Young v. Commissioner of Social Security Administration

Filing 18

Memorandum Opinion and Order remanding the decision pursuant to Sentence Four of 42 U.S.C. § 405(g) for proper consideration and explanation of the weight given to treating physician Dr. Sieben's opinion. Magistrate Judge James R. Knepp, II on 7/19/17. (A,P)

IN THE UNITED STATES DISTRICT COURT
FOR THE NORTHERN DISTRICT OF OHIO
EASTERN DIVISION

MARTIN YOUNG,

Case No. 1:16 CV 1372

Plaintiff,
v.

Magistrate Judge James R. Knepp, II

COMMISSIONER OF SOCIAL SECURITY,
Defendant.

MEMORANDUM OPINION AND ORDER

INTRODUCTION
Plaintiff Martin Young (“Plaintiff”) filed a Complaint against the Commissioner of Social
Security (“Commissioner”) seeking judicial review of the Commissioner’s decision to deny
supplemental security income (“SSI”) and disability insurance benefits (“DIB”). (Doc. 1). The
district court has jurisdiction under 42 U.S.C. §§ 1383(c) and 405(g). The parties consented to the
undersigned’s exercise of jurisdiction in accordance with 28 U.S.C. § 636(c) and Civil Rule 73
(Doc. 13). For the reasons stated below, the undersigned reverses the Commissioner’s decision
and remands for further proceedings consistent with this opinion.
PROCEDURAL BACKGROUND
Plaintiff filed for SSI and DIB in January 2014, alleging a disability onset date of
September 13, 2013. (Tr. 147-54). His claims were denied initially and upon reconsideration. (Tr.
93-99, 108-19). Plaintiff then requested a hearing before an administrative law judge (“ALJ”). (Tr.
120). Plaintiff (represented by counsel), and a vocational expert (“VE”) testified at a hearing before

the ALJ on November 9, 2015. (Tr. 31-45). On January 7, 2016, the ALJ found Plaintiff not
disabled in a written decision. (Tr. 17-25). The Appeals Council denied Plaintiff’s request for
review, making the hearing decision the final decision of the Commissioner. (Tr. 1-4); 20 C.F.R.
§§ 404.955, 404.981, 416.1455, 416.1481. Plaintiff filed the instant action on June 7, 2016. (Doc.
1).
FACTUAL BACKGROUND1
Personal Background and Testimony
Plaintiff was 54 years old at the time of the hearing. (Tr. 34). He had completed high school,
and “[a]lmost a full year of college” plus “some vocational training” in broadcasting. Id. He had
previously worked as a security guard and a stagehand for House of Blues. Id. The job consisted
of “security”, “basically crowd control”, and “setting up the club.” Id. He explained the stagehand
work consisted of “loading, unloading trucks” and “a lot of warehouse work” with “[a] lot of onthe-feet, a lot of lifting.” Id.
When asked why he selected September 13, 2013 as his onset of disability date, Plaintiff
replied: “[W]ell, that was the day I was terminated from the House of Blues” and “the problems
had started a little bit before that.” Id. Plaintiff stated he was fired for not showing up for work,
but contends his schedule had been changed without his knowledge. (Tr. 35).
On a typical day, Plaintiff takes care of his 81 year old mother, “making sure she has what
she needs, if there’s any shopping or anything, and making sure she’s all right.” Id. This includes

1. Plaintiff’s challenges are primarily directed at the ALJ’s consideration of his back and knee
pain. Plaintiff has waived argument on issues not raised in his opening brief. Kennedy v. Comm’r
of Soc. Sec., 87 F. App’x 464, 466 (6th Cir. 2003). The Court will therefore summarize the facts
relevant to those arguments raised by Plaintiff.
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“a lot of running around for her, help with . . . doing laundry, cooking, cleaning, stuff like that.”
(Tr. 36). Plaintiff also testified he could perform these same tasks for himself. (Tr. 41).
Plaintiff testified that he has pain in his lower back, which shoots into his legs equally. (Tr.
37). He also experiences pain in his left knee, and neuropathy in both feet. (Tr. 37-38). The pain
is worsened by being on his feet. (Tr. 38). Plaintiff testified that his pain at the time of the hearing
was “about a six” and that he was taking Vicodin twice a day for the pain. (Tr. 36). He did not
experience any side effects from the Vicodin. (Tr. 40).
Doctors had discussed knee surgery with Plaintiff, but wanted to wait until he was older.
(Tr. 39). He had received injections in his back, which provided relief for four to six months each
time (though they were supposed to provide relief for a year). (Tr. 39-40). Plaintiff also had a
TENS unit, and had undergone physical therapy. (Tr. 40).
Plaintiff estimated he could stand for “[m]aybe 45 minutes” before having to sit down. (Tr.
38). He would then have to rest for 10-15 minutes before standing again. Id. He testified he walks
with a limp, and keeps a brace on his knee. Id. He estimated he could walk about one-eighth of a
mile, and then would have to “stop, catch [his] breath, and relax for a second, and then [he could]
move on.” (Tr. 38-39).
Plaintiff reported he saw Dr. Sieben approximately once every three months, and had been
seeing her for almost three years total. (Tr. 36).
Relevant Medical Evidence
Prior to Alleged Onset Date
Plaintiff underwent physical therapy due to his back pain in January 2013 and earlier. (Tr.
530-32) (notes from sixth physical therapy visit). The physical therapy notes reference imaging

