St. Louis Work Comp Attorney Provides Information Regarding Carpal Tunnel Surgery

May 16th, 2009

See full size image

During open carpal tunnel release surgery, the

An incision is made at the base of the palm of the hand. This allows the doctor to see the transverse carpal ligament. After the ligament is cut, the skin is closed with stitches. The gap where the ligament was cut is left alone and eventually fills up with scar tissue.

See a picture of

If you have open carpal tunnel release surgery, you usually do not need to stay in the hospital. It is usually done under

What To Expect After Surgery

transverse carpal ligament is cut, which releases pressure on the median nerve and relieves the symptoms of carpal tunnel syndrome.open carpal tunnel release surgery.local anesthetic and you can go home on the same day.

After surgery, the hand is wrapped. The stitches are removed 10 to 14 days after surgery. You may be directed to wear a splint for several weeks. The pain and numbness may go away right after surgery or may take several months to subside. Try to avoid heavy use of your hand for up to 3 months.

When you return to work depends on whether the dominant hand (the hand you use most) was involved, on your work activities, and on the effort that you put into rehabilitative physical therapy.

  • If you have surgery on your nondominant hand and do not do repetitive, high-risk activities at work, you may return to work within 1 to 2 days, although 7 to 14 days is most common.
  • If you have surgery on your dominant hand and do repetitive activities at work, you may require 6 to 12 weeks for a full recovery before you can return to previous work duties. Physical therapy may speed your recovery.

Why It Is Done

Open carpal tunnel surgery is considered when:

  • Symptoms are still present after a long period of nonsurgical treatment. In general, surgery is not considered until after 3 to 12 months of non-surgical treatment. But this assumes that you are having ongoing symptoms but no sign of nerve damage. Nerve damage would make surgery more urgent.
  • Severe symptoms (such as persistent loss of feeling or coordination in the fingers or hand, or no strength in the thumb) restrict normal daily activities.
  • There is damage to the median nerve (shown by nerve test results and loss of hand or finger function), or a risk of nerve damage.
  • Tumors or other growths need to be removed.

How Well It Works

Most people who have surgery for carpal tunnel syndrome have fewer or no symptoms of pain and numbness in their hand after surgery. More than 70 out of 100 people are satisfied with their results, and as many as 90 out of 100 people have no night pain after surgery.

In rare cases, the symptoms of pain and numbness may return (the most common complication), or there may be temporary loss of strength when pinching or gripping an object, due to the cutting of the transverse carpal ligament.

If the thumb muscles have been severely weakened or wasted away, hand strength and function may be limited even after surgery.

Risks

1

The risk and complication rates of open surgery are very low. Major problems such as nerve damage happen in fewer than 1 out of 100 surgeries (less than 1%). There is a small risk that the median nerve or other tissues may be damaged during surgery. After open surgery, recovery may be slower than after endoscopic surgery, and there may be some pain in the wrist and hand. You may also have some tenderness around the scar. There are also the risks of any type of surgery, including possible infection and

What To Think About

2risks of general anesthesia. But most open carpal tunnel surgery is done with local anesthesia or regional block rather than with general anesthesia.

Open carpal tunnel surgery cuts open the base of the palm and requires a longer recovery period than endoscopic surgery. Painful scar tissue may be more likely to develop after open surgery than after endoscopic surgery.

Both endoscopic and open carpal tunnel release have benefits and risks. Studies do not show that one procedure is better than the other. Talk to your doctor about your options.

Complete the

32 Should I have surgery for carpal tunnel syndrome? surgery information form (PDF)

PDF document?)

Citations

  1.  
  2.  
  3.  

Katz JM, Simmons BP (2002). Carpal tunnel syndrome. New England Journal of Medicine, 346(23): 1807–1812.Scholten RJPM, et al. (2007). Surgical treatment options for carpal tunnel syndrome. Cochrane Database of Systematic Reviews (4).Ashworth N (2007). Carpal tunnel syndrome, search date December 2006. Online version of BMJ Clinical Evidence. Also available online: http://www.clinicalevidence.com.

