F I L E D United States Court of Appeals Tenth Circuit UNITED STATES COURT OF APPEALS MAY 22 2000 FOR THE TENTH CIRCUIT PATRICK FISHER Clerk
SHIRLEY H. ST. CLAIR,
Plaintiff-Appellant,
v. No. 99-5063 (D.C. No. 97-CV-1099-J) KENNETH S. APFEL, Commissioner (N.D. Okla.) of Social Security Administration,
Defendant-Appellee.
ORDER AND JUDGMENT *
Before BALDOCK , BRISCOE , and LUCERO , Circuit Judges.
Plaintiff appeals the district court’s decision affirming the Commissioner’s
denial of plaintiff’s application for social security disability benefits. 1 Plaintiff
filed for benefits in June 1990 claiming she had been disabled since December
1988 due primarily to back problems and asthma. Plaintiff was last insured for
* This order and judgment is not binding precedent, except under the doctrines of law of the case, res judicata, and collateral estoppel. The court generally disfavors the citation of orders and judgments; nevertheless, an order and judgment may be cited under the terms and conditions of 10th Cir. R. 36.3. 1 After examining the briefs and appellate record, this panel has determined unanimously to grant the parties’ request for a decision on the briefs without oral argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore ordered submitted without oral argument. insurance benefits on December 31, 1992, so she had to show she was disabled
before that date in order to receive benefits. See Potter v. Secretary of Health
& Human Servs. , 905 F.2d 1346, 1347 (10th Cir. 1990) (per curiam). Her
application was denied at the administrative level after a hearing before an
administrative law judge (ALJ) in 1993. On appeal, this court reversed and
remanded for additional vocational evidence concerning plaintiff’s transferable
skills. On remand, another ALJ held a supplemental hearing in May 1997 and
issued a decision shortly thereafter denying plaintiff’s application.
The ALJ concluded that degenerative changes in plaintiff’s spine
constituted a severe impairment, and that the impairment prevented her from
doing her past relevant work, which was performed at the medium and light levels
of exertion. The ALJ further concluded, however, that plaintiff could still
perform a full range of sedentary work and that there were a significant number
of sedentary jobs in the local and national economy that she could perform.
Therefore, he found that plaintiff was not disabled. Plaintiff filed exceptions with
the Appeals Council, which declined to assume jurisdiction. See 20 C.F.R.
§ 404.984. The ALJ’s decision, therefore, became the final decision of the
Commissioner. See id. Plaintiff appealed the agency’s decision to the district
court, which affirmed, and this appeal followed.
-2- Plaintiff raises three broad challenges on appeal: 1) the ALJ did not make
a proper pain and credibility assessment; 2) the ALJ’s determination that plaintiff
could sit for prolonged periods sufficient to perform sedentary work violated the
treating physician rule and was not supported by substantial evidence; and 3) the
ALJ erred in failing to include a manipulative limitation in his residual functional
capacity (RFC) assessment. Our review of the Commissioner’s decision is limited
to determining whether the correct legal standards were applied and whether the
findings are supported by substantial evidence in the record viewed as a whole.
See Castellano v. Secretary of Health & Human Servs. , 26 F.3d 1027, 1028 (10th
Cir. 1994). “In conducting our review, we may neither reweigh the evidence nor
substitute our judgment for that of the Commissioner.” Qualls v. Apfel , ___F.3d
___, No. 99-5014, 2000 WL 296847, at *1 (10th Cir. Mar. 22, 2000). In addition,
our review “is limited to the issues the claimant properly preserves in the district
court and adequately presents on appeal.” Berna v. Chater , 101 F.3d 631, 632
(10th Cir. 1996). 2
2 As an alternative ground for affirming the denial of benefits, the district court held that plaintiff waived certain of her arguments by failing to raise them to the Appeals Council. See James v. Chater , 96 F.3d 1341, 1344 (10th Cir. 1996) (holding that “issue not brought to the attention of the Appeals Council on administrative review may . . . be deemed waived on subsequent judicial review”). Under the particular circumstances presented here, however, we exercise our discretion not to apply the administrative waiver rule.