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from October 2012 that showed “[m]oderate degenerative disease of the thoracic and lumbar spine
with some worsening when compared to the prior study.” (Tr. 530).
At a February 2013 visit with Zachary Allred, D.O., at MetroHealth Medical Center
Department of Physical Medicine and Rehabilitation, Plaintiff reported low back pain which he
had for over four years. (Tr. 547). He was taking Vicodin for the pain. Id. He described his pain
as localized in his central lower back with some radiation to the back of both knees. (Tr. 548).
Plaintiff also reported he was using a TENS unit at work, which cut his pain in half, and he was
“better able to stand for longer periods of time.” Id. He had been through physical therapy, and
was doing a home exercise program twice per week. Id. At this visit, Plaintiff also reported left
knee pain, worse with stairs. Id. Plaintiff had been to the ER the previous week with back pain and
a suspected kidney stone, but “was able to go back to work on the Tuesday after the ER visit.” (Tr.
547). Notes indicate Plaintiff was working full-time as a security guard. (Tr. 549). Notes from this
visit also summarized lumbar spine x-rays, with an impression of “[m]oderate degenerative disease
of the thoracic and lumbar spine with some worsening when compared to the prior study.” (Tr.
550).
An April 2013 note states that Plaintiff was encouraged to “decrease use of Vicodin” but
that “this does not seem to be the pattern that he is following.” (Tr. 558).
In May 2013, Plaintiff completed a pain management self evaluation. (Tr. 632-37). He
reported he worked in security at House of Blues and had not missed any work in the past three
months due to his symptoms. (Tr. 632). He also indicated he was not currently applying for
disability. Id.
In June 2013, Plaintiff saw Kutalba Tabbaa, M.D., to establish care for his back pain. (Tr.
628-31). Plaintiff reported pain in his right lower back and down the right leg occasionally for four

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years. (Tr. 630). Dr. Tabbaa found some limitation of motion (mild in flexion, marked in extension
and rotation), with tenderness to palpation over the paraspinal muscles. (Tr. 629).
Plaintiff went to the emergency room in June 2013 for left knee pain. (Tr. 608-12). In July
2013, Plaintiff followed up with Charlotte Wagamon, M.D., at MetroHealth Orthopaedics. (Tr.
349). Plaintiff reported he had difficulty extending his knee, had anterior pain, and the pain was
worse with stairs and walking. Id. Dr. Wagamon’s examination revealed tenderness and slight
effusion, but a normal gait and negative Lachman’s and McMurray’s testing. Id. She assessed
osteoarthritis and Plaintiff received a steroid injection in his left knee Id. During this visit, Plaintiff
also reported chronic back pain for which he took Vicodin. Id. The notes also indicate Plaintiff
told Dr. Wagamon that his pain management physician would no longer prescribe the Vicodin due
to a positive drug screen test for marijuana. Id.
In July 2013, Plaintiff saw internal medicine physician Louise Sieben, M.D., at
MetroHealth to establish care. (Tr. 343) (“new patient to me, transfer of care from Brooklyn
office”). Plaintiff reported his knee was somewhat better after the injection, but that he continued
to have lower back pain. Id. A knee x-ray showed “[m]oderately severe tricompartmental
degenerative changes . . . with joint space narrowing and bony spurring.” (Tr. 352). He reported
working 30 hours per week as a security guard, and that he “does well as long as he does not need
to stand for long periods of time”. Id. “Walking up and down steps [was] also a problem.” Id.
Under “Assessment/Plan”, Dr. Sieben noted, among other things, “Vicodin refill. Return in 2
months and as needed.” (Tr. 344).
Also in July 2013, Dr. Tabbaa performed a bilateral L3, L4, and L5 lumbar medial branch
block on Plaintiff due to lumbosacral spondylosis and chronic lower back pain. (Tr. 331). Notes

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indicated that a “[p]hysical exam and [r]adiological findings correlate with the preoperative
diagnoses”, which included lumbosacral spondylosis and chronic lower back pain. Id.
Later that same month, Plaintiff returned to Dr. Sieben. (Tr. 325). Her notes indicate
Plaintiff “need[ed] clarification of restrictions for his job.” Id. She noted Plaintiff “is able to stand
for long periods of time as long as he can move around and lean on something”, “can sit for up to
several hours at a time with breaks”, and “can walk up or down 6 steps at a time, but not complete
flights of stairs.” Id. Dr. Sieben also noted Plaintiff “continues his care with Dr. Tabbaa in pain
management for his back pain.” Id. In the “Physical Exam” section of her notes, Dr. Sieben noted
“Gait: walks leaning forward, small steps.” Id. She assessed chronic lower back pain, instructed
Plaintiff to “continue care at 3 pain management”, and noted she wrote a letter “with clarification
of restrictions for his employment.” (Tr. 325-26). She continued to prescribe Vicodin. (Tr. 326).
After Alleged Onset Date
In October 2013, Plaintiff saw Dr. Sieben for diabetes management. (Tr. 284-85). At that
visit, Dr. Sieben also cited Plaintiff’s diagnosis of lumbosacral spondylosis and noted “pain clinic
referral for evaluation and management”. (Tr. 285).
In November 2013, Plaintiff underwent his second bilateral L3, L4, and L5 medial branch
block with Dr. Tabbaa. (Tr. 779). Plaintiff reported the first block had provided him relief for a
month and a half. (Tr. 780).
At a December 2013 cardiology appointment, the physician noted Plaintiff “recently lost
his job as a security man and feels sad and depressed – working a second job that pays very little.”
(Tr. 268).
In January 2014, Plaintiff underwent a right L3, L4, L5 and S1 lesion mode—lumbar
medial branch radiofrequency rhizotomy with Dr. Tabbaa. (Tr. 831). Dr. Tabbaa noted Plaintiff’s

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previous medial branch blocks had “lasted for 1-2 months.” Id. Having received some relief from
the right side (“RT side was done 2 weeks ago and feeling better”), Plaintiff underwent the same
procedure on the left. (Tr. 887).
Also in January 2014, Plaintiff saw Dr. Sieben for diabetes management. (Tr. 241-42).
A radiology report from March 2014 showed no acute bony abnormality or compression
deformity or fracture in Plaintiff’s lumbar spine. (Tr. 362). It also revealed “marked degenerative
change with vacuum disk phenomenon and moderate anterior osteophytic spurring at all and
“fairly marked facet joint hypertrophy at L4-5 and L5-S1.” Id.
In April and May 2014, Plaintiff again saw Dr. Sieben. (Tr. 376-79, 453-54). Notes in May
2014 indicate Plaintiff visited “for disability paperwork.” (Tr. 377). Dr. Sieben’s notes from this
visit address Plaintiff’s insurance coverage, and management of his diabetes. Id.
In July 2014, Plaintiff returned to Dr. Sieben. (Tr. 408). He reported his back pain had
returned and requested a referral back to Dr. Tabbaa. Id. Dr. Sieben noted Plaintiff reported he had
“very good relief from [the] procedure in January.” Id. Dr. Sieben assessed, among other things,
lumbosacral spondylosis and noted she would refer Plaintiff to the pain clinic. (Tr. 409).
In August 2014, Plaintiff again underwent bilateral rhizotomy treatments. (Tr. 417, 429).
He had the left side done first (Tr. 417), and when he reported ten days later for the right side, Dr.
Tabbaa noted “[l]eft side is feeling great” (Tr. 429).
At a September 2014 follow up appointment, Dr. Tabbaa noted Plaintiff’s lumbar and hip
pain were “stable”, and that Plaintiff descried his current pain as “sharp, crampy, burning and . . .
made worse by rotation and standing.” (Tr. 444). Dr. Tabbaa also noted the rhizotomy procedures
were helping. Id. On examination, Dr. Tabbaa found tenderness to palpation over paraspinal
muscles, but normal strength, reflexes, and sensation in all extremities. (Tr. 445-46).

