THOMAS J. McAVOY, Senior District Judge.
Plaintiff brought this action under § 205(g) and § 1631(c)(3) of the Social Security Act, codified as 42 U.S.C. § 405(g) and § 1383(c)(3), to review a final determination of the Commissioner of Social Security ("Commissioner") denying Plaintiff's application for Social Security Disability benefits and Supplemental Security Income benefits. Before the Court is Plaintiff's motion for judgment on the administrative record and pleadings pursuant to Rule 12(c) of the Federal Rules of Civil Procedure. The parties have submitted briefing and evidence on the issues raised in Plaintiff's motion.
Dennise F. Cool ("Plaintiff") filed an application for Social Security Disability benefits and Supplemental Security Income benefits with a protective filing date of September 3, 2009, alleging disability beginning January 29, 2008, due to mid-carpal instability in her right hand, cervical spine degeneration, numbness in her left hand, and pain in her neck.
The ALJ issued an unfavorable decision dated October 24, 2011. T at 13-30. On December 2, 2011, Plaintiff requested review of the ALJ's decision. T at 12. On December 26, 2012, the Appeals Council denied the request. T at 1-6. Upon this denial, the Plaintiff filed the instant action.
On February 20, 2008, Plaintiff reported right arm pain after an alleged fall at work on January 29, 2008, and was treated by John B. Ayres, M.D. T at 330-31. Dr. Ayres noted that Plaintiff may have suffered a bone injury to her wrist and recommended a nerve conduction study and an MRI. T at 331. Dr. Ayres also noted that Plaintiff was unable to work until the studies were completed.
From April 9, 2008 to May 9, 2008, Plaintiff attended physical therapy for her right wrist. T at 334-45.
On April 23, 2008, Plaintiff saw Dr. Ayres for continued right arm pain. T at 325-26. The doctor noted that Plaintiff had pain on the ulnar side of her wrist and that she might have a triangular fibrocartilage ligament. T at 325. Dr. Ayres further noted that Plaintiff was taping her wrist which seemed to stabilize it.
On May 28, 2008, Jonathan Richman, M.D., noted a possible triangular fibrocartilage complex tear in Plaintiff's right wrist. T at 338.
On June 10, 2008, W. David Ferraraccio, M.D., performed an orthopedic evaluation on Plaintiff. T at 342-45. The doctor noted that Plaintiff had decreased palmar flexion in her right wrist. T at 344. He also noted that Plaintiff's elbow and AC joint by her shoulder were tender.
On August 29, 2008, Dr. Louis A. DiGiovanni, M.D., a treating physician, examined Plaintiff. T at 256-58. Plaintiff reported her pain severity as a six out of ten during the day, and a ten out of ten at night. T at 256. The doctor assessed Plaintiff with sprains, strains, and likely TFCC in her right wrist. T at 257. Plaintiff requested an injection in her right wrist.
On September 30, 2008, Dr. DiGiovanni treated Plaintiff for her right wrist pain. T at 259-61. Plaintiff received a right wrist arthogram and an injection into the right wrist joint at the ulnar fibrocartilage region. T at 261.
On October 29, 2008, Plaintiff saw Dr. DiGiovanni again for her right wrist pain. T at 262-64. Plaintiff reported that the injection relieved her pain for a few days; however, the pain returned after she lifted a cup of coffee. T at 263.
On November 25, 2008, Carl J. Spivak, M.D., consultatively examined Plaintiff. T at 258-60. Plaintiff reported headaches, neck pain, right shoulder pain, and right wrist pain, and stated that nothing relieved her pain. T at 358. The doctor noted that Plaintiff was tender on her occipital nerves bilaterally, midlines lower cervical spine, right parasacpular area, and right shoulder apex. T at 359. He assessed that Plaintiff had cervical spondylosis and bilateral occipital neuralgia.
On December 11, 2008, Plaintiff saw Dr. Ayres for continued pain. T at 498. The Plaintiff reported that she had burns on her left hand from touching a hot plate, and that she did not feel the burning.