Author Shannon Erstad, MBA/MPH
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman, MATC
Primary Medical Reviewer William M. Green, MD – Emergency Medicine
Specialist Medical Reviewer Patrick J. McMahon, MD – Orthopedics
Specialist Medical Reviewer David Pichora, MD, FRCSC – Orthopedic Surgery
Last Updated October 29, 2008

Is Joint Pain Limiting Your Life? What is Carpal Tunnel Syndrome? RA or OA: How to Tell the Difference Carpal Tunnel Syndrome Health Center Topic Overview Health Tools Cause Symptoms What Happens What Increases Your Risk When To Call a Doctor Exams and Tests Treatment Overview Prevention Home Treatment Medications Surgery Other Treatment Other Places To Get Help Related Information References Credits Arthritis Find a Physical Therapist Office Ergonomics Pain Management Rheumatoid Arthritis Videos RA Quiz: How to Protect Your Joints 7 Carpal Tunnel Syndrome Symptoms 4 Ways to Ease Wrist Pain Are You Depressed? Check Your Symptoms. What’s Causing Your Joint Pain? Do You Need a Physical Therapist?48x48_do_you_need_a_physical_therapist.jpgWatch VideoLies Women Tell Their DoctorsSwine Flu: What Are Symptoms of Swine Flu?Are Chemicals Making You Fat?Farrah Fawcett Fights Anal CancerHeartburn: How It Can Be StoppedThe Biggest Loser DietBest Allergy Relief ProductsWhat’s Your Skin’s Real Age?Masturbation: 5 Things You Didn’t KnowWhat Causes Depression?Carpal Tunnel Syndrome: Are You at Risk? Arthritis Health Center Anxiety Symptom Control Atherosclerosis? BPH Treatment Cord Blood Stem Cells Depression Med for You? Fibromyalgia Center Good & Bad Fats Heart Healthy Choices High Blood Pressure? High Cholesterol? Important Pregnancy Tip Men’s Urinary Health Treating Depression Type 2 Diabetes? When Pain Is Fibro Pain Stopping Allergies|Depression Symptoms|10 Places Germs Hide|Vitamins & Supplements Center|Get a Greener, Cleaner Home|Tune Into RAtv

Open carpal tunnel surgery for carpal tunnel syndrome

During open carpal tunnel release surgery, the transverse carpal ligament is cut, which releases pressure on the median nerve and relieves the symptoms of carpal tunnel syndrome.

An incision is made at the base of the palm of the hand. This allows the doctor to see the transverse carpal ligament. After the ligament is cut, the skin is closed with stitches. The gap where the ligament was cut is left alone and eventually fills up with scar tissue.

See a picture of open carpal tunnel release surgery.

If you have open carpal tunnel release surgery, you usually do not need to stay in the hospital. It is usually done under local anesthetic and you can go home on the same day.

What To Expect After Surgery

After surgery, the hand is wrapped. The stitches are removed 10 to 14 days after surgery. You may be directed to wear a splint for several weeks. The pain and numbness may go away right after surgery or may take several months to subside. Try to avoid heavy use of your hand for up to 3 months.

When you return to work depends on whether the dominant hand (the hand you use most) was involved, on your work activities, and on the effort that you put into rehabilitative physical therapy.

  • If you have surgery on your nondominant hand and do not do repetitive, high-risk activities at work, you may return to work within 1 to 2 days, although 7 to 14 days is most common.
  • If you have surgery on your dominant hand and do repetitive activities at work, you may require 6 to 12 weeks for a full recovery before you can return to previous work duties. Physical therapy may speed your recovery.

Why It Is Done

Open carpal tunnel surgery is considered when:

  • Symptoms are still present after a long period of nonsurgical treatment. In general, surgery is not considered until after 3 to 12 months of non-surgical treatment. But this assumes that you are having ongoing symptoms but no sign of nerve damage. Nerve damage would make surgery more urgent.
  • Severe symptoms (such as persistent loss of feeling or coordination in the fingers or hand, or no strength in the thumb) restrict normal daily activities.
  • There is damage to the median nerve (shown by nerve test results and loss of hand or finger function), or a risk of nerve damage.
  • Tumors or other growths need to be removed.

How Well It Works

Most people who have surgery for carpal tunnel syndrome have fewer or no symptoms of pain and numbness in their hand after surgery. More than 70 out of 100 people are satisfied with their results, and as many as 90 out of 100 people have no night pain after surgery. 1

In rare cases, the symptoms of pain and numbness may return (the most common complication), or there may be temporary loss of strength when pinching or gripping an object, due to the cutting of the transverse carpal ligament.

