Understanding SSDI and Chronic Pain

The Social Security Administration (SSA) does not have a specific listing for “chronic pain” in its Blue Book of qualifying conditions. That doesn’t mean you're automatically ineligible—it means you’ll need to demonstrate that your pain is the result of a medically determinable condition and that it substantially limits your ability to work.

Common underlying causes of chronic pain that can qualify for SSDI include:

• Fibromyalgia
• Complex regional pain syndrome
• Degenerative disc disease
• Rheumatoid arthritis
• Multiple sclerosis
• Lupus
• Spinal disorders or injuries

To build a successful SSDI claim, your chronic pain must be well-documented, persistent, and severe enough to prevent you from engaging in substantial gainful activity.

What the SSA Looks For in Chronic Pain Claims

When reviewing a claim based on chronic pain, the SSA requires:

• A clear medical diagnosis of an underlying physical or mental condition known to cause chronic pain
• Objective medical evidence, such as imaging results (X-rays, MRIs, CT scans), lab tests, and clinical findings
• Consistent treatment records over time, showing that you have sought and followed appropriate medical care
• Statements from healthcare providers that explain how your condition affects your functional abilities
• Evidence that the pain has lasted—or is expected to last—at least 12 months

The SSA will also evaluate how your chronic pain limits your ability to perform work-related activities, such as sitting, standing, walking, lifting, concentrating, or completing tasks on schedule.

Why These Claims Are Often Denied

Many SSDI claims based on chronic pain are initially denied. This is often because pain is inherently subjective—it’s difficult to measure, and there’s no single test that “proves” how severe it is. Without compelling medical documentation and well-organized evidence, SSA evaluators may conclude that you can still do some form of work.