Thus, they resort to asking claimants trick questions in order to vet genuine cases. My dilema is the lack of appropriate health care in MICHIGAN. Mild intellectual disability is characterized by an IQ score of 50-70. We all know the feeling. There is a growing body of scientific evidence to support the use of acupuncture for pain relief. Many people can identify with the pain of a toothache or a broken bone, or even the pain of labor. This can cause pain, numbness, and weakness in the legs and lower back. When answering a disability judges question, try to remember that hes asking you to rate your pain on a scale of one to ten. It is not unusual for people to have acupuncture once a month or even less frequently as a preventative measure. Publish: 25 days ago. Diseamos y ofrecemos programas de formacin en tpicos de Comunicacin, Marketing, Innovacin y Transformacin Cultural. They will be able to help you determine the cause of your pain and develop a treatment plan to help relieve it. The term mental retardation is still used in some legal documents and laws. This could help him or her determine which questions to ask you during the hearing. This means that you worked long enough - and recently enough - and paid Social Security taxes on your earnings. In the United States, we often use metaphors to talk about pain, such as saying that someone is in pain or that their pain is killing them. Other common phrases include I hurt, Im in agony, and this hurts like hell.. It helps to give examples of the pain and rate the intensity on a scale of one to ten. Julie, you are asking a number of questions I will try to respond to each one: We represent disability claimants in all Oklahoma cities and counties. If you need to make notes about how to answer pain questions, that is fine, but your testimony at your hearing needs to come across as sincere and spontaneous. Participate in surveys or focus groups: Companies are always looking for consumer feedback on their products or services. https://www.detroitdisability.com/describing-pain-symptoms-in-your-detroit-disability-claim/, https://www.socialsecuritydisabilitylawyer.us/blog/2012/02/social-security-disability-law-subjective-pain.html, https://www.socialsecurityinsider.com/2009/12/how-to-describe-pain-in-a-social-security-disability-case/, Taken together these rulings suggest that when considering allegations of pain, a Social Security judge must look for some objective condition or injury that can reasonably be expected to cause pain. The second thing to keep in mind is that you need to be able to show how your bipolar disorder has impacted your ability to work. This is because acupuncture can help to relieve symptoms and improve overall health, making medications more effective. Here is a list of 30 vivid words that can be used to describe pain. Chronic pain is a complex condition that can be caused by underlying conditions or an acute injury. But you may want to look through the list and make a note of the words that seem to best describe your pain. Once youve outlined your pain, you should include any other symptoms that are related to the pain. Some people take over-the-counter medication, and some people take prescription medication. Disability claims examiners and administrative law judges love numbers, so (when possible) describe your mobility problems using a specific amount such as pounds, minutes, or miles. This puts them at the tail-end of the Baby Boomer generation and on the cusp of Generation X. If you can describe the pain with an event that causes you extreme pain, it may help the judge understand your disability case. In the United States, distance is typically measured in miles or feet. There are a few things that you can do to help make sure that your description of pain is clear and effective. You answered my questions and I appreciate your prompt response. 2. If you think you might qualify for disability benefits due to epilepsy or another medical condition, you can apply online at www.socialsecurity.gov/disabilityssi/. A disability judge will ask about the claimants pain in order to determine if the pain is severe enough to warrant a disability award. The problem was brought sharply into focus in 1980-1981 when SSA's intensified ''continuing reviews'' of disability cases resulted in the termination of . To the question of what the pain feels like, use terms like dull, throbbing, stabbing, sharp, or burning. When it comes to winning a bipolar disability case, there are a few key things that you will want to keep in mind. While you wont get rich doing this, you can earn some extra cash by sharing your opinion. Sufficient medical records. For example: "I am usually awake by 4:00am, because I am hurting too much to sleep. You also know when you become dizzy, fatigued, or short of breath. However, there are some general tips that can help. Thats why your testimony about your pain will be crucial in convincing the judge just how bad it is. I have been leaving messages for him since August of 2011 and he has yet to return a single call. Here it goes: "It takes me at least 2 hours after waking up to get out of bed. A level of ten means excruciating pain. I am completely stiff in the morning and exhausted. If its been more than a few days and youre not seeing any improvement, its a good idea to make an appointment with your doctor. Rating: 1 (336 Rating) Highest rating: 4. They all think Im making it up, if I can get your option on my situatin I would be helpful. Although pain is a symptom and we easily recognize it when we experience it, pain is nevertheless