Peripheral Neuropathy and SSDI
Peripheral neuropathy — from diabetes, chemotherapy, or other causes — can qualify for SSDI when it severely limits motor function.
What the SSA Looks For
Peripheral neuropathy is evaluated under Listing 11.14. The SSA requires disorganization of motor function in two extremities causing extreme limitation in ability to stand/balance/walk, OR marked limitation in physical functioning plus marked limitation in one functional area.
Common Reasons Claims Are Denied
- Neuropathy affects sensation but RFC allows sedentary work with accommodations
- EMG/nerve conduction study not performed or results borderline
- Underlying cause (diabetes, chemotherapy) is the focus and neuropathy severity understated
- Bilateral limitations not adequately documented
How to Strengthen Your Appeal
EMG and nerve conduction studies are essential to objectively document the extent of nerve damage. Document bilateral involvement — neuropathy in both hands and feet creates more severe limitations than unilateral involvement. Fine motor limitations (handling, fingering) may eliminate sedentary jobs that require keyboard use or other fine manipulation.
Key Medical Evidence Needed
- EMG and nerve conduction study results
- Neurologist records documenting distribution and severity
- Documentation of balance problems and fall history
- RFC addressing fine motor limitations (handling, fingering, feeling)
- Records of treatment attempts (gabapentin, duloxetine, etc.) and response
Peripheral neuropathy — damage to the nerves outside the brain and spinal cord — can cause severe pain, numbness, weakness, and balance problems that prevent sustained work activity. The most common causes include diabetes, chemotherapy, autoimmune diseases, and idiopathic origins.
Fine Motor Limitations and Sedentary Work
Many SSDI claimants with lower extremity neuropathy are told they can do sedentary (desk) work. However, if neuropathy also affects the hands and fingers — causing numbness, weakness, or loss of fine motor control — keyboard use and other fine manipulation tasks may also be eliminated. Document upper extremity neuropathy thoroughly, as it closes the sedentary work option.
Balance and Fall Risk
Lower extremity neuropathy affecting proprioception can cause significant balance problems and fall risk. Document any falls, near-falls, or required use of assistive devices. A formal balance assessment or gait analysis from a physical therapist or neurologist strengthens this aspect of the claim.
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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