On January 8, 2009, Dr. Spivak performed bilateral occipital nerve steroid blocks and a cervical epidural steroid block on Plaintiff. T at 292-93.
On January 27, 2009, Dr. Spivak again treated Plaintiff. T at 355. Plaintiff reported that the injections did not provide her with any pain relief.
On February 2, 2009, Margaret A. Miller, D.C., a treating Chiropractor, saw Plaintiff. T 267-69. The doctor noted that Plaintiff had loss of cervical curve and mild degenerative changes at C5 and C6, and diagnosed her as having "C/S" subluxation and brachial neuritis or radiculitis. T at 269. The doctor submitted a progress report to the Workers' Compensation Board that indicated that Plaintiff was temporarily completely impaired and could not return to work due to severe pain. T at 380-82. Dr. Miller submitted similar reports with the same findings on July 6, 2009, August 6, 2009, September 3, 2009, October 6, 2009, November 12, 2009, and December 7, 2009. T at 364-79, 585-92.
On February 17, 2009, Dr. Richard Whipple, M.D., noted a chronic strain in Plaintiff's right wrist. T at 271.
On July 22, 2009, Dr. Ayres treated Plaintiff for right wrist and right should pain. T at 362. He noted that Plaintiff's shoulder was still "bothering her quite a bit on the right side when she elevates."
On August 19, 2009, Dr. Ayres treated plaintiff for continued pain. T at 363. He noted that X-rays of Plaintiff's neck "show significant degenerative disease of C5-C6 and C6-C7."
On October 6, 2009, Kevin J. Setter, M.D., treated Plaintiff. T at 394. He noted that Plaintiff could not return to normal activities because she was completely impaired by her wrist pain.
On November 6, 2009, Shehzad Ali, M.D., performed an internal medicine examination on Plaintiff. T at 296-300. The doctor noted that Plaintiff's cervical spine forward flexion was limited to 20 degrees, her lateral flexion was limited to 10 degrees, and extension was limited to 15 degrees. T at 298. He also noted a paraspinal muscle spasm in the cervical region bilaterally, which was worse on the left side.
On November 10, 2009, Dr. David Ferraraccio, M.D., measured the range of motion in her wrist, finding dorsiflexion at 53 degrees on the right, compared to 77 degrees on the left, and palmar flexion at 49 degrees on the right, compared to 74 degrees on the left. T at 344.
On October 6, 2010, Dr. Setter performed an arthroscopy, TFCC debridement, and injection on Plaintiff's right wrist. T at 518. A week later, the doctor noted that Plaintiff was doing "absolutely fantastic with regard to her right wrist and pain."
On January 28, 2010, Vincent V. Sportelli, D.C., performed an Independent Medical Examination of Plaintiff. T at 403-06. He reported that her cervical compression and distraction tests were positive. T at 405. He also noted that Plaintiff's cervical range of motion was limited to 25 degrees in flexion, and 15 degrees in extension. T at 404. He further noted that testing caused Plaintiff pain and discomfort in the cervicothoracic area.
On February 9, 2010, Darlene Euler, D.C., submitted a progress report to the Workers' Compensation Board and stated that Plaintiff was completely temporarily impaired and could not return to work due to severe pain. T at 459-62.
On April 12, 2010, Dr. Ayres treated Plaintiff for continued neck and right arm pain. T at 481. He noted that Plaintiff remained completely disabled. T at 481.
On May 26, 2010, Plaintiff saw Dr. Ayres again for continued pain. T at 479. Plaintiff reported pain from her neck to the tips of her fingers.
On June 21, 2010, Plaintiff underwent an MRI which indicated a disc bulge at C5-6, but no nerve root compression. T at 409.
On July 14, 2010, Dr. Setter performed surgery on Plaintiff's right shoulder after diagnosing her with pain, impingement, acromioclavicular arthritis, adhesive capsulitits and a superior labral tear, all in her right shoulder. T at 522.