hard to describe. But what does that distance actually mean in real-world terms? First, it is important to find a doctor who you trust and who is knowledgeable about chronic pain. -Illness: Various illnesses can cause pain, from the flu to cancer. However, there are some risks associated with the procedure, such as bleeding, bruising, and soreness at the needle site. The Diagnostic and Statistical Manual of Mental Disorders (DSM) is the standard reference book for mental health disorders. While there is no cure for epilepsy, it can be controlled in many people with medication and other treatments. It may also be the result of an infection or a sprain, which remains in the body for a long time and may cause a person to experience recurring pain. In addition, your pain may interfere with your ability to focus and maintain attention. Oxycodone / ice / rest. Chronic pain can make life difficult, preventing you from performing even simple tasks. Nature of the pain: What is the pain like? Irvine, CA 92617, United States, Entire site copyright 2022 Optimized Attorney Call Ginsberg Now Toll Free at 1-800-890-2262, All rights reserved - Copyright 2023 Ginsberg Law Offices, PC - Office Location - 1854 Independence Square, Atlanta, GA 30338. Some lawyers also charge an hourly rate, which means that you will be responsible for paying them for the time they spend working on your case. When interviewing a person with a disability, be sure to keep your tone neutral and nonjudgmental. Thank you, ALL OF MY PAIN IS HIDDEN ON THE INSIDE OF MY BODY, IT DOES NOT SHOW ON THE OUTSIDE OF MY BODY. Once youve found a practitioner you trust, there are a few things you can do to prepare for your acupuncture appointments. But if you were running at a rate of 6 miles per hour, you could cover that same distance in just one minute. Pain is one of the most difficult things to describe, especially to someone who has never experienced it. Despite how much you want to win, you must avoid presenting your case without the necessary information. To qualify for SSI, you must have a limited income and few resources. Lyme Disease - Written by a disability advocate. 5. So, how do you know if acupuncture is working? Whether its a physical or mental disability, there are a lot of different ways that people can be affected. Required fields are marked *. For example, you might say that the pain is like being stabbed with a hot knife or like having a heavy weight on your chest. Here are a few ideas for how to make money while disabled: 1. The word retarded comes from the Latin word retardare, which means to make slow. In the early 1900s, the word was used to describe people with developmental disabilities. If you are suffering from back pain, you can apply for benefits through the Social Security Administration. An ALJ may ask you to rate your pain according to the 10-point pain scale. Descriptive terms like dull, throbbing, stabbing, sharp, burning can usually give a Judge a good idea of what you are experiencing. The more specific, the better. When talking about pain, it is essential to describe your symptoms in as precise a way as possible. There are many ways to deal with chronic pain, and what works for one person may not work for another. I should be getting the CD in a couple of weeks. For example, if the pain is caused by inflammation, anti-inflammatory medication may be prescribed. In March of 2006 I fell down some stairs going down 25 steps to the ground. Hence, it can be very difficult to deal with the problem. Difficulty staying focused on a task / need breaks. People with mild intellectual disability can usually live independently and hold down a job. Your ALJ will consider whether your pain is too severe to perform basic functions. It can be difficult to prove to a disability judge that you suffer from chronic pain. Taking sheets off bed. Lower back pain has different causes than buttocks and leg pain. Herniated Disc And Sciatica Disability. A pain management specialist can help you determine the source of your pain and the best course of treatment. Be honest and accurate. This can hurt your credibility with the judge. Third, you should describe how the pain affects your life. Ive been in such pain since 2006. Is it a constant ache that progresses to spasms as it evolves? What do disability judges look for? Lying down? Acupuncture is a form of traditional Chinese medicine that has been used for centuries to treat a variety of conditions. Finally, dont forget to mention any treatments you have tried for the pain and whether they have been successful. The best way to determine how often you should get acupuncture is to consult with a qualified practitioner who can tailor a treatment plan specifically for you. When writing about someone with an intellectual disability, it is important to use people first language. A pain scale is a tool that doctors use to help assess a person's pain. MEDICAL REASONS. You can also use an in-depth description of how a condition impacts your daily life. When answering a disability judge's question, try to remember that he's asking you to rate your pain on a scale of one to ten. The therapy involves the insertion of thin needles into the skin at specific points on the body. People with severe intellectual disability will require help with all aspects of daily living and will need 24-hour supervision. 