CHARLES E. BINDER, Magistrate Judge.
Plaintiff filed applications for Social Security Disability Income Benefits (DIB) and Supplemental Security Income (SSI) benefits on February 24, 2011, alleging that she had been disabled and unable to work since September 26, 2009, at age 31, due to back pain, bilateral carpal tunnel syndrome, depression and generalized anxiety. Benefits were initially denied by the Social Security Administration. A requested
Claimant was 34 years old at the time of the administrative hearing (TR 48). She had been graduated from high school, and had been employed as a cosmetologist, bartender and waitress during the relevant past (TR 44-47, 57). Claimant testified that back pain prevented her from sitting, standing or walking for prolonged periods (TR 39). Spinal surgery and pain medications allegedly proved ineffective in reducing her back pain (TR 37, 39-40). Other impairments which prevented Plaintiff from returning to work included bilateral carpal tunnel syndrome, mental depression and periodic panic attacks (TR 41-44). Claimant's spent most of her time at home doing some light housecleaning and caring for her young daughter (TR 53-54, 62-63).
A Vocational Expert (VE), Jessica Christensen, classified Plaintiff's past work as light, unskilled activity (TR 65). The witness explained that there would not be any jobs for claimant to perform if her testimony were fully accepted
The Administrative Law Judge found that Plaintiff was impaired as a result of low back pain, obesity, depression and anxiety. Claimant did not have an impairment or combination of impairments severe enough to meet or equal the Listing of Impairments. The ALJ determined that Plaintiff remained capable of performing a reduced range of light work that did not involve frequent stair, ladder or ramp climbing. She would not need to walk more than 15 minutes at one time, nor would she be exposed to unprotected heights or moving machinery. The Law Judge accommodated claimant's mental limitations by restricting her to jobs where she would only have to remember, understand, and carry out simple instructions. She would have no more than occasional interaction with supervisors, co-workers or the general public. The ALJ found that Plaintiff retained the residual functional capacity to perform a significant number of light jobs, within those limitations, as identified by the Vocational Expert (TR 12-23).
Pursuant to 42 U.S.C. § 405(g), this court has jurisdiction to review the Commissioner's decisions. Judicial review of those decisions is limited to determining whether her findings are supported by substantial evidence and whether she employed the proper legal standards.
In determining the existence of substantial evidence, the court must examine the administrative record as a whole.
Plaintiff maintains that substantial evidence does not support a conclusion that she remains capable of performing a limited range of light work activity. She also argues that her back impairment was severe enough to meet the Listing of Impairments, and that the ALJ did not properly consider the disabling nature of her carpal tunnel condition. Finally, Plaintiff maintained that the ALJ improperly discounted the disability opinion from her treating psychiatrist. Defendant counters that the claimant retains the residual functional capacity for a reduced range of light work because the objective clinical evidence of record did not confirm the disabling nature of her joint pain or mental difficulties.
After review of the record, I suggest that there is substantial evidence on the record supporting the Commissioner's conclusion that Plaintiff retained the residual functional capacity for a restricted range of light work. The medical evidence, as a whole, fails to provide objective support for Plaintiff's allegations of severe and totally disabling functional limitations stemming from her joint pain, depression or anxiety.
Plaintiff initially alleges that the ALJ erred by not finding that her back condition severe enough to meet section 1.04 of the Listing of Impairments. The Listing of Impairments describes, for each of the major body systems, medical illnesses which are considered severe enough to prevent a person from doing any gainful activity. 20 C.F.R. § 404.1525(a) (2015). The regulations provide that when a claimant can prove that she suffers from an impairment that meets the duration requirement (12 months) and is listed in Appendix 1, the Commissioner must automatically find the claimant disabled, and should not go on to consider the claimant's age, education and work experience. 20 C.F.R. § 404. 1520(d) (2015). A claimant will not be found disabled under a listing, however, if there is a failure to satisfy any one of the criteria established for a particular impairment.