If the thumb muscles have been severely weakened or wasted away, hand strength and function may be limited even after surgery.

Risks

The risk and complication rates of open surgery are very low. Major problems such as nerve damage happen in fewer than 1 out of 100 surgeries (less than 1%). 2 There is a small risk that the median nerve or other tissues may be damaged during surgery. After open surgery, recovery may be slower than after endoscopic surgery, and there may be some pain in the wrist and hand. You may also have some tenderness around the scar. There are also the risks of any type of surgery, including possible infection and risks of general anesthesia. But most open carpal tunnel surgery is done with local anesthesia or regional block rather than with general anesthesia.

What To Think About

Open carpal tunnel surgery cuts open the base of the palm and requires a longer recovery period than endoscopic surgery. Painful scar tissue may be more likely to develop after open surgery than after endoscopic surgery. 3

Both endoscopic and open carpal tunnel release have benefits and risks. Studies do not show that one procedure is better than the other. 2 Talk to your doctor about your options.

Should I have surgery for carpal tunnel syndrome?

Complete the surgery information form (PDF) (What is a PDF document?) to help you prepare for this surgery.

Citations

  1. Katz JM, Simmons BP (2002). Carpal tunnel syndrome. New England Journal of Medicine, 346(23): 1807–1812.
  2. Scholten RJPM, et al. (2007). Surgical treatment options for carpal tunnel syndrome. Cochrane Database of Systematic Reviews (4).
  3. Ashworth N (2007). Carpal tunnel syndrome, search date December 2006. Online version of BMJ Clinical Evidence. Also available online: http://www.clinicalevidence.com.
Author Shannon Erstad, MBA/MPH
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman, MATC
Primary Medical Reviewer William M. Green, MD – Emergency Medicine
Specialist Medical Reviewer Patrick J. McMahon, MD – Orthopedics
Specialist Medical Reviewer David Pichora, MD, FRCSC – Orthopedic Surgery
Last Updated October 29, 2008

WebMD Medical Reference from Healthwise

Last Updated: October 29, 2008
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.

St. Louis Attorney Notifies Disability Claimants That Benifits May Soon Increase

May 15th, 2009

Obama: Entitlement Changes Key To Budget Health
Obama Says Social Security Disability Part Of Broad Review Of Entitlement Programs

RIO RANCHO, N.M., May. 14, 2009
E-Mail Story
Print Story
Below is a recent article regarding the possibility that disability benifits may soon increase.

(AP) President Barack Obama says he likes the idea of increasing income limits for those receiving Social Security disability payments, but also says it costs money.

Obama on Thursday told a town hall-style meeting in New Mexico that he is open to giving federal disability payments to more people. But he said it has to be part of a broader review of government entitlements, such as Medicare and Medicaid.

He says changing entitlement programs is a major piece in his plan to rein in federal spending. He says his team is going through the budget line by line to eliminate waste.

Obama says that disability claims have gone up during the economic downturn.
submitted by Jeff Swaney FREE CONSULTATION 314-481-7778

St. Louis Social Security Disability Attorneys Face Tough Obstacles:How Long Before I Get My Hearing?

May 15th, 2009

(CBS) This is the first part of a CBS News investigation into Social Security disability benefits.

——————————————————————————–
Below is an article from CBS News investigating the Social Security System. St. Louis Lawyers and their clients know the problems all to well.I hope you find the following to be informative.
Each year, millions of people who are disabled from an accident or disease turn to the federal government for Social Security disability payments – a benefit that every worker who is declared disabled is eligible to receive. It’s a 51-year-old government insurance program – a lifeline of sorts – that every worker pays for through that line-item on their pay stub, known as FICA.

But a two-month CBS News investigation reveals that safety net may not be there when you need it most.

“I always figured that I’d die in a fiery car wreck or something, never that I’d be disabled,” 33-year-old Scott Watson told CBS News chief investigative correspondent Armen Keteyian.

Two years ago, a failed surgery left Watson with a fracture in his spinal cord. It turned his life upside down, leaving him unable to work in his job as a broadcast engineer.

