Applying for Disability Certification with Severe Scoliosis: Your Guide - Orthopedics

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I would like to inquire about applying for a disability certificate due to my scoliosis?


Hello Dr.
Wang,
I have a question I would like to ask.
I discovered that I had scoliosis when I was in middle school, and at that time, I wore a brace for rehabilitation.
After I started working, I stopped wearing it, and due to the nature of my job, which often involves lifting heavy objects, my scoliosis has worsened to a severe S-shaped curve.
Recent examinations showed that the upper curve is over 70 degrees and the lower curve is in the 30s.

I went to a nearby hospital to get checked because I want to apply for a disability certificate.
However, the doctor said that I would need to undergo three major surgeries to correct it to a more normal state (which would only reduce the curvature but not restore it completely).
I would like to ask Dr.
Wang: does my condition qualify for applying for a disability certificate? If it does not qualify, what tests should I undergo to meet the requirements? What should I pay attention to? (Because a doctor once told me that my condition is not immediately life-threatening and does not seem severe enough to meet the application standards!)
I am currently suffering from severe depression, feeling anxious every day and unable to work! If I choose to have surgery, I fear it may fail and cause my parents distress, and I currently do not have enough funds to cover the expenses.
I believe that obtaining a disability certificate would make it easier for me to find a job (because when I apply, employers see that I am listed as a person with a disability but without a disability certificate, they do not contact me further!).
So, I am unsure of what to do now.
May I ask for your advice? Thank you! Also, as a resident of Changhua City, can I come to your office for an application examination? Thank you very much!

A-Qing, 30~39 year old female. Ask Date: 2008/02/15

Dr. Wang Shouji reply Orthopedics


A-Qing: According to current regulations, scoliosis without neurological symptoms is only eligible for disability certification if it is limited to seronegative spondyloarthritis.
If there is neurological compression or other complications, it will be handled according to the situation.
It is recommended to come to our orthopedic department for further evaluation.

Reply Date: 2008/02/15

More Info


Applying for disability certification can be a complex process, especially when dealing with severe conditions like scoliosis. Based on your description, it seems you are facing significant challenges due to your condition, which has progressed to a severe S-curve with angles of over 70 degrees. This degree of scoliosis can indeed lead to various physical limitations and complications, including chronic pain, mobility issues, and psychological distress, such as depression.


Eligibility for Disability Certification
1. Understanding Disability Criteria: In the United States, eligibility for disability certification often hinges on the severity of the condition and its impact on daily functioning. The Social Security Administration (SSA) has specific criteria for musculoskeletal disorders, including scoliosis. Generally, to qualify, you must demonstrate that your condition severely limits your ability to perform basic work activities.

2. Medical Documentation: To apply for disability, you will need comprehensive medical documentation. This includes:
- Detailed medical records from your healthcare providers, including orthopedic specialists and physical therapists.

- Imaging studies (like X-rays or MRIs) that clearly show the degree of curvature and any associated complications.

- Documentation of any treatments you have undergone, including physical therapy, bracing, or surgical interventions, and their outcomes.

- A statement from your physician regarding how your scoliosis affects your daily life and ability to work.

3. Psychological Impact: Given that you also mentioned suffering from severe depression, it’s crucial to include psychological evaluations and treatment records. Mental health conditions can significantly impact your ability to function, and the SSA considers these when evaluating disability claims.


Steps to Apply
1. Consult with Your Doctor: Start by discussing your situation with your primary care physician or a specialist in spinal disorders. They can help assess your condition and provide the necessary documentation for your application.

2. Gather Documentation: Collect all relevant medical records, including:
- Diagnosis and treatment history.

- Imaging results.

- Notes from physical therapy sessions.

- Mental health evaluations.

3. Complete the Application: You can apply for disability benefits through the SSA website or by visiting your local SSA office. Be prepared to provide detailed information about your medical history, work history, and how your condition affects your daily life.

4. Follow Up: After submitting your application, follow up regularly to check on its status. Be prepared to provide additional information if requested.


Additional Considerations
- Surgical Options: While surgery may be suggested as a treatment option, it’s essential to weigh the risks and benefits carefully. Discuss your concerns about surgery with your doctor, including the potential for complications and the impact on your quality of life.

- Support Services: In addition to applying for disability, consider seeking support from local disability advocacy groups. They can provide resources and assistance throughout the application process.

- Mental Health Support: Given your mention of severe depression, it’s vital to continue seeking mental health support. Therapy and counseling can help you cope with the emotional aspects of living with a chronic condition.

- Community Resources: Look into community resources that may offer financial assistance or job placement services for individuals with disabilities. These can be invaluable as you navigate your current situation.


Conclusion
Navigating the disability certification process can be daunting, especially with the added complexities of severe scoliosis and mental health challenges. However, with thorough documentation and support from healthcare professionals, you can strengthen your application. Remember, you are not alone in this process, and there are resources available to help you through it. If you have further questions or need assistance, consider reaching out to a disability advocate or a social worker who specializes in these matters.

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