Scott J. v. Frank Bisignano, Commissioner of Social Security

CourtDistrict Court, E.D. Pennsylvania
DecidedFebruary 6, 2026
Docket5:24-cv-06865
StatusUnknown

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

Bluebook
Scott J. v. Frank Bisignano, Commissioner of Social Security, (E.D. Pa. 2026).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

SCOTT J., : CIVIL ACTION Plaintiff, : : vs. : NO. 24-cv-6865 : FRANK BISIGNANO, : Commissioner of Social Security, : Defendant. :

MEMORANDUM OPINION

LYNNE A. SITARSKI UNITED STATES MAGISTRATE JUDGE February 6, 2026

Plaintiff Scott J. brought this action seeking review of the Commissioner of the Social Security Administration’s (SSA) decision denying his claim for Social Security Disability Insurance (SSDI) benefits under Title II of the Social Security Act (Act), 42 U.S.C. §§ 401-433. This matter is before me for disposition upon consent of the parties. For the reasons set forth below, Plaintiff’s Request for Review (ECF No. 16) is DENIED.

I. PROCEDURAL HISTORY Plaintiff protectively filed for SSDI on October 24, 2021, alleging disability since November 17, 2017, due to small fiber neuropathy, fibromyalgia, pain, muscle spasms and brain fog. (R. 213). The application was denied at the initial level and upon reconsideration, and Plaintiff requested a hearing before an Administrative Law Judge (ALJ). (R. 72-76, 82-88). Plaintiff, represented by counsel, and a vocational expert (VE) testified at an administrative hearing on April 8, 2024. (R. 27-52). On April 18, 2024, the ALJ issued a decision unfavorable to Plaintiff. (R. 11-26). Plaintiff appealed, and the Appeals Council denied his request for review on October 29, 2024, making the ALJ’s decision the final decision of the Commissioner for purposes of judicial review. (R. 1-6). On December 30, 2024, Plaintiff filed a complaint in this Court. (Compl., ECF No. 1). On February 13, 2025, he consented to my jurisdiction pursuant to 28 U.S.C. § 636(C). (Consent, ECF No. 8). On July 1, 2025, Plaintiff filed a Brief and Statement of Issues in Support of Request for Review. (Pl.’s Br., ECF No. 16). The Commissioner filed a Response on November 4, 2025. (Resp., ECF No. 19).

II. FACTUAL BACKGROUND The Court has considered the administrative record in its entirety and summarizes here the evidence relevant to the instant request for review. Plaintiff was born on August 25, 1967, and was 50 years old on the alleged disability onset date. (R. 256). He completed a four-year college. (R. 214). Plaintiff previously worked as an automotive production supervisor and a dog walker. (Id.). A. Medical Evidence Plaintiff first developed fatigue1 in 2015, without any obvious precipitating event. (R. 359). Since that time, he has fairly consistently complained to his medical providers about this problem. (See R. 360, 367, 374, 462, 464, 490, 501, 509, 590, 602, 609, 767, 838, 881, 886. But

see R. 426, 575, 580 (denying fatigue during these visits)). Due to Plaintiff’s fatigue, his treatment has included educating him regarding the need to pace himself while performing activities. (See, e.g., R. 459, 470, 496, 509). Since his alleged disability onset, Plaintiff has also experienced significant involuntary weight loss, which he suggests may be associated with problems eating. On November 18, 2017,

1 Plaintiff’s medical records sometimes couple his fatigue with malaise (i.e., “malaise/fatigue”). (See R. 524, 577, 584, 590, 602, 609, 881, 886). Plaintiff weighed 227 pounds (down from 260 on December 21, 2016). (R. 595, 611). By March 1, 2019, his weight had fallen to 225 pounds, and he complained of a “sensation of something stuck in his throat.” (R. 303). On June 7, 2021, he weighed 191 pounds. (R. 448). He lost nine more pounds by the time of a March 28, 2022 appointment. (R. 792). On May 4, 2023, Plaintiff told his primary care physician, Louise Butler, M.D., that he often does not finish his meals because he gets tired while chewing. (R. 920). By December 6, 2023, Plaintiff weighed 159 pounds. (R. 871).