On October 6, 2010, Dr. Setter again performed surgery on Plaintiff. T at 415. He reported that Plaintiff had a central TFCC tear, "significant synovisits and dorsal capsulitis in the radiocarpal joint as well as a significant amount of synovisits within the intercarpal joint."
On October 14, 2010, Dr. Setter treated Plaintiff. T at 518. Plaintiff reported that she believed that she hit her left wrist in the initial fall, and that she was starting to notice the pain more now that her right wrist was feeling better.
On October 22, 2010, Gerald A. Coniglio, M.D., performed an Independent Medical Examination on Plaintiff, pursuant to her Workers' Compensation claim. T at 421-32. He noted well-healed arthroscopic puncture wounds and no atrophy of the shoulders. T at 426. The doctor noted that Plaintiff's cervical range of motion included: flexion at 35 degrees, extension at 30 degrees, right lateral rotation at 60 degrees, and left lateral rotation at 50 degrees. T at 425. He also found a decreased range of motion in Plaintiff's right wrist, and noted that the dorsiflexion and volar flexion were both 70 degrees. T at 427. He further noted that Plaintiff's right and left wrists had a "positive Phalen's test . . . which produces numbness and tingling in the right thumb and little finger." T at 427-28. The doctor also noted that Plaintiff had "a Tinel's which begins in the ulnar cubital groove and proceeds down the inside of the forearm to the right little finger and right finger. She [had] decreased sensation beginning just distal to the ulnar cubital groove proceeding distally to the ulnar side of the hand." T at 427. He therefore diagnosed Plaintiff with "sprain/stain syndrome of cervical spine," "right ulnar cubital nerve entrapment syndrome at the elbow," and "left wrist cubital tunnel syndrome." T at 431. He found that Plaintiff had the following work restrictions:
T at 431-32.
Dr. Coniglio also found that Plaintiff may require left carpal tunnel release if a cortisone injection did not provide her with relief. T at 432. Additionally, he reported that Plaintiff still had significant weakness in her right hand.
On November 18, 2010, Dr. Ayres treated Plaintiff for continued pain. T at 472. Plaintiff reported that her left wrist had been in pain and that she was concerned about needing neck surgery.
On November 30, 2010, Dr. Setter saw Plaintiff for continued pain and noted that she had 75% impairment in both her shoulder and wrist. T at 517. He recommended that Plaintiff do no "lifting, pushing, or pulling with the right upper extremity whatsoever at the present time."
On January 4, 2011, Dr. Miller submitted a progress report to the Workers' Compensation Board stating that Plaintiff was completely temporarily impaired and could not return to work due to severe pain. T at 532-35.
On January 13, 2011, Dr. Setter saw Plaintiff for post-operative care of her shoulder and wrist. T at 593. He wrote that Plaintiff should not lift, push, or pull with the right upper arm at this time.
On March 14, 2011, Dr. Ayres treated Plaintiff for neck, right shoulder, and right and left wrist difficulties. T at 626. Plaintiff reported some problems with her left hand in "differentiating between hot and cold," and continued pain in her neck.
On April 22, 2011, Dr. Coniglio performed an Independent Medical Examination on Plaintiff. T at 595-604. He noted that Plaintiff's cervical range of motion was as follows: flexion at 20 degrees, extension at 10 degrees with pain, right lateral rotation at 45 degrees with pain, and left lateral rotation at 45 degrees with pain. T at 600. He also noted that Plaintiff had "a Tinel's which begins in the ulnar cubital groove and proceeds down the inside of the forearm . . . she has decreased sensation in both forearms." T at 602. He diagnosed Plaintiff with "multiple level degenerative disc disease cervical spine, symptomatic, with right later C6 and C7 radiculopathy, right greater than left" and "likely bilateral double crush syndrome of the cervical spine and upper extremities." T at 608. He recommended that she continue with physical therapy and noted her work restrictions as follows:
On June 2, 2011, Louis A. Noce, M.D., a surgeon, performed an anterior cervical diskectomy on Plaintiff. T at 643-45. The surgery included a partial "vertebractomy C6-C7," "anterior cervical discectomy and interbody arthrodesis," "anterior plating Orthofix System C6-7," "placement of biomechanical intervertebral device," and "iliac crest bone marrow aspirate." T at 643.