“Everybody says, ‘You gotta have a positive attitude,’” Watson said. “You know, and I say, ‘Well, I am positive. I’m positive this is the end,’ you know. I mean it’s not going to get better.”

Declared disabled by the state of Maryland, Watson was told he was “shoo-in” when he applied for federal disability last year, only to be turned down three months later on the grounds, according to federal guidelines, he wasn’t disabled enough. Watson appealed, and was denied again.

He’s one of 27,000 Maryland residents – 68 percent of all those who applied – to suffer such a fate.

Overall, two out of every three people who apply for federal disability benefits are rejected by a government agency that critics say is out of date, underfunded, and incapable of serving the exploding number of disabled Americans. Waiting times for a hearing in some cities are more than three years.

Linda Fullerton, an advocate for the disabled, told Keteyian: “I have people all the time writing to me, saying they are suicidal.”

Fullerton’s online support site is home to one horror story after another.

Reading from emails, she said: “Had to file bankruptcy to keep home. Losing home with four children.”

A two-month CBS News investigation has found that over the last two years, at least 16,000 people fighting for disability benefits died while awaiting a decision.

Overall, the backlog of cases now stands at 750,000 – up 150 percent since 2000.

People wait an average of 520 days for a hearing on their claims.

People like Jerry Rice, who calls an abandoned tool shed home. When we found Rice, who suffers from mental illness, he’d been waiting for three years for his day in court.

“So. Jerry, this is how it ends up for you?” Keteyian asked.

“This is how it is,” Rice replied. “I hope it’s not how it ends up.”

But he believes he deserves the disability?

“I’m not asking them to give me welfare,” Rice said. “I’m just asking them to give me what they promised. Yeah, I deserve it.”

“It’s a mess from the time you apply – till the time you get a hearing,” said attorney John Hogan, who has represented thousands of folks in Atlanta, the backlog capital of the nation.

“We’re the furthest behind of any area of the country, it could take 2.5 years to get your hearing,” Hogan said.

——————————————————————————–

Missouri “Work Comp” Laws Frustrate Attorneys Representing Injured Workers

May 12th, 2009

Missouri Workers’ Compensation Laws have frustrated St. Louis attorneys for years, but now St. Louis lawyers are probably more frustrated than ever. Since “reform” took place a few years ago, insurance  companies and some employers have become more aggressive in choosing their tactics. Drug testing provisions have resulted in reports of threats. Injured employees are often told “if you decide to make a Missouri Workmans Compensation Law” claim, I’ll have to fire you if your drug test comes back positive for marijuanna.In addition, some bussinesses have set up bonuses for workers contingent upon no injuries being reported. Employers have a legal obligation to report job injuries, but the system is set up to intimidate workers who will be pressured into lying and putting their claims through health insurance in order to be a “team player.” The employers health insurance coverage is not set up to handle injuries which should be covered as Missouri “work comp claims”. Additionally, under workers’ compensation reform, once you file for unemployment benifits , you cannot claim “workmans’ comp” benefits for the same period. Under the old law, if you were terminated and injured and you were trying claim TTD benefits, you could collect unemployment, but would have to reimburse Missouri Unemployment Compensation if you proved that you were owed TTD for the same period. Now,in this bad economy, an insurance company can “starve out” the employee by finding a flimsy reason for denying a case and forcing the employee to make an election, thereby forfeiting Missouri work injury benefits. Not only does the employee lose out, but Missouri Unemployment loses their reimbursement. Furthermore, employees often receive bogus denial letters from insurance companies on claims that are clearly compensable. Many trusting workers, especially those lacking education, are hoodwinked by people who know better. What a frustrating time for Missouri Workers’ Compensation lawyers who care about injured workers’ rights. By Jeff Swaney FREE CONSULTATION 314-481-7778

Live In Illinois,But Hurt In St.Louis:St. Louis Lawyer Discusses What You Need To Know About Work Comp

