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MMI impairment rate question
I received a copy of my impairment rate today.
doctor rated me as a 25% percent as a whole person.
I noticed he wrote down that I cannot sit or stand for 50% of a shift.
no lifting more then 10lbs,and that Iam a good candidate for rehab-training,what can I expect with this type or rating.?
honestly I would love to think that I will be able to do some kind of work, but after sitting down for 20 minutes or standing up.
I get those horrible cramps down my legs,and the pain.
is constantly there,thanks for your helpful info.
Is it a matter of sitting in any position, that you get the cramps???

I know that I have to sit in a chair that is about 4 inches higher than a normal chair. If I don't, my leg starts bothering me.
8-05, Micro laminectomy/disectomy. 10-05 lumbar fusion L5-S1. 2-07 exploritory surgery. 12-07 medical implant, Spinal Cord Stimulator. now receiving SSDI. After going back to school, I received my degree as a mechanical engineer. What can I say, it was the only way I had to beat the system. 
I would expect your final disability rating to be plus or minus 10 points of your WPI.
you already are aware of the voucher program so your expectations in that regard should be realistic.
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
Have you talked to the doctor / Surgeon about the cramps. As I know sometimes it can be solved with medication, and also even a simple Vitamin?
Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
mine is solved with a donut pillow you can buy at a medisave drugstore....I have to get a new one every 6 weeks or so but they are so worth it...
........I love cats, I just cant eat a whole one by myself......

Calcium is the very first mineral I think of when I hear night-time muscle cramps / charley-horse pain. Magnesium is also an important muscle food; it works with calcium -- the two minerals need to be in balance -- too much of one can lead to not enough of the other, and vice versa. Blood clots in the leg veins, varicose veins and other circulation problems can cause severe cramping and shooting pains in the calfs (calves??) as well, but it's usually experienced with walking and weight-bearing activity.

Calcium doesn't affect the muscles directly ... it's more of a "nerve" food ... it's required for the proper conduction of nerve impulses to and from the muscle tissue. Here's the scenario -- a nerve impulse is sent to a muscle causing it to contract. The impulse is then sent back to the nerve, and continues along the pathway, with calcium being a "carrier" in the fluid between the nerve cells. If calcium levels are low, the impulse isn't transmitted efficiently from nerve cell to nerve cell -- thus, the poor muscle stays in an uncomfortable state of contraction .. Sad ..

We've all been indoctrinated with women's need for calcium, and the risks of osteoporosis post-menopause (estrogen protects the bones). It's recommended pre-menopause adult women get 1000 mg per day of calcium, and 1500 mg per day post-menopause or over age 50. However, in the last 5 yrs, there's been considerable evidence that MEN over age 50 also need to pay attention to calcium intake --- osteoporosis and hip fracture are just as big a threat to senior men as to women. So, the recommendation is for 1000 mg per day for men as well.

Dairy products do indeed have a lot of calcium in them, but its not well-absorbed, despite the claims from the "Got Milk" commercials on TV. Dark green vegetables, almonds, tofu are good sources, and more readily absorbed. For a calcium supplement, avoid Tums or Rolaids. Yes, these have calcium in them (as well as lots of sugar) but the antacid can cause your stomach to not produce enough acid for proper digestion.

It's also worth noting that vitamin D is required in order for calcium to be absorbed into bone. We make our own vitamin D in response to bright sunlight passing through the skin ... minimum of one hour a day is required. This is fine in the summer, but if you're indoors a lot in winter, or there's little sunshine ... you might consider taking a supplement, such as cod liver oil. Vitamin D is added to liquid milk products, and dry skim milk powder, but milk is too high in carbs for a sufficient amount of the vitamin to be consumed. And cheese, cream, yogurt ... other dairy products ... do NOT have vit. D added. Adults up to age 50 need 200 units per day; over 50 yrs, the recommendation is 400 units.

Magnesium also plays a role in nerve impulses to the muscles, but is more important for strength and endurance. Low magnesium will result in muscle fatigue and weakness. Recommended 400 mg per day.

Most folks will do well with a calcium-magnesium supplement combined in a 2:1 ratio --- ie, twice as much calcium as magnesium. They often have vitamin D added. Look for a type of supplement that says it is chelated (key-late) .. the mineral is bound to a protein molecule which will increase its absorbability from the intestine. Calcium carbonate from crushed oyster shells or dolomite is poorly absorbed. Calcium and magnesium citrate, gluconate, lactate, etc ... are better sources.

It's better to divide the Cal-Mag into smaller doses through the day, with the final dose at bedtime .. Smile -- rather than one large dose at once (better absorption). Most supplements contain 333 mg calcium and 167 mg magnesium; 2 or 3 tablets a day should do the trick, depending on other sources of calcium in your diet.

Potassium is another important mineral. Especially with mentioning fluid retention ... does he have a touch o' high blood pressure too?? Adults need 1500 to 2000 mg per day of potassium, and unless he's eating tons of fruits and vegetables, there's a good chance he's "down a quart". The least expensive way to get extra potassium is to use a salt substitute, which you can buy in any grocery store right next to the regular salt. There's a product called Half Salt, which is obviously half salt, half potassium, but does have added sugar. Or, there's a product called No Salt, which is pure potassium. It's more expensive, around $4, but a canister will last a long time. I mix it with pure sea salt, for use at the table ... and it works just fine in cooking and recipes. If you don't use the salt shaker much ,,, what I do is stir 1/8 tsp of the pure No Salt into a glass of water. Drink it down. You can barely taste it (it's salty) 1/8 tsp is 320 mg potassium, or about the amount in a large banana. I take it twice a day. It will help relieve the fluid retention, especially if he drinks it with a full glass of water.

I think that supplementing these important minerals will help immensely, without the need for other herbs or drugs .. Smile

NOTE - persons with severe kidney disease, or taking certain blood pressure medications (ACE inhibitors - captopril, enalapril) should discuss taking potassium supplements with their health care provider first.
Reply's are intended solely for informational purposes. They are based on personal opinions, experience, or research and are "not to be taken as fact or legal advice", otherwise, always consult an attorney or a doctor.
thank you all, so much for your input
I will try the calcium.
Bad Boy Bad Boy Wrote:Have you talked to the doctor / Surgeon about the cramps. As I know sometimes it can be solved with medication, and also even a simple Vitamin?

yes doctor knows about the cramps, I have been taking,soma 350mg,
methocarbamol,750mg,norco 10/325mg for the past 2 years,
if I miss any of this medications,Iam in trouble!

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