Proven Pain from Chronic Myofascial Pain?

Here is some very interesting information that might help:

Social Security Disability cases based on Fibromyalgia alone are generally difficult to win, and are always easier to win if other impairments are involved.

But having said that, it should be be noted that the outlook for such cases is starting to improve because more information is coming to light about the nature and causes of this illness.

Regardless, however, of whether a claimant is applying for disability based solely on Fibromyalgia, or alleges several impairments, a case involving Fibromyalgia can be strengthened by understanding how Social Security Disability Examiners consider medical evidence. This was covered to some extent in the article preceding this one, but on this page the tips will be more specific.

Tip 1: Make Sure a Fibromyalgia Diagnosis is In Your Medical Records

If you allege Fibromyalgia when you apply for disability, make sure you have a diagnosis of this in your medical records. It's happened more than once that a doctor has mentioned to a patient that they "might have fibromyalgia" without actually diagnosing this condition in their medical chart.

Tip 2: Try to Get a Referral to a Specialist

If your primary doctor (i.e. family doctor or internist) diagnoses you with Fibromyalgia, try your very best to be referred to a specialist, such as an orthopedist or a rheumatologist (or a pain or chronic fatigue specialist), who can give you the same diagnosis. As we said earlier on the previous page, because so many doctors hand out the fibromyalgia label when they can't otherwise diagnose a patient's complaints, the value of this diagnosis is somewhat diluted. It can be significantly strengthened, however, and taken more seriously, if the same conclusion is reached by a physician who specializes in bone or tissue disorders, or disorders that involve complaints of pain and fatigue.

Tip 3: Diagnoses by Mental Health Professionals Carry Less Weight

Although it may be impossible to do, try to avoid being diagnosed with Fibromyalgia by a mental health professional. Why? Because the simple truth is this: in the same way that family doctors mislabel their patients and overuse the Fibromyalgia diagnosis, so do psychiatrists. This is a regular occurrence, in fact, for patients who are being treated for depression.

It should not be surprising to anyone, of course, that a person who experiences continuous pain and/or fatigue might also have to deal with depression as a result. Nevertheless, a Fibromyalgia diagnosis by a mental health practioner is usually interpreted by a Disability Examiner to mean this: that the disability claimant's symptoms and complaints are psychosomatic in nature. In other words, all in their head.

Therefore, again, for the fibromyalgia sufferer who is trying to win disability benefits, it is always sound advice to seek a supporting diagnosis from a specialist.

However, this becomes doubly more important for the claimant who is also receiving mental health treatment.

Tip 4: Find Out What's in Your Medical Records

The importance of this cannot be stressed enough. All Social Security Disability cases are decided chiefly on the basis of a claimant's records. This is true at the intial application level, reconsideration level, and at the Administrative Law Judge hearing level where a claimant is generally represented by an attorney, or non-attorney disabilty representative.

Applying for disability without knowing what your records state about your condition is unwise, to say the least. And many claimants have been surprised to find that the doctor who claimed to support their case did not indicate the same level of support in his or her treatment notes.

By getting copies of your medical records before you apply, you can get a rough idea of how your case looks and decide if you need to switch to a different physician, one who is more capable concerning your treatment and more willing to support your disability case.
(disabilitysecrets.com)

I hope that this helps you understand how to proceed.

Cheers-
CK

Very good advice, CK. Do not get discouraged Krista. I would advise prior to filing for appeal to get an attorney/advocate that specializes in SSDI cases only. These are the kind that get paid when you do. By law they can only keep a certain percentage of your back pay or up to $6,000.

My claim did not involve fibro because I did not know I had the disorder at the time. However, in my latest neurologists report, the diagnoses of fibro was present.

Also, do check your medical records. I have and found that indeed what doctors tell me and actually put in my record are two different things. The written documentation was downplayed immensely versus the doctor saying my condition(s) were severe. In fact, I believe the doctor contradicted himself greatly by stating neuropathy was mild and in the next sentence stating it was severe. That was just ONE example, there were many more.

Wishing you well and good luck with your case.

i'm with ck on this!!

well, i'm not sure I have much to add. Except to urge you to go to a pain specialist. Their diognoses carrys a lot of weight. I'm praying you are better soon.