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Independent doctor evaluation for back issues - What to expect at EDD's mandatory exam?

I've been on disability since February for chronic back problems (herniated disc, nerve compression, and moderate scoliosis). Yesterday I got a notice from EDD saying I need to see an 'independent medical examiner' to continue receiving my SDI benefits. This is really stressing me out! I can't stand or sit for more than 20 minutes without severe pain shooting down my leg, and I'm worried they'll just make me do a bunch of movements that will leave me in agony for days. Has anyone been through one of these independent exams for back issues? What kind of tests did they put you through? Did they try to 'catch you faking' or something? My doctor already submitted all my MRI results and treatment plan, so I don't understand why EDD is questioning my disability. I'm supposed to go next Tuesday and honestly I'm panicking about it. Any advice appreciated!

Eli Wang

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they do this randomly to make sure people arent milking the system. my brother went thru this last yr for his shoulder. just be honest about yr pain levels dont exaggerate but dont minimize either

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Nora Brooks

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That makes me feel a little better. Did they make your brother do a lot of physical tests? I'm so afraid they'll push me to do something that will cause a flare-up.

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Cassandra Moon

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I went through this process in 2024 for my lumbar issues. The independent medical exam (IME) is actually pretty thorough but not designed to be painful. The doctor will: 1. Review your medical records, including MRIs and doctor's notes 2. Ask about your daily activities and limitations 3. Perform some basic range of motion tests (they won't force you beyond your comfort level) 4. Test for muscle weakness and nerve issues with simple resistance exercises 5. Check your reflexes and sensation They understand these conditions are real and painful. Their job is to verify your limitations match your medical documentation. Just be honest about what you can and can't do. Don't try to "perform better" or "perform worse" than your actual condition. The exam typically takes 30-45 minutes. Let them know immediately if something is causing significant pain.

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Nora Brooks

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Thank you so much for breaking this down. I feel like I can prepare myself mentally now. Did they ask you to bend forward/backward? That's what causes the most severe pain for me, especially if I have to hold the position.

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Zane Hernandez

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When the EDD sent me to an IME for my back disability, the doctor was actually pretty understanding. They had me do some basic movements like bending (only as far as comfortable), walking a short distance, sitting and standing. They'll observe your movements just getting on and off the exam table too. Bring a copy of your latest MRI report and any treatment records. Wear comfortable clothes. If you use a cane or brace, bring it. Most importantly, TAKE YOUR PAIN MEDICATION as regularly scheduled before going - don't try to show up in extra pain to prove a point. The doctor will submit their findings to EDD within 1-2 weeks. If their assessment matches your treating doctor's, your benefits should continue without interruption.

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This is helpful! But when I had my IME last year they tried to get me to bend WAY further than I could! The doctor kept saying "just a little more" even when I was clearly in pain!!! I think these doctors are PAID to deny claims. My benefits got cut off even though I genuinely couldn't work! Had to appeal and everything!!!

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Ethan Scott

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OMG I went through this exact thing for my disability with degenerative disc disease!!! I was so nervous I could barely sleep the night before, but honestly it wasn't nearly as bad as I expected. The doctor was actually really nice and didn't make me do anything that hurt too much. Just be 100% honest about your pain and limitations, don't exaggerate but don't downplay either. One tip - write down all your symptoms and limitations BEFORE you go in because sometimes when you're nervous you forget to mention important stuff. Like how long you can sit/stand, if you need help with basic things like putting on shoes, whether you can lift a gallon of milk, etc.

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Nora Brooks

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Writing everything down is such a good idea! I definitely get flustered in medical appointments. Did they have you fill out any paperwork about your daily activities or was it just the physical exam?

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Lola Perez

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I had to go through this nightmare for my back injury. The so-called "independent" doctor works FOR EDD, not for you. They're looking for ANY reason to deny your claim. My experience was terrible - he barely looked at my MRIs and made me do movements that left me in excruciating pain for DAYS afterward. My best advice? Document EVERYTHING. Take someone with you as a witness if possible. Don't let them push you beyond your limits - firmly say NO if something is too painful. The minute I got home I wrote down everything that happened during the exam. And here's something else - if they cut off your benefits after this, don't give up! Appeal immediately. The whole system is designed to wear you down so you'll just give up.

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Cassandra Moon

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I understand your frustration, but my experience with EDD's independent exams has been quite different. While some doctors may be more thorough than others, the system isn't designed to automatically deny claims. The IME doctors are required to follow objective medical guidelines. I do agree with documenting everything and knowing your rights though - that's excellent advice for any medical appointment.

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Been trying to call EDD about something similar for weeks and keep getting disconnected! Finally used Claimyr (claimyr.com) and got through to an actual person in 20 minutes. They have a video showing how it works: https://youtu.be/1X-mEsLtbmQ?si=1hcSq3KFtCr4oAmd The agent I spoke with said these independent medical exams are pretty routine when disability claims go beyond 3 months. She also mentioned you can request to reschedule if you're having a particularly bad pain day. Definitely worth calling to understand your rights before the appointment.

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Nora Brooks

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Thanks for the tip! I've been trying to call EDD too but gave up after being on hold for 2+ hours. I'll check out that service because I do have some questions about what happens if the doctor disagrees with my regular physician.

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Eli Wang

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my wife sees somethin called a Qualified Medical Evaluator for her workers comp case for her back and its totally different than her normal dr. brings forms every time cuz they ask tons of questions about daily stuff, like can u vacuum or do laundry. be careful what u say cuz they write EVERYTHING down

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Nora Brooks

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That's good to know. I've been trying to keep a pain journal for the last week to track what activities cause flare-ups. Maybe I should bring that with me?

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Zane Hernandez

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Yes, definitely bring your pain journal! That's excellent documentation. For anyone dealing with these EDD independent medical exams, here are some practical tips: 1. Request a copy of the doctor's report afterward (you're entitled to it) 2. If the exam causes increased pain, see your regular doctor right after and have them document it 3. If possible, have the medical examiner note any medications you're currently taking 4. Be prepared to explain how your condition affects specific work tasks related to your job 5. If you disagree with the findings, you can have your treating physician submit a supplemental report The ultimate goal of SDI is to support you until you can return to work, so be honest about your recovery progress too.

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Ethan Scott

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This is super helpful - I wish I had known all this before my exam! One thing I'd add is to ask for breaks during the exam if you need them. I had to stand for too long waiting for the doctor and was already in pain before we even started. Speak up for yourself!

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