FROM OUR EXPERTS
For years people with fibromyalgia who are unable to continue working at a full-time job have struggled and worried about whether they would qualify for Social Security Disability. Finally, last week the Social Security Administration issued a ruling providing guidance on how they develop evidence to establish that a person has a medically determinable impairment (MDI) of fibromyalgia, and how they evaluate fibromyalgia in disability claims and continuing disability reviews under titles II and XVI of the Social Security Act. This ruling went into effect on July 25, 2012.
For a complete copy of the ruling, including footnotes, references and a tender point diagram, see Social Security Ruling, SSR 12-2p; Titles II and XVI: Evaluation of Fibromyalgia in the Federal Register. Following is a copy of the core elements of the ruling that I think would be of most interest to people with fibromyalgia.
Fibromyalgia is a complex medical condition characterized p...
Try washing your hair, brushing your teeth or getting dressed without the use of one shoulder, it's darn near impossible to do anything without your shoulders. We use our shoulders all day long, 365 days per year. And over the years, the shoulders may not be feeling as comfortable or limber as they once did back in your younger days. Or maybe you are in your younger years but have been hard on your shoulders. Whether you are young or old, stiff painful shoulders make life's daily activities much more difficult to get done.
The most common reason to have a painful shoulder is tendonitis. The shoulder is a complex joint with a network of tendons called the rotator cuff . As all of the muscles in the shoulder work to pull, push, lift and reach, the tendons - which attach the shoulder muscles to the bones - can get very inflamed and painful. Sometimes the rotator cuff actually gets pinched between two bones, the acromion and the humerus. This condition is called shoulder impin...
Diagnosis There is no obvious, objective method (such as laboratory or imaging tests) for diagnosing fibromyalgia. The criteria used to study fibromyalgia are very helpful, particularly if the patient does not have another disorder, such as depression or arthritis, which could complicate the diagnosis. Failure to meet the criteria, however, does not rule out fibromyalgia. Fibromyalgia should be suspected in any person who has muscle and joint pain with no identifiable cause. Because many patients do not meet the current fibromyalgia criteria, the American College of Rheumatology (ACR) has proposed a new set of diagnostic criteria that take into consideration symptoms such as fatigue, sleep disturbance, and cognitive problems, in addition to pain. Criteria for Classifying Fibromyalgia In 1990, the ACR set the following criteria for classifying fibromyalgia: A. Widespread pain must be present for at least 3 months. This pain must appear in all of the following locations: Both sides of the bod...
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