May 6th, 2009

We have represented countless workers who live in Illinois, but who are hurt in St. louis or other places in Missouri. There is often causes confusion as to the legal rights and benifits which can be obtained. The problem is that you may be listening to a friend or relative who is telling you about their own experience. If they had an Illinois claim and you have a missouri claim, their advice can result in painful consequences. First of all, if you are employed in St. Louis and you were injured in St. Louis and you were hired in St. Louis, then you have only a Missouri case. If this is not the case, then an experienced attorney can tell you if you may be able to take advantage of “dual jurisdiction”. Keep in mind that the insurance company selects your doctor in Missouri work comp cases, but you can select your own doctor in Illinois. Listening to a neighbors advice can result in being stuck with medical bills in a Missouri case. On the otherhand, not taking advantage of “dual jurisdiction” can result in being stuck with a doctor that you could have fired. Always consult an attorney who handles work comp cases in both states. by  Jeff Swaney  FREE CONSULTATION 314-481-7778

St. Louis Social Security Disability Attorney Discusses Applying for Social Security Disability Benefits

March 11th, 2009

When someone becomes disabled, starting the process of filing for Social Security Disability benefits can be overwhelming.  You should expect to fill out numerous forms and questionnaires.  You can start the process in one of two basic ways.  You can look up the site for the Social Security Administration and begin your application online.  For some, this may be preferable because it gives you time to think and carefully consider your answers to the questions that are being put forth. 

On the other hand, you may decide that you would prefer to go to the local Social Security office and have someone assist you with your application.  This may result in some inconvenience and you may end up waiting for quite some time before you are helped.  You may also feel rushed, but if you have a good assistant working with you, then you may ultimately be glad that you took the extra time.  At some offices, you can call ahead in order to schedule an appointment.  This may be preferable to just walking in and catching an assistant who isn’t having a good day. 

Once you have filed the application, one of the problems is that no one seems to be directly responsible for your claim.  You can contact the Social Security Administration and you will likely talk to a number of different people.  While many of these individuals will do the best that they can in order to be helpful, they are basically looking up information on a computer and they are usually not personally familiar with your case.  One thing to keep in mind, the individuals who are helping in the application process are not the decision-makers when it comes to your case.  Frustrated individuals often want to blame the assistant who is helping them .  The decision-makers at the initial stage of review are insulated from contact and the people who are on the front lines are simply trying to give you status information which they may be finding on their computer. 

If your case is denied initially, it is important that you understand that you have 60 days in order to file an appeal.  At this stage, you can obtain a face-to-face hearing with an Administrative Law Judge who will give your case a fresh look.  You may decide to go it alone, or you can obtain the services of an experienced attorney.  If you win, you may be drawing disability benefits for the rest of your life.  It seems that going it alone perhaps means that you can save yourself a little money if you are successful, but if you lose, you may be forfeiting years of benefits which you would have obtained if you had a better understanding as to how to present your case.

When you enter the Social Security office, you should be prepared to provide them with a list of all of your doctors and hospitals, including their addresses and the reason that they are treating you.  The disability examiner will ultimately want to request all of these records.  If you have a good relationship with your treating doctors, you should tell them to expect requests for information and perhaps a disability questionnaire from the Social Security Administration.  Your doctor should understand that the Social Security Administration will be interested in the work restrictions which he provides.  You can also offer lay evidence which might consist of letters from friends, or a letter from your former employer. 

I know that the intitial paperwork can be overwhelming, but do not put off filing your claim because you may have to wait a considerable amount of time before a decision is made.

Submitted by:     Jeff Swaney

Free Consultation:  (314) 481-7778

St. Louis Social Security Disability Lawyer Discusses What You Can Expect at Your Disability Hearing

March 11th, 2009

At our office, we typically meet with individuals after their disability has been denied by the government.  We will usually set up an initial appointment in order to go over all of the pertinent information regarding the individual’s claim.  As an attorney, my starting point is looking at the denial.  This gives me information as to the basis of the government’s denial of the claim and it tells me whether the only issue is disability, or whether there are other issues such as eligibility for benefits.  In the initial interview, I  like to find out the names of all of the treating doctors and hospitals and I can then compare the decision that was made by the government in order to see whether they have obtained all of the records, or whether there may be important missing records. 

By the end of the initial interview, I have made a determination as to whether the case is winnable and what the appropriate strategy is going to be.  We will then file our Request for Hearing, along with some other forms which are required by the Social Security Administration.  We additionally take a look at whether other records need to be requested and we attempt to obtain a copy of the Social Security Disability file which is now on a computer disk. 

Eventually, the case will be set for a hearing.  There is usually between 30-90 days notice and we like to set up another appointment in the office in order to go over all of the questions that are likely to be asked and to further plan strategy. 