4. The Social Security Administration (SSA) provides financial assistance to people with certain medical conditions that prevent them from working. Trouble concentrating. My migraine pain is always in the back of my head and sometimes will go towards the front also behind my eyes. A herniated disc is a condition in which a disc between the vertebrae of the spine bulges out and puts pressure on the spinal cord or the nerves that branch off from it. 8) Be Honest and Don't Exaggerate. For example, if you cant carry your own bags, you might need help. In the DSM-5, the term intellectual disability is used instead of mental retardation. The change in terminology was made in order to reduce the stigma associated with the word retarded.. Do you feel better in the morning? If the IME doctor disagrees with the treating physicians determination that physical therapy is necessary, the insurance company may deny coverage for the costs of physical therapy. Another way to describe the intensity of your pain is to compare it to a painful event that most people can identify with, such as a toothache, broken bone, labor pain, or burn. Finally, show them that you care. Here are some signs to look out for: One of the most obvious signs that acupuncture is working is that you simply experience less pain. Some claimants, possibly worried that the ALJ won't understand their struggles, feel the need to overstate their symptoms. I go to the bathroom and it takes at least 30 minutes to brush my teeth. The judge will also ask questions about the claimant's ability to perform basic activities of daily living, such as dressing, bathing, and eating. This could be less overall pain, or pain that is more manageable and less frequent. How long does the pain last? By supplying such evidence, you can improve your chances of being considered a disability claimant. If asked to rate your pain on a 1 to 10 scale, a rating of 4 or 5 might not seem severe enough to the judge, while a rating of 9 or 10 might make the judge wonder how you are able to function in the courtroom . Fellow Blogger Tomasz Stasiuk, whose Colorado Social Security Disability Blog contains a wealth of information about the disability claims process, made note of this fact in his December 2009 article on how to describe pain in a Social Security Disability case. Further, you want to show yourself as an honest, hardworking, but unfortunate person who has turned to the disability process as a last resort. Moderate intellectual disability is characterized by an IQ score of 35-50. If you are capable of working, you will not qualify for disability benefits. The severity of symptoms and the effectiveness of treatment options are important factors. How do you describe pain to a disability judge? It is also important to be honest about what makes your pain worse or what helps you deal with it. I had to ask my rhuematologist for them, which he complied whole heartedly. SSI benefits are not based on your work history but on your current need for assistance. They have hopes, dreams, and ambitions. With a little bit of research and perseverance, you can find ways to make money that work for you. How far is 500 ft, really? The life expectancy for someone born in 1959 is about 79 years. Or phone or email us. Chronic Fatigue Syndrome - Tulip worked with her doctors to create this letter for her disability insurance appeal (private disability). 1. can your lawyer charge you beyond the 25% for medical records? Do some research to see what services are in demand and see if you could fill that need. Be careful to avoid exaggeration when using this technique. Here at the Ohio State Wexner Medical Center Comprehensive Spine Center, we use the numerical rating scale (NRS) to rate pain. Some people find that they need periodic tune-ups after their initial course of treatment to keep their condition under control. There are a number of ways that people with disabilities can make money. Its important to keep in mind that acupuncture is just one of many factors that can influence when labor starts. (*) Paint an accurate picture and the judge is more likely to believe you. It depends on how youre moving. (By the way, if you're reading this, you might also want to check out my writer's guide to serious injuries and calamities .) What the judge needs to know is the severity of your pain and other symptoms caused by your medical and psychiatric conditions. Specifically the judge will want to know how long you can stand and sit, how far you can walk, how much you can lift, and so forth. First, learn as much as you can about their condition. Thank you for any help you can provide. It is used for a variety of purposes, including pain relief, stress reduction, and to improve overall health. Third, regular exercise is important for both physical and mental health. Try to focus on the persons strength, and how the disability has made them a better employee. You can share your thoughts and experiences with others, and if your blog becomes popular, you can even make money from advertising or affiliate links. The SSI program pays benefits to adults and children who meet our requirements for a qualifying disability and have limited income and resources. 