WILLIAM M. SKRETNY, District Judge.
1. Plaintiff Daniel James Fellner challenges the determination of an Administrative Law Judge ("ALJ") that he is not disabled within the meaning of the Social Security Act ("the Act"). Plaintiff alleges that he has been disabled since December 1, 2013, due to back pain and anxiety. Plaintiff contends that his impairments render him unable to work, and thus, that he is entitled to disability benefits under the Act.
2. Plaintiff applied for Title II Social Security Disability ("SSD" or "DIB") benefits on May 2, 2014, alleging a disability onset date of December 1, 2013. The Commissioner denied his claim on August 1, 2014. Almost three years later, on January 1, 2017, ALJ Eric Glazer held a hearing at which Plaintiff appeared with counsel and testified. Thereafter, on May 12, 2017, the ALJ denied Plaintiff's application for SSD benefits. Plaintiff then sought review by the Appeals Council, which denied his request on December 29, 2017. Plaintiff timely filed the current action on February 23, 2018, challenging the Commissioner's final decision
3. On October 15, 2018, Plaintiff filed a Motion for Judgment on the Pleadings under Rule 12(c) of the Federal Rules of Civil Procedure. (Docket No. 11.) On December 10, 2018, Defendant filed a Motion for Judgment on the Pleadings. (Docket No. 14.) Plaintiff filed a reply on December 28, 2018, at which time this Court took the motions under advisement without oral argument. (Docket No. 15.) For the following reasons, Plaintiff's motion is granted, Defendant's motion is denied, and this case is remanded to the Commissioner for further proceedings.
4. A court reviewing a denial of disability benefits may not determine de novo whether an individual is disabled.
5. "To determine on appeal whether an ALJ's findings are supported by substantial evidence, a reviewing court considers the whole record, examining the evidence from both sides, because an analysis of the substantiality of the evidence must also include that which detracts from its weight."
6. The Commissioner has established a five-step sequential evaluation process to determine whether an individual is disabled under the Act.
7. The five-step process is as follows:
8. Although the claimant has the burden of proof on the first four steps, the Commissioner has the burden of proof on the fifth and final step.
9. In this case, the ALJ made the following findings with regard to the five-step process set forth above: (1) Plaintiff has not engaged in substantial gainful activity since December 1, 2013, the alleged onset date (R. at 16
10. Plaintiff argues that remand is required because the ALJ failed to properly evaluate his credibility. This Court agrees for two reasons: the ALJ failed to properly consider Plaintiff's activities of daily living and failed to afford substantial credibility to Plaintiff's testimony based on his long work history. Remand is therefore required to allow for a proper credibility determination.
11. Credibility determinations are generally reserved to the Commissioner, not the reviewing court.
12. The Commissioner has established a two-step process to evaluate a claimant's testimony regarding his symptoms:
13. In evaluating an individual's symptoms,
SSR, 16-3P at *10.
14. "At the first step in the credibility analysis, plaintiff's allegations need not be substantiated by medical evidence, but simply consistent with it. The entire purpose of section [ ] 404.1529 . . . is to provide a means for claimants to offer proof that is not wholly demonstrable by medical evidence."
15. If the ALJ determines that the claimant is impaired, he must then evaluate the intensity, persistence, and limiting effects of the claimant's symptoms. If the claimant's statements about his symptoms are not substantiated by objective medical evidence, the ALJ must make a finding as to the claimant's credibility.
16. If a claimant's contentions are not supported by objective medical evidence, the ALJ must then consider the following factors to determine the claimant's credibility: (1) the claimant's daily activities; (2) the location, duration, frequency, and intensity of the pain; (3) precipitating and aggravating factors; (4) the type, dosage, effectiveness, and side effects of any medications taken to alleviate the pain; (5) any treatment, other than medication, the claimant has received; (6) any other measures the claimant employs to relieve the pain; and (7) other factors concerning the claimant's functional limitations and restrictions as a result of the pain.
17. Here, at the first step of the credibility analysis, the ALJ found that Plaintiff's medically determinable impairments could reasonably be expected to cause the alleged symptoms. (R. at 19). But at the second step, the ALJ found that "the claimant's statements concerning the intensity, persistence and limiting effects of these symptoms are not entirely consistent with the medical evidence and other evidence in the record for the reasons explained in this decision," which are the reasons Plaintiff challenges. (
18. The ALJ discounted Plaintiff's testimony on the basis that "[he] has considerable activities of daily living, including reports that he belonged to a gym and performed moderate exercise, including bicycling, cross country skiing, some kayaking, swimming, and some golf." (R. at 23.) But careful review of the record reveals that Plaintiff's daily activities at the time of his hearing were much more limited due to the degenerative nature of his condition.
