Muscular dystrophy (MD) is a term used to define a group of genetic muscle diseases that cause the muscles to suffer irreversible damage. Most people with MD eventually become confined to a wheelchair and often experience muscular contracture, a condition that causes the limbs to curl inward. MD can affect the eyes, mouth, heart, and lungs (which causes sufferers to experience difficulty swallowing and breathing), and some people with MD also have mental impairments.
Although there is no cure, medications and therapy can be used to help with some symptom of MD. The prognosis depends on the type of MD the individual suffers from.
If the symptoms of your muscular dystrophy meet the requirements of the Social Security Administration’s (SSA) disability listing for MD (listing 11.13), you will be automatically approved for disability. There are two alternate sets of requirements in the SSA’s listing.
The first is that you have severe and ongoing “disorganization” of your ability to use your muscles in two of your extremities (arms or legs) that causes chronic difficulty with your ability either to stand up from a seated position, to balance while standing or walking, or to use your arms affectively.
Individuals with MD often have difficulty using their muscles to stand, walk, or lift items, reach, type, or perform activities of daily living like cooking, cleaning, getting dressed, or shopping. This can result from any of the following:
Alternately, if your muscular dystrophy causes cognitive, communicative or social problems, you may be able to qualify under the second set of requirements. You must have “marked” (more than moderate) physical problems along with a marked limitation in any one of the following:
In order to prove that your MD meets the listing requirements above, you must provide the SSA with medical records that relate to the diagnosis and treatment of your disease. Examples of relevant records are:
The more information you provide to the SSA at the beginning of the application process, the more quickly you will be approved.
Even if the SSA doesn't find that your MD meets the listing requirements for muscular dystrophy, you can still win your claim for disability. If you are an adult, the SSA will decide whether it thinks you can still do your old job despite your MD, and if not, whether there is any other work you can still do. If the SSA determines there is no other work you can do in light of your symptoms, your claim will be approved.
To determine if there is work you could perform, the SSA will prepare a residual functional capacity assessment (RFC). An RFC is a detailed report that describes what limits you have on your ability to perform work-related activities in light of your documented symptoms. For example, some forms of MD can cause severe weakening of the pelvic, back, and shoulder muscles, yet doesn’t entirely prevent the sufferer from performing activities of daily living and light work. An RFC for a person with these symptoms would reflect significant restrictions on lifting, carrying, pushing, or pulling even minimal weight. This limitation would prevent a person from performing many jobs.
MD can also cause significant respiratory problems. If you have developed difficulty breathing as result of your MD, your RFC would probably state that you are unable to work in environments that expose you to extreme temperatures, dust, pollution, or excessive moisture. This restriction would prevent you from working in most industrial or agricultural positions; this would eliminate more jobs.
You should ask your doctor to prepare an RFC, or medical source statement, for you. It is important, however, that your doctor give a detailed opinion about your ability to work and that it be based on objective symptoms and limitations documented in your medical records; otherwise, the SSA will give the RFC little weight.
Once it has completed your RFC, the SSA will use a vocational analyst to determine if there are remaining jobs that you can do with your skills set and education. For more information on how the SSA will use its own RFC and your doctor's RFC to decide whether there are any remaining jobs you can do, see our section on RFCs.
In addition to the medical requirements, in order to be approved for disability you cannot earn more than about $1,200 per month from working. Also, your MD must prevent you from earning that amount for at least 12 months. On top of that, each of the two disability programs run by Social Security has its own eligibility requirements:
SSDI. SSDI is available to people who have a significant work history with employers who paid taxes to the SSA. For more information, see our section on SSDI.
SSI. SSI is a need-based disability benefit available to people who have not worked enough to be eligible for SSDI. SSI has both income and asset limits. To learn more about qualifying, see our section on SSI.