ALKA SAGAR, Magistrate Judge.
On March 30, 2016, Plaintiff Deena Marie Callahan ("Plaintiff") filed a Complaint seeking review of the Commissioner's denial of Plaintiff's application for a period of disability and disability insurance benefits. (Docket Entry No 1). On August 31, 2016, Defendant filed an Answer to the Complaint, and the Certified Administrative Record ("AR"). (Docket Entry Nos. 20-21). The parties have consented to proceed before a United States Magistrate Judge. (Docket Entry Nos. 14-15). The parties filed a Joint Stipulation ("Joint Stip.") on December 20, 2016, setting forth their respective positions on Plaintiff's claims. (Docket Entry No. 24).
On February 25, 2014, Plaintiff, formerly employed as a policy holder information clerk (
The ALJ applied the five-step process in evaluating Plaintiff's case. At step one, the ALJ determined that Plaintiff had not engaged in substantial gainful activity after the alleged onset date of October 17, 2013, and that Plaintiff's date last insured was June 30, 2019. (AR 14). At step two, the ALJ found that Plaintiff had the following severe impairments: degenerative disc disease of the lumbar spine with neuropathy; tendon tears and osteoarthritis of the ankles; ligament tears in the wrists; obesity; depressive disorder; and anxiety disorder. (AR 14-15).
Before proceeding to step four, the ALJ found that, through the date last insured, Plaintiff had the residual functional capacity ("RFC")
After reviewing Plaintiff's medical record (
The ALJ then addressed Plaintiff's credibility and the opinions of her treating, examining, and nonexamining physicians. (
At step four, the ALJ determined that Plaintiff was not able to perform her past relevant work as a policy holder information clerk. (AR 23). At step five, the ALJ found Plaintiff was able to perform jobs consistent with her age, education, and medical limitations existing in significant numbers in the national economy. At the hearing, the ALJ asked the VE whether a hypothetical person — with the same age and educational background as Plaintiff, who could occasionally lift at least 10 pounds; frequently lift and carry less than 10 pounds; stand and walk for at least two hours in an eight-hour workday; sit for at least six hours in an eight-hour workday; and is limited to simple, repetitive tasks, no public contact, and occasional contact with co-workers and supervisors — could perform any work. (AR 51-52). The VE testified that such a person could perform the requirements of assembler (Dictionary of Occupational Titles ("DOT") No. 734.687-018
The ALJ adopted the VE's testimony in finding that, considering the Plaintiff's age, education, work experience, and residual functional capacity, Plaintiff was able to perform work as an assembler and a final assembler. (AR 24). Accordingly, the ALJ concluded that Plaintiff was not disabled. (AR 24-25).
On October 22, 2015, Plaintiff requested that the Appeals Council review the ALJ's Decision, which was denied on March 1, 2016. (AR 1-8). The ALJ's Decision then became the final decision of the Commissioner, allowing this Court to review the decision.
This court reviews the Administration's decision to determine if the decision is free of legal error and supported by substantial evidence.
Plaintiff alleges that, at step five, the ALJ (1) did not encompass Plaintiff's assigned functional limitations in posing the hypothetical to the VE; and (2) failed to reconcile the VE's testimony, that Plaintiff could perform the jobs of assembler (DOT 734.687-018) and final assembler (DOT 713.687-018), with the DOT. (Joint Stip. at 3-14, 17-26).
After consideration of the record as a whole, the Court finds that the Commissioner's findings are supported by substantial evidence and are free from material legal error.
Plaintiff contends that the ALJ's hypothetical was inadequate because it omitted limitations resulting from Plaintiff's alleged CTS and upper-extremity neuropathy. Plaintiff contends that orthopedic tests and Plaintiff's subjective complaints establish that Plaintiff has handling, fingering, and reaching limitations that are supported by substantial evidence in the record. (Joint Stip. at 8-14). Defendant asserts that the ALJ's hypothetical fully encompassed Plaintiff's limitations that were supported by substantial evidence in the record. (Joint Stip. at 14-17).
Hypothetical questions posed to the VE must include "all of the claimant's functional limitations, both physical and mental" supported by substantial evidence in the record.
