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How to Win Your Case for Social Security Disability Benefits If You Suffer From Chronic Fatigue Syndrome and/or Fibromyalgia


When you want to win a Social Security Disability case from the suffering of Chronic Fatigue Disability Syndrome and/or Fibromyalgia (CFIDS/FMS) it can be very difficult. With proper preparation and a lot of the right supporting documentation either you or your lawyer will often able to win your Social Security Disability benefits case. The case for proving a Chronic Fatigue Syndrome or Fibromyalgia needs to show the following five factors.

1) They will want to know if the Diagnosis of Chronic Fatigue Syndrome or Fibromyalgia was made by a doctor specializing in Fibromyalgia and Cfids or FM?

It always lowers your chances of winning when you file a claim and you are not being treated by a specialist in Chronic Fatigue Syndrome and/or Fibromyalgia. The judge in charge of the case will usually prefer to see that you are being treated by a Rheumatologist. It is possible to win if you are working with both an Infectious Disease Specialist and a Neurologist. In most cases the diagnosis a primary care physician or internist is not sufficient to win in this type of case. The specialist attending you must give a favorable report for your being disabled. If you call a lawyer and you do not have a specialist working with you then, I suggest that you contact a local support group for a referral.

2) Your Doctor must have eliminated all other Diseases diagnostic tests before a diagnosis of Chronic Fatigue Syndrome and/or Fibromyalgia has been made.

In order to provide a valid diagnosis of Chronic Fatigue Syndrome and/or Fibromyalgia medical tests will need to be performed which will rule out other conditions with similar symptoms. In most cases blood work done that excludes other Rheumatic diseases which may share symptoms with, or mimic, CFIDS/FMS. In cases of Fibromyalgia the Judge will look for a physical exam that finds and documents at least 11 of the 18 tender points. In Chronic Fatigue Syndrome cases it is also a good idea to see that a Tilt Table Test has been done.

3) Are your Complaints Typical for Someone Who Suffers with Chronic Fatigue Syndrome and/or Fibromyalgia and what is the severity of them?

Your medical records will need to show documented symptoms. Without this documentation, the diagnoses of CFS/FMS will likely be subject to disbelief by Social Security and they will always deny the first claim.

4) Have you been treated and undergone physical therapy along with your pain medication?

Your case will be handled by an Administrative Law Judge (ALJ) and you will need to show that you have tried whatever treatment is available for your condition. Whether this is a series of physical therapy appointments, narcotic pain medications or even non-traditional treatments like biofeedback or acupuncture. You will need to show that you have tried everything to find relief.

5) Have you consulted with or been treated by a Psychiatrist or Therapist?

You do not want an ALJ to thinking that Chronic Fatigue Syndrome or Fibromyalgia are mental conditions. If you can show the ALJ that you are either seeking treatment for depression or anxiety or have had these conditions ruled out by a mental health specialist and are still suffering from Chronic Fatigue Syndrome and/or Fibromyalgia that will support your case as well. Depression often comes with Fibromyalgia but generally follows the disease.  The more you hurt and feel bad the more depressed you get.  It can take 1-3 years to get a case done, but if you are not prepared it can take much longer and likely will never be accomplished.  Good Records from day one need to be kept. EVERY doctor’s appt. every test needs to be documented.


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Fibromyalgia affects approximately 3.7 to 6 million Americans and is discribed as a  form of generalized muscular pain and fatigue. Fibromyalgia  is a combination of two words fibro =fiber and myalgia=pain.  This literally means pain in the muscle and fibrous connective tissues or fascia along with the ligaments and tendons.there is no specific test for Fibromyalgia. The Doctors diagnosis will depend mostly on your stated complaints and feelings. Chronic unexplained pain is the most common symptom of fibromyalgia. It happens throughout the body, and is in tender points that are symmetrical around the centerline of the body. That means usually the same spot is usually sensitive on both sides of the body,although it may start in one region, such as the neck and shoulders, and spread to other areas over a period of time.

     Most of the people with Fibromyalgia experience moderate to severe fatigue and lack of energy. Your stamina and and desire to exercise and your endurance decreases as the Fibromyalgia gets worse over time.  The feelings of exhaustion
are similar to those you have with the flu or lack of sleep.Lack of a good nights sleep is another common element. Sleeping is hard when you seem to hurt all the time and laying in one position the skin itself seems to hurt. Your Dealings with the fatigue can sometimes be more of a problem than the pain. Tension headaches, and migraine headaches, are common with Fibromyalgia. Abdominal pain along with bloating, alternating with constipation and bladder spasms have you feeling like you have IBS as well. Your skin can literally hurt to the touch and your blood circulation can be low making you even more sensitive to temperature changes.

   The doctors tests may determine parts of the nervous system may not functioning properly. In many Fibromyalgia patients they find a high mesencephalic output.

There are three parts to the brain stem: top, middle and lower. The mesencephalon is the top part of the brain stem. A high output of the mesencephalon will cause an increased pulse and heart rate, the inability to sleep, or a waking, fitful sleep.They may detect high levels of substance P as well which it the pain transmitter for the body. Other symptoms might include urinary tract infections, increased warmth and sweating, and sensitivity to light causing more head aches.

The fibromyalgia patient may have
high mesencephalic output present along with a lesser output of the Cerebellum. The Cerebellum coordinates movement of all the muscles of the spinal column.

  It is important that the neurologist perform a thorough and comprehensive exam to determine the exact nature of your condition. Fibromyalgia is basically a collection of symptoms and looks like several other diseases or conditions. There are a few test that do help to indicate that Fibromyalgia is present but it is more a process of elimination deciding what it conditions it is NOT instead of a specific test for Fibromyalgia itself..  When all known causes of the symptoms are eliminated then the default diagnosis is Fibromyalgia.  There are 18 tender or sensitive points on the body.  These are on both the front and back and have exactly corresponding points on both sides of the body if you pass a line from head to toe.  The diagnosis of Fibromayalgia requires at least 11 to be tender.  The do not have to be the same spots on both sides.
 


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In the future we will be posting more articles on aromatherapy, massage cupping, massage, herbal treatments and therapies, the use of hypnosis in Fibromyalgia Therapy along with diet and exercise suggestions.