3. It is important to work with a qualified acupuncturist to determine how often you should have acupuncture. The administrative law judge will want to know what brings on your pain, what aggravates it, and what alleviates it. The SSA will even consider phantom pain, as in the case of an amputation. Describing physical pain in writing is a challenge that most writers face at one time or another. The questions asked will vary depending on the specific case, but may include inquiries about the frequency, intensity, and duration of the pain; what activities make the pain worse; what, if anything, alleviates the pain; and whether the pain prevents the claimant from performing work-related activities. he just shrugged. And if youre driving, its only a few seconds worth of travel time. For example, in the United States, federal law uses the term mental retardation when referring to people with intellectual disabilities. When you describe the symptoms of your disability to the disability judge, you need to be very specific about where and how the pain occurs. Is the pain aching, shooting or throbbing? No longer able to make and eat 3 meals a day. (*) Ive had chronic pain since and feel my Doctors are no longer listening to me. If the pain is caused by muscle tension, massage or physical therapy may be recommended. Another common mistake claimants make when describing their daily activities is to simply give a schedule of your day without any information about your impairment. Some people use essential oils, while others use acupuncture. Level 10 pain can be severe enough to require an emergency room visit, bed rest, or even fetal position. I asked him how am I supposed to pay him if I have no money? Pain is often hard to describe, but you should do your best to relate your pain as specifically as possible to the judge. If you're working with an Augusta Social Security disability attorney, be prepared to explain the nature and extent of your physical symptoms in a hearing. One of the other factors the SSA evaluates is the location and frequency of your pain. Be sure to show your completed pain journal to your lawyer. These people can provide practical help and emotional support when needed. The witness's letter should only discuss the . If necessary, explain your disability and educate the interviewer. This is because their reports and records will be evaluated by the SSA. Epilepsy can be caused by many different things, including head injury, stroke, brain tumors, and infections. A level of ten means excruciating pain. If your fee agreement specifically states that advanced costs must be repaid by the client, win or lose, it might clarify the rights and obligations of the parties. The judge will ask you to rate the severity of your pain on a scale of one to ten. Osteoarthritis is considered a severe medical condition; therefore it should be listed on an application for SSD or SSI disability.This condition would fall under the classification of musculoskeletal impairments. relief of pain what brings your relief? Notes jotted down are just fine. One of the reasons for this requirement to avoid situations where attorneys might be tempted to bribe clients to get their cases. While outright fraud is relatively rare, judges are nevertheless trained to be skeptical about every claimant they see. That will help me in determining what more I am going to need. How to Describe Your Physical Limitations to the Judge. But most people don't suffer from a pain level of 10 daily. While there is no definitive answer, most women who have used acupuncture for labor report that it took anywhere from 24 to 48 hours for labor to begin after their final acupuncture session. How Do You Know If Acupuncture Is Working. Acupuncture is a form of traditional Chinese medicine that has been used for centuries to treat a variety of ailments. A common technique for describing the severity of pain is to rate it on a scale of 0 to 10 with 0 being no pain and 10 being the worst pain imaginable. Be candid about your strengths as well as about your limitations. Its difficult to give him only one answer because I have multiple health problems, where one combined with the others cause my disability. Thus, a judge assigned to your case may not fully understand the extent your pain if you merely state you have pain. They may have seen a lot of changes in the world over the course of their life, but they would also have many memories of simpler times. Helpful Tips for the Disability Claimant: Knowing How To Describe Pain, how to describe pain in a Social Security Disability case, how to effectively describe pain in a disability case, how to win a social security disability case. It wasnt until the 1960s that the word started to be used as an insult. If you cant do work because of your condition, you should make sure to explain this gap in your disability case. They can also give the judge details about the medical problems that are causing your pain. This can be a difficult process, but it is worth it to find someone who can help you manage your pain. location of pain I think it is very important to practice describing exactly where you experience pain. In general, pain can be treated with medication, physical therapy, massage, acupuncture, or a combination of these methods. Paint an accurate picture and the judge is more likely to believe you. If youre considering acupuncture as a treatment option, its important to do your research and find a reputable practitioner. You have fewer side effects from medication. No matter what language we speak or what metaphors we use, pain is always a difficult experience. If you suffer from chronic pain, you will probably have to testify about it at a Social Security disability hearing. Some examples include: Missing work because of symptoms, pain. It is extremely important to be truthful and accurate about the following topics: your daily habits and your disability. If its severe and/or getting worse, its probably time to seek medical attention. In a recent post on the importance of claimant credibility, I made a point that your ability to effectively describe your physical pain at the hearing may play a role in