Disability Alabama Guide
Living with hidradenitis suppurativa, also known as HS, is not just painful—it can be completely debilitating. If HS has stolen your ability to earn a living, you are not alone, and you may be entitled to Social Security disability benefits.
What Is Hidradenitis Suppurativa?
Hidradenitis suppurativa is a chronic inflammatory skin disease characterized by painful lumps, abscesses, and scarring that form in areas where skin rubs together—such as the armpits, groin, buttocks, and under the breasts.
It is caused by blocked hair follicles and an overactive immune response, not poor hygiene, and there is currently no cure.
Stage I
Single or multiple abscesses without tunneling or scarring.
Stage II
Recurrent abscesses with limited tunneling and scarring, affecting one or more areas.
Stage III
Widespread disease with multiple interconnected tunnels and significant scarring.
Does the SSA Consider HS a Disability?
Yes. The Social Security Administration evaluates hidradenitis suppurativa under Listing 8.06 in its official Blue Book of impairments.
To meet this listing, your medical records must document extensive skin involvement with abscesses, sinuses, or fistulas affecting at least two body areas, with an inability to be controlled by treatment.
Important:
Severe HS cases may qualify for faster review through the SSA’s Compassionate Allowances program.
SSDI
Social Security Disability Insurance is based on your work history and the Social Security taxes you’ve paid. If you’ve worked enough credits, you may qualify regardless of income or assets.
SSI
Supplemental Security Income is a need-based program for people with limited income and resources who have not earned enough work credits. Some applicants qualify for both programs.
How to Qualify: What the SSA Looks For
Meeting Listing 8.06 is the fastest path to approval, but even if your HS does not technically meet the listing, you can still be approved based on your Residual Functional Capacity, or RFC.
An RFC is a detailed assessment of what you can and cannot do physically due to your condition. The more clearly your records document how HS limits your daily functioning, the stronger your claim.
Dermatologist records documenting diagnosis, Hurley Stage, and treatment history
Documentation of failed treatment attempts, including antibiotics, biologics, or surgery
Records of flare frequency and duration
Evidence of difficulty sitting, standing, walking, or maintaining hygiene
Employer or supervisor statements about absences or job performance issues
Mental health records if HS has caused or worsened depression or anxiety
Why HS Claims Get Denied—and How to Fight Back
Despite HS being a recognized disability, many initial claims are denied. A denial is not the end. Most approved disability claims go through at least one appeal.
Insufficient medical documentation
Gaps in treatment
Failure to meet Listing 8.06 technically
Missing the RFC argument
An experienced disability attorney knows how to build the medical record, present the RFC argument, and prepare you for a hearing before an Administrative Law Judge.
How an Alabama Disability Lawyer Can Help
Navigating the SSA system is complex, and the stakes are too high to go it alone. A disability attorney in Alabama can help you strengthen your HS claim from the start.
- Gather and organize the right medical evidence
- Identify whether you qualify under Listing 8.06 or on RFC grounds
- File appeals promptly if you receive a denial
- Prepare you for hearings before an Administrative Law Judge
- Work with your treating physicians to strengthen RFC documentation
No upfront cost:
Disability lawyers work on contingency, meaning you pay nothing unless you win.
Frequently Asked Questions About HS Disability Claims
How long does an HS disability claim take?
Initial decisions typically take 3 to 6 months. If denied and you appeal, expect 12 to 18 months before an ALJ hearing in Alabama. Severe HS cases that qualify under Compassionate Allowances may be approved much faster.
Can I get disability for Stage I HS?
It is difficult but not impossible. Stage I HS generally does not meet Listing 8.06, but if it severely limits your ability to work, you may still qualify through an RFC evaluation.
What if I’m working part-time?
You may still qualify. The SSA uses a threshold called Substantial Gainful Activity. Part-time work can sometimes support your case by showing that full-time employment is not possible.
Do I need a doctor’s letter to apply?
You do not need a special letter to apply, but strong supporting documentation from your treating dermatologist is critical. An attorney can help ensure those records contain the clinical detail the SSA needs.
Ready to Find Out If You Qualify?
If you or someone you love is struggling to work because of hidradenitis suppurativa, you do not have to navigate the Social Security system alone.
An experienced Alabama disability lawyer can review your case, assess your options, and help you build the strongest possible claim—at no upfront cost to you.
