Marvin P.R. v. Commissioner of Social Security

CourtDistrict Court, D. New Jersey
DecidedDecember 29, 2025
Docket2:24-cv-10608
StatusUnknown

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

Bluebook
Marvin P.R. v. Commissioner of Social Security, (D.N.J. 2025).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

MARVIN P.R.,1

Plaintiff, No. 24cv10608 (EP)

v. OPINION

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

PADIN, District Judge.

Plaintiff Marvin P.R., who suffers from various physical impairments, appeals from the Social Security Administration’s (“SSA”) denial of disability insurance benefits (“DIB”) pursuant to the Social Security Act, 42 U.S.C. § 401 (the “Act”). D.E. 1 (the “Appeal”). The Court has considered the parties’ submissions and decides Marvin’s Appeal without oral argument. See Fed. R. Civ. P. 78(b); L. Civ. R. 78.1(b). For the reasons set forth below, the Court will GRANT the Appeal, VACATE the denial, and REMAND for further proceedings consistent with this Opinion. I. BACKGROUND A. Factual Background2 Marvin P.R. was born in 1977. See D.E. 4 (“R.”)3 at 213-14. Sixth grade is the highest

1 To protect the privacy interests of plaintiffs in social security cases, the Court adopts the recommendation of the Judicial Conference of the United States to refer to plaintiffs in social security cases by their first name and last initial. Veronica D. v. Comm’r of Soc. Sec., No. 24-1326, 2025 WL 2665313, at *8 (M.D. Pa. Sept. 17, 2025).

2 The Court predominantly focuses on the diagnoses and treatment Ramirez received as they relate to his dizziness, a medical issue that the ALJ did not adequately consider. Because the ALJ appears to have properly considered Marvin’s other medical issues, this section does not recount in detail the treatment Ramirez received for those other extensive medical injuries. 3 The Court cites to the Administrative Record as “R.” level of education he has completed. Id. at 298. While employed as a truck driver, Marvin suffered a six-foot fall onto concrete on January 7, 2019. Id. at 29, 52-53. Marvin suffered cervical and thoracic spinal fractures, a skull fracture, an ethmoid bone (bone between the eyes) fracture, traumatic brain injury, traumatic subdural hemorrhage, concussion, loss of consciousness,

abrasions of the left shoulder and lower left leg, and lacerations across his left eyebrow and left eyelid. Id. at 559-61. MRI and CT imaging confirmed Marvin’s fractures, along with Chiari I Malformation, multilevel cervical spondylosis, bone marrow edema, and spinal defects. Id. at 565- 66, 602. While in the hospital, Marvin was placed under the care of a trauma team and underwent surgery, led by Dr. Ramakrishnan, to address the numerous fractures and subdural hematoma he suffered from the fall. Id. at 584-87. After spending five days in the hospital, Marvin left on January 11, 2019 and immediately began three weeks of inpatient treatment at the Kessler Institute for Rehabilitation. Id. at 409, 496. Examinations at Kessler revealed, among other things, impaired coordination and impaired balance, and Marvin’s need for assistance with various daily

living activities. Id. at 420-27, 438. Following Marvin’s discharge from the hospital and from inpatient therapy, Marvin continued to obtain treatment from orthopedists, optometrists, neurologists, physical therapists, otolaryngologists, and a neuro-ophthalmologist. For example, Marvin began seeing Dr. Robinson for neurological treatment in March 2019 to treat his back pain, neck pain, shoulder pain, headaches, dizziness, nausea, photophobia, and insomnia. Id. at 496. Over the course of his treatment, Dr. Robinson noted that Marvin continued to suffer various symptoms, including severe dizziness. Id. at 493. Dr. Robinson recommended vestibular rehabilitation in August 2019 to improve Marvin’s dizziness and balance issues. Id. Two months later, despite Marvin’s continued dizziness, Dr. Robinson concluded that further treatment would not be curative, and that Marvin had reached maximum medical improvement. Id. at 492 Around the same time, Marvin also began seeing Dr. Bernstein for orthopedic treatment. Id. at 461. Dr. Bernstein concluded that Marvin’s pain, weakness, and diminished sensation were

