If chronic migraines keep you from working, you may be eligible for Social Security Disability Insurance (SSDI). But many applicants are denied simply because migraines don’t appear on standard imaging like MRIs or CT scans. The good news? Objective imaging isn’t required to prove your disability—but you do need strong documentation and the right strategy.
Why Chronic Migraine Claims Are Often Denied
SSDI decisions rely heavily on medical evidence. For conditions like a herniated disc or cancer, imaging provides objective proof. But migraines are diagnosed primarily through patient-reported symptoms, which makes them harder to “see” from a bureaucratic standpoint.
Common reasons SSDI claims for migraines are denied include:
- Lack of imaging or lab results
- Inconsistent medical records
- Gaps in treatment history
- Lack of documentation about how migraines limit your daily functioning
How the SSA Evaluates Migraine Disability
The Social Security Administration (SSA) does not list migraines as a standalone condition in its Blue Book. Instead, they evaluate migraines under listings for neurological disorders or use a “medical-vocational allowance” to determine if your symptoms prevent you from working.
To qualify, you must show that your migraines:
- Occur frequently and consistently
- Are severe enough to impair concentration, vision, mobility, or stamina
- Prevent you from sustaining full-time employment
- Have not improved despite following treatment protocols
Strengthening Your SSDI Application Without Imaging
1. Keep a Migraine Diary
Record the frequency, duration, and severity of your headaches. Note triggers, symptoms, medications taken, and their effects. A detailed diary can provide insight into your daily limitations.
2. Consistent Medical Treatment
Regular visits to neurologists or headache specialists strengthen your case. SSA reviewers are more likely to take your claim seriously if you’ve pursued treatment and follow medical advice.
3. Use Third-Party Statements
Statements from family members, coworkers, or former supervisors can help demonstrate how migraines interfere with your ability to work, socialize, or function.
4. Submit a Residual Functional Capacity (RFC) Form
Your doctor can complete an RFC form that outlines how migraines limit your ability to sit, stand, focus, or interact with others. This form carries significant weight when no imaging evidence is available.
Proving Your Inability to Work
SSA doesn’t just look at whether you have migraines—they evaluate if your symptoms prevent you from doing any full-time work, even in less demanding jobs. That’s why your documentation should highlight:
- Days missed due to migraines
- Time spent lying down in a dark room
- Need for frequent breaks or unpredictable absences
- Side effects from medications (e.g., drowsiness, dizziness)
What to Do If Your SSDI Claim Was Denied
Don’t give up—many legitimate claims are denied on the first try. You have the right to:
- File an appeal within 60 days
- Request a hearing before an administrative law judge
- Submit additional evidence to strengthen your case
Having a legal advocate during the appeals process can significantly improve your chances of success.
How PLBH Can Help You Get Approved
At PLBH, we understand how disabling chronic migraines can be—especially when your symptoms aren’t visible on paper. Our SSDI attorneys know how to:
- Build persuasive applications and appeals
- Work with your doctors to prepare strong medical evidence
- Represent you at hearings and fight for the benefits you deserve
Call (800) 435-7542 today for a free, confidential consultation. You don’t need a brain scan to prove you’re suffering—just the right team behind you.