Murray v. Commissioner of Social Security

CourtDistrict Court, S.D. Ohio
DecidedNovember 18, 2021
Docket2:20-cv-04488
StatusUnknown

This text of Murray v. Commissioner of Social Security (Murray 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
Murray v. Commissioner of Social Security, (S.D. Ohio 2021).

Opinion

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

BILL SCOTT MURRAY,

Plaintiff, v. Civil Action 2:20-cv-4488 Judge Michael H. Watson Magistrate Judge Kimberly A. Jolson

COMMISIONER OF SOCIAL SECURITY,

Defendant.

REPORT AND RECOMMENDATION Plaintiff 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 applications for Disability Insurance Benefits (“DIB”). For the reasons set forth below, it is RECOMMENDED that the Court OVERRULE Plaintiff’s Statement of Errors (Doc. 18) and AFFIRM the Commissioner’s decision. I. BACKGROUND Plaintiff filed his DIB application in 2018, alleging that he became disabled on August 14, 2017. (Tr. 163–64). After Plaintiff’s applications were denied initially and on reconsideration, an Administrative Law Judge (“ALJ”) held a hearing on September 12, 2019, and issued a decision on November 12, 2019, denying Plaintiff’s applications. (Tr. 31–63, 12–30). The Appeals Council declined to review that unfavorable determination, and thus, it became final for purposes of judicial review. (Tr. 1–6). On August 30, 2020, Plaintiff initiated this action. (Doc. 1.) The Commissioner filed the administrative record on March 17, 2021 (Doc. 12). Thereafter, Plaintiff filed his Statement of Errors (Doc. 18) and the Commissioner filed an Opposition (Doc. 20). Plaintiff did not file a Reply. Therefore, the matter is now ripe for review. A. Plaintiff’s Testimony The ALJ summarized Plaintiff’s September 12, 2019, hearing testimony. At the hearing, claimant testified to a history of lumbar and cervical discomfort associated with right shoulder injury sustained while working, which has resulted in an inability to work. He testified to some discomfort with walking, stating that he uses a cane sometimes, but not very often at home. Claimant complained his doctor will not prescribe medication for him. Per his hearing testimony, he mostly lays down during the day. He reported receiving assistance with chores, complained of difficulty with grocery shopping aswell as pain with sleeping; said he cannot reach overhead with his arms; described experiencing numbness, weakness, and swelling in the legs and feet; reported tingling in the fingers with frequent dropping of items; and, when possible uses a handrail for stability. Claimant further testified to difficulty putting on shoes, as well as opening a jar and picking up coins, and that he is essentially unable to care for his daughter secondary to the effects of his impairments.

(Tr. 19–20). B. Relevant Medical History The ALJ also summarized the relevant medical evidence. According to the record, claimant reports initially sustaining injury while at work in early August 2017, at which time, a box was reported to have fallen on his right shoulder. When seen in the emergency room on August 8, 2017, claimant described pain intensity level of 7 out of 10 with discomfort radiating down the shoulder to the left hand, with some associated numbness and tingling in the fingers . . . . He denied any prior injury to the shoulder and said he had not taken any medication prior to the examination. Claimant had no other complaints. Musculoskeletal examination was positive for some tenderness to the anterior right shoulder, but with claimant exhibiting normal range of motion, full 5/5 grip strength, and no edema or crepitus . . . . Sensation was slightly diminished in the fingers on the right, but generally intact overall. Right shoulder x-ray was unremarkable and absent any acute osseous abnormalities, and claimant was given ibuprofen in the emergency room . . . . As of October 13, 2017, claimant had completed a course of chiropractic treatment, with claimant continuing to report some discomfort to the site, but also with reports of improvement in pain intensity level and radiation of pain . . . . Related reports also reference improved back pain (no longer sharp, radicular-type), increase in cervical extension, increased strength during muscle testing, and improvement in lumbar range of motion . . . . A January 2018 examination in connection with a worker’s compensations claim yielded a primary assessment of cervical sprain . . . . Claimant had some pain on range of motion of the right shoulder, along with some spasm and tenderness in the right paracervical region and lumbar spine; straight leg raising was negative. The following month, cervical MRI did show neural foraminal narrowing at C5-C6 due to facet and uncoverteral joint hypertrophy, but with no abnormal spinal cord signal intensity . . . . Lumbat MRI revealed mild to moderate central stenosis at L4/5 with some disc effusion at L5/S1 . . . . MRI of the right shoulder in the same month revealed small partial thickness tear . . . . On follow-up of the neck, low back, and right shoulder on March 21, 2018, claimant reported some continued discomfort in the areas, but he remained grossly intact neurovascularly and had no muscle atrophy . . . . During the same examination, claimant declined use of brace/splint, cane/walker, or any other device . . . . Noteworthy, in a March 23, 2018 letter from chiropractor Jeffrey S. Hudson, DC, who had previously treated claimant, he specifically noted improvement with treatment of chiropractic manipulation and rehabilitative therapies . . . .

Further noteworthy is the June 7, 2018, report of Dr. Rajesh Madan, M.D., that indicates “claimant returns after an interval of 2 years reporting workplace injury, with back and shoulder pain since the initial incident (Exhibit 7F, page 16). The same report mentions a prior diagnosis of hypertension but with claimant not following up for 2 years and also with claimant not being on anany blood pressure medication. There was some cervical and lumbar tenderness noted on exam, but gait was normal and there were no indications for any significant sensory or motor deficits . . . . According to the examination report, claimant was not on any pain medication at the time . . . . The report references right shoulder pain, but with no report of related abnormalit y on exam. As of June 28, 2018, claimant had been started on duloxetine for chronic pain symptoms and he was tolerating the medication well and found it beneficial . . . .

As of late August 2018, claimant was seeking an orthopedic specialist with reports that he was using Naxproxen intermittently . . . He subsequently underwent orthopedic examination on September 19, 2018, with the examination positive for some tenderness in the acromioclavicular joint, along with positive drop arm and impingement tests . . . . Sensation was normal, erythema was absent and range of motion was not significantly limited . . . . Left shoulder exam was normal and claimant had normal left shoulder range of motion with no tenderness experienced. Claimant ambulated with normal gait and had appropriate balance.

As of the December 2018 physical examination conducted in connection with a worker’ s compensation claim, claimant had not had any physical therapy or injections for the right shoulder and was not receiving any assistive device . . . . He was only taking Ibuprofen as needed for pain. Toe and heel walking were normal; straight leg raising was negative with no sensory deficit; there was no shoulder crepitus; and hip examination was normal . . . . On March 19, 2019, claimant reported he was seeing a spine specialist, but there was no imaging or specialty reports available for review . . . .

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Murray v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/murray-v-commissioner-of-social-security-ohsd-2021.