symptoms of his spinal injury, rather than symptoms of any shoulder injury. Id. at 463. Marvin also sought treatment in April 2019 from an ophthalmologist, Dr. Goldfeder, for his blurred vision, dizziness, headaches, photophobia, and eye pain. Id. at 636. Dr. Goldfeder noted that at least Marvin’s headaches may have been caused by his head injury. Id. at 638. In April 2019, Marvin also received treatment from a neuro-ophthalmologist, Dr. Vicci. Id. at 648. Dr. Vicci recommended prism lenses, vestibular therapy, and myofascial and craniosacral therapy to help Marvin with his severe dizziness and vestibular dysfunction. Id. at 643, 651, 659- 61. Throughout Marvin’s treatment, Dr. Vicci noted Marvin’s dizziness was constant and that its severity fluctuated based on certain activities like walking or head rotations. Id. Dr. Vicci ultimately diagnosed Marvin in 2020 with visual-vestibular integration dysfunction, cervicogenic-

vestibular dysfunction, binocular vision dysfunction, and photophobia. Id. at 666-72. In other words, the brain and spinal injuries Marvin suffered were causing an imbalance between visual inputs and vestibular inputs. Id. at 666. This visual-vestibular integration dysfunction drove Marvin’s headaches, balance issues, and difficulty processing repetitive motions. Id. Marvin’s cervicogenic-vestibular dysfunction drove his photophobia, which further aggravated his dizziness, headaches, eye strain, and impacted near vision tasks. Id. at 666-72. In May 2019, Marvin began outpatient physical therapy. Id. at 473. There, his physical therapists worked to restore Marvin’s functional balance and to improve his other symptoms and conditions. Id. at 475. His assessments there evaluated how Marvin’s pain and dizziness prevented him from daily living activities like driving and putting on pants. Id. at 486-87. Marvin also attended physical therapy with Dr. Scherl in March 2020. Id. at 503. Dr. Scherl also diagnosed Marvin with central vestibular vertigo, head trauma, concussion syndrome,

and asymmetrical hearing loss. Id. at 506. Dr. Scherl noted that based on Marvin’s neurological and ophthalmological treatment, he suspected Marvin’s perpetual dizziness—which Marvin felt even while seated—stemmed from vestibular dysfunction. Id. at 503. Dr. Scherl recommended that Marvin follow up with a neurologist, neuro-ophthalmologist, and like Dr. Vicci, also recommended vestibular therapy. Id. at 506. At Dr. Vicci’s direction in 2021, Marvin returned to Kessler Rehabilitation for more physical therapy to improve his pain and dizziness. Id. at 678, 700. Marvin rated the severity of his dizziness at a seven out of ten and noted it worsened while walking and when straining his eyes. Id. at 681. Marvin noted that sitting in a recliner was helpful. Id. Physical therapists at Kessler noted Marvin’s vertigo, impaired gait, and worsened dizziness after an eye exam. Id. at

691. At Dr. Vicci’s instruction, Marvin also followed up with his neurosurgeon, Dr. Ramakrishnan, in 2021 to determine whether his dizziness was related to his Chiari Malformation. See id. at 527. Dr. Ramakrishnan noted that although Marvin “has come a long way” he “still suffers from debilitating [dizziness], blurred vision and intermittent headaches.” Id. Dr. Ramakrishnan referred Marvin to experts at Advanced Neurosurgery Associates to further investigate whether his dizziness was related to his Chiari Malformation or to his head injury. Id. at 528. While receiving treatment there, physicians noted that Marvin’s dizziness persisted but ultimately opined that surgery to treat his Chiari Malformation was not appropriate. Id. at 754, 762.

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Marvin P.R. v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marvin-pr-v-commissioner-of-social-security-njd-2025.