Collecting Shoulder Disorders Disability Benefits Is A Reality

Shoulder disorders and injuries are challenging disabling conditions. How Can Disability Insurance Attorneys Dell & Schaefer Assist You?

As disability attorneys, Dell & Schaefer have represented numerous physicians and dentists that have been unable to work as a result of a shoulder disorder or injury. Most clients that we have represented with shoulder disorders became disabled as a result of either an acute shoulder injury or a chronic shoulder degenerative condition.

We often see that disability claimants attempt to continue working with a shoulder injury, but due to continuous pain with activity, they are forced to stop working. Furthermore we often find that claimants with shoulder injuries contemplate surgery but are often advised that that there is not a high likelihood of successful recovery with surgery. A disability claimant is not required to undergo shoulder surgery if it has been recommended.

Disability Attorneys Dell & Schaefer have an expansive understanding of the significant restrictions and limitations that a person suffering with a shoulder disorder must live with on a daily basis. We have worked closely with top physicians in order to sufficiently satisfy a disability carrier’s threshold of evidence necessary to prove that a client is disabled by a shoulder disorder.

Not everyone suffering with a shoulder injury qualifies for long-term disability benefits, therefore the medical records of each client must be reviewed to determine the level of restrictions. We welcome the opportunity to discuss your long-term disability claim. You can contact us for a free initial consultation.

What is a shoulder disorder?

shoulder pain disability claim

Shoulder pain is an extremely common complaint, and there are many common causes of this problem. The shoulder is the most movable joint in the body. However, it can be an unstable joint because of the range of motion allowed.

It is easily subject to injury because the ball of the upper arm is larger than the shoulder socket that holds it. To remain stable, the shoulder must be anchored by its muscles, tendons, and ligaments.

Some shoulder problems arise from the disruption of these soft tissues as a result of injury or from overuse or underuse of the shoulder. Other problems arise from a degenerative process in which tissues break down and no longer function well.

If you suffer from shoulder pain or limitation, some common causes include:

  • Bursitis – occurs when there is inflammation of the fluid-filled sac called the bursa that lies between a tendon and skin, or between a tendon and bone.
  • Calcific tendonitis is a condition of calcium deposits within a tendon, most commonly within the rotator cuff tendons. Treatment of calcific tendonitis depends on the extent of symptoms.
  • Frozen shoulder, also called ‘adhesive capsuliitis’ this is a common condition that leads to stiffness of the joint.
  • Labral tear. The labrum is cuff of cartilage that forms a cup and circles the shoulder socket. There are several patterns of a torn labrum and the type of treatment depends on the specific injury. The SLAP lesion is also a type of labral tear. The most common cause is a fall onto an outstretched hand. A Bankart lesion is a labral tear that occurs when a shoulder dislocates. Posterior labral tears are less common, but sometimes seen in athletes in a condition called internal impingement. In this syndrome, the rotator cuff and labrum are pinched together in the back of the shoulder.
  • Rotator cuff tears occur when the tendons of the rotator cuff separate from the bone.
  • Shoulder arthritis is less common than knee and hip arthritis, but in severe cases it may require a joint replacement surgery.
  • Shoulder dislocation is an injury that occurs when the top of the arm bone becomes disconnected from the scapula.
  • Shoulder instability is a problem that causes a loose joint. Instability can be caused by a traumatic injury (dislocation), or may be a developed condition.
  • Shoulder separation, also called an “AC separation”, it is the result of a disruption of the acromioclavicular joint. This is a separate injury from a dislocation.
  • Tendinitis – The tendons of the rotator cuff or the tendons of the biceps become inflamed and irritated. This is often a result of being pinched by surrounding structures.
  • A proximal biceps tendon rupture occurs when the tendon of the biceps muscle ruptures near the joint.

How the symptoms of a shoulder disorder can affect you

Shoulder pain may be localized or may be referred to areas around the shoulder or down the arm. Disease within the body such as the gallbladder disease, liver conditions, heart disease and disease of the cervical spine and neck also may generate pain that travels along nerves to the shoulder. In addition to the pain associated with a shoulder disorder a person may also suffer swelling and numbness of the shoulder.

shoulder disorder disability benefits claim

Limitations of range of motion and loss of strength are commonly seen with disabling shoulder conditions.

