Stephen C. v. Commissioner of Social Security

CourtDistrict Court, S.D. New York
DecidedSeptember 13, 2025
Docket1:22-cv-05989
StatusUnknown

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

Bluebook
Stephen C. v. Commissioner of Social Security, (S.D.N.Y. 2025).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK Stephen C., Plaintiff, 1:22-cv-05989 (SDA) -against- OPINION AND ORDER Commissioner of Social Security,1

Defendant.

STEWART D. AARON, UNITED STATES MAGISTRATE JUDGE: Plaintiff Stephen C. (“Stephen” or “Plaintiff”) brings this action pursuant to Section 205(g) of the Social Security Act (the “Act”), 42 U.S.C. § 405(g), challenging the final decision of the Commissioner of Social Security (the “Commissioner”) that denied his application for Disability Insurance Benefits (“DIB”). (Compl., ECF No. 1.) Now before the Court is Plaintiff’s motion to remand this action to the Commissioner for further administrative proceedings. (Pl.’s Mot., ECF No. 59.) For the reasons set forth below, Plaintiff’s motion is DENIED and the decision of the Commissioner is AFFIRMED. BACKGROUND I. Procedural Background Stephen filed an application for DIB on September 1, 2020, with an alleged onset date of November 5, 2019. (Administrative R., ECF No. 50 (“R.”), 66, 235-26.) The Social Security Administration (“SSA”) initially denied his application on November 17, 2020 and again, following

1 The Complaint names Dr. Kilolo Kihakazi (correctly spelled Kijakazi), Acting Commissioner of Social Security, as a defendant. (See Compl.) Dr. Kijakazi no longer serves in that role. The Clerk of Court is respectfully requested to change the name of defendant in the caption to the Commissioner of Social Security, pursuant to Rule 25(d) of the Federal Rules of Civil Procedure. his request for reconsideration, on April 22, 2021. (R. 65-103, 115-26, 128, 133-44.) On May 11, 2021, Stephen filed a request for a hearing before an Administrative Law Judge (“ALJ”). (R. 145- 46.) A telephonic hearing was held on August 16, 2021 before ALJ Sharda Singh. (R. 28-61.)

Stephen was represented at the hearing by attorney. (R. 28, 30.) In a decision dated October 12, 2021, ALJ Singh found Stephen not disabled. (R. 10-22.) Thereafter, Stephen requested review of the ALJ’s decision from the Appeals Council. (See R. 62-63, 234.) The Appeals Council denied the request on May 10, 2022, making ALJ Singh’s decision the Commissioner’s final decision. (R. 1-6.) This action followed.

II. Non-Medical Evidence Born on June 15, 1978, Stephen was 41 years old on the alleged onset date and 43 years old at the time of the ALJ hearing. (See R. 20, 30.) Stephen has a high school education, plus one year of college, and past relevant work as a police officer. (R. 20, 46.) III. Medical Evidence Before the ALJ2 On October 8, 2015, Stephen fell down some stairs at work and suffered injuries to his

right shoulder and lower back. (R. 16, 893.) In January 2016, Stephen underwent surgery on his right shoulder, performed by Scott Levin, M.D. of Somers Orthopaedic Surgery and Sports Medicine Group, to repair his rotator cuff. (See R. 376-77, 380, 818, 1407.) On October 31, 2019, Stephen exacerbated his back pain after moving some boxes at work. (See R. 762.) He attempted to return to work on November 5, 2019, but experienced sharp low back pain and did not return to work. (See id.; see also R. 1155.)

2 The Court focuses on the medical evidence from on or after the alleged onset date of November 5, 2019 through October 12, 2021, the date of the ALJ’s decision. Since at least January 2018, Stephen received treatment Ezriel Kornel, M.D. at Brain and Spine Surgeons of New York. (R. 677-86.) On November 7, 2019, Stephen saw Dr. Kornel for an office visit. (R. 678; see also R. 1060.) Dr. Kornel noted that “[Stephen’s] back was tight over the

summer, but with chiropractic care and exercises he was managing quite well.” (R. 678.) However, he was cut off from physical therapy and chiropractic treatment and, two weeks prior to the visit, his back pain worsened making it difficult for him to sleep. (Id.) Dr. Kornel noted a positive straight leg raise on the right at 45 degrees, 5/5 strength and a normal gait. (Id.) Dr. Kornel further noted his impression as radiculopathy mild and discopathy with degenerative disc disease at L5-S1;3 right far lateral herniation at L4-5 and degenerative facet disease at L3-4. (Id.)