-3- In the district court, plaintiff challenged the ALJ’s pain and credibility
analysis on the sole ground that the ALJ failed to “point to specific evidence
related to specific factors to support his rejection of [plaintiff’s] claims.”
Plaintiff’s Memorandum of Law at 4. Plaintiff argued that the only evidence the
ALJ articulated in support of his credibility determination was a single anomaly
in plaintiff’s testimony which, she argued, was “a mere scintilla of evidence
insufficient to support a conclusion of no credibility.” Id. The district court
rejected plaintiff’s argument because it ignored the fact that the ALJ’s reference
to the anomaly in plaintiff’s testimony was simply an addition to the detailed
analysis of plaintiff’s credibility that the first ALJ set forth in his 1993 decision
and which the current ALJ specifically adopted and incorporated by reference in
his own decision.
On appeal, plaintiff again argues that the single reference to an anomaly in
her testimony was not sufficient to support the ALJ’s credibility determination.
We reject this argument for the same reason articulated by the district court.
Plaintiff also argues for the first time that 1) the current ALJ was prohibited from
adopting the earlier ALJ’s decision and 2) the earlier ALJ’s credibility analysis
was flawed. “Absent compelling reasons, we do not consider arguments that were
not presented to the district court.” Crow v. Shalala , 40 F.3d 323, 324 (10th Cir.
-4- 1994). We see no reason to deviate from that general rule here and, therefore, we
will not review these two belated challenges to the ALJ’s credibility analysis.
Plaintiff’s second point of error concerns the ALJ’s determination that she
could perform sedentary work, which requires prolonged sitting. Plaintiff
contends that this determination is not supported by substantial evidence because
the ALJ did not “point to specific evidence to outweigh the treating source
evidence which established that [plaintiff] was unable to perform prolonged
sitting.” Appellant’s Br. at 25. Plaintiff refers to the following as “treating
source” evidence supporting her argument: Dr. Sibley, a chiropractor who treated
plaintiff for several months in 1990, stated that she “has great difficulty with
standing or sitting for long periods of time,” Appellant’s App., Vol. II, Pt. 1
at 236, 240; a physical therapist who saw plaintiff on April 9, 1992, noted that
plaintiff “[o]nly tolerates sitting for about 20 minutes,” id. , Pt. 2 at 424; and
Dr. Harold Goldman, a non-examining physician who answered interrogatories
from the ALJ in 1991, noted that the records he reviewed showed plaintiff “has
had some limitation to . . . sitting,” id. at 354. See Appellant’s Br. at 25 n.5.
Plaintiff cites our opinion in Reyes v. Bowen , 845 F.2d 242 (10th Cir.
1988), and argues that the ALJ did not apply the proper legal standards in
weighing the evidence because he did not apply the treating physician rule to the
opinions of Dr. Sibley, the physical therapist, and Dr. Goldman. While we may
-5- not reweigh the evidence, see Qualls , 2000 WL 296847, at *1, we may review
whether the ALJ followed the “specific rules of law that must be followed in
weighing particular types of evidence,” Reyes , 845 F.2d at 244.
The record showed that plaintiff was treated by Dr. Sibley from March 22
through June 14, 1990. In September 1990, Dr. Sibley wrote a letter in which he
expressed the opinion that plaintiff was “disabled for most physical job
descriptions,” due in part to the fact she has “great difficulty with sitting or
standing for long periods of time.” Appellant’s App., Vol. II, Pt. 1 at 240.
Dr. Sibley subsequently saw plaintiff two more times, in December 1990, after
which he wrote a second letter expressing the same opinion. See id. at 236. The
ALJ found Dr. Sibley’s opinion to be of limited value, in light of record evidence
about plaintiff’s back problems from what he referred to as more qualified
medical personnel.
The record contained evidence from various medical doctors who treated
plaintiff for her back problems, including several specialists. While these treating
physicians generally did not address how plaintiff’s medical problems affected
her ability to do work-related tasks, the ALJ also relied on opinions from two
non-treating physicians who specifically addressed that issue. The first opinion
was from Dr. Cooper, an osteopath, who examined plaintiff in September 1990.
