Back injuries are among the most common causes of disability in the United States. They can limit mobility, cause chronic pain, and make it difficult or even impossible to keep full-time employment. Whether caused by accidents, repetitive strain, degenerative conditions, or service-related injuries, back problems often create financial and emotional stress. Fortunately, government programs such as Social Security Disability Insurance (SSDI), Supplemental Security Income (SSI), and Veterans Affairs (VA) disability benefits provide support for those who qualify. 

This article explains what benefits are available for individuals with back injuries, what medical conditions may qualify, and how programs like Ticket to Work can help you return to employment when you are ready. 

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Social Security Disability Benefits for Back Injuries 

The Social Security Administration (SSA) offers two primary programs for individuals who cannot work due to back injuries. 

Social Security Disability Insurance (SSDI)

SSDI is available to individuals who have worked long enough and paid into Social Security through payroll taxes. If your back injury prevents you from engaging in substantial gainful activity (SGA) and is expected to last at least 12 months, you may qualify for monthly SSDI benefits. After receiving SSDI for 24 months, you may also become eligible for Medicare, which provides valuable health care coverage. 

Supplemental Security Income (SSI)

SSI provides monthly benefits to people with limited income and resources. Unlike SSDI, it does not require a work history. This makes SSI a crucial safety net for individuals with severe back injuries who have not accumulated enough work credits to qualify for SSDI. SSI recipients typically gain immediate access to Medicaid health coverage. 

Common Back Injuries That Qualify for Disability 

The SSA considers many types of spinal and back disorders when determining disability eligibility. Some of the most common include: 

  • Herniated discs: Occurs when the cushion between spinal vertebrae slips or ruptures, causing severe pain and nerve compression. 
  • Degenerative disc disease: A condition where discs in the spine break down over time, leading to chronic pain, stiffness, and reduced mobility. 
  • Spinal stenosis: Narrowing of the spinal canal that puts pressure on nerves, often causing pain, weakness, and difficulty walking. 
  • Scoliosis or spinal deformities: Abnormal curvature of the spine that restricts mobility and affects balance. 
  • Osteoarthritis of the spine: Inflammation and deterioration of spinal joints that limit daily activities. 
  • Vertebral fractures: Often caused by trauma or osteoporosis, fractures can severely limit motion and cause long-term pain. 
  • Sciatica from nerve root compression: Intense pain radiating down the leg due to nerve compression in the lower spine. 
  • Failed back surgery syndrome: Persistent pain and limitations even after surgical treatment. 

Not everyone with these conditions will automatically qualify. The severity, medical evidence, and impact on your ability to work are the deciding factors. 

Comparing SSDI, SSI, and VA Benefits 

The following chart highlights the key differences between the three main programs available for individuals with back injuries:

Program 

Eligibility 

Benefits Provided 

Health Coverage 

Additional Notes 

SSDI 

Must have sufficient work credits and paid Social Security taxes 

Monthly cash benefits based on earnings history 

Medicare eligibility after 24 months 

Includes work incentives like Trial Work Period and Ticket to Work 

SSI 

Limited income and resources, does not require work history 

Monthly cash benefits to cover basic needs 

Medicaid eligibility in most states 

Financial need is the primary factor 

VA Disability Benefits 

Must have service-connected back injury 

Monthly compensation based on disability rating 

Access to VA health care services 

May also provide vocational rehab and adaptive equipment 

How to Apply for Disability Benefits for Back Injuries 

Applying for disability benefits requires careful documentation. Whether applying for SSDI, SSI, or VA benefits, you will need: 

  • Medical records from physicians, orthopedic specialists, or neurologists 
  • Imaging results such as MRIs, CT scans, or X-rays that confirm spinal issues 
  • Documentation of treatments received, including surgeries, therapy, or medications 
  • Statements from medical professionals about your work limitations 
  • Employment and earnings history (for SSDI and VA applications) 
  • Proof of income and assets (for SSI applications) 

Applications can be submitted online, in person at a local Social Security office, or directly through the VA for veterans. Submitting detailed medical evidence increases the likelihood of approval and can help prevent unnecessary delays or denials. 

Work Incentives and the Ticket to Work Program 

A back injury does not always mean the end of employment. The SSA offers programs that allow you to attempt working again without losing benefits right away. 

  • Trial Work Period (TWP): Allows SSDI recipients to test their ability to work for at least nine months while still receiving full benefits. 
  • Extended Period of Eligibility (EPE): Provides a safety net for 36 months after the TWP, during which benefits can restart if income drops below SGA levels. 
  • Impairment-Related Work Expenses (IRWEs): Costs such as mobility aids, braces, or other medical devices related to your back condition can be deducted from your income when SSA evaluates your eligibility. 

The Ticket to Work program offers free services such as career counseling, job placement assistance, and ongoing employment support. This program helps individuals with back injuries safely explore employment options while protecting their benefits. 

Why Contact Us 

Navigating the SSA’s rules and the VA disability process can feel overwhelming, especially while coping with a painful back injury. We can provide support with every step, from preparing your application to exploring work incentives like Ticket to Work. We help individuals determine eligibility, gather medical evidence, and plan for long-term financial stability while returning to employment when ready. 

If you or someone you know is living with a back injury and needs help applying for disability benefits or exploring employment opportunities, you do not have to go through it alone.