Dr. Kornel recommended a new MRI, as well as chiropractic treatment and muscle relaxant, and noted that Stephen may need an epidural steroid injection. (Id.) Dr. Kornel referred Stephen to a chiropractor. (R. 1058.) On November 13, 2019, Stephen underwent an MRI of the lumbar spine at Northeast Radiology. (R. 689-90.) Radiologist Mark Glicklich, M.D. noted a stable MRI of the lumbar spine

since January 25, 2019. (R. 690.) He further noted: developmental canal stenosis and spondylotic changes contributed to multilevel and multifactorial acquired central canal and foraminal stenosis, most notably toward the right at the L4-5 level; mild central canal stenosis at L3-4; mild central canal stenosis at L4-5; right foraminal/far lateral focal protrusion at L4-5 displacing the

3 “The spine is comprised of five distinct spine segments, which include: (1) the cervical spine (neck) with seven vertebrae (C1-C7); (2) the thoracic spine (middle back) with twelve vertebrae (T1-T12); (3) the lumbar spine (lower back) with five vertebrae (L1-L5); (4) the sacrum (triangle-shaped bone connecting to the hips with five vertebrae (S1-S5); and (5) the coccyx (tailbone) with four vertebrae that compose the bone at the bottom of the spine.” Johnston v. Comm’r of Soc. Sec., No. 23-CV-05054 (SDA), 2024 WL 3442664, at *2 n.2 (S.D.N.Y. July 17, 2024) (citation omitted). traversing right L4 root; mild central canal stenosis at L-5/S-1 with a small posterocentral protrusion mildly abutting the descending S1 roots, right greater than left. (Id.) In addition to Dr. Kornel, Stephen also had been seeing Sathish Modugu, M.D. of the

Sports Spine and Pain Treatment Center of Westchester approximately once per month since March 2018. (See R. 838.) In his first note following the alleged onset date, on November 22, 2019, Dr. Modugu noted, inter alia, shoulder impingement positive on the right, decreased range of motion in the lumbar spine, lumbar paraspinal tenderness, 5/5 muscle strength of major muscles innervated by the lumbar spine, except weakness in the right foot dorsiflexors, positive

straight leg test on the right and positive facet loading on the right. (R. 892, 894-95.) In his assessment, much of which was carried over from prior visits, Dr. Modugu noted that Stephen continued to have pain in his right shoulder, requiring ongoing treatment, and would have a trial of Flector patches. (R. 895.) With respect to his back pain, Dr. Modugu noted that Stephen had L5-S1 spondylolisthesis and a right-sided L4-5-disc herniation compressing the L4 nerve root, which was accompanied by clinical signs of weakness of the right foot dorsiflexors.

(Id.) Dr. Modugu noted that electrodiagnostic studies had been normal and authorization for epidural injections had been denied. (Id.) Sudomotor testing had been performed to exclude Reflex Sympathetic Dystrophy (“RSD”)4 and was negative. (Id.) Stephen also tried trigger injections, which relieved spasms but his pain remained constant. (Id.) He also had gone to chiropractic care with benefit. (Id.) Dr. Modugu indicated that Stephen had been using Tramadol

4 RSD, also known as Complex Regional Pain Syndrome, is a syndrome characterized by a continuing (spontaneous and/or evoked) regional pain that is seemingly disproportionate in time or degree to the usual course of any known trauma or other lesion. See Complex Regional Pain Syndrome, https://pmc.ncbi.nlm.nih.gov/articles/PMC9186375/ [https://perma.cc/TU9U-JL9K]. for pain since September 2019, but his pain remained constant.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
Stephen C. v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stephen-c-v-commissioner-of-social-security-nysd-2025.