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At a cardiology appointment in November 2014, the physician noted Plaintiff was
“currently busy taking care of his mother who had fallen in July.” (Tr. 461).
In January 2015, Plaintiff again saw Dr. Sieben for diabetes management. (Tr. 493-94).
In April 2015, Plaintiff saw internal medicine physician Christopher Suntala, M.D., for
follow up of his back pain. (Tr. 506-09). Dr. Suntala noted Plaintiff complained of back pain and
dental pain. (Tr. 506). Plaintiff was working “as a bouncer at a nightclub in Lakewood.” Id. On
examination, Dr. Suntala noted back pain, but normal range of motion and no tenderness. (Tr.
509).
In July 2015, Plaintiff returned to Dr. Suntala. (Tr. 974-79). Dr. Suntala noted Plaintiff was
“limited by back pain and lumbar radicular pain and osteoarthritic pain in both knees.” (Tr. 974).
Dr. Suntala also noted Plaintiff’s “diabetes has been well-controlled, and his cardiac symptoms are
stable.” (Tr. 974-75). On examination, Dr. Suntala found a positive straight leg raising test, but no
tenderness. (Tr. 977).
Opinion Evidence
In March 2014, Plaintiff underwent a consultative internal medicine examination by Khalid
Darr, M.D., of Tri-State Occupational Medicine, Inc. (Tr. 364-71). Plaintiff reported low back pain
over the prior five years. (Tr. 364). Dr. Darr observed Plaintiff ambulated with a normal gait, and
did not require the use of a handheld assistive devise. (Tr. 365). He was “stable at station and
comfortable in the supine and sitting positions.” Id. His lower extremities did not show tenderness,
swelling, or crepitus. (Tr. 366). Plaintiff had a slightly reduced range of motion in his knees (130
degrees as compared to a normal 150 degrees). (Tr. 371). Plaintiff had no tenderness in his cervical
or dorsolumbar spine, and his straight leg test in the sitting and supine position was normal. (Tr.
367). Plaintiff had full strength in his upper and lower extremities, with no evidence of atrophy.

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Id. He was able to walk on his heels and toes, perform tandem gait, and squat “without difficulty.”
Id. Dr. Darr’s impression was “low back pain, probably degenerative disc disease.” Id.
Functionally, Dr. Darr concluded Plaintiff could “sit, stand, carry and lift between 30 to 50 pounds
frequently, and over 60 pounds occasionally”. Id. He also concluded Plaintiff had no limitations
in reaching, handling, or fine and gross movements. Id. He could push and pull, as well as
manipulate objects. Id. He was “able to drive a motor vehicle without any difficulty” and could
climb stairs. Id.
Later in March 2014, state agency reviewing physician Maria Congbalay, M.D., reviewed
Plaintiff’s records and assessed his functional capacity. (Tr. 50-52). She concluded Plaintiff could:
1) occasionally lift or carry 20 pounds; 2) frequently lift or carry 10 pounds; 3) stand and/or walk
about six hours in an eight hour workday; 4) sit about six hours in an eight hour workday; and 5)
push and or pull in an unlimited capacity “other than shown, for lift and/or carry.” (Tr. 51). Dr.
Congbalay concluded Plaintiff would have some postural limitations due to his obesity, knee
arthritis, back pain, and coronary artery disease, and could: 1) frequently climb ramps or stairs; 2)
never climb ladders, ropes or scaffolds; 3) frequently balance, stoop, or kneel, and 4) occasionally
crouch or crawl. Id. Finally, Dr. Congbalay concluded Plaintiff should avoid hazards such as
machinery and heights due to his obesity and coronary artery disease. (Tr. 52).
In June 2014, state agency reviewing physician Diane Manos, M.D., reviewed Plaintiff’s
records and reached the same functional capacity conclusions as Dr. Congbalay. (Tr. 71-73).
In October 2014, Dr. Sieben completed a physical functional capacity assessment. (Tr. 98081). In it, she noted Plaintiff could occasionally lift 30 pounds, and frequently lift 10 pounds. (Tr.
980). She concluded he could only stand or walk for fifteen minutes without interruption, and sit
a total of four hours in an eight-hour workday (one hour uninterrupted). Id. Under the “medical