In some cases, we will find individuals who, because of their financial circumstances, have not been seeing any doctors regularly.  We may recommend medical services through a facility that treats low-income individuals.  This may help to provide us with further evidence of the individual’s disability.  As a lawyer, when I prepare an individual for their hearing, I need to make sure that their testimony is consistent with every form that  they have ever signed, questionnaire they have filled out, and every statement that they have made to a doctor.  Sometimes there will be statements that appear on the surface to be contradictory, but really aren’t.  For example, I recall one client who said that he would walk 45 minutes at the mall for exercise.  However, upon further questioning, he did so by breaking up his walk into 10 minute segments and was normally out of breath and in pain by the time he finished.  He was determined to try to do his best to get some exercise, but he suffered greatly.  It is important to get your arms around these apparently contradictory statements which simply need to be further explained. 

Finally the big day comes when the case is set for hearing.  There are two main offices in the St. Louis area.  One is located in Creve Coeur and the other office is in downtown St. Louis.  You will be assigned a judge and each judge has their own record and reputation in terms  their approval rates.  Each judge also has a different style in terms of the approach that they may take under differing circumstances.  A lawyer who is familiar with the reputations of the various judges will have a better chance of knowing how to present your case.

Some judges will take control of the hearing by starting out with questions that they want to have answered first.  Other judges will allow the attorney to approach the case based on the format that he or she has set up with his client.  Still other judges will let the attorney lead off with the questions, but will frequently interrupt with questions of their own.  As an attorney, I prepare differently based upon which type of judge I am going to encounter.

The determination as to which judge is assigned to your case will not be determined until you receive your hearing notice. Sometimes a judge may be ill or other circumstances may occur which cause a last minute reassignment. As an attorney, it is important to be able to quickly readapt.

During the course of the hearing, a Hearing Assistant will be recording everything that is said on a tape recorder.  Just like anywhere else, judges vary in friendliness, temperment, attention to detail, and their desire to take in testimony.  As an attorney, I find that it is important to recognize that the judge’s time is important.  Being prepared helps the judge because it results in efficiently presenting sharp, crisp, clean testimony.  Unprepared testimony often sounds rambling and unfocused and it is difficult for a judge to get his or her arms around testimony which is undefined and sloppy.  Expect that the judge will most likely want to hear all of the testimony within a 30 to 40 minute period.   If time allows, there may be room for some additional elaboration and some hearing may last for about an hour and a half.  Your attorney should be able to explain to you what the basic strategy is with respect to trying to win your claim.  A judge does not want to hear everything about you, but only what is important.  Minor “problems” such as broken toes and fingers, or, for example, frequent nasal congestion, should be left out in order to make time for things that matter. 

Most judges will not say how they are going to rule at the end of the hearing.  There are occasions when a judge may seem negative, but will ultimately rule in your favor.  There may be other cases where the judge seemed friendly, but didn’t think that your claim warranted approval.  There are also some instances in which a judge will take time at the end of the hearing to tell the claimant that he is going to approve the claimant’s case.  This is done in order to alleviate anxiety on the part of the claimant.  There are also cases where the judge may be on the fence and wants to thoroughly review all of the evidence and exhibits before making a final determination. 

Whenever a judge finally rules on your case, there will be a decision in writing that will be mailed to you and your attorney.  The decision can either be fully favorable, partially favorable, or it could be a denial.  A partially favorable decision often occurs in cases where the judge finds that there may be a long period of disability, but ultimately believes that the claimant recovered and is capable of working.  Whenever you get your decision, you should contact your attorney in order to make sure that you understand the judge’s ruling. 

Submitted by:    Jeff Swaney

Free Consultation:    (314) 481-7778   �CBS NEWS STORY ABOUT SOCIAL SECURITY DISABILITY
 http://www.cbsnews.com/video/watch/?id=3713125n

St. Louis Social Security Disability Attorney Discusses the Problems of Working While You are Applying for Disability Benefits

March 11th, 2009

Many individuals who contact my office are severely disabled, but are working when they contact me.  They often have questions as to whether or not they can work and collect Social Security Disability benefits.  The purpose of this article is to address that question. 

