SSDI Appeals Guide
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SSA Listing: 1.15 (Disorders of the skeletal spine)

Herniated Disc and SSDI

A herniated disc can qualify for SSDI if it compresses nerve roots and causes documented functional limitations. Here is what you need to prove.

Denied for Herniated Disc?
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What the SSA Looks For

The SSA evaluates herniated disc claims primarily under Listing 1.15, which requires evidence of nerve root compression with radiculopathy causing specific documented limitations. Most claims succeed via RFC if the listing is not met.

Common Reasons Claims Are Denied

  • MRI shows herniation but no documented nerve root compression with radiculopathy
  • Inconsistent treatment — not following prescribed physical therapy or medication
  • Claimant performs activities inconsistent with claimed limitations (social media, etc.)
  • SSA RFC allows light or sedentary work the claimant disputes

How to Strengthen Your Appeal

Get an EMG/nerve conduction study to objectively document radiculopathy. Have your treating neurologist or orthopedist complete a detailed RFC form. Document every functional limitation: numbness, weakness, inability to grip, inability to sit or stand.

Key Medical Evidence Needed

  • MRI showing disc herniation at specific levels
  • EMG/nerve conduction study showing radiculopathy
  • Neurologist or orthopedic surgeon RFC questionnaire
  • Records of nerve blocks, epidural injections, or surgical evaluations
  • Physical therapy records documenting functional decline

A herniated disc — where the soft inner nucleus of a spinal disc pushes through the outer ring — can cause severe, disabling pain, numbness, and weakness when it compresses nearby nerve roots. The SSA takes herniated disc claims seriously when backed by objective imaging and functional documentation.

Meeting Listing 1.15

To meet Listing 1.15 directly, you need medical documentation of:

  • Neuro-anatomic distribution of pain
  • Limitation of spinal motion
  • Motor loss (atrophy with muscle weakness or muscle weakness) accompanied by sensory or reflex loss
  • If lumbar spine: positive straight-leg raising test
  • AND: medically documented physical findings consistent with the impairment AND medical imaging showing herniation

Meeting this listing is difficult. Most successful claims go through the RFC/vocational allowance route.

The Role of Radiculopathy Evidence

Radiculopathy — nerve root damage causing radiating pain, numbness, or weakness — is the critical bridge between a herniated disc diagnosis and a disability finding. An EMG (electromyography) or nerve conduction study can objectively confirm radiculopathy and is often the most persuasive piece of evidence in these claims.

Talk to a Disability Attorney — Free Consultation

SSDI attorneys work on contingency — you pay nothing unless you win, and fees are capped at 25% of back pay (maximum $9,200 in 2025). Most offer free initial consultations.

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