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findings that support this assessment” for Plaintiff’s lifting, carrying, standing, walking, and sitting
restrictions, Dr. Sieben listed “sciatica” and “feet numbness”. Id. She stated Plaintiff could rarely
perform postural activities such as climbing, balancing, stooping, crouching, kneeling and
crawling. Id. These restrictions were due to “diabetes with foot numbness”, “knee derangement”,
and “sciatica”. Id. She concluded Plaintiff could only occasionally reach, push/pull, and perform
fine and gross manipulations due to sciatica. (Tr. 981). He had environmental restrictions regarding
heights, moving machinery, and pulmonary irritants due to his diabetes with foot numbness and
heart disease. Id. Dr. Sieben noted Plaintiff had been prescribed a cane, brace, and TENS unit, and
would need to be able to alternate positions (sitting/standing/walking) at will. Id. Dr. Sieben noted
Plaintiff experiences pain, and checked a box that such pain is “severe”. Id. She thought such pain
would interfere with Plaintiff’s concentration, make him off task, and cause absenteeism. Id. The
final question on the form asked Dr. Sieben to “identify any additional limitations that would
interfere with work 8 hours a day, 5 days a week.” Id. She responded: “heart disease, shortness of
breath”. Id.
VE Testimony
A VE testified at the ALJ hearing. (Tr. 41-44). In his first hypothetical, the ALJ asked the
VE to consider a person with Plaintiff’s age, experience, past relevant work, and who could:
[l]ift, carry 20 pounds occasionally, 10 pounds frequently. . . . [;] stand and walk a
total of six out of eight hours a day . . . . [;] sit six out of eight . . . [;] frequently
push, pull, and foot pe[d]al. . . . [;] frequently use a ramp or a stairs [sic] but never
a ladder, rope, or a scaffold . . . . [; and] constantly balance, frequently stoop and
kneel, but only occasionally crouch and crawl. No manipulative visual or
communications deficits. This person should avoid entirely, dangerous machinery
and unprotected heights.
(Tr. 42). The VE responded that such an individual could not perform past jobs “as [Plaintiff] did
them”, but could perform “a security guard job as it’s normally done.” (Tr. 41-42). The VE also

10

testified that such an individual could perform the jobs of wire worker, electronics worker, or
assembly press operator. (Tr. 43).
Plaintiff’s attorney asked the VE if a restriction allowing the person to “change positions
from sitting and standing as needed outside of scheduled times” would change his answer. (Tr.
44). The VE testified that such a restriction would limit a person to sedentary, rather than light
work. Id.
ALJ Decision
In his written decision, the ALJ concluded Plaintiff met the insured status requirements of
the Social Security Act through June 30, 2017. (Tr. 19). He concluded Plaintiff had not engaged
in substantial gainful activity since his application date, and had severe impairments of “ischemic
heart disease, osteoarthritis in the back and legs, discogenic and degenerative disorders of the back,
diabetes mellitus and obesity.” Id. He concluded these impairments did not meet or equal the
listings (Tr. 20), and Plaintiff retained the RFC to perform:
[l]ight work as defined in 20 CFR 404.1567(b) and 416.967(b) except that he can
stand and walk for a total of six hours and sit for a total of six hours out of an eighthour day. He can frequently push, pull and foot pedal and frequently use ramps and
stairs, but never climb ladders, ropes or scaffolds. [He] can constantly balance and
frequently stoop and kneel, but only occasionally crouch and crawl. He has no
manipulative, visual or communications deficits. The claimant should entirely
avoid dangerous machinery and unprotected heights.
(Tr. 21). Based on the VE’s testimony, the ALJ then found Plaintiff was capable of performing
past relevant work as a security guard. (Tr. 24). Alternatively (and based on the VE’s testimony),
the ALJ also found Plaintiff could perform other jobs in the national economy such as wire worker,
assembly press operator, or electronics worker. (Tr. 24-25). Therefore, the ALJ concluded,
Plaintiff was not disabled. (Tr. 25).

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STANDARD OF REVIEW
In reviewing the denial of Social Security benefits, the Court “must affirm the
Commissioner’s conclusions absent a determination that the Commissioner has failed to apply the
correct legal standards or has made findings of fact unsupported by substantial evidence in the
record.” Walters v. Comm’r of Soc. Sec., 127 F.3d 525, 528 (6th Cir. 1997). “Substantial evidence
is more than a scintilla of evidence but less than a preponderance and is such relevant evidence as
a reasonable mind might accept as adequate to support a conclusion.” Besaw v. Sec’y of Health &
Human Servs., 966 F.2d 1028, 1030 (6th Cir. 1992). The Commissioner’s findings “as to any fact
if supported by substantial evidence shall be conclusive.” McClanahan v. Comm’r of Soc. Sec.,
474 F.3d 830, 833 (6th Cir. 2006) (citing 42 U.S.C. § 405(g)). Even if substantial evidence or
indeed a preponderance of the evidence supports a claimant’s position, the court cannot overturn
“so long as substantial evidence also supports the conclusion reached by the ALJ.” Jones v.
Comm’r of Soc. Sec., 336 F.3d 469, 477 (6th Cir. 2003).
STANDARD FOR DISABILITY
Eligibility for benefits is predicated on the existence of a disability. 42 U.S.C. §§ 423(a),
1382(a). “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.” 20 C.F.R. § 416.905(a); see also 42 U.S.C. § 1382c(a)(3)(A). The Commissioner
follows a five-step evaluation process—found at 20 C.F.R. § 404.1520—to determine if a claimant
is disabled:

1.

Was claimant engaged in a substantial gainful activity?

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2.

Did claimant have a medically determinable impairment, or a combination
of impairments, that is “severe,” which is defined as one which substantially
limits an individual’s ability to perform basic work activities?

3.

Does the severe impairment meet one of the listed impairments?

4.

What is claimant’s residual functional capacity and can claimant perform
past relevant work?

4.

Can claimant do any other work considering his residual functional
capacity, age, education, and work experience?

Under this five-step sequential analysis, the claimant has the burden of proof in Steps One
through Four. Walters, 127 F.3d at 529. The burden shifts to the Commissioner at Step Five to
establish whether the claimant has the residual functional capacity to perform available work in
the national economy. Id. The ALJ considers the claimant’s residual functional capacity, age,
education, and past work experience to determine if the claimant could perform other work. Id.
Only if a claimant satisfies each element of the analysis, including inability to do other work, and
meets the duration requirements, is he determined to be disabled. 20 C.F.R. §§ 404.1520(b)-(f);
see also Walters, 127 F.3d at 529.
DISCUSSION
Plaintiff alleges the ALJ: 1) failed to properly evaluate the opinion of his treating physician,
Dr. Sieben; 2) and erred in evaluating his pain. (Doc. 15). The Commissioner responds that the
ALJ provided good reasons for discounting Dr. Sieben’s opinion, and substantial evidence
supports the ALJ’s credibility/symptom analysis finding. (Doc. 17).
Treating Physician Rule
Plaintiff contends the ALJ erred in assigning little weight to the October 2015 physical
residual functional capacity assessment completed by Dr. Sieben. (Doc. 15, at 8-12). The

