
Go into to the SSD application process knowing an RFC analysis may be necessary and start preparing records to address RFC details, including:
- Statements from friends, family members, or others that help you with daily activities
- Statements from former employers or co-workers about your work limitations
- A formal report from your doctor, summarizing your overall condition, including each and every limitation you experience
- A journal in which you record the daily struggles you face with common tasks and activities
These pieces of information will not only be useful when the SSA requires you to complete an RFC report form, but they will also help your case if you are denied benefits and need to file an appeal.
2 Minutes To See If You Qualify
Although scoliosis can qualify for disability benefits, the application and review processes tend to get complicated. This is especially true if you do not exactly meet a disability listing with your symptoms, complications, and medical records. A Social Security advocate or disability attorney that understands how the SSA reviews scoliosis claims can be very helpful, including assisting with:
- Understanding the application process and forms,
- Translating any communications or requests you receive from the SSA,
- Filing out the application and collecting documentation.
If you must go through an RFC analysis or an appeal hearing, a disability advocate or attorney can assist you in these processes as well.