The ALJ found that Plaintiff was not functionally limited by CTS and upper-extremity neuropathy because a July 2, 2014, electromyography test ("EMG")
Moreover, Plaintiff contends that the ALJ was required to include her subjective complaints regarding pain, tingling, and numbness in her hands in the hypothetical question to the VE or in formulating her RFC. (Joint Stip. at 13). However, the ALJ provided clear and convincing reasons to find Plaintiff's testimony regarding her symptoms and limitations not credible. (AR 20-23).
The ALJ found that Plaintiff's statements concerning the intensity, persistence, and limiting effects of her symptoms were not entirely credible because they were not corroborated by the record and because Plaintiff had failed to follow a prescribed course of treatment despite "improvement in symptomology." (AR 22-23). This was a clear and convincing reason to find Plaintiff's testimony less credible.
The record supports the ALJ's finding that Plaintiff did not follow prescribed physical therapy treatment to alleviate her symptoms. Plaintiff was prescribed aquatic physical therapy in order to improve her range of motion and strength, which included shoulder flexion and extension, wall push-ups, straight arm circles, and various lower-extremity exercises. (AR 842-50). On March 26, 2015, Plaintiff's physical therapist, Shannon Walker, P.T., informed treating physician, Abel Quesada, M.D., "that [Plaintiff] ha[d] not been fully participating in MD prescribed PT visits," missing eleven appointments in the course of three months and attending only three appointments over the course of four weeks. (AR 850). On April 20, 2015, Chelsea Sobeich, D.P.T., noted that Plaintiff "demonstrate[d] improved [range of motion] and strength since beginning aquatic therapy [and] would benefit from aquatic therapy if she was more consistent with attendance." (AR 849). Similarly, on June 18, 2013, a therapist at the Physical Therapy Center noted that Plaintiff "showed up only once for evaluation" and did not attend any further physical therapy visits. (AR 270). Throughout these periods, Plaintiff kept regular appointments with Suhasini Dushmukh, M.D. (
Plaintiff contends that the ALJ improperly found that Plaintiff is able to perform the occupations of assembler (DOT 734.687-018) and final assembler (DOT 713.687-018) because there is a deviation between Plaintiff's RFC and the description of these positions in the DOT. (Joint Stip. at 5-8). Specifically, Plaintiff alleges that the ALJ's finding that Plaintiff's RFC limits her to "frequently" lifting and carrying less than 10 pounds (AR 17), conflicts with the DOT descriptions for these jobs, which require a worker to "have constant reaching, handling, and fingering" abilities, and be able to perform "repetitive work, or perform[ ] continuously the same work, according to set procedures, sequence, or pace." (Joint Stip. at 5-6). Defendant asserts that "[t]he hypothetical question included all of the limitations found by the ALJ, who, contrary to Plaintiff's assertions, did not limit [Plaintiff] to frequent use of the hands." (Joint Stip. at 14).
The ALJ relies on the DOT and VE testimony to determine whether — given the claimant's RFC, age, education, and work experience — the claimant "actually can find some work in the national economy." 20 C.F.R. § 416.966(e);
Here, the VE testified that Plaintiff can perform the occupations of assembler (DOT 734.687-018) and final assembler (DOT 713.687-018). (AR 51-52). The DOT defines assembler as a sedentary position that requires "[e]xerting up to 10 pounds of force occasionally;" a "negligible amount of force frequently . . . to lift, carry, push, pull, or otherwise move objects;" and constant handling, fingering, and reaching. 734.687-018 ASSEMBLER, DOT 734.687-018. The DOT description for final assembler is the same as that of assembler, except that it requires frequent (exists 1/3 to 2/3 of the time) handling, fingering, and reaching.
The ALJ's RFC determination was consistent with the DOT descriptions for the jobs identified by the VE. Despite Plaintiff's assertions (
Moreover, the ALJ's failure to question the VE regarding an apparent conflict between the DOT and VE testimony is harmless error.
For the foregoing reasons, the decision of the Administrative Law Judge is AFFIRMED.
LET JUDGMENT BE ENTERED ACCORDINGLY.