Sciatica is the most common symptom of compression of a nerve root of the lower spine, but nerve root compression can happen anywhere in the back or neck. Also called nerve root impingement, nerve root compression occurs when something like a bone spur, tumor, herniated disc pushes on the main nerves of the spine. Sciatic pain happens when a nerve root of the lumbar (lower) spine is compromised, and pain radiates down the sciatic nerve, which runs down both legs. This is called "lumbar radiculopathy."
When individuals have a compromised nerve root of the upper spine, often accompanied by facet arthritis, they may have pain in the neck, or pain in an arm and difficulty using their hand on that side, called "cervical radiculopathy."
Severe forms of radiculopathy can cause significant pain and limitations to your functional capacity, such as not being able to stand or sit for long periods. If you reach the point where you can't work, you can apply for disability benefits from the Social Security Administration. The fastest way to get disability benefits for back problems is to meet the requirements of Social Security's disability listing for disorders of the spine.
First, know that this is not an easy disability listing to "meet," and most claimants with neck or back pain and/or sciatica will not meet the listing. Not only do you have to have x-ray or MRI evidence of nerve root impingement, but you also have to have muscle weakness or atrophy and an inability to walk without help or to use your hands for fine and gross motor movements. When you read the complex requirements below, keep in mind that only 10% of claimants who are approved for back or musculoskeletal issues are approved through the listings (more on this below).
To qualify as disabled under this listing, you must have all of the following:
In addition, if the lower spine is where the nerve root is impinged, your medical records should show that you have a positive straight-leg raising test (lying down and sitting).
If there isn't enough evidence in your medical record to meet the above listing for nerve root compression—for example, because your treating doctor hasn't noted whether you have muscle weakness or a loss of deep tendon reflexes, or you're able to walk without an assistive device —you may still be able to win disability benefits through a "medical-vocational allowance." Social Security will assess your residual functional capacity, or RFC—what you can do in spite of the limitations caused by your back or neck condition—when making this type of medical determination.
If your back or neck pain causes significant limitations to your functional capacity, such as not being able to bend or stoop, not being able to stand or sit for long periods, or not being able to walk without crutches or a wheelchair, make sure these limitations are in your medical records. If these limitations make it impossible for you to perform any of your past relevant work or any other type of substantial work activity, you could win your disability through a medical-vocational approval. For more information on RFCs, see our article on reduced functional capacity due to back problems.
If you're applying for Social Security disability insurance (SSDI), you can file your entire claim online on Social Security's website. If you're not comfortable online, you can call Social Security at 800-772-1213 to start your claim. Most individuals filing for SSI only cannot file the whole application online, but they can get started on Social Security's website. For more information, see our article on applying for Social Security disability benefits.
Updated April 15, 2021