Marks v. Commissioner of Social Security

CourtDistrict Court, S.D. Ohio
DecidedJune 2, 2021
Docket2:20-cv-03923
StatusUnknown

This text of Marks v. Commissioner of Social Security (Marks v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marks v. Commissioner of Social Security, (S.D. Ohio 2021).

Opinion

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

MICHAEL J. MARKS,

Plaintiff, v. Civil Action 2:20-cv-3923 Judge Algenon Marbley Magistrate Judge Kimberly A. Jolson

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

REPORT AND RECOMMENDATION Plaintiff Michael J. Marks, brings this action under 42 U.S.C. § 405(g) seeking review of a final decision of the Commissioner of Social Security (“Commissioner”) denying his application for Disability Insurance Benefits (“DIB”). For the reasons set forth below, it is RECOMMENDED that the Court OVERRULE Plaintiff’s Statement of Errors and AFFIRM the Commissioner’s decision. I. BACKGROUND

Plaintiff protectively filed his application for DIB on October 25, 2016, alleging that he was disabled beginning September 20, 2016. (Tr. 189–96). After his application was denied initially and on reconsideration, the Administrative Law Judge (the “ALJ”) held a hearing on April 18, 2019. (Tr. 45–76). On July 3, 2019, the ALJ issued a decision denying Plaintiff’s application for benefits. (Tr. 8–29). The Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision the final decision of the Commissioner. (Tr. 1–7). Plaintiff filed the instant case seeking review of the Commissioner’s decision on August 3, 2020 (Doc. 1), and the Commissioner filed the administrative record on December 23, 2020 (Doc. 12). Plaintiff filed his Statement of Errors on March 10, 2021 (Doc. 15). Defendant filed an Opposition on April 26, 2021. (Doc. 16). Plaintiff did not file a reply. Thus, the matter is ripe for consideration. A. Relevant Hearing Testimony

The ALJ summarized the testimony from Plaintiff’s hearing: The [Plaintiff] testified, or elsewhere alleged, that he cannot work due to a number of impairments and related symptoms (see also Exhibit 3E). He indicated that at the time of his alleged onset date he suffered a work injury requiring a cervical fusion surgery. Though this resolved his numbness, he indicated that he still has pain. He further noted that he has lower back pain with pain going down his legs, reporting that he has trouble walking and gripping with his hands and his legs sometimes “go out” when he sits too long and then stands, resulting in several falls. For treatment, the [Plaintiff] testified that he uses ice packs, has had injections, does stretches, and goes to therapy. At hearing he reported only 20 percent relief from the injections. He admitted, however, that he told his doctors the injections were more effective than they actually were because he does not like injections. As for his daily activities, the [Plaintiff] reported that he is the primary caregiver of his children in the summer months, but he does not do a lot and he spends three hours in the recliner each day. Still, he indicated he is able to perform self-care, such as dressing himself, he does chores around the house, he drives, he is able to watch his kids’ basketball games, he gets along well with his wife and he visits a few friends.

(Tr. 17–18). The [Plaintiff] testified that he minimized his symptoms when he met with treating providers because he liked to “play the tough guy” and because he wanted to avoid surgery or additional injections. However, he also testified that one of his providers told him that he was too young for surgery, which negates this explanation.

(Tr. 20–21). B. Relevant Medical Evidence

Because Plaintiff attacks only the ALJ’s treatment of his physical impairments, the Court focuses on the same. The ALJ summarized Plaintiff’s medical records and symptoms related to his impairments: [T]he [Plaintiff] presented to the emergency department with reports of a pulled muscle due to a workplace injury (Exhibit 1F). He reported numbness in his chest and torso, in his bilateral fourth and fifth digits, and in the outer aspect of his upper and lower extremities. He indicated that his legs were weak when he stood (Exhibits 1F, 3F). Upon examination, the [Plaintiff] exhibited a positive right straight leg raise and paraspinal tenderness over the right trapezius, but he retained a normal gait and station and normal sensation. Imaging performed at that time showed an unremarkable cervical spine and mild degenerative joint disease of the thoracic spine (Exhibits 1F, 2F/31). The [Plaintiff] began therapy and was prescribed medications, but reported that his legs continued to feel weak, exhibiting decreased sensation, but normal strength and tone of the upper extremities, with decreased upper extremity strength, including decreased grip strength, noted (Exhibit 1F).

Further imaging was performed as a result of progressive bilateral arm and leg weakness and numbness, and the [Plaintiff] was found to have a herniated intervertebral disc in the cervical spine resulting in severe central canal stenosis with spinal cord compression and intrinsic cord signal change (Exhibits 2F, 6F/8, 11F). Subsequently, in November 2016, the [Plaintiff] underwent a cervical spinal fusion, which reportedly resolved the numbness in his chest and torso, but did not immediately improve the symptoms of radiculopathy in his upper extremities (Exhibits 2F, 3F). When seen in post-surgical follow-up, the [Plaintiff] reported that he was doing well, complaining only of numbness in the fourth and fifth digits (Exhibit 11F). On exam, he exhibited intact sensation and 5/5 strength in the upper and lower extremities bilaterally. In February 2017, only a couple of months after his cervical fusion surgery, the [Plaintiff] underwent a physical consultative examination, complaining of constant burning and electrical -type pain in his neck which was reportedly made better by stretching and a transcutaneous electronic nerve stimulation (TENS) unit (Exhibit 3F). Upon examination, the [Plaintiff] was unable to walk on his heels and he exhibited slight tenderness to palpation over the cervical spine, but he was well groomed, able to get on and off the examination table unassisted without difficulty, able to walk with a normal gait without the use of an assistive device, and able to walk heel-to-toe, walk on his toes, hop, and squat. He exhibited 4/5 strength in regard to bilateral finger abduction and adduction, but all other joints and muscles appeared to have 5/5 strength bilaterally. Decreased sensation was also demonstrated in the bilateral fourth and fifth digits as well as in the lateral aspect of the upper and lower arms bilaterally. As for range of motion, the [Plaintiff] demonstrated decreased range of motion in the cervical spine, but fine fingering was normal bilaterally and grip strength was 5/5 bilaterally.

In March 2017, a physical examination showed normal gait and normal sensory examination of the lower extremities (Exhibit 13F). Normal sensation was found in the proximal arms, but diminished from the distal upper extremities below the elbows. While motor strength was largely 5/5, there was some reduction to 4/5 regarding intrinsics and triceps. The [Plaintiff] underwent a nerve conduction study in April 2017 showing normal results in the neck and both upper extremities (Exhibit 5F/29-30). Treatment notes from April 2017 also indicate that the [Plaintiff] underwent a myelogram of the cervical and thoracic spines, with the results showing mild discogenic and uncovertebral joint disease of the cervical spine without significant central canal or neural foraminal stenosis at C3-C4 and C4-C5, and a small osteophyte at C5-C6 resulting in mild to moderate central canal stenosis (Exhibits 4F, 5F). As for the thoracic spine, results showed mild multilevel osteophyte formation without significant central canal stenosis.

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