Chronic pain medical terminology is evolving, to reflect ongoing medical research. The latest term to enter my orbit as a Social Security disability lawyer is nociplastic pain syndrome. Nociplastic pain is a type of chronic pain characterized by altered pain processing in the nervous system, where pain is experienced despite the absence of clear
Impairments
Multiple Sclerosis and Social Security disability
Multiple Sclerosis (MS) is a chronic illness that affects the central nervous system, which includes the brain and spinal cord. MS occurs when the body’s immune system mistakenly attacks the protective covering of nerve fibers, known as myelin.
Myelin acts like insulation around electrical wires, allowing nerve signals to travel quickly and efficiently. When myelin…
Chronic pain and Social Security disability
There is an excellent recent NY Times Magazine article by Jennifer Kahn, entitled Chronic Pain is a Hidden Epidemic. It’s time for a Revolution. (the link will take you through the paywall).
Many of my clients experience chronic pain. It is good to see the issue starting to get the attention it deserves from the…
Hearing on long-haul COVID case
I had a hearing for a client who has been unable to work due to the symptoms of long-haul COVID, sometimes also referred to a postviral fatigue syndrome (PVFS).
My main challenge as a Representative has been to make sure Social Security recognizes that long-haul COVID cases are not like other cases. An appropriate RFC…
Chronic illness and limited daily energy

There is a great explainer in the Washington Post called Spoon theory: What it is and how I use it to manage chronic illness. The article, written by journalist Fortesa Latifi and illustrated by Lara Antal, has terrific graphic novel-style illustrations, including the one shown above. It conveys how those suffering with chronic…
Analyzing a Long Haul COVID determination
A client with long-haul COVID symptoms was recently awarded Social Security disability benefits at the initial stage of review. That was great news. But when Social Security allows a disability claim at the initial or reconsideration level of review, they don’t tell you why; they just pay the disability benefits.
I wanted to know…
What is a Medically Determinable Impairment?
Social Security requires a medically determinable physical or mental impairment as the basis for a finding of disability. The “medically determinable” language is part of the definition of disability in the Social Security Act itself. See 42 U.S.C. 423(d)(1)(A).
The impairment(s) must result from anatomical, physiological, or psychological abnormalities that can be shown by medically…
Multiple Myeloma And Social Security Disability
Multiple Myeloma is a blood cancer that used to be a terminal diagnosis. However in the past 10 years or so, truly amazing advancements have been made in the treatment of this disease. There are new drugs, like Revlimid and Valcade, and autologous stem cell transplants are a treatment option that offers lengthy remissions. I…
Social Security disability and obesity – new paper
There is a new scholarly paper discussing Social Security disability and obesity: Mirror, Mirror on the Wall: Stigma and Denial in Social Security Disability Hearings by Professor Chris Pashler (follow the link to read the abstract and/or download a free PDF copy of the paper).
Professor Pashler argues that the stigma attached to morbid obesity…
Colitis and Inflammatory Bowel Disease
Just recently, one of our clients was granted at hearing on the basis of debilitating colitis. Social Security had previously denied her claim after finding her capable of performing light work with ready access to a bathroom. After speaking with her and reading her medical records, it was clear that Social Security had not fully considered the nature of her illness or the severity of her symptoms.
What is colitis?
Colitis refers to inflammation of the colon and causes several symptoms including: chronic diarrhea; abdominal pain; cramping; bloating; and dehydration. Associated symptoms of dehydration include: lightheadedness; weakness; and fatigue.
What medical documentation is needed to establish the diagnosis and prove disability?
At step 2 of the sequential evaluation, the judge must find that you have a severe impairment or combination of impairments that have or are expected to last at least 12 continuous months or be expected to result in death.
There are many causes for inflammation and some are highly treatable and non-severe according to Social Security standards. Therefore, it is very important to talk with your doctor, and have him or her document your symptoms so that the proper tests to exclude other conditions with similar symptoms (i.e. diverticulitis, irritable bowel syndrome) can be performed and a proper treatment plan started.Continue Reading Colitis and Inflammatory Bowel Disease