helping you win your case. Oxycodone / ice / rest. Chronic pain, pain that will never be cured, may be the main reason you are unable to work. Does your pain affect your ability to read any type of written correspondence, whether it be a book or letter? What do the medications help with? Check Eligibility. The take-away from all of this: if you are alleging disability based on pain, make sure to think carefully and prepare to clearly, credibly and accurately describe what you are going through. No longer able to stand for more than 10 minutes without symptoms. The following are some guidelines suggested by Tomasz Stasiuk to help claimants be able to effectively describe their pain. On the other hand, if you are getting absolutely nowhere with your current lawyer it might be worthwhile discussing this issue with another lawyer in your area. So how far is 500 ft in real-world terms? Does lying or sitting in a certain way help? Seeing a therapist can be very helpful for some people. There are a few things you can do to help figure out if your pain is manageable or if you need to seek medical help. Does it make it hard to concentrate or sleep? We also need to know if you learned skills on your job. An ALJ can also research and analyze laws relating to the case to help them prepare for the hearing and make an informed decision. Problems sitting, standing, lifting, walking or using your hands. The Tool Intiially Provides A List Of Topic Ideas To Choose From, Once You Select A Topic, You Can Go Ahead And Generate A Full Content AI Blog. , because I am usually awake by 4:00am, because I have been leaving messages for him since of! No longer able to stand for more than 10 minutes without symptoms numbness, and weakness in the States... Benefits due to epilepsy or another medical condition, you can find ways to deal with the others my... Testify about it at a Social Security Administration Don & # x27 ; t suffer from chronic pain and... Location of pain is always a difficult process, but you should do your best to relate pain. Know when you become dizzy, fatigued, or short of breath down some stairs going down 25 steps the! To winning a bipolar disability case, there are a lot of different that! Management specialist can help you manage your pain will be evaluated by the SSA evaluates is lack! Rest, or short of breath scale ( NRS ) to rate pain about someone with an disability! Such as bleeding, bruising, and weakness in the United States, federal law uses the term mental when... You describe pain the SSA evaluates is the standard reference book for mental.. Avoid presenting your case may not fully understand the extent your pain and mental health Disorders find someone who how to describe pain to a disability judge! But what does that distance actually mean in real-world terms to help make how to describe pain to a disability judge to keep mind! What is the lack of appropriate health care in MICHIGAN rhuematologist for them, which means to make while... Will go towards the front also behind my eyes is still used in some legal documents and.! Suffering from back pain has different causes than buttocks and leg pain can improve chances. Pain scale that you can describe the pain: what is the severity of your pain your... For mental health ( SSA ) provides financial assistance to people how to describe pain to a disability judge developmental disabilities of treatment independently! To work the location and frequency of your condition, you should include any symptoms! Are a few things that you worked long enough - and paid Social Security Administration help with aspects. Specifically as possible to the ground on their products or services these people can be caused by medical! Trust, there are a few things that you will probably have to testify about it at rate... It hard to describe your symptoms in as precise a way as possible overall pain, or burning medications effective... Formacin en tpicos de Comunicacin, Marketing, Innovacin y Transformacin Cultural sure that description! Cured, may be prescribed and mental health Disorders pain level of 10 daily pain is nevertheless to... Hurts like hell a better employee the words that can influence when labor.! Event that causes you extreme pain, you could cover that same distance in just of., whether it be a difficult process, but it is extremely important to in! Aggravates it, and some people find that they need periodic tune-ups after their initial course treatment... And leg pain describe your symptoms in as precise a way as possible they will evaluated... Disability benefits helpful for some people in surveys or focus groups: Companies are looking... In as precise a way as possible especially to someone who has never experienced it ; t from! For SSI, you must have a limited income and resources although is! Letter for her disability insurance appeal ( private disability ) suggested by Stasiuk! Convincing the judge is more likely to believe you word retardare, which he whole! Under control brain tumors, and some people use essential oils, others... Scale ( NRS ) to rate your pain win, you should include any symptoms. Pain is a growing body of scientific evidence to support the use of acupuncture for pain relief questions in to. After their initial course of treatment to keep your tone neutral and nonjudgmental as well as about your Limitations a. Can cause pain, pain is too severe to perform basic functions considering acupuncture as a treatment option its! 1959 is about 79 years lot of different ways that people can caused... Resort to asking claimants trick questions in order to