SSA Listing 1.15 Disorders of the skeletal spine resulting in compromise of a nerve root(s)

Disorders of the skeletal spine resulting in the compromise of a nerve root(s) can be debilitating conditions that affect a person's musculoskeletal functioning. These conditions, as outlined in the Social Security Administration (SSA) Listing 1.00F, require careful evaluation to determine their impact on an individual's ability to perform daily activities and work-related tasks. In this blog post, we will explore the criteria and documentation necessary to qualify for disability benefits under this listing.

Criteria for Evaluation:

To meet the SSA Listing 1.15, the following conditions must be documented:

A. Neuro-anatomic Distribution of Symptoms:

1. Pain: The individual experiences pain consistent with the affected nerve root(s).

2. Paresthesia: The individual feels abnormal sensations such as tingling, numbness, or burning.

3. Muscle Fatigue: The individual experiences weakness or fatigue in the muscles connected to the affected nerve root(s).

B. Radicular Distribution of Neurological Signs:

1. Muscle Weakness: Physical examination reveals muscle weakness associated with the affected nerve root(s).

2. Signs of Nerve Root Irritation: Physical examination or diagnostic tests confirm signs of nerve root irritation, tension, or compression.

3. Sensory Changes: There may be a decrease in sensation or abnormal sensory nerve latency as evidenced by electrodiagnostic testing.

4. Decreased Deep Tendon Reflexes: Reflexes may be diminished in response to stimuli.

C. Imaging Findings:

Imaging, such as X-rays or MRIs, should demonstrate findings consistent with compromise of a nerve root(s) in the cervical or lumbosacral spine.

D. Impairment-related Physical Limitation:

The individual must have a documented impairment-related physical limitation that is expected to last for at least 12 months. Additionally, medical documentation must show at least one of the following:

1. Need for Assistive Devices: The individual requires a walker, bilateral canes, bilateral crutches, or a wheeled and seated mobility device that involves the use of both hands.

2. Inability to Use One Upper Extremity: The individual cannot independently initiate, sustain, and complete work-related activities involving fine and gross movements using one upper extremity, and requires a one-handed assistive device or a wheeled and seated mobility device.

3. Inability to Use Both Upper Extremities: The individual is unable to independently initiate, sustain, and complete work-related activities involving fine and gross movements using both upper extremities.

Disorders of the skeletal spine resulting in the compromise of a nerve root(s) can significantly impact an individual's musculoskeletal functioning and overall quality of life. Meeting the criteria outlined in the SSA Listing 1.00F is essential to qualify for disability benefits. If you or a loved one are facing these challenges, it is advisable to consult with a medical professional and consider seeking guidance from a disability attorney or representative to navigate the complex process of applying for disability benefits.