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Social Security Domain #4 – Health and Physical Well-Being

If a child has a severe impairment(s) that does not meet or medically equal any listing, the Social Security Administration (SSA) will then look to see if the child functionally equals the listings.  To functionally equal the listing, the child’s impairments must result in marked limitations in two domains, or extreme limitation in one domain.

The fourth domain used by SSA is called 4. Health and Physical Well-Being.  In this domain, SSA considers the physical effects of physical and mental impairments of the child.  Unlike the other domains, this domain does not address typical development and functioning.  This domain addresses how such things as recurrent illness, the side effects of medication, and the need for ongoing treatment affect a child’s body.

It is important to remember that the cumulative physical effects of a child’s physical or mental impairment(s) can vary in kind and intensity, and can affect each child in a different way.  As with all other domains, SSA does not consider the limitations in this domain unless it results from a medically determinable impairment(s).  However, it is very unlikely that a child who has a significant problem in this domain does not have an impairment that causes the problem.

 

For more information, please contact one of the attorneys at Hoglund, Chwialkowski & Mrozik.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Why Should I Complete Physical Therapy?

Physical therapy is designed to help an individual rebuild or strength their injured body part. Physical therapy is also designed to help individual decrease joint stiffness. Physical therapy may be painful in order to help individuals to get better. This article will cover reasons why individuals should complete a round of physical therapy.

One of the best reasons to complete physical therapy is because the physical therapy may increase the range of motion of a joint. This increased range of motion of a joint will help with the pain. In addition, along with increased range of motion, the individual is likely to have less stiffness.

Another reason to complete physical therapy is to learn different techniques that will help relieve pain. If an individual is having back pain, one of the techniques that physical therapy teaches you is on how to stretch the muscles. The stretching of the muscles and to what degree is all part of physical therapy. By completing the round of physical therapy, an individual will have a better understanding on what they are able and not able to do.

Another reason to complete physical therapy is to learn different ways on completing task. This is especially important on back pain. Individuals with back pain are retaught on how to lift without engaging the back muscles and instead use the legs to lift. The more an individual learns on how to lift, the less likely the individual will reinjure the back.

In conclusion, it is important to complete physical therapy. Even though the physical therapy may be painful, the usefulness of physical therapy out weights the pain. In addition, regular physical therapy gets easier for individuals and becomes less painful as time continues. In other words, the first days of physical therapy are the worst days and then it typically gets better as the stiffness leaves the joint.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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Psychogenic Non-epileptic Seizures (PNES) or Psuedo-seizures

Often times, patients or clients are misdiagnosed with seizures, when really they are experiencing manifestations of psychological distress. Epileptic seizures are caused by abnormal brain electrical charges. The PNES attacks look a lot like epileptic seizures. Patients suffering from PNES attacks may experience seizure like activity:

* Convulsions

* Falling

* Shaking

* Temporary loss of attention

* Staring

Physicians often become suspect of the possible misdiagnosis when frequency, duration, triggers, and movements are unusual in comparison to the neurological examinations. It is important to note that EEGs (electroencephalograms) are helpful in diagnosing epilepsy but they often come back normal even in patients with proven epilepsy. The most reliable way to test for PNES is to do an EEG with video monitoring. Through analysis of the video and EEG recording, analysis can be made with near certainty.

PNES or pseudo-seizures are a type of Somatoform Disorder called Conversion Disorder. After patients are diagnosed, they should be referred to a psychiatrist for continuing care. PNES is treatable and should not be concerned about the stigma that comes with mental illness.

The most important thing with anyone applying for Social Security Benefits with this (or any) condition is well documented treatment. If you are not sure if you suffer from PNES or physical epilepsy, continue to treat for epilepsy but seek help from a mental health professional. Talk to your doctor about your concerns. Document any seizure like activity in a seizure diary. Track when the episodes happen, how often, and what symptoms or activities occur in this diary. Treating with specialists, using a seizure diary, and following any recommended treatment plans by your doctors, are all important steps in proving your disability claim.

We can help you with these questions and more. Please contact us at Hoglund, Chwialkowski, and Mrozik law office to discuss your Social Security Claim possibilities further.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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