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Commissioner responds that the ALJ’s decision is supported by substantial evidence. (Doc. 17, at
8-11).
This argument implicates the well-known treating physician rule. Generally, the medical
opinions of treating physicians are afforded greater deference than those of non-treating
physicians. Rogers v. Comm’r of Soc. Sec., 486 F.3d 234, 242 (6th Cir. 2007); see also SSR 962p, 1996 WL 374188. “Because treating physicians are ‘the medical professionals most able to
provide a detailed, longitudinal picture of [a plaintiff’s] medical impairment(s) and may bring a
unique perspective to the medical evidence that cannot be obtained from the objective medical
findings alone,’ their opinions are generally accorded more weight than those of non-treating
physicians.” Rogers, 486 F.3d at 242 (quoting 20 C.F.R. § 416.927(d)(2)).
A treating physician’s opinion is given “controlling weight” if: (1) it is supported by
medically acceptable clinical and laboratory diagnostic techniques; and (2) is not inconsistent with
other substantial evidence in the case record. Wilson v. Comm’r of Soc. Sec., 378 F.3d 541, 544
(6th Cir. 2004). The requirement to give controlling weight to a treating source is presumptive; if
the ALJ decides not to do so, he must provide evidentiary support for such a finding. Id. at 546;
Gayheart v. Comm’r of Soc. Sec., 710 F.3d 365, 376-77 (6th Cir. 2013). When the physician’s
medical opinion is not granted controlling weight, the ALJ must give “good reasons” for the weight
given to the opinion. Rogers, 486 F.3d at 242 (quoting 20 C.F.R. § 416.927(d)(2)). “Good reasons”
are reasons “sufficiently specific to make clear to any subsequent reviewers the weight given to
the treating physician’s opinion and the reasons for that weight.” Wilson, 378 F.3d at 544.
When determining weight and articulating good reasons, the ALJ “must apply certain
factors” to the opinion. Rabbers v. Comm’r Soc. Sec. Admin., 582 F.3d 647, 660 (6th Cir. 2009)
(citing 20 C.F.R. § 404.1527(d)(2)). These factors include the length of treatment relationship, the

14

frequency of examination, the nature and extent of the treatment relationship, the supportability of
the opinion, the consistency of the opinion with the record as a whole, and the specialization of
the treating source. Id. While an ALJ is required to delineate good reasons, he is not required to
enter into an in-depth or “exhaustive factor-by-factor analysis” to satisfy the requirement. See
Francis v. Comm’r of Soc. Sec. Admin., 414 F. App’x 802, 804-05 (6th Cir. 2011); Allen v. Comm’r
of Soc. Sec., 561 F.3d 646, 651 (6th Cir. 2009).
After discussing the record evidence, the ALJ addressed the opinion evidence, including
that of Dr. Sieben. As to Dr. Sieben, the ALJ stated:
Louise Sieben, M.D., completed an October 2015 questionnaire in which she stated
that the claimant is able to lift up to 30 pounds occasionally and 10 pounds
frequently and stand or walk for up to one-quarter hour and sit for up to one hour
at one time and for a total of four hours [citing Tr. 981]. She states that the claimant
can rarely perform most postural activities and needs to be able to alternate
positions at will (8F:2). The claimant testified at the hearing that he met with Dr.
Sieben and described his limitations as Dr. Sieben completed the form. Because Dr.
Sieben’s statement is based on the claimant’s subjective responses rather than an
independent functional assessment, it is given minimal weight.
(Tr. 23). The ALJ appears to be referring to the following exchange between the ALJ and Plaintiff
at the hearing:
Q
A
Q
A
Q
A
Q
A
Q

How often do you see Dr. [Sieben]?
It’s usually every three months.
How long have you been seeing her?
I’ve been seeing her almost three years.
Did you take a document to her to get filled out?
Yes, I did, for, for this.
Okay. And did you talk to her about what you could do and could not do?
Yes, I did.
All right.

(Tr. 36-37). The undersigned agrees with Plaintiff that this reason advanced by the ALJ for
discounting Dr. Sieben’s opinion is not sufficient to satisfy the reason-giving requirement of the
treating physician rule. “Good reasons” are reasons “sufficiently specific to make clear to any

15

subsequent reviewers the weight given to the treating physician’s opinion and the reasons for that
weight.” Wilson, 378 F.3d at 544 (emphasis added). The undersigned finds the ALJ’s interpretation
of the exchange from the hearing unfounded. Although Plaintiff stated he talked to Dr. Sieben
about what he could and could not do, he did not say that this was all Dr. Sieben considered, Tr.
36-37, nor did Dr. Sieben’s opinion indicate that the limitations listed were based solely on
Plaintiff’s subjective complaints, Tr. 980-81.
In some circumstances, an ALJ’s failure to articulate “good reasons” for rejecting
a treating physician opinion may be considered “harmless error.” This occurs when (1) “a treating
source’s opinion is so patently deficient that the Commissioner could not possibly credit it,” (2)
“the Commissioner adopts the opinion of the treating source or makes findings consistent with the
opinion,” or (3) “the Commissioner has met the goal of § 1527(d)(2)—the provision of the
procedural safeguard of reasons—even though she has not complied with the terms of the
regulation.” Wilson v. Comm’r of Soc. Sec., 378 F.3d 541, 547 (6th Cir. 2004); see also Cole v.
Astrue, 661 F.3d 931, 940 (6th Cir. 2011). In the last of these circumstances, the procedural
protections at the heart of the rule may be met when the “supportability” of the doctor’s opinion,
or its consistency with other evidence in the record, is indirectly attacked via an ALJ’s analysis of
a physician’s other opinions or his analysis of the claimant’s ailments. See Friend v. Comm’r of
Soc. Sec., 375 F. App’x 543, 551 (6th Cir. 2010); Nelson v. Comm’r of Soc. Sec., 195 F. App’x
462, 470-471 (6th Cir. 2006); Hall v. Comm’r of Soc. Sec., 148 F. App’x 456, 464 (6th Cir. 2005).
“If the ALJ’s opinion permits the claimant and a reviewing court a clear understanding of the
reasons for the weight given a treating physician’s opinion, strict compliance with the rule may
sometimes be excused.” Friend, 375 F. App’x at 551.

