Disability Advice is a non-government affiliated organization, dedicated to helping you get compensation for disabilities.
“Think You Can’t Get Disability Benefits for Fibromyalgia?
The Social Security Administration (SSA) might make it seem impossible to get disability benefits for fibromyalgia—but that’s not the whole story. Fibromyalgia is a life-altering condition that can make working nearly impossible. Yet many claims are denied because the SSA doesn’t list it as a qualifying disability. Here’s the truth: you can qualify, if you know how to present the right medical evidence.
In this guide, we’ll break down exactly what you need to prove your case, the biggest mistakes people make when applying, and why having the right legal help can be the key to getting the benefits you deserve.
What Is Fibromyalgia—and Why It’s So Debilitating
Fibromyalgia is a chronic condition characterized by widespread musculoskeletal pain, fatigue, and cognitive impairments—often referred to as “fibro fog.” Additional symptoms frequently include depression, anxiety, and irritable bowel syndrome. These symptoms can severely impact daily life and make it difficult, if not impossible, to hold down a job.
How the SSA Views Fibromyalgia
In 2012, the SSA recognized fibromyalgia as a potentially disabling condition. While it is not listed in the SSA’s Blue Book of impairments, the SSA does allow disability claims for fibromyalgia if specific medical criteria are met. That means your application will likely require a more detailed review—but success is possible with the right approach.
Qualifying Criteria for Disability Due to Fibromyalgia
To qualify for disability benefits based on fibromyalgia, you must meet the following SSA-established criteria:
Widespread pain: A documented history of pain in all quadrants of the body (both sides, above and below the waist) that has lasted for at least three months.
Tender points: Pain in at least 11 of 18 specific tender points, such as the neck, shoulders, elbows, hips, knees, and base of the skull.
Additional symptoms: Repeated occurrences of symptoms commonly associated with fibromyalgia, including fatigue, unrefreshing sleep, depression, anxiety, cognitive difficulties (fibro fog), and irritable bowel syndrome.
The Importance of Medical Evidence
Because fibromyalgia is not in the Blue Book, comprehensive medical evidence is essential to build a successful claim. This includes:
Detailed records from your healthcare providers
Evidence of consistent treatment over time
Laboratory test results that rule out other conditions
Physicians’ notes describing how symptoms affect your ability to work and perform daily activities
Common Pitfalls in the Application Process
Many applications are denied not because the applicant isn’t truly disabled, but because the application lacks sufficient documentation or fails to meet the SSA’s specific criteria. Being thorough and precise is absolutely essential. Don’t rush your claim—take time to build a detailed case with strong evidence.
Why Legal Help Matters
Navigating the SSDI application and appeals process can be overwhelming, especially for conditions like fibromyalgia that require extensive documentation and interpretation. An experienced disability attorney can guide you through the process, help you gather and present the right evidence, and advocate for you in front of the SSA. This support can significantly increase your chances of approval.
Get the Support You Deserve
If you or someone you know is considering applying for disability benefits due to fibromyalgia, don’t go it alone. Seek out professional legal assistance to navigate this complex process and maximize your chances of receiving the support you need.
Visit disabilityadvice.org to learn how we can help you build a strong, successful claim.”
