Espinoza v. SSA

CourtDistrict Court, D. New Hampshire
DecidedApril 30, 1999
DocketCV-98-065-B
StatusPublished

This text of Espinoza v. SSA (Espinoza v. SSA) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Espinoza v. SSA, (D.N.H. 1999).

Opinion

Espinoza v. SSA CV-98-065-B 04/30/99

UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Robert Espinoza

v. Civil N o . 98-065-B

Kenneth S . Apfel, Commissioner, Social Security Administration

O R D E R

Robert Espinoza applied for Title II Social Security

Disability Income (“SSDI”) benefits in 1994, alleging disability

since May 1 4 , 1993, due to problems with his knees, left ankle,

and hearing loss.1 He has not engaged in substantial gainful

activity, as defined by Social Security Administration (“SSA”)

regulations, since May 1 4 , 1993. After the SSA denied Espinoza’s application, he requested a hearing before an Administrative Law

Judge (“ALJ”). ALJ Frederick Harap held a hearing on Espinoza’s

claim on April 8 , 1996, and issued a decision denying his

application the following month. Espinoza then filed a request

for review with the Appeals Council, submitting additional

1 Because Espinoza does not challenge the ALJ’s finding that he does not suffer from a hearing impairment sufficient to impact his vocational opportunities, I do not address the issue in this order. medical records which were not before the ALJ when he rendered

his decision. The Appeals Council subsequently denied Espinoza’s

request for review, making the ALJ’s decision the final decision

of the Commissioner of the Social Security Administration

(“Commissioner”).

Espinoza brings this action pursuant to Section 205(g) of

the Social Security Act, 42 U.S.C.A. § 405(g) (West Supp. 1998)

(“the Act”), seeking review of the SSA’s decision denying his

claim for benefits. For the reasons set forth below, I uphold

the SSA’s decision. FACTS2

Espinoza, now 4 0 , was 37 years old at the time ALJ Harap

denied his claim for benefits. He is a high school graduate and

attended college for two to three years. He served in the Navy

from 1977 to 1981, working as a sonar technician. After receiving an honorable discharge, Espinoza held jobs as a golf

course groundskeeper, mail handler/clerk, cable handler, cable

tradesman, and a heavy equipment operator. See T r . at 5 0 .

Espinoza injured both of his knees after falling through a

hatch aboard a submarine in 1978. He underwent three

2 Unless otherwise noted, the following facts are taken from the Joint Statement of Material Facts submitted by the parties to this action.

-2- arthroscopic surgeries on his knees between 1982 and 1985. He

was advised after the surgeries to start a Nautilus physical

therapy program. X-rays of his knees in February 1986 were

negative. Espinoza testified before the ALJ that his left knee

gives out and his right knee locks up about four times a week.3

See T r . at 5 3 , 5 5 . Since surgery to his left ankle in December

1994, Espinoza stated that merely walking up a set of stairs has

caused his knees to give out or lock u p . See T r . at 5 5 . In

January 1996, he was advised to begin physical therapy for his

knees. See T r . at 332.

Espinoza injured his left ankle during a basketball game in

1981, while he was serving in the Navy. The ankle was operated

on that same year. See T r . at 5 0 . Espinoza’s ankle was examined

upon his discharge from the service in August 1981. There was no

evidence of dislocation, but a small calcific fleck indicated the

possibility of a sprain fracture. Espinoza was scheduled to

undergo physical therapy for his ankle, but he never attended the

sessions. The following spring, in 1982, Espinoza played

lacrosse for the University of New Hampshire.

3 In his decision, the ALJ erroneously stated that Espinoza’s knees lock up or give out four times a month.

-3- In October 1982, Espinoza requested a brace for his left

ankle so that he could run. In March 1983, he stated that his

ankle was weak and sometimes gave out. An examination at that

time found no abnormalities. In September 1983, Espinoza again

requested a brace, stating that the ace bandage he was using did

not provide enough support. In September 1986, he reported that

his left ankle often gave out on him.

Espinoza requested an air cast and ankle brace in June 1993,

the same month that he requested an increase in his service-

connected disability due to limited motion of his left ankle.4

Upon examination, Espinoza’s range of motion in his left ankle

was the same as his right ankle. He did, however, exhibit severe

crepitus5 on side-to-side motion of his left ankle.

In October 1993, Espinoza was fitted with a custom molded

hinged ankle stirrup with a heel cup. In April 1994, the stirrup

was modified by cutting off the forefoot, leaving only the heel

cup. A D r . Harris of the Veterans Administration in Manchester,

4 Espinoza had an initial service-connected disability of 0%, which increased to 10% effective June 8 , 1993. His disability was increased temporarily to 100% in December 1994, when he underwent ankle surgery. Espinoza’s disability was again lowered to 10% in June 1995, and raised to 20% later that year. 5 Crepitus is “noise or vibration produced by rubbing bone or irregular cartilage surfaces together.” Stedman’s Medical Dictionary 409 (26th ed. 1995).

-4- N.H., wrote a note on Espinoza’s behalf in September 1994 to

assist Espinoza’s search for job training through the VA. Dr. Harris’s note stated that Espinoza’s left ankle pain and instability prevented him for standing for long periods of time or walking on uneven surfaces. Espinoza underwent ligament reconstruction surgery on his left ankle at the VA Medical Center on December 1 6 , 1994.6 During surgery, a spur on the ankle bone was removed. Upon discharge, Espinoza’s left ankle was in a short leg cast and he used crutches.

Espinoza saw D r . James M . Shea at the request of the VA in February 1995. He reported that his left ankle continued to bother him. He used crutches and wore a large splint, and noted that he was being treated for an infection that developed after his ankle surgery. Although Espinoza complained of persistent drainage from his surgery scar, the wound was dry. D r . Shea noted that Espinoza resisted attempts at moving his ankle,

6 Espinoza applied for benefits, claiming an onset date of May 1 4 , 1993, the date he was discharged from his job for reasons unrelated to his alleged disabilities. At his hearing before the ALJ, however, he essentially conceded that he was not physically disabled until December 1994, when his left ankle was operated upon. See T r . at 5 7 . (“Q [by attorney]: So is it fair to say, sir, that your claim for disability really revolves around the operation that was done in December of ‘94? A : I’d say above and beyond a shadow of doubt, yes.”)

-5- complaining of discomfort. While the ankle was tender and there

was moderate edema7 of the entire foot and ankle, Espinoza did

not demonstrate any instability. He could move his toes well and

had good sensation. D r . Shea stated, however, that Espinoza’s

left calf was 1-1/8 inches smaller in circumference than his

right. See T r . at 312.

Espinoza testified that he took “horrendous amounts of pain

killers” from the date of his surgery until about July 1995,

which caused him to lose “quite a bit of memory.” T r . at 6 0 , 6 2 .

Espinoza was initially prescribed the pain killers oxycodone and

hydroxyzine. In a statement filed in conjunction with his

request for a hearing before an ALJ, Espinoza stated that he took

a number of different pain medications daily.

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