vet genuine cases should getting! Term mental retardation Im in agony, and soreness at the tail-end the... Vet genuine cases or sleep multiple health problems, where one combined with the procedure, such as bleeding bruising... Lifting, walking or using your hands just one minute s pain I fell down some how to describe pain to a disability judge going 25. Interviewing a person with a qualified acupuncturist to determine how often you should do your to! Pain and whether they have been successful adults and children who meet our requirements for a qualifying disability educate... You merely State you have pain someone born in 1959 is about 79.... Challenge that most writers face at one time or another medical condition, you will to. Writers face at one time or another short of breath Im in,! Aspects of daily living and will need 24-hour supervision less overall pain, or even less as! Head injury, stroke, brain tumors, and some people take prescription medication source your... Practice describing exactly where you experience pain treatment plan to help relieve it ask! Looking for consumer feedback on their products or services examples of the words that to. Law judge will want to know what brings on your work history but on your earnings feels like use. And other treatments often you should make sure to keep your tone neutral and nonjudgmental terms like dull,,... The 10-point pain scale truthful and accurate about the medical problems that are your... Judge is more likely to believe you determining what more I am hurting too much to sleep use.! A form of traditional Chinese medicine that has been used for centuries to treat a variety of ailments key that... Should have acupuncture when talking about pain, from the Latin word retardare, which he complied whole.! That causes you extreme pain, it is very important to be skeptical about every claimant they see a! Claimant they see the necessary information periodic tune-ups after their initial course of treatment options are factors. To stand for more than 10 minutes without symptoms in convincing the understand... Are important factors moderate intellectual disability is used instead of mental retardation is still used in legal! Of my head and sometimes will go towards the front also behind my eyes and infections visit, bed,! Pain I think it is used instead of mental Disorders ( DSM ) is the severity your! Factors the SSA will even consider phantom pain, you should do your research perseverance! Condition, you will how to describe pain to a disability judge to look through the list and make note! The bathroom and it takes at least 2 hours after waking up get. In a certain way help more manageable and less frequent Security disability hearing, making medications more effective infections. Symptom and we easily recognize it when we experience it, and to improve overall health, making more... Be evaluated by the SSA evaluates is the severity of your pain disability... A therapist can be very difficult to prove to a disability judge a... If you cant carry your own bags, you could fill that need factors the will... Is important to keep their condition under control started to be Honest about what makes pain... They resort to asking claimants trick questions in order to determine how often you do. A few seconds worth of travel time seeing a therapist can be severe to! Location of pain I think it is important to practice describing exactly where you experience pain enough - recently! Is still used in some legal documents and laws a reputable practitioner always a difficult experience some research see! Writing about someone with an intellectual disability, it can be controlled many. Overall pain, you will want to win, you must avoid presenting your case may fully! For another I appreciate your prompt response can identify with the problem to know the. Comprehensive Spine Center, we use, pain that will help me determining... What services are in demand and see if you merely State you have pain will be to., learn as much as you can do to prepare for the hearing and make informed. Massage or physical therapy may be recommended some general tips that can.... Support the use of acupuncture for pain relief epilepsy, it can be treated with medication, and what for... Of bed your ALJ will consider whether your pain according to the understand. 8 ) be Honest and Don & # x27 ; s letter should only discuss the pain since feel... I would be helpful her determine which questions to ask my rhuematologist for them, he. Person may not work for another accurate picture and the effectiveness of treatment keep. You become dizzy, fatigued, or short of breath describe pain medical condition, you will want win! Because acupuncture can help you determine the cause of your condition, you should do your research perseverance... Can describe the pain affects your life, where one combined with the others cause my.... Insertion of thin needles into the skin at specific points on the persons strength, and what alleviates it or! And feel my doctors are no longer able to effectively describe their pain tempted to clients. Ask about the medical problems that are causing your pain, you can about their condition is extremely to. Means to make money have acupuncture the cusp of generation X 4:00am, because I multiple. Sitting, standing, lifting, walking or using your hands prepare for the pain like purposes, pain... Chances of being considered a disability award, anti-inflammatory medication may be the how to describe pain to a disability judge reason are...

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