Section 1.04A requires evidence of a disorder of the spine (such as a herniated nucleus pulposus, spinal stenosis, osteoarthritis, degenerative disc disease, facet arthritis, or vertebral fracture) resulting in the compromise of a nerve root or the spinal cord. There must also be evidence of nerve root compression characterized by neuro-anatomic distribution of pain, limitation of motion in the spine, and motor loss (atrophy with associated muscle weakness or muscle weakness alone) accompanied by sensory or reflex loss. If the lower back is involved, a positive straight leg raising test is required. See 20 C.F.R., Pt. 404, Subpt. P, App. 1, 1.04A.
I suggest that the medical evidence fails to demonstrate that her spinal impairment met or medically equaled
Contrary to Plaintiff's assertion, the ALJ properly determined that claimant's bilateral carpal tunnel syndrome was not a severe impairment. Specifically, claimant must show that one or more impairments "significantly limit your physical or mental ability to do basic work activities. . . ." 20 C.F.R. §§ 404.1520, 416.920. In addition, a disabling impairment must have lasted or be expected to last at least 12 months. 20 C.F.R. §§ 404.1509, 416.909. In the instant case, Plaintiff testified that her recent left arm surgery had been successful, and that she was planning right arm surgery when fully healed (TR 41-42). There appears to be no carpal tunnel references in the record before October 2011, when claimant was initially diagnosed (TR 605-609). She had surgery in September 2012, less than a year later (TR 1092, 1097). Thus, substantial evidence supports the ALJ's findings of no significant work-related limitations meeting the duration requirement.
The ALJ also took into consideration the fact that Plaintiff's depression and anxiety were brought under control with medications (TR 310, 312, 493). In August 2010, claimant reportedly was functionally independent in all areas of daily living, self-care, socialization and communication (TR 477). She was able to care for her elderly parents, and her mental status appeared normal (TR 475, 479). The treating psychiatrist, Dr. Harold Lenhart, indicated that claimant's depression and anxiety worsened whenever she stopped taking her medications (TR 600-601, 653). However, her symptoms improved once she started taking the medications as prescribed. One therapist even noted that claimant "now realizes she should never have stopped them." (TR 599). Nevertheless, the Law Judge accommodated claimant's mental limitations by restricting her to jobs where she would only have to remember, understand, and carry out simple instructions. The ALJ further determined that she would have no more than occasional interaction with supervisors, co-workers or the general public in order to reduce the chances of panic attacks.
Plaintiff relies heavily upon the fact that Dr. Lenhart stated that she was disabled, and exhibited marked limitations in social functioning and concentration (TR 1080-1085). It is well settled that opinions of treating physicians should be given greater weight than those of one-time examining doctors retained by the government.
It is the rare case, indeed, the exception, in which every piece of evidence points incontrovertibly toward a decision to deny benefits. There is evidence in the record which, taken in isolation, might suggest that the Plaintiff was totally disabled and that her testimony was fully credible. However, special deference is owed to the credibility findings of the ALJ, who was the only one who had the opportunity to observe the demeanor of the witness, evaluate what was said and how it was said, and to consider how that testimony fit in with the rest of the medical evidence. Such observation is invaluable and should not be discarded lightly.
By establishing that she could not return to her past relevant work, the Plaintiff here effectively shifted to the Commissioner the burden of proving that she had the vocational qualifications to perform alternative jobs in the economy, notwithstanding her various impairments. The Commissioner, however, met his burden of proving the existence of jobs which accommodated claimant's known restrictions. In response to a hypothetical question that took into consideration claimant's educational and vocational background, along with her significant impairments
In sum, the Commissioner's decision to deny benefits was within the range of discretion allowed by law and there is simply insufficient evidence for the undersigned to find otherwise. Accordingly, Plaintiff's Motion for Summary Judgment should be denied, that of Defendant granted and the instant Complaint dismissed.
The parties to this action may object to and seek review of this Report and Recommendation, but are required to act within fourteen (14) days of service of a copy hereof as provided for in 28 U.S.C. § 636(b)(1). Failure to file specific objections constitutes a waiver of any further right of appeal.
Within fourteen (14) days of service of any objecting party's timely filed objections, the opposing party may file a response. The response shall address specifically, and in the same order raised, each issue contained within the objections.