Is a GDS post permanent

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 e.g. with 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:

 
  • Pain on one or both sides after walking a distance in the plane of more than 500 m

20

  • Pain on one or both sides after walking a distance of 100–500 m on the plain

30 – 40

  • Pain on one or both sides after walking a distance of 50–100 m on the level

50 – 60

  • Pain on one or both sides after walking a distance in the plane of less than 50 m without pain at rest

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

80

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 aids 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

Counselor pain

Handicap guide

Services for people with disabilities

Degree of disability

Pension office

Chronic pain

Chronic Pain> Treatment and Rehabilitation

Chronic Pain> Exercise and Exercise