- Posts: 24
× Members
Pain and fatigue when walking
- Anne
- Topic Author
- Offline
Less More
1 year 8 months ago #279697 by Anne
Pain and fatigue when walking was created by Anne
I I have read that pain and fatigue are key factors. I have a PIP assessment next week and I am not sure how to Express that walking causes pain as it gets the cardiovascular system moving and pumps blood into my arms and hands which is very painful. Pain is invisible and easily dismissed. When I went for ESA three years ago that was dismissed and I was told that everybody has pain and given 0 points. At the tribunal I was moved to the support group from 0 points. I would like to avoid having to go through that again and wandered if you had any advice as to how to convey to the health assessor the extent of my pain. I have crps which is known to be the most painful condition known to Medical Science according to the McGill pain scale but this was ignored 3 years ago.
Please Log in or Create an account to join the conversation.
- Gary
- Offline
Less More
- Posts: 8213
1 year 8 months ago #279704 by Gary
Nothing on this board constitutes legal advice - always consult a professional about specific problems
Replied by Gary on topic Pain and fatigue when walking
Hi Anne
If you are in constant pain, you will need to try and explain how the pain affects you, what medication are you on and have you been referred to the pain clinic, if you have what was the outcome.
Quite often we hear from members who have been turned down as they were not in receipt of any pain medication, even though they informed that they were allergic to certain types of medication or they had not been referred to the pain clinic.
Reg 4(2)A Personal Independence Payment Regs 2013 stipulates that all Personal Independence Payment descriptor activities have to be done ‘reliably’ namely
Where [a claimant's] ability to carry out an activity is assessed, [the claimant] is to be assessed as satisfying a descriptor only if [the claimant] can do so -
(a) safely;
(b) to an acceptable standard;
(c) repeatedly; and
(d) within a reasonable time period.
Regulation 4(4) of the main PIP regulations provides -
a. "safely” means in a manner unlikely to cause harm to [the claimant] or to another person, either during or after completion of the activity;
b. "acceptable standard" - does it cause pain/exhaustion or fatigue - maybe you can't twist round far enough to reach everywhere
c. “repeatedly” means as often as the activity being assessed is reasonably required to be completed; and
d. “reasonable time period” means no more than twice as long as the maximum period that a person without a physical or mental condition which limits that person’s ability to carry out the activity in question would normally take to complete that activity.
All four of the above criteria need to be satisfied. In addition, Reg 7 provides that you need to consider what happens ‘on over 50 per cent of the days.'
CRPS may have been ignored as the assessor may have not known what CRPS was, I didn't so I looked it up; crps-uk.org, sometimes you need to send in information leaflets from a support group specialising in a condition such as CRPS, I would also reference McGill pain scale and add a link.
Gary
If you are in constant pain, you will need to try and explain how the pain affects you, what medication are you on and have you been referred to the pain clinic, if you have what was the outcome.
Quite often we hear from members who have been turned down as they were not in receipt of any pain medication, even though they informed that they were allergic to certain types of medication or they had not been referred to the pain clinic.
Reg 4(2)A Personal Independence Payment Regs 2013 stipulates that all Personal Independence Payment descriptor activities have to be done ‘reliably’ namely
Where [a claimant's] ability to carry out an activity is assessed, [the claimant] is to be assessed as satisfying a descriptor only if [the claimant] can do so -
(a) safely;
(b) to an acceptable standard;
(c) repeatedly; and
(d) within a reasonable time period.
Regulation 4(4) of the main PIP regulations provides -
a. "safely” means in a manner unlikely to cause harm to [the claimant] or to another person, either during or after completion of the activity;
b. "acceptable standard" - does it cause pain/exhaustion or fatigue - maybe you can't twist round far enough to reach everywhere
c. “repeatedly” means as often as the activity being assessed is reasonably required to be completed; and
d. “reasonable time period” means no more than twice as long as the maximum period that a person without a physical or mental condition which limits that person’s ability to carry out the activity in question would normally take to complete that activity.
All four of the above criteria need to be satisfied. In addition, Reg 7 provides that you need to consider what happens ‘on over 50 per cent of the days.'
CRPS may have been ignored as the assessor may have not known what CRPS was, I didn't so I looked it up; crps-uk.org, sometimes you need to send in information leaflets from a support group specialising in a condition such as CRPS, I would also reference McGill pain scale and add a link.
Gary
Nothing on this board constitutes legal advice - always consult a professional about specific problems
Please Log in or Create an account to join the conversation.
- Anne
- Topic Author
- Offline
Less More
- Posts: 24
1 year 8 months ago #279710 by Anne
Replied by Anne on topic Pain and fatigue when walking
Thank you ,I had sent an information leaflet in for my ESA 3 years ago but it was unfortunately ignored. I think I will try explaining at the start of the assessment verbally so it is highlighted. Thank you for your advice.
Please Log in or Create an account to join the conversation.
Moderators: Gordon, Gary, BIS, Catherine, Wendy, Kelly, greekqueen, peter, Katherine, Super User, Chris, David