Based on plaintiff’s medical history and the examination, Dr. Cooper was of the
-6- opinion that plaintiff “would have impairment in prolonged standing, walking,
bending, twisting, and lifting;” he did not suggest that plaintiff would have any
difficulty with prolonged sitting. Id. at 298. Another non-treating opinion upon
which the ALJ relied was that of Dr. Andelman, who testified at the June 1993
hearing based on his examination of all the medical records. Dr. Andelman noted
that plaintiff had been complaining of back problems since she was in high
school, and he testified that, although plaintiff contended her condition was
getting worse, the objective findings in the record did not support her contention.
Dr. Andelman was of the opinion that plaintiff had both back problems and
breathing problems, but that her impairments were not so severe as to prevent her
from working.
Whether the ALJ properly credited the opinions of non-treating physicians
over that of a treating chiropractor depends on whether the treating physician rule
applies to Dr. Sibley’s opinion, as plaintiff contends. In 1991, the Secretary of
Health and Human Services promulgated regulations pertaining to the treating
physician rule that codified existing Tenth Circuit law. See Castellano , 26 F.3d at
1029. The regulations provide that the agency generally will give more weight to
medical opinions from treating sources than those from non-treating sources and
that the agency will give controlling weight to the medical opinion of a treating
source if it is “well-supported by medically acceptable clinical and laboratory
-7- diagnostic techniques and is not inconsistent with the other substantial evidence.”
20 C.F.R. § 404.1527(d)(2).
The regulations define the term “medical opinion” as “statements from
physicians and psychologists or other acceptable medical sources that reflect
judgments about the nature and severity of your impairment(s), including your
symptoms, diagnosis and prognosis, what you can still do despite impairment(s),
and your physical or mental restrictions.” Id. § 404.1527(a)(2) (emphasis added).
The regulations further define the term “acceptable medical sources” to include
“(1) Licensed physicians; (2) Licensed osteopaths; (3) Licensed or certified
psychologists; (4) Licensed optometrists . . .; and (5) Persons authorized to send
[the agency] a copy or summary of the medical records of a hospital, clinic,
sanatorium, medical institution, or health care facility.” Id. § 404.1513(a).
Chiropractors are not included in the list of “acceptable medical sources.”
Rather, they are included as an example of an “other source” in § 404.1513(e).
Because Dr. Sibley was not an acceptable medical source, the ALJ was not
required to apply the treating physician rule when weighing Dr. Sibley’s opinion.
See Hartranft v. Apfel , 181 F.3d 358, 361-62 (3d Cir. 1999) (holding
chiropractor’s opinion not entitled to controlling weight under treating physician
rule); Walters v. Commissioner of Soc. Sec. , 127 F.3d 525, 530 (6th Cir. 1997)
(same); Diaz v. Shalala , 59 F.3d 307, 313 (2d Cir. 1995) (same). Instead, the ALJ
-8- had discretion to determine what weight to give Dr. Sibley’s opinion based on all
the evidence before him. See Walters , 127 F.3d at 530; Diaz , 59 F.3d at 314; see
also Cronkhite v. Sullivan , 935 F.2d 133, 134 (8th Cir. 1991) (holding that “ALJ
properly gave little weight to the opinions of [claimant’s] chiropractors because
such evidence is not considered an ‘acceptable source’ of medical information to
prove disability”). The ALJ chose to give Dr. Sibley’s opinion little weight.
Nor was the ALJ required to apply the treating physician rule to the
statements of either plaintiff’s physical therapist or Dr. Goldman. Like
Dr. Sibley, the physical therapist was not an “acceptable medical source.”
Moreover, her notation about plaintiff’s ability to sit for only twenty minutes
was contained within her initial recitation of plaintiff’s history and did not
appear to be a product of her own observation. Thus, the statement was simply
evidence of a subjective complaint by plaintiff. Finally, Dr. Goldman’s answers
to the interrogatories were not entitled to controlling weight because he neither
treated nor examined plaintiff. Moreover, his comment that plaintiff had some
limitation in sitting was not necessarily inconsistent with the ALJ’s finding that
she could perform sedentary work. 3
3 The ALJ expressly chose not to rely on Dr. Goldman’s answers to interrogatories because Dr. Goldman did not have the benefit of medical records that were subsequently introduced into the record and because Dr. Andelman later reviewed all the records and testified at a subsequent hearing, where he was (continued...)
