Lyme disease is a debilitating illness caused by the bite of a tick infected with the Borrelia burgdorferi bacteria. While some individuals recover with prompt treatment, others experience chronic symptoms that persist for months or even years. For those whose symptoms significantly impact their ability to work, Social Security Disability (SSD) benefits may offer financial relief. In this article, we’ll explore how Lyme disease can qualify for SSD benefits, the medical evidence required, and steps to strengthen your claim.

Your Ultimate Guide to Social Security Disability Benefits for Lyme Disease 

Understanding Lyme Disease and Its Long-Term Impact

Lyme disease often begins with flu-like symptoms, including fever, fatigue, joint pain, and a distinctive “bullseye” rash at the site of the tick bite. With timely antibiotic treatment, most people recover fully. However, some individuals develop Post-Treatment Lyme Disease Syndrome (PTLDS) or chronic Lyme disease, which can cause long-term health issues such as:

  • Chronic Fatigue: Persistent, overwhelming fatigue that makes even basic daily tasks difficult.
  • Severe Joint Pain and Swelling: Often in large joints, such as the knees, this pain can limit mobility.
  • Neurological Symptoms: Issues such as memory loss, difficulty concentrating (“brain fog”), and nerve pain.
  • Heart Problems: Lyme carditis, a rare but serious complication, can lead to irregular heartbeats and chest pain.
  • Mental Health Issues: Chronic illness can lead to anxiety, depression, and other mental health challenges.

For individuals with severe and long-lasting symptoms, these limitations can make maintaining employment nearly impossible.

Can Lyme Disease Qualify for Social Security Disability Benefits?

Yes, Lyme disease can qualify for Social Security Disability benefits if the condition meets the Social Security Administration’s (SSA) criteria for a disabling impairment. While Lyme disease does not have a specific listing in the SSA’s Blue Book, individuals may qualify under related categories, such as:

  1. Inflammatory Arthritis (Section 14.09): If Lyme disease causes severe joint pain, swelling, or deformities that limit mobility, it may qualify under this listing.
  2. Neurological Disorders (Section 11.00): Chronic neurological symptoms like neuropathy, memory loss, or difficulty concentrating can qualify under this category.
  3. Cardiovascular Disorders (Section 4.00): Complications such as Lyme carditis that impair heart function may qualify under cardiovascular listings.
  4. Chronic Fatigue Syndrome (Section 14.00): If fatigue is your primary symptom and significantly impacts daily functioning, the SSA may evaluate it under autoimmune or fatigue-related criteria.

If your condition doesn’t meet a specific listing, you may still qualify through a Residual Functional Capacity (RFC) assessment. The RFC evaluates your ability to perform work-related tasks, such as sitting, standing, walking, lifting, and concentrating. For individuals with Lyme disease, this assessment is crucial in demonstrating the extent of their limitations.

Required Documentation for SSD Benefits with Lyme Disease

Successfully applying for SSD benefits with Lyme disease requires thorough documentation to prove the severity and duration of your condition. Key documents include:

  • Medical Records: Detailed records of your Lyme disease diagnosis, treatment history, and progression of symptoms.
  • Laboratory Test Results: Positive blood tests, such as the enzyme-linked immunosorbent assay (ELISA) or Western blot, can confirm a Lyme disease diagnosis.
  • Treatment Records: Documentation of antibiotics, physical therapy, or other treatments, including your response to them.
  • Specialist Evaluations: Reports from neurologists, rheumatologists, or cardiologists who have treated complications of Lyme disease.
  • Functional Limitation Reports: Statements from your doctor describing how your symptoms limit your ability to perform work-related tasks.
  • Symptom Journal: A personal log of your symptoms, including how they affect your daily life and work capacity, can add valuable context to your claim.

Strengthening Your SSD Claim for Lyme Disease

To increase your chances of approval, follow these steps:

  1. Work with Your Healthcare Providers: Ensure your doctors understand the SSA’s requirements and can provide detailed, accurate records of your condition and limitations.
  2. Be Consistent with Treatment: Show that you’ve followed your doctor’s recommendations and pursued appropriate treatments.
  3. Document Flare-Ups: If your symptoms come and go, keep a record of flare-ups and their impact on your daily activities and ability to work.
  4. Seek Legal Guidance: SSD claims for Lyme disease can be complex, especially without a specific Blue Book listing. An experienced disability attorney can help ensure your application is complete and compelling.

Ready to file for Social Security Disability Benefits for Lyme Disease? Disability Associates is Here for You

If Lyme disease has made it impossible for you to work, applying for Social Security Disability benefits can provide financial stability and peace of mind. Disability Associates, LLC, led by attorney Tracey N. Pate, specializes in helping individuals navigate the complexities of the SSD process.

Our firm is dedicated exclusively to Social Security Disability law, giving us the expertise to handle cases involving chronic conditions like Lyme disease. We’ll work closely with you to gather the necessary evidence, complete your application, and guide you every step of the way. Contact us today to schedule a consultation and take the first step toward securing the benefits you deserve. With Disability Associates by your side, you can focus on your health while we focus on your claim.