On July 7, 2011, Dr. Setter treated Plaintiff. T at 680. Plaintiff reported that she is still "having some pain and stiffness at nighttime."
In determining whether a claimant may receive Social Security Disability benefits and Supplemental Security Income the issue is whether the claimant is disabled. Disability is defined as the "inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. § 423(d). An ALJ must determine whether the claimant is disabled by performing a five-step evaluation based on 20 CFR §§ 404.1520 or 416.920. The Supreme Court recognized this test in
In this case, the ALJ found that, at Step One, Plaintiff had not engaged in substantial gainful activity since January 29, 2008, the alleged onset date of disability. T 19. At Step Two, the ALJ found that Plaintiff's cervical spondylosis, right shoulder impingement, and right wrist injury were severe impairments.
Fourth, the ALJ concluded that Plaintiff could not perform her past relevant work as a machine operator. T 23. Fifth, the ALJ determined, with the assistance of a VE, that someone of Plaintiff's age, education, work experience, and RFC could perform the representative occupations of order clerk, ticket taker, and new accounts clerk. T 23-24, 241-43. Plaintiff, therefore, did not meet the definition of disability during the relevant period. T 24-25.
The Court's review of the Commissioner's determination is limited to two inquiries.
Plaintiff challenges the Commissioner's finding on the ground that the ALJ erred in assigning no weight to the November 30, 2010 opinion of treating orthopedic physician Dr. Setter, and little weight to the November 6, 2009 report of consultative examiner, Dr. Ali. Plaintiff contends that Dr. Setter's opinion is well supported because Dr. Setter is an orthopedic specialist, and he has a treating relationship with Plaintiff. (Plaintiff's Memorandum in Support of Motion for Judgment on the Pleadings ("Pl. Mem."), dkt. #13 at 13). Furthermore, Plaintiff contends that his opinion is consistent with Dr. Noce's July 1, 2011 report, in which he stated that Plaintiff had a 75% impairment. (
Defendant contends that Dr. Setter's findings are not supported by the record. First, Defendant notes that while Dr. Setter reported that Plaintiff could not use her right arm for pulling, pushing, or lifting, Dr. Coniglio reported normal strength in Plaintiff's arm just one month prior to Dr. Setter's report and again upon re-examination on April 22, 2011. (Defendant's Memorandum in Opposition of Motion for Judgment on the Pleadings ("Def. Mem."), dkt. # 18 at 7, 8). Moreover, Defendant argues that Dr. Setter's opinion is not supported by Dr. Noce's findings, because Dr. Noce's findings related to Plaintiff's neck, not her shoulder and wrist. (
Upon review, the Court finds no error. The ALJ afforded Dr. Setter's opinion "no weight" because it had "no probative value as far as longer-term restrictions," because he conducted his report shortly after Plaintiff's shoulder operation. T 22. The ALJ further noted that Plaintiff had another surgery after Dr. Setter's evaluation, and "[a]ny restrictions from that surgery would be expected to resolve in less than 12 months." T 23. "[W]hile an ALJ must consider the data provided by a physician as to the nature and severity of an applicant's impairments, the legal determination of an applicant's RFC is reserved to the Commissioner."
Additionally, Dr. Ali's opinion of Plaintiff's limitations is not supported by sufficient medical evidence. In determining that Plaintiff should "avoid zipping, buttoning, and typing shoes with her right hand," and "avoid activities like computer work," Dr. Ali apparently relied on Plaintiff's subjective complaints of having difficulty such activities because he supplied few clinical findings, and an insufficient review of the medical record. T 22;
Furthermore, Dr. Ali's report was inconsistent with Plaintiff's daily activities.