-9- The ALJ did not err in choosing to credit other evidence more than the
opinions of Dr. Sibley, the physical therapist, and Dr. Goldman. Both Dr. Cooper
and Dr. Andelman were acceptable medical sources, their opinions were not
inconsistent with the findings of plaintiff’s treating physicians, and their opinions
supported the ALJ’s conclusion that plaintiff could perform sedentary work.
Therefore, we conclude the ALJ’s determination that plaintiff could sit long
enough to perform sedentary work was supported by substantial evidence.
As her final point of error, plaintiff contends that the ALJ should have
included a manipulative limitation in his RFC assessment because the evidence
showed that plaintiff was experiencing some pain and stiffness in her hands prior
to the expiration of her insured status in December 1992. Specifically, plaintiff
points to evidence provided by Dr. Cooper, Dr. Zanetakis, and Dr. Huettner.
Dr. Cooper examined plaintiff in September 1990. He found that plaintiff had
full range of motion in her elbows, wrists, and fingers, that her grip strength was
good and equal on both sides, and that both her finger-to-finger manipulation and
her finger pointing were good, but he did note that plaintiff’s responses to the
light touch sensation testing indicated “some reduction of light touch” in the
fingers of her right hand. Appellant’s App., Vol. II, Pt.1 at 298.
3 (...continued) subject to cross-examination by plaintiff’s attorney.
-10- Dr. Zanetakis, a rheumatologist, examined plaintiff in January 1991.
She found that all the joints of plaintiff’s upper extremities were cool and
nontender, except for one joint of plaintiff’s second finger on her right hand,
which was “slightly tender, but not swollen.” Id. at 301.
Dr. Huettner, another rheumatologist, began treating plaintiff on April 9,
1992, for her back and other pain. His examination that day revealed some
tenderness in some of her finger joints as well as “mild limitation of motion” in
some of the finger joints of her right hand. Id. , Pt. 2 at 410. X-rays taken that
day showed “some mild degenerative change with some hypertropic spurring” in
some of the finger joints, but no “erosive change typical of rheumatoid arthritis,”
nor “any soft tissue swelling.” Id. at 423.
When Dr. Huettner saw plaintiff on May 8, 1992, she complained of
tenderness in some of the joints of her right hand, and she had some mild
limitation of motion in those joints, but Dr. Huettner did not see any swelling.
At her visit on June 9, 1992, plaintiff complained of tenderness in some of her
finger joints, but her range of motion was good. Dr. Huettner’s notes from
plaintiff’s November 6, 1992 examination do not show any complaints of pain in
plaintiff’s hands, and she had good range of motion in her hands. When plaintiff
saw Dr. Huettner on April 30, 1993, after her insured status had expired, she
complained only of pain in her back and knees.
-11- At the hearing on June 23, 1993, plaintiff was questioned by both the ALJ
and her attorney about her various ailments and she never mentioned any problem
with her fingers or hands. In fact, plaintiff testified that she did cross-stitching
and other handcrafts for a hobby and that the only impairments preventing her
from working were her back pain and asthma. Four years later, at the hearing on
May 15, 1997, plaintiff was again questioned extensively about her ailments and
again made no mention of any problems with her fingers or hands.
The ALJ noted plaintiff’s complaints of pain in her hands and that x-rays
showed some degenerative changes. Nonetheless, he found that plaintiff did not
have any nonexertional impairments that would limit her ability to perform a full
range of sedentary work. The mere presence of some nonexertional pain does
not preclude the ALJ from finding that the claimant can perform a full range of
work at a particular exertional level. Cf. Ray v. Bowen , 865 F.2d 222, 225-26
(10th Cir. 1989) (holding that presence of nonexertional impairment precludes
reliance on grids only when impairment limits full range of work). Based on the
record evidence, the ALJ did not err in failing to include a manipulative limitation
in his RFC assessment.
-12- The judgment of the United States District Court for the Northern District
of Oklahoma is AFFIRMED.
Entered for the Court
Carlos F. Lucero Circuit Judge
-13-