Additionally, during the relevant period Plaintiff has reported pain and stiffness, often associated with movement. (See, e.g., R. 590 (May 18, 2018: “I feel like the tin man getting up and moving.”)). A March 25, 2019 CT scan showed mild to moderate spondylosis of the cervical spine. (R. 394). On June 7, 2021, it was noted that an MRI showed mild to moderate spondylosis in his lumbar spine. (R. 450). In response to worsening neck pain and upper extremity weakness, on August 2, 2023, Plaintiff underwent a cervical spine MRI, which showed mild to moderate degenerative changes mildly progressed since 2020. (R. 552, 862, 920). On November 6, 2023, Plaintiff complained of “[g]eneralized achiness in his neck and low back,” as well as “[g]eneralized upper as well as lower extremity numbness paresthesia and weakness.” (R. 849). A lumbar spine MRI taken that day showed “evidence of advanced disc degeneration

especially L5-S1 and to a less[er] degree L4-L5.” (R. 860). At various points, Plaintiff has also complained of pain in various other joints and body parts, including his chest, shoulders, arms, elbows, hands, ribs, abdomen, hips, thighs, knees and feet. (See, e.g., R. 360, 374, 447, 460, 530). Plaintiff was diagnosed by his rheumatologist with fibromyalgia in 2020. (R. 462). At an October 13, 2021 visit with Kristine Vanselow, M.D., Plaintiff reported a “widespread itching sensation,” a sensation of being “squeezed,” and “ongoing, uncontrolled pain” that the doctor noted appeared “related to fibromyalgia,” with symptoms worse at night especially following daytime activity. (R. 527; see also R. 438 (complaining on May 3, 2021 of “full body pain”)). Dr. Vanselow observed that “multiple medications including amitriptyline, duloxetine, savella [and] effexor have been tried without relief” and suggested gabapentin and lyrica, but Plaintiff stated his belief that they had been attempted as well. (Id.). She referred him to the fibromyalgia clinic. (Id.). At the November 19, 2021 outpatient evaluation, he reported tenderness all over his body (but primarily in the neck and back), and his Revised Fibromyalgia Impact

Questionnaire Score placed him in the “severe” range. (R. 464). Plaintiff’s treatment plan consisted of approximately 15 sessions of physical therapy consisting of, inter alia, breathing/relaxation techniques, stretching and range of movement improvement, body strengthening, aerobics, aquatics, manual therapy, neuromuscular re-education, a peripheral nerve evaluation, posture and body mechanics training and patient education about the condition. (R. 465). One month later, it was noted that Plaintiff’s symptoms remained “at baseline.” (R. 521). On March 28, 2022, Dr. Vanselow noted that Plaintiff’s worsening symptoms could not be fully explained by his fibromyalgia and small fiber neuropathy diagnoses alone. (R. 790). She also recorded that after initial visits at the fibromyalgia clinic Plaintiff did not return because his pain worsened and he felt that “they didn’t listen to him . . . .” (Id.).

Despite these issues, Plaintiff has had largely normal physical and mental examination results, including full motor function, normal gait, coherent thought processes, normal thought content, cooperative demeanor, and normal mood and affect. (See, e.g., R. 303, 307-08, 312-13, 316-17, 319-20, 322-23, 382-83, 386-87, 400-01, 427, 522, 528-29, 540, 546, 548-49). On May 26, 2022, consultative examiner Gregory Coleman, Psy.D., conducted a mental status evaluation of Plaintiff. (R. 806-18). Upon examination, he was irritable but otherwise cooperative and normal, with coherent and goal-directed thought processes, good insight and judgment, and intact attention, concentration, and memory. (R. 808).

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Bluebook (online)
Scott J. v. Frank Bisignano, Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/scott-j-v-frank-bisignano-commissioner-of-social-security-paed-2026.