19. To begin, the record demonstrates that Plaintiff's physicians told him to exercise and remain as active as he could. (R. at 332.) Plaintiff also understood that regular exercise and weight management was important in alleviating his back pain. (R. at 36-37.) In addition, Plaintiff testified that he did not belong to a gym, which, in any event, would not necessarily be indicative of a non-disabling condition. (R. at 39.) And contrary to the ALJ's findings that Plaintiff could ski, kayak, and golf, Plaintiff testified that, "I can't ski or golf anymore." (R. at 36, 39, 54.) He further testified that "anything on his feet, standing, anything" causes him back pain. (R. at 38.) When asked about kayaking and golf, he responded, "Oh, I want to do them, but I can't." (R. at 52, 54.) The ALJ's findings were based on outdated reports from years before the hearing. The ALJ's conclusions were therefore not a fair assessment of plaintiff's physical abilities and not supported by substantial evidence in the record
20. Plaintiff's history of back pain is extensive, evidenced by two lumbar fusions dating back to 1989 and 1991. (R. at 36.) On September 24, 2013, Plaintiff's X-ray and CT scans showed damage at six levels throughout his lumbar and thoracic spines. (R. at 189-91.) Dr. Kevin Gibbons opined that, "he has fairly impressive imaging that is certainly consistent with his previous problems. He has adjacent level problems now as well of a mild degree. It does explain his symptoms reasonably well." (R. at 193.) Subsequent EMG testing showed bilateral L3 radiculopathy, which supports Plaintiff's reports of radiating pain down his legs. (R. at 314-15.) Further, Dr. Michael Landi and Dr. Craig Burns both believed surgery would be appropriate based on Plaintiff's conditions and symptoms. (
21. As indicated above, Plaintiff testified that he biked and swam for exercise. (R. at 37.) Both activities accommodated his medical conditions: biking, which he could tolerate for only 30-minute increments, allowed him to sit upright; swimming took "all the pressure" off his spine. (R. at 58.) The severity of Plaintiff's pain fluctuated between mild and severe depending on his on-the-feet activity, with walking, standing still, and not moving causing him the most severe pain. (R. at 38.) Formerly quite active, Plaintiff testified that his deteriorating back condition forced him to discontinue many of the physical activities he once enjoyed. (R. at 52-53). Cycling and swimming were two activities he could tolerate, but there is no evidence in the record that Plaintiff's exertion during these activities was strenuous or consistent with an ability to engage in substantial gainful activity.
22. In addition to Plaintiff's daily activities, the ALJ concluded that Plaintiff's treatment notes failed to support his allegations of disabling symptoms. (R. at 23.) The ALJ referenced the strength in Plaintiff's lower extremities and noted that Plaintiff could reportedly squat, change his clothes, navigate an examination table, and rise from a chair, all without assistance. (R. at 23-26.) These observations conflict with Plaintiff's testimony concerning his general ability to function, but that notwithstanding, these isolated observations do not, by themselves, support a finding that Plaintiff is not disabled or has no limitations on standing, walking, lifting, or bending.
23. Finally, the ALJ's credibility determination must be reversed because he failed to consider and discuss Plaintiff's long employment history. AA claimant with a good work record is entitled to substantial credibility when claiming an inability to work because of a disability."
24. Plaintiff has a 36-year work history, which he had to end prematurely because of the deteriorating condition of his back. (R. at 32-33.) Because of his work history, the ALJ was required to either afford Asubstantial credibility" to Plaintiff's claim that he was unable to work because of his disability, or specifically state in his decision why Plaintiff was not credible despite his work history.
25. Because the ALJ's credibility finding is both unsupported by substantial evidence and legally deficient, this Court will remand this case for further proceedings consistent with this decision. Plaintiff's Motion for Judgment on the pleadings is therefore granted. Defendant's motion seeking the same relief is denied.
IT HEREBY IS ORDERED, that Plaintiff's Motion for Judgment on the Pleadings (Docket No. 11) is GRANTED.
FURTHER, that Defendant's Motion for Judgment on the Pleadings (Docket No. 14) is DENIED.
FURTHER, that this case is REMANDED to the Commissioner of Social Security for further proceedings consistent with this decision.
FURTHER, that the Clerk of Court is directed to CLOSE this case.
SO ORDERED.