Disability

Filing for Disability with Ehlers-Danlos Syndrome: What You Need to Know

Your step-by-step guide to understanding Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) in the United States.


Living with EDS can mean facing unpredictable symptoms, debilitating pain, and a loss of reliable function. If your condition makes it impossible to maintain full-time employment, you may qualify for disability benefits through the Social Security Administration (SSA).

But the process isn’t easy. Here’s what to expect—and how to improve your chances.


What Is Disability According to the SSA?

To qualify for SSDI or SSI, you must meet the SSA’s definition of disability:

“The inability to engage in any substantial gainful activity (SGA) due to a medically determinable physical or mental impairment that has lasted or is expected to last at least 12 continuous months or result in death.”

EDS is not explicitly listed in the SSA’s “Blue Book” of impairments, but you can still qualify by proving that your symptoms meet equivalent functional limitations under other listings, such as:

  • Musculoskeletal Disorders

  • Neurological Conditions (POTS, chronic migraines)

  • Cardiovascular Issues

  • Autoimmune/Immune disorders (if MCAS overlaps)

  • Mental health impacts (anxiety, PTSD, depression)


Types of Disability Benefits

SSDI (Social Security Disability Insurance)

  • For those who have worked and paid into Social Security for 5 out of the last 10 years

  • Based on your work history and earnings

  • Includes Medicare eligibility after 24 months

SSI (Supplemental Security Income)

  • For low-income individuals with limited resources and no work history

  • Income and asset limits apply

  • Includes Medicaid eligibility

You may qualify for both SSDI and SSI depending on your situation.


Key Requirements to Apply

✔ Medically Determinable Impairment

You must have documented diagnosis and symptoms from licensed healthcare providers. For EDS, this includes:

  • Official diagnosis (ideally from a geneticist, rheumatologist, or specialist)

  • Clinical evidence of joint instability, pain, fatigue, organ dysfunction

  • Co-occurring diagnoses (POTS, MCAS, fibromyalgia, etc.)

✔ Functional Limitations

You need to prove how your condition prevents you from working. This can include:

  • Inability to sit or stand for long periods

  • Needing frequent unscheduled breaks

  • Pain interfering with concentration (cognitive dysfunction or “brain fog”)

  • Missed work due to flares, ER visits, or doctor’s appointments

Functional reports from physical therapists, occupational therapists, and your own statements matter.


Steps to Apply for Disability

1. Gather Your Medical Records

  • At least 12 months of detailed documentation

  • Include diagnoses, symptoms, test results (e.g., tilt table for POTS, MRIs)

  • Get letters from doctors explaining your limitations in daily function

2. Apply Online or In Person

3. Complete the Function Report

This is a written questionnaire where you explain how your condition affects daily living, work, memory, fatigue, and ability to care for yourself.

Take your time and be specific and honest.

4. Wait for the Decision (3–6 months)

Most first-time applications are denied. If this happens, don’t panic—you have appeal rights.

5. Appeal if Denied

The appeal process includes:

  • Reconsideration

  • Administrative Law Judge (ALJ) hearing

  • Appeals Council

  • Federal Court

Hiring a disability attorney is strongly recommended (they only get paid if you win, from your back pay).


Tips to Strengthen Your Application

  • Include co-occurring diagnoses (POTS, MCAS, IBS, migraines, ADHD, PTSD)

  • Ask your provider for a Residual Functional Capacity (RFC) form

  • Keep a symptom and flare journal

  • Track missed workdays, medical visits, and functional limitations

  • Be consistent across all forms and interviews


Helpful Resources

Filing for disability is not giving up. It’s getting the support you’re entitled to so you can focus on managing your health. EDS is often misunderstood by systems that weren’t designed for fluctuating or invisible illnesses—but you don’t have to go through the process alone. Let this be your starting point. And if you’re denied—fight back. Many EDS patients win on appeal with the right documentation and advocacy.

THE Best Resources for Disability Claims When You Have a Connective Tissue Disorder

  1. Designed for your attorney to leverage for specifics written and reviewed by multiple EDS medical experts to provide support to your case. https://www.nationalacademies.org/our-work/selected-heritable-disorders-of-connective-tissue-and-disability
  2. Watch the EDS Empower Hour video interview with one of the experts Dr Eric Singman who was a participant writing the above report on how to use the guide. https://youtu.be/RvqZCYFoHbk
  3. Read our patient guide with the basics of how to file for disability and the things to watch our for in this guide: https://eds411.forento.app/downloadables/222

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