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Here, because the Commissioner does not acknowledge the ALJ’s error, she also does not
argue such error could be harmless. In this case, the only reason given by the ALJ for rejecting Dr.
Sieben’s opinion is not supported by the evidence. The reasons the Commissioner advances for
discounting Dr. Sieben’s opinion—the opinion was not well supported, the opinion was
inconsistent with the record evidence, and that Dr. Sieben primarily treated Plaintiff for other
issues unrelated to his back and knee complaints—may very well be good reasons and have the
support of substantial evidence. See, e.g., Tr. 284-85 (October 2013 treatment primarily for
diabetes management, but including a referral to pain clinic for back pain); Tr. 241-42 (January
2014 treatment only for diabetes management, with no mention of back problems); Tr. 381-86
(April 2014 treatment only for diabetes management and hypertension, with no mention of back
problems); Tr. 376-80 (May 2014 visit for diabetes management with no mention of back
problems); Tr. 453-54 (October 2014 visit primarily for diabetes management, with no mention of
back problems). But these are not the reasons advanced by the ALJ, and are, rather, a post-hoc
justification for the ALJ’s conclusion. As such, remand is required because any analysis provided

by this Court would be improper post-hoc rationalization.2 See Williams v. Comm’r of Soc.
Sec., 227 F. App’x 463, 464 (6th Cir. 2007) (citing SEC v. Chenery Corp., 332 U.S. 194, 196

2. Plaintiff asks the court to remand the case “with instructions to give deference to Dr. Sieben’s
treating physician opinions.” (Doc. 15, at 12). It is, however, the role of the ALJ to evaluate the
evidence in the first instance, weigh any inconsistencies and be the finder of fact. See, e.g., Bradley
v. Sec’y of Health & Hum. Servs., 862 F.2d 1224, 1227-28 (6th Cir. 1998). Therefore, the
undersigned declines the invitation to instruct the ALJ to give deference. Rather, the undersigned
remands for a more complete analysis of the reasons for the weight given to Dr. Sieben’s opinion.
17

(1947)) (a reviewing court, in assessing the decision of an administrative agency, must judge its
propriety solely by the grounds invoked by the agency); see also Jones v. Astrue, 647 F.3d 350,
356 (D.C. Cir. 2011) (“The treating physician rule requires an explanation by the SSA, not the
court.”).
Although the ALJ certainly discussed contrary record evidence, the ALJ’s opinion does
not “permit[] the claimant and a reviewing court a clear understanding of the reasons for the weight
given [the] treating physician’s opinion” and thus “strict compliance with the rule” should not “be
excused” here. Friend, 375 F. App’x at 551; see also Cole, 661 F.3d at 939 (Sixth Circuit “do[es]
not hesitate to remand when the Commissioner has not provided ‘good reasons’ for the weight
given to a treating physician’s opinion and [it] will continue remanding when [it] encounter[s]
opinions from ALJ’s that do not comprehensively set forth the reasons for the weight assigned”)
(quoting Hensley v. Astrue, 573 F.3d 263, 267 (6th Cir. 2009)) (alteration in original) (internal
quotation marks omitted). The ALJ may well reach the same conclusion on remand, but in so
doing, Plaintiff “will then be able to understand the Commissioner’s rationale and the procedure
through which the decision was reached.” Cole, 661 F.3d at 940. The undersigned therefore
remands this case to allow the ALJ to more fully explain his reasoning for the weight given to Dr.
Sieben’s opinion.
Credibility / Pain Analysis
Second, Plaintiff argues the ALJ failed to properly evaluate his claims of pain. (Doc. 15,
at 12-15). The Commissioner responds that the ALJ provided the proper analysis and substantial
evidence supports the ALJ’s finding. (Doc. 17, at 11-15).
As the Sixth Circuit has long recognized, “pain alone, if the result of a medical impairment,

18

may be severe enough to constitute disability.” King v. Heckler, 742 F.2d 968, 974 (6th
Cir. 1984); see also Grecol v. Halter, 46 F. App’x 773, 775 (6th Cir. 2002). As the relevant Social
Security regulations make clear, however, a claimant’s “statements about [his] pain or other
symptoms will not alone establish that [he is] disabled.” 20 C.F.R. § 404.1529(a); see also Walters
v. Comm’r of Soc. Sec., 127 F.3d 525, 531 (6th Cir. 1997) (quoting 20 C.F.R. § 404.1529(a)); Hash
v. Comm’r of Soc. Sec., 309 F. App’x 981, 989 (6th Cir. 2009). Instead, a claimant’s assertions of
disabling pain and limitation are evaluated under the following standard:
First, we examine whether there is objective medical evidence of an underlying
medical condition. If there is, we then examine: (1) whether objective medical
evidence confirms the severity of the alleged pain arising from the condition; or (2)
whether the objectively established medical condition is of such a severity that it
can reasonably be expected to produce the alleged disabling pain.
Walters, 127 F.3d at 531 (citations omitted). In determining whether a claimant has disabling pain,
the regulations require an ALJ to consider certain factors including: 1) daily activities; 2) location,
duration, frequency, and intensity of pain or symptoms; 3) precipitating and aggravating factors;
4) the type, dosage, effectiveness, and side effects of any medication; 5) treatment, other than
medication, to relieve pain, 6) any measures used to relieve pain, and 7) other factors concerning
functional limitations and restrictions due to pain or other symptoms. 20 C.F.R. § 404.1529(c);
SSR 16-3p, 2016 WL 1119029, at *7 (“[i]n addition to using all of the evidence to evaluate the
intensity, persistence, and limiting effects of an individual’s symptoms, we will also use the factors
set forth in 20 CFR 404.1529(c)(3) . . . .”); SSR 96-7p, 1996 WL 374186, at *3 (“20 CFR
404.1529(c) . . . describe[s] the kinds of evidence, including the factors below, that the adjudicator
must consider in addition to the objective medical evidence when assessing the credibility of an

