Fibromyalgia is eligible for disability benefits
Chronic pain> severe disability
1. The most important things in a nutshell
In the case of chronic pain, the pension office can determine a degree of disability (GdB). It is usually based on the underlying disease. So that people with disabilities can participate equally in professional and social life, there are so-called disadvantage compensations for them.
2. Degree of disability for chronic pain
2.1. Determination of the degree of disability
When determining the degree of disability (GdB), the pension office follows the "medical care principles". These contain reference values about the level of the GdB or the degree of damage consequences (GdS) and can be found in the "Supply Medicine Ordinance" at the Federal Ministry of Labor and Social Affairs at www.bmas.de> search term: "K710".
The GdB / GdS for chronic pain is usually based on the underlying disease as well as at the functional impairment caused by the pain. The values given in the GdB / GdS table include the pain that is usually present and experience has shown that particularly painful conditions are taken into account.
However, if, depending on the location and extent of the pathological changes, there is evidence of pain beyond the usual level, which requires medical treatment, higher values can be set. That comes with, for example Causalgia and with strongly pronounced Stump discomfort after amputations (stump nerve pain, phantom pain). A phantom feeling alone does not require a GdS.
If the state of health worsens after the GdB has been determined or if there is another permanent restriction, an application for an increase in the GdB can be submitted to the pension office.
People with disabilities who have a GdB of at least 50 are considered severely disabled and can apply for a severely handicapped ID in which the GdB and, if applicable, marks are entered.
2.2. Example of facial neuralgia
Facial neuralgia (e.g. trigeminal neuralgia)
GdB / GdS
light (rare, slight pain)
0 – 10
moderate (more frequent, mild to moderate pain, can be triggered by even minor stimuli)
20 – 40
severe (frequent severe pain or pain attacks that occur several times a month)
50 – 60
particularly severe (severe persistent pain or pain attacks several times a week)
70 – 80
2.3. Example vascular diseases
Arterial occlusive diseases, arterial occlusions on the legs (even after recanalizing measures)
GdB / GdS
with sufficient residual blood flow, pulse failure without discomfort or with minor discomfort (paresthesia in the calf and foot when walking quickly) on one or both sides
0 – 10
with restricted residual blood flow (intermittent claudication) stage II:
30 – 40
50 – 60
70 – 80
Pain after walking a distance of less than 50 m with pain at rest (stage III) including trophic disorders (stage IV) on one side
Pain after walking a distance of less than 50 m with pain at rest (stage III) including trophic disorders (stage IV) on both sides
90 – 100
2.4. Other pain disorders
GdB tables on other diseases that may be associated with chronic pain can be found under the following articles:
Breast cancer> severe disability
IBD> severe disability
CHD> severe disability
Migraine> Severe disability
Kidney disease> Severe disability
Parkinson's> severe disability
Prostate cancer> severe disability
Rheumatism> severe disability
3. Assistance and compensation for disadvantages for people with disabilities
Anyone who has received a GdB from the pension office can, under certain conditions, take advantage of the following help and compensation for disadvantages:
The following table gives an overview of all GdB-dependent compensation for disadvantages: Table for compensation for disadvantages.
4. Related links
Services for people with disabilities
Degree of disability
Chronic Pain> Treatment and Rehabilitation
Chronic Pain> Exercise and Exercise
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