Plaintiff next challenges the Commissioner's finding on the ground that the ALJ erred in evaluating the credibility of Plaintiff's subjective complaints. Plaintiff argues that the ALJ improperly discounted her testimony regarding her ability to drive and turn her head. (Pl. Mem. at 18). Plaintiff maintains that her testimony was consistent despite the fact that she stated that she cannot drive, but then admitted she drove only four days prior to the hearing. (
In determining a petitioner's ability to do basic work activities, the ALJ considers a petitioner's subjective symptoms, as well as the extent to which the symptoms "can reasonably be accepted as consistent with the objective medical evidence, and other evidence." 20 C.F.R. §§ 404.1529(a), 416.929(a). However, "[n]o symptom or combination of symptoms can be the basis for a finding of disability . . . unless there are medical signs and laboratory findings demonstrating the existence of a medically determinable physical or mental impairment(s) that could reasonably be expected to produce the symptoms." SSR 96-7p, 1996 WL 374186, at *1 (July 2, 1996);
Here, the ALJ decided not to fully credit Plaintiff's subjective complaints. T at 21. Where Plaintiff's complaints suggested limitations more severe than those in the RFC assessment, the ALJ found them not to be credible.
Plaintiff challenges the Commissioner's finding on the ground that the ALJ erred concerning the Plaintiff's residual functional capacity ("RFC"). Plaintiff argues that the ALJ erred by relying on an incomplete hypothetical in determining that Plaintiff could perform jobs in the national economy. (Pl. Mem. 19).
The ALJ posed a hypothetical limitation to the VE and asked the expert to identify occupations Plaintiff would be able to perform with her limitations. T at 241-42. The hypothetical individual, which the ALJ adopted as Plaintiff's RFC, had a ninth grade education, no GED, had completed an FTD course in floral design, and has work experience as a machine operator.
In adopting this hypothetical as Plaintiff's RFC, the ALJ considered Plaintiff's symptoms and "the extent to which these symptoms can reasonably be accepted as consistent with the objective medical evidence and other evidence . . . [and] also considered opinion evidence." T at 20. Plaintiff challenges the ALJ's determination and argues that all lifting, pushing and pulling with her right upper arm was precluded by her RFC. (Pl. Mem. at 20). Furthermore, she argues that all work should be precluded by her need to rest for at least three hours during the workday.
Plaintiff relies on Dr. Setter's medical opinion and argues that "the VE should have been presented with a hypothetical with [sic] included this limitation."
Upon review, the Court finds no error. The ALJ had adequate evidence concerning Plaintiff's ability to work. Plaintiff previously worked in various occupations and is able to adjust to other work that exists in significant numbers in the national economy. T at 24. The conclusions in the consultative reports were consistent with one another and the other available medical evidence. While Dr. Setter stated that Plaintiff could do no lifting, pushing or pulling with her right arm, the ALJ correctly determined his opinion to be of no value, as discussed above. Additionally, while Dr. Ali stated that Plaintiff should avoid activities like computer work, and zipping, buttoning and tying shoes with her right hand, the ALJ correctly discounted his opinion, as also discussed above. Furthermore, while Dr. Sportelli stated that Plaintiff can only sit for three hours in a workday, and can only stand for three hours in a workday, the ALJ concluded that his assessment was entitled to little weight as he saw Plaintiff prior to all of her surgeries. T at 23. Moreover, his assessment was based on a less thorough examination than the one performed by Dr. Coniglio.
The ALJ considered the opinions of Dr. Coniglio since he had the opportunity to review all of Plaintiff's records and his findings were consistent with the objective evidence in the record. T at 21-22. The ALJ also gave some weight to the opinions of Dr. Ferrarccio, Dr. Ali and Dr. Sportelli. T at 22. In considering the physicians' conclusions that Plaintiff was able to perform light work, Plaintiff's improvements since her two surgeries, and Plaintiff's own testimony regarding her daily activities, the ALJ found that Plaintiff's RFC was supported by the objective evidence. T at 23.
For the foregoing reasons, the Court finds that the ALJ's determination is supported by substantial evidence. Therefore, Plaintiff's motion for judgment on the pleadings is DENIED.