First of all, you cannot be working full-time, regardless of how disabled you are, and receive Social Security Disability benefits.  By virtue of working full-time and earning a significant income, you are proving that you are not disabled.  In order to have a chance to recover Social Security Disability benefits, you must either stop working, or have your hours reduced.  We do not recommend reducing your hours just to apply for benefits, but this should only be done by those who truly are disabled.  However,there are many individuals who may damage their health if they continue working and there are others who are so disabled that they risk further injury. 

Under the present law, a person can work as long as their income is not defined as “substantial gainful activity”.  If you earnless than $980.00 a month before taxes in 2009, you can apply and potentially receive Social Security Disability benefits.  If you are earning more than the amount which Social Security defines as substantial gainful activity, regardless of how severely disabled you are, then you  will not be eligible for benifits.  The amounts that Social Security defines as constituting substantial gainful activity can change from time to time.  Consequently, it is important to check with the Social Security Administration in order to make sure that you are under the appropriate amount.  In fact, you can continue working, even while you are on disability, provided that you do not exceed the amount that you are allowed to earn. 

It should be understood, however, that the Social Security Administration can look at the type of work that you are doing in order to determine whether they believe you are disabled.  If you are working ten hours a month, but you are a jackhammer operator, they may contend that your work is rigorous and is inconsistent with your claim.If you work full-time, but for a short period, a judge may classify this as an “unsuccessfu work attempt.” 

If you decide that you are going to reduce your hours, or leave your employment, you must keep in mind that it may be quite some time before a decision is ultimately rendered in your case.  If the decision is favorable, then you may have gone through a lot of financial hardship, even though you will eventually begin receiving benefits.  On the other hand, Social Security operates by stringent standards and, if you are not approved, you may never be in a position to make up the lost income which you received. 

Submitted by:    Jeff Swaney

Free Consultation -  (314) 48l-7778

St. Louis Injury Attorney Discusses Putting The “Personal” Back In Personal Injury

January 22nd, 2009

As an attorney handling Car Accident Injury cases, “Work Comp” cases and Social Security Disability claims, I find it challenging to balance the demands which are made on my time.  First, it is important to accomplish results.  As an attorney, you may be a nice guy, but you were hired to accomplish the best possible result for your clients.  This requires meticulous attention to detail.  Every day pages and pages of medical records run across my desk for review.  In addition, time needs to be made to think through a game plan for determining how each case needs to be approached.  You must be more prepared than your opponent, and not paying attention to detail can cause heartache to an attorney, or perhaps, even worse, a heart attack!  Also, a lot of time must be spent when legal research needs to be done.  Secondly, time has to be spent reading and keeping up with developments in your field because the law is constantly changing and being reinterpreted by the courts.  When you meet with someone, they aren’t interested in what the state of the law was six months ago, they want to know how good their case is now.   Thirdly, it takes time to manage your own personnel,  to make sure that you are complying with all of the requirements of running a law office, and to evaluate the directions and trends in your field.  After all, you must manage people, pay their salaries and benefits, pay your taxes and make sure that you are in compliance with numerous requirements of running a law office.  Fourthly, you must allow time for evaluating new cases and meeting with new people.  Unfortunately, what is often missing is giving personal attention to clients.  There is no easy way to put the “personal“ back in personal injury claims.  It requires a consistent effort to take time out of every busy day in order to report back to the people who are placing their trust in you.  Any true personal injury attorney will only get this done working long days, including weekends.  In short, the only way to put the personal in personal injury  is through dedication and hard work.  Come to think of it, this is no great secret and it is the common ingredient in all successful businesses.  So the question is “Is your attorney too busy to call you back?” Submitted by Jeff Swaney FREE CONSULTATION 314-481-7778

St Louis Bankruptcy Attorney Welcomes Fair Debt Cases

January 14th, 2009

St. Louis bankrupcy attorney, Robert Healey, has helped countless numbers of clients with Chapter 7 and Chapter 13 bankruptcy filings over a number of years. In conjunction with helping clients with debt relief, he has launched an aggressive Fair Debt Collections practice aimed at curtailing harassment and abusive practices. Many debtors are unaware of their rights to collect money damages when they are the victims overzealous and unethical practices. Our goal is to educate people of their rights and to obtain compensation where appropriate. Visit our website for more information. FREE CONSULTATION 314-481-7778