What Medical Evidence Is Commonly Reviewed in a Social Security Disability Claim?

When you are living with a chronic illness or a severe injury, just getting through the day can feel like a full-time job. The added stress of worrying about your finances only makes things harder. If you are applying for Social Security Disability benefits, you probably know that the process is famous for being long and confusing. 

The most important thing to understand is that the Social Security Administration does not just take your word for it when you say you cannot work. They need to see a clear paper trail of your medical history to understand how your condition limits your daily life.

Objective Medical Evidence and Diagnostic Tests

The foundation of any claim is what the Social Security Administration calls objective medical evidence. These are the facts that come from medical tests rather than just how you describe your pain or fatigue. For example, if you have a back injury, the claims examiner will look for X-rays, MRIs, or CT scans that show physical damage to your spine. If you have a heart condition, they will look for EKG results or stress tests. These tests provide a baseline that proves your condition exists and is as serious as you say it is.

Beyond imaging, laboratory results are also key pieces of the puzzle. Blood tests can confirm diagnoses for autoimmune diseases like lupus or rheumatoid arthritis, while breathing tests can show the severity of chronic lung disease. 

Without these objective results, the government may decide that your condition is not a medically determinable impairment. Having a clear set of results from recognized medical facilities helps you develop a clear picture of your physical or mental health status for the reviewers.

Treatment History and Clinical Notes

Social Security also looks closely at your longitudinal medical record, which is just a fancy way of saying your history of treatment over time. They want to see that you have been seeing doctors regularly and following the treatments they recommend. 

If there are long gaps where you did not seek medical care, the government might assume your condition improved or was not that bad to begin with. Your clinical notes from every doctor visit tell a story about your symptoms, the medications you have tried, and any side effects that make it even harder for you to work.

These notes are especially important because they often include your doctor’s observations about your functional limitations. A simple diagnosis is usually not enough to get benefits; the government needs to know exactly what you can and cannot do. For instance, a note from your doctor stating that you cannot stand for more than ten minutes or that you have trouble concentrating due to medication side effects is very helpful. 

How a Social Security Disability Lawyer in Norristown, PA, Can Help

Working with a local team means you have someone nearby who understands the local medical systems and the specific requirements of the judges in our area. We focus on making sure your file is as complete as possible before it reaches the decision-maker. Our goal is to make this process less scary for you by handling the technical details so you can focus on your health and your family.

You do not have to handle the government’s complicated rules alone. If you are struggling to get the benefits you need or if your initial application was denied, we are here to support you. Contact Silver & Silver today.

Disclosure:

This website is designed to provide only general information. The information presented on this website is not formal legal advice. You should not rely on any general information from any source for making legal decisions. Each legal matter is unique and requires specific attention from a qualified attorney. Unless a representation agreement has been signed with the Law Offices of Silver and Silver, we are not your legal representatives.

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