The first step in treating these conditions is to reduce pain and inflammation with rest, ice, and anti-inflammatory medicines such as aspirin, naproxen, ibuprofen and COX-2 inhibitors.

In some cases the doctor or therapist will use ultrasound therapy (gentle sound-wave vibrations) to warm deep tissues and improve blood flow. Gentle stretching and strengthening exercises are added gradually. These may be preceded or followed by use of an ice pack. If there is no improvement, the doctor may inject acorticosteroid medicine. While steroid injections are a common treatment, they must be used with caution because they may lead to tendon rupture.

If there is still no improvement after a period of time, the doctor may perform either arthroscopic or open surgery to repair damage to the shoulder.

Resources

There are many valuable sources of shoulder disorder information available. You can also access resources over the internet such as:

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Disability Company Reviews
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Showing 8 of 627 Reviews
Sun Life

What a mess

Reviewed by Unknown on September 12th 2023   Verified Policyholder | July 2020 date of disability
This place has no idea what day it even is. First they attach my claim to my previous claim in which was a new claim. They messed up and denied me then made me wait yet ag... read more >
Reply
Sent on September 12th 2023 by Attorney Gregory Dell

I am sorry to hear what you are experiencing. Make sure you deal with Sunlife writing and follow up every day. If you would like assistance please contact us.

Sedgwick

I was disabled 2003 by SS. I got SSDI 7 years too late.

Reviewed by Bunny on August 9th 2023   Verified Policyholder
I believe if Sedgwick would have moved on my Claim. They absolutely did everything not to answer my calls, change dates. I had already been through WV comp. Ins. Sold out,... read more >
MetLife

Only care about $$$$$

Reviewed by Allen Cox on August 8th 2023   Verified Policyholder | September 2013 date of disability
PLAY THEIR GAME FIGHT FIRE WITH FIRE.....after getting a copy of the insurance policy from my HR. I nipped a lot of the headaches quickly by calling their bluff word for w... read more >
Reply
Sent on August 8th 2023 by Attorney Gregory Dell

Allen,
Sorry to hear what you have been through. I am glad you fought back.

Sedgwick

They falsify documents and avoid contact as much as possible.

Reviewed by Jeff Allsop on July 27th 2023   Verified Policyholder | February 2023 date of disability
They avoided sending the documents needed for the claim for two weeks. I had to escalate with a call from my company's HR and Sedgwick (the only way I was ever able to get... read more >
Hartford

This company is a scam!

Reviewed by Hana K. on July 13th 2023   Verified Policyholder | December 2022 date of disability
The Hartford does not pay claims. The Hartford only collects premiums. The Hartford doesn’t care if you are terminally ill. I’ve been employed at my employer since 201... read more >
Lincoln Financial

My specialist took me out of work, but Lincoln Financial denied my claim on the grounds of not seeking consultation, which was never part of the original claim.

Reviewed by Marie on November 10th 2014   Verified Policyholder
My name is Marie. I’ve been out of work since Dec 2013 for a job related injury rotator cuff and carpal tunnel syndrome did not receive benefits until March 2014, then s... read more >
Reply
Sent on November 10th 2014 by Attorney Stephen Jessup

Marie, please feel free to contact our office if you would like to discuss how we can assist you in appealing the denial of your claim.

Reliance Standard

After receiving SSDI, Reliance Standard delayed their payment adjustment and I can't get a hold of my case worker.

Reviewed by MGW on December 2nd 2013   Verified Policyholder
I had both shoulders replaced in 2012. Reliance paid my STD and have been paying LTD for a year. Once I was approved for SSDI I sent them my reward letter and payment amou... read more >
Reply
Sent on December 2nd 2013 by Attorney Stephen Jessup

MGW, I would recommend filing a complaint with your state insurance commissioner for the delay and non-responsiveness from Reliance.

Reliance Standard

Reliance Standard should be paying for my STD claim, but they won't return my calls.

Reviewed by Mark on August 8th 2011   Verified Policyholder
Hi all, my name is Mark Ozimek, I was employed at Lehigh Heavy Forge which is the old Bethlehem Steel plant in Bethlehem PA. I was out for a shoulder operation for a rotat... read more >
Reply
Sent on August 8th 2011 by Attorney Gregory Dell

Mark, you should immediately communicate in writing with Reliance Standard about the current situation.

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