19

individual’s statements”).3 Although the ALJ must “consider” the listed factors, there is no
requirement that the ALJ discuss every factor. White v. Comm’r of Soc. Sec., 572 F.3d 272, 287
(6th Cir. 2009); Roberts v. Astrue, 2010 WL 2342492, at *11 (N.D. Ohio).
Accordingly, “subjective complaints may support a finding of disability only where
objective medical evidence confirms the severity of the alleged symptoms.” Workman v. Comm’r
of Soc. Sec., 105 F. App’x 794, 800-01 (6th Cir. 2004) (citing Blankenship v. Bowen, 874 F.2d
1116, 1123 (6th Cir. 1989)). However, where the objective medical evidence fails to confirm the
severity of a claimant’s subjective allegations, the ALJ “has the power and discretion to weigh all

3. The undersigned notes that both parties reference both SSR 16-3p, 2016 WL 1119029 and SSR
96-7p, 1996 WL 374186. The former supersedes the latter, however, its effective date in March
2016 post-dates the ALJ’s January 2016 decision. Neither party directly addresses the issue of
whether SSR 16-p should be applied retroactively. District courts within this Circuit have
disagreed regarding the retroactivity of SSR 16-3p and the Sixth Circuit has not decided the issue.
Those courts applying SSR 16-3p retroactively have relied on the fact that SSR 16-3p’s
purpose was clarification, rather than change. See, e.g., Sypolt v. Berryhill, 2017 WL 1169706, at
n.4 (N.D. Ohio) (applying SSR 16-3p retroactively). Those courts declining to apply SSR 16-3p
retroactively have relied upon prior Sixth Circuit statements regarding retroactivity in social
security cases. See, e.g., Murphy v. Comm’r of Soc. Sec., 2016 WL 2901746, at n. 6 (E.D. Tenn.
May 18, 2016) (declining to apply SSR 16-3p retroactively) (citing, inter alia, Cruse v Comm’r of
Soc. Sec., 502 F.3d 532, 541-42 (6th Cir. 2007) (“We are not aware of any constitutional or
statutory requirement that the Administration apply its [newly effective] policy interpretation
rulings to appeals then-pending in federal courts, absent, of course, ex post factor or due process
concerns not present here.”); Combs v. Comm’r Soc. Sec., 459 F.3d 640, 642 (6th Cir. 2006) (“The
[Social Security] Act does not generally give the SSA the power to promulgate retroactive
regulations.”)).
The Sixth Circuit, while declining to reach the retroactivity issue, has characterized SSR
16–3p as merely eliminating “the use of the word ‘credibility’ . . . to ‘clarify that subjective
symptom evaluation is not an examination of an individual’s character.’” Dooley v. Comm’r of
Soc. Sec., 656 F. App’x 113, 119 n.1 (6th Cir. 2016). The undersigned finds it unnecessary to
decide this issue, as it is “largely academic here” Goddard v. Berryhill, 2017 WL 2190661, at *20
(N.D. Ohio). Both SSR 16-3p and 96-7p refer to the two-step process described above, and the
factors listed in 20 C.F.R § 404.1529(c). As discussed below, the ALJ evaluated Plaintiff’s
complaints of pain against the evidence of record and did not discount them based on a character
judgment. In any event, the Court’s evaluation of Plaintiff’s credibility argument herein would be
the same applying either SSR 16-3p or SSR 96-7p.
20

of

the

evidence

and

to

resolve

the

significant

conflicts

in

the

administrative

record.” Id. (citing Walters, 127 F.3d at 531).
In this respect, it is recognized that the ALJ’s credibility assessment “must be accorded
great weight and deference.” Id. (citing Walters, 127 F.3d at 531); see also Heston v. Comm’r of
Soc. Sec., 245 F.3d 528, 536 (6th Cir. 2001) (quoting Myers v. Richardson, 471 F.2d 1265, 1267
(6th Cir. 1972) (“[i]t [i]s for the [Commissioner] and his examiner, as the fact-finders, to pass upon
the credibility of the witnesses and weigh and evaluate their testimony”)). It is not for this Court
to reevaluate such evidence anew, and so long as the ALJ’s determination is supported by
substantial evidence, it must stand. The ALJ found Plaintiff’s subjective allegations to not be fully
supported, a finding that should not be lightly disregarded. See Varley v. Sec’y of Health & Human
Servs., 820 F.2d 777, 780 (6th Cir. 1987). In fact, as the Sixth Circuit has stated, “[w]e have held
that an administrative law judge’s credibility findings are virtually unchallengeable.” Ritchie v.
Comm’r of Soc. Sec., 540 F. App’x. 508, 511 (6th Cir. 2013) (citation omitted).
Here, the ALJ appropriately explained the two-step process for evaluating symptoms. (Tr.
21) (citing 20 C.F.R. § 404.1529). He then summarized Plaintiff’s testimony, and followed that
two-step process. First, he determined Plaintiff’s “medically determinable impairments could
reasonably be expected to cause the alleged symptoms.” (Tr. 21). The ALJ summarized Plaintiff’s
testimony and noted that “[h]e testified that he can stand for approximately 45 minutes and can
walk approximately one-eighth of a mile before needing to rest.” Id. The ALJ then stated that
Plaintiff’s “statements concerning the intensity, persistence and limiting effects of these symptoms
are not entirely credible for the reasons explained in this decision.” Id. The ALJ provided several
reasons for this finding. Contrary to Plaintiff’s assertion, the ALJ appropriately considered whether

