How Does Social Security Assess Complex Regional Pain Syndrome?
Chronic pain is one of the most difficult impairments to assess for purposes of Social Security Disability Insurance benefits. Pain is often difficult, if not impossible, to diagnose through testing. Social Security officials tend to disregard an applicant's claims regarding pain as “subjective” and unreliable, even when there is a medically documented cause. To help clarify how the law is supposed to work, Social Security revised guidance with respect to assessing an applicant's symptoms. The agency’s guidelines emphasize that Social Security administrative law judges (ALJs) should not conduct an inquisition into a disability applicant's personal character. Nor can an ALJ ignore testimony regarding the “intensity or persistence” of an applicant's pain just because it cannot be “substantiated by objective medical evidence.”
Social Security Criticized for Playing Doctor Social Security guidance may be applied to existing cases, as technically it is a clarification of existing law and not new policy. This change meant that there were many disability applicants who were initially denied benefits, but later entitled to reconsideration of their cases. For instance, one federal magistrate judge ordered a new hearing for a disability applicant who suffers from complex regional pain syndrome (CRPS). At a prior hearing, a Social Security ALJ agreed the applicant suffered from CRPS, among other ailments, but the ALJ denied disability benefits after further deciding the applicant's testimony regarding the severity of his chronic pain was “not credible.”
The magistrate agreed with the applicant that the ALJ's findings were inconsistent, not only with each other, but also with the revised Social Security guidance. The ALJ apparently based her credibility determination on factors unrelated to the applicant's CRPS, including the fact that he was laid off from his previous job, that he smoked, and that he failed to take certain prescription medications as directed. In conclusion, the ALJ had no medical evidence to support her own subjective belief the applicant was capable of returning to work in spite of his CRPS.
We Can Help Social Security Understand Your Pain One reason Social Security is apt to dismiss CRPS is because of its uncommon and unpredictable nature. According to the Mayo Clinic, CRPS “typically develops after an injury, surgery, stroke or heart attack, but the pain is out of proportion to the severity of the injury.” Under-educated Social Security ALJs may incorrectly interpret this to mean an applicant is fabricating or overstating their pain. As judges have repeatedly cautioned in disability cases, Social Security officials are not allowed to “play doctor” and make their own medical judgments.
Call a Social Security Disability Attorney for Help If you suffer from CRPS or any other type of chronic pain that prevents you from working, you have the right to be treated fairly by Social Security. A qualified disability benefits lawyer, like a Social Security lawyer in Memphis, TN, can help you present your case to Social Security and, if they still ignore you, appeal to the appropriate court.
Thanks to Darrell Castle and Associates, PLLC for their insight into talking to Social Security about getting benefits for chronic pain.













