Ranlet v. SSA

CourtDistrict Court, D. New Hampshire
DecidedFebruary 20, 1998
DocketCV-97-125-JD
StatusPublished

This text of Ranlet v. SSA (Ranlet 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.

Bluebook
Ranlet v. SSA, (D.N.H. 1998).

Opinion

Ranlet v. SSA CV-97-125-JD 02/20/98 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW HAMPSHIRE

Daniel Ranlet

v. Civil No. 97-125-JD

John J. Callahan, Acting Commissioner, SSA

O R D E R

The plaintiff, David Ranlet, brings this action pursuant to

section 205(g) of the Social Security Act, 42 U.S.C. § 405(g),

seeking review of a final decision of the defendant, the

Commissioner of the Social Security Administration

("Commissioner"), denying his claim for benefits under the Act.

Before the court are the plaintiff's motion for an order

reversing the Commissioner's decision (document no. 5) and the

defendant's motion for an order affirming the Commissioner's

decision (document no. 8).

Background

Pursuant to Local Rule 9.1, the parties have filed the

following joint statement of material facts, which the court

incorporates verbatim:

Introduction

Plaintiff filed an application for Supplemental Security Income ("SSI") payments (Tr. 91-94), based on disability, on June 24, 1993, alleging an inability to work due to a back condition, cataracts and a gall­ stone, and resulting pain in his back, legs, neck and arms (Tr. 33, 116). Plaintiff has an eighth grade education (Tr. 120), and past work experience as an assembler, shoe shop cementer, tacker, security guard, and press punch operator (Tr. 42-45, 120).

Medical Evidence

The medical record indicates that the plaintiff was referred for physical therapy (PT) for his back condition in August 1992 (Tr. 139). Plaintiff was next seen for diagnostic imaging in November 1992 (Tr. 150- 151); this revealed a negative thoracic dorsal spine and only hyper lordosis in his lumbar spine, with a guestionable gallstone.

Plaintiff was also treated by Dr. George B. Neal, a neurologist. The plaintiff underwent an MRI, and the results showed a herniated disc (Tr. 37). Because of the lumbar disc herniation. Dr. Neal prescribed physical therapy (Tr. 140). He was discharged from physical therapy with an independent home program because the physical therapy had not been helpful (Tr. 162) .

In December 1992, both an electromyogram (EMG)1 and nerve conduction velocity (NCV) studies were found to be normal, with no evidence of lumbosacral radiculopathy2 or peripheral neuropathy3 (Tr. 152-153). Additionally in December, a physical examination performed at the Neurology Associates of Southern New

2An electrodiagnostic technigue for recording the extracellular activity of skeletal muscles at rest, during voluntary contractions, and during electrical stimulation. Norland's Illustrated Medical Dictionary (Norland's), 28th ed., at p . 537 .

2Disease of the nerve roots. I_ci. at p. 1404.

3A functional disturbance or pathological change in the peripheral nervous system. Id. at p. 1132.

2 Hampshire revealed no definite weakness or sensory loss, and noted that the plaintiff's reflexes were normal and symmetrical (Tr. 154).

An MRI of the plaintiff's lumbar spine, performed on December 8, 1992, found a small focal disc hernia­ tion at L3-4 without evidence of any significant impingement of the thecal sac or nerve roots, but with progression compared to the previous exam; and degeneration at L4-5 and L5-S1 (Tr. 159). A subseguent exam at the Neurology Associates of Southern New Hampshire again noted that the plaintiff had normal strength, reflexes and sensation, and had negative straight leg raising tests (Tr. 155). The doctors' impression was that the plaintiff had a small herniated nucleus pulposus (HNP) and possibly some musculoskeletal component.

Plaintiff was again referred to PT in January 1993 (Tr. 140-141). He was evaluated and attended several sessions; however his progress was hampered by Plaintiff overexerting himself in performing certain activities, such as lifting his wife's wheelchair4 and shoveling snow for one and a half hours (Tr. 142-147, 149). According to Plaintiff's physical therapist, he was exacerbating his lower back symptoms with these activities (Tr. 149). Plaintiff was discharged from physical therapy on February 22, 1993 (Tr. 148) .

On April 7, 1993, the plaintiff returned to the Neurology Associates of Southern New Hampshire, at which time it was noted that he had fractured his big right toe three days previously (Tr. 156). A physical examination found that the plaintiff had normal strength and reflexes, as well as negative Tinel's5 and

4M r . Ranlet's wife is disabled. She suffers from myotonic dystrophy and is confined to a wheelchair. Mr. Ranlet testified during his prior August 1994 hearing that he needs to lift his wife out of her wheelchair, which causes pain in his back (Tr. 35) .

5A tingling sensation in the distal end of a limb when percussion is made over the site of a divided nerve. It

3 Phalen's6 signs.

In May 1993, an examination at the Neurology Associates again noted that the plaintiff's motor strength, reflexes, and plantaris7 flexor8 were all normal, and that his straight leg raising tests were negative (Tr. 157). Plaintiff was diagnosed with low back pain, pain in his right foot at the site of a childhood injury, and rule/out bilateral carpal tunnel syndrome. Dr. John D. Thomas, II, a physiatrist, also performed an exam of the plaintiff in May 1993 (Tr. 161-164). At this exam the plaintiff was found to have a full range of motion in his back, with normal sensation, strength, balance and coordination (Tr. 163). Additionally, the plaintiff was able to straight leg raise to 90 degrees in the sitting position, and to 80 degrees in the supine position. Further, while the plaintiff did have some tenderness in his back, no overt spasm was observed (Tr. 163). Dr. Thomas stated that his findings were fairly limited and that there certainly were no hard signs of radiculopathy, but that there could be a bit of residual myofascial involvement kicking off some "dull, achy central pain" (Tr. 163).

A second EMG, performed on May 18, 1993, was also negative (Tr. 158). Additionally, a consultative eye exam, performed on June 22, 1993 at the reguest of the Disability Determination Services (DDS), found that the plaintiff's corrected vision was 20/30, and that there had been no dramatic change in the plaintiff's cataracts in the past two years (Tr. 166).

Dr. Wesley R. Wasdyke examined the plaintiff on July 19, 1993 as part of a pain clinic evaluation (Tr.

indicates a partial lesion or the beginning regeneration of a nerve. .Id. at pp. 1527, 1714.

6This is for the detection of carpal tunnel syndrome. Dorland's at pp. 985, 1271.

7Having to do with the sole of the foot. Id. at p. 1301.

8Any muscle that flexes a joint. Id. at p. 639.

4 168-170). Dr. Wasdyke noted that the plaintiff was able to walk normally, heel and toe walk, and get up from a squatting position (Tr. 169). Additionally, the plaintiff's strength, sensation, and reflexes were all normal and there was no tenderness in his thoracic or lumbosacral spine. Dr. Wasdyke concluded that there was no evidence of disc impingement, but that the plaintiff could have bulging discs (Tr. 169). He prescribed Amitriptyline after the plaintiff declined epidural injections, and suggested that the plaintiff refrain from lifting and doing heavy work (Tr. 169- 170). Plaintiff's condition remained the same at a follow up visit with Dr. Wasdyke in August 1993 (Tr. 171) .

Another MRI of the plaintiff's lumbar spine was taken on February 22, 1994 (Tr. 160). This revealed degenerative and bulging discs at L3-4, L4-5, L5-S1. In April 1994, Dr.

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