21

Plaintiff’s statements regarding his symptoms were consistent with other evidence, including
objective medical evidence.
First, ALJ considered Plaintiff’s daily activities in accordance with 20 C.F.R. §
404.1529(c)(3)(i). Plaintiff “testified that he remains able to perform many daily activities that are
consistent with basic work functions, including cooking, cleaning and caring for his mother.” (Tr.
23). See Tr. 35-36 (Plaintiff’s testimony that care of his mother includes “making sure she has
what she needs, if there’s any shopping or anything, and making sure she’s all right” as well as “a
lot of running around for her, help with . . . doing laundry, cooking, cleaning, stuff like that”);
Walters, 127 F.3d at 532 (“An ALJ may consider household and social activities engaged in by
the claimant in evaluating a claimant’s assertions of pain or ailments.”).
Second, the ALJ appropriately considered treatment and measures used to relieve pain, in
accordance with 20 C.F.R. § 404.1529(c)(3)(iv). The ALJ noted Plaintiff had “participated in
physical therapy” and “uses a TENS unit, which decreased his symptoms and allowed him to stand
for longer periods.” (Tr. 22) (citing Tr. 547, 628).4 Additionally, the ALJ referenced Plaintiff’s
medial branch block injections and lumbar radiofrequency rhizotomies. (Tr. 21-22). Notably, the
record indicates Plaintiff received some pain relief from these procedures. See Tr. 780 (Plaintiff
reported his first medial branch block had provided him relief for a month and a half); Tr. 831 (Dr.
Tabbaa’s notes that Plaintiff’s medial branch blocks had “lasted for 1-2 months”); Tr. 887 (January
2014 note from left side rhizotomy that “RT side was done 2 weeks ago and feeling better”); Tr.
408 (Dr. Sieben’s July 2014 note that Plaintiff reported he had “very good relief” from the
rhizotomy and requested referral back to Dr. Tabbaa); Tr. 429 (Dr. Tabbaa’s note 10 days after a

4. The undersigned recognizes that these references pre-date Plaintiff’s alleged onset date.
However, Plaintiff also testified at the time of the hearing that he had a TENS unit. (Tr. 40).
Regardless, this was not the only evidence the ALJ considered.
22

left side rhizotomy that “[l]eft side is feeling great”); Tr. 364 (Dr. Darr’s note that Plaintiff reported
the rhizotomy procedure helped his lower back pain); see also Tr. 39-40 (Plaintiff’s testimony that
injections and rhizotomy procedures provided him relief for four to six months).
Contrary to Plaintiff’s assertion, the ALJ also considered the objective medical evidence
in the record. The ALJ pointed out that while Plaintiff’s physical examinations “at times identify
tenderness over his paraspinal muscles or positive straight leg tests”, they were “otherwise normal
with normal range of motion [and] normal extremities[.]” (Tr. 22). This is supported by the
evidence of record. (Tr. 446) (Dr. Tabbaa’s September 2014 findings of tenderness to palpation
over paraspinal muscles, but normal strength, reflexes, and sensation in all extremities); Tr. 509
(Dr. Suntala’s April 2015 examination showing normal range of motion and no tenderness in
Plaintiff’s back); Tr. 977 (Dr. Suntala’s July 2015 finding of a positive straight leg raising test, but
no tenderness); Tr. 367 (Dr. Darr’s March 2014 findings of no spine tenderness, normal straight
leg test in sitting and supine position, and full strength in extremities).
The ALJ also summarized the findings of Dr. Darr’s consultative examination, which
concluded Plaintiff was less limited than he alleged. See Tr. 22-23. On examination, Dr. Darr found
Plaintiff had a normal gait, appeared comfortable sitting and laying down, had no tenderness in his
spine, and negative straight leg raise tests. (Tr. 22) (citing Tr. 364-71). Dr. Darr also found Plaintiff
had normal range of motion, except for somewhat reduced range of motion in his knees. (Tr. 371).
Overall, this examination revealed Plaintiff to be less limited than he alleged.
Moreover, the ALJ also noted a contradiction in the record regarding the reason Plaintiff
stopped working: “The claimant’s allegations that his impairments prevent him from performing
any work are not supported by the record evidence. The claimant testified that he stopped working
because he was terminated from his job, not because his impairments prevented him from

23

working.” (Tr. 23). See Tr. 35 (Plaintiff’s testimony that he was terminated for not showing up for
work, but that the schedule had been changed and he was not notified). When asked what happened
on September 13, 2013 to render him disabled, Plaintiff responded “Well, that was the day I was
terminated from the House of Blues. The, the problems had started a little bit before that.” (Tr.
34).
Plaintiff argues the ALJ failed to consider relevant x-rays in the record, as well as Plaintiff’s
treatment with pain relievers, a cane, a TENS unit, and a knee brace. (Doc. 15, at 14). A review of
the ALJ’s decision reveals he did not ignore such evidence. He referenced Plaintiff’s back x-rays
(Tr. 21) (citing Tr. 550), knee x-rays (Tr. 22) (citing Tr. 362), and use of a TENS unit (Tr. 22)
(citing Tr. 547, 628). The ALJ, however, considered these x-ray findings in light of the record as
a whole and reasonably concluded they did not reveal Plaintiff was as limited as he claimed. See,
e.g., McKenzie v. Comm’r of Soc. Sec., 2000 WL 687680, at *5 (6th Cir.) (“[T]he mere diagnosis
of an impairment does not render an individual disabled nor does it reveal anything about the
limitations, if any, it imposes upon an individual.”); Young v. Sec’y of Health & Hum. Servs., 925
F.2d 146 (6th Cir. 1990). And, as discussed above, although the ALJ must “consider” the listed
factors, there is no requirement that the ALJ discuss every factor. White, 572 F.3d at 287; Roberts,
2010 WL 2342492, at *11. The undersigned finds the ALJ did not err in failing to further discuss
the evidence cited by Plaintiff.
These reasons provided by the ALJ explicitly address several of the factors to be considered
in evaluating a claimant’s subjective complaints of pain, including Plaintiff’s daily activities, and
treatment to relieve pain. See 20 C.F.R. § 404.1529(c). Taken as a whole, the ALJ’s decision
determining Plaintiff’s subjective symptom reports were contradicted in part by the record is

24

supported by substantial evidence in the record and the ALJ sufficiently explained the reasoning
behind his evaluation of Plaintiff’s subjective symptom reports.
CONCLUSION
Following review of the arguments presented, the record, and the applicable law, the
undersigned finds the Commissioner’s decision denying DIB and SSI is not supported by
substantial evidence, and therefore remands the decision pursuant to Sentence Four of 42 U.S.C.
§ 405(g) for proper consideration and explanation of the weight given to treating physician Dr.
Sieben’s opinion.

s/James R. Knepp II
United States Magistrate Judge

25