| Winning a Social Security Disability case for someone | | | | tests need to be performed so as to rule out other |
| who suffers from Chronic Fatigue Syndrome and/or | | | | conditions. I usually like to see blood work done that |
| Fibromyalgia (CFS/FMS) can be very difficult. | | | | excludes other Rheumatic diseases which may share |
| However, with proper preparation I am often able to | | | | symptoms with, or mimic, CFS/FMS. In cases of |
| win client's their Social Security Disability benefits. I | | | | Fibromyalgia I look for a physical exam that finds and |
| approach a Chronic Fatigue Syndrome or Fibromyalgia | | | | documents tender points. In Chronic Fatigue Syndrome |
| case using the following five factors: | | | | cases I also normally like to see that a Tilt Table Test |
| 1) Was the Diagnosis of Chronic Fatigue Syndrome or | | | | has been done. |
| Fibromyalgia Made by a Specialist? | | | | 3) Are the Client's Complaints Typical For Someone |
| I am always very skeptical on my chances of winning | | | | Who Suffers With Chronic Fatigue Syndrome and/or |
| when a person comes to me and is not being treated | | | | Fibromyalgia? |
| by a specialist in Chronic Fatigue Syndrome and/or | | | | By now I can usually tell by interviewing a prospective |
| Fibromyalgia. I usually prefer to see that the client is | | | | client if his/her complaints are typical. The client's |
| being treated by a Rheumatologist but I have been | | | | medical records should show documented symptoms. |
| successful in these type of cases working with an | | | | Without this documentation, the diagnoses of CFS |
| Infectious Disease Specialist and a Neurologist. I feel | | | | FMS may be subject to disbelief by Social Security. |
| that the diagnosis of a primary care or internist is not | | | | 4) Was the Client Treated With Physical Therapy and |
| sufficient in this type of case. It is also important, of | | | | or Pain Medication? |
| course, for this doctor to be supportive of his/her | | | | I like to show an Administrative Law Judge (ALJ) that |
| patient's disability case and for me and the client to | | | | my client has tried whatever treatment is available for |
| know this from the beginning of my representation. If a | | | | his/her condition. Whether this is a series of physical |
| person calls me and does not have a specialist | | | | therapy appointments, narcotic pain medications or |
| working with him/her, I suggest that they contact a | | | | even non-traditional treatments like biofeedback or |
| local support group for a referral. | | | | acupuncture. I feel that the severity of my client's |
| 2) Has the Client's Doctor Eliminated Other Diseases | | | | condition will be supported by the fact that he/she has |
| Through Testing Before Diagnosing Him/Her with | | | | tried everything to find relief. |
| Chronic Fatigue Syndrome and/or Fibromyalgia? | | | | 5) Has the Client Consulted or Been Treated by a |
| I feel that to provide validity to the diagnosis of Chronic | | | | Psychiatrist or Therapist? |
| Fatigue Syndrome and/or Fibromyalgia certain medical | | | | |