Trusler v. Commissioner of Social Security

District Court, S.D. Ohio·Decided November 9, 2021·No. 2:20-cv-06411·Unknown

Opinion

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

ELIZABETH TRUSLER,

Plaintiff, v. Civil Action 2:20-cv-6411 Judge Sarah D. Morrison Magistrate Judge Kimberly A. Jolson

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

REPORT AND RECOMMENDATION Plaintiff, Elizabeth Trusler, brings this action under 42 U.S.C. § 405(g) seeking review of a final decision of the Commissioner of Social Security (“Commissioner”) denying her application for Disability Insurance Benefits (“DIB”). For the reasons set forth below, it is RECOMMENDED that the Court OVERRULE Plaintiff’s Statement of Errors and AFFIRM the Commissioner’s decision. I. BACKGROUND

Plaintiff protectively filed her application for DIB on December 19, 2017, alleging that she was disabled beginning October 8, 2012. (Tr. 226–29). Later, she amended her onset date of disability to September 30, 2016. (See Tr. 15, 33). After her application was denied initially and on reconsideration, the Administrative Law Judge (the “ALJ”) held a hearing. (Tr. 29–58). On December 20, 2019, the ALJ issued a decision denying Plaintiff’s application for benefits. (Tr. 12–28). The Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision the final decision of the Commissioner. (Tr. 1–6). Plaintiff filed the instant case seeking a review of the Commissioner’s decision on December 15, 2020 (Doc. 1), and the Commissioner filed the administrative record on May 26, 2021 (Doc. 10). The matter has been briefed and is ripe for consideration. (Docs. 11, 13, 14). A. Relevant Medical Evidence

The ALJ usefully summarized Plaintiff’s medical records and symptoms related to her impairments: The [Plaintiff] has complaints of neck and back pain. On imaging, the spinal canal was intact, and there was no neural foraminal encroachment (Exhibits B11F and B17F). The [Plaintiff] also has mild degenerative joint disease, or osteoarthritis, of the knees (Exhibit B18F, page 9). Finally, an x-ray of the hips showed borderline hip dysplasia with mild arthritic changes of the hips (Exhibit B18F and B19F). While the [Plaintiff] has suggested a worsening of pain, over time, the objective evidence has established little by way of positive findings.

The record establishes normal range of motion about the bilateral upper and lower extremities (Exhibits B3F, page 4; B8F, page 25; B11F, page 10; B19F, pages 14 and 17; B20F, pages 10 and 14; and B28F, page 5). Extension and flexion were identified as normal (Exhibit B30F, pages 27, 31, 35 and 39). Normal strength, tone and sensation were also identified about the extremities (Exhibits B7F, pagers 18 and 33; B15F, page 20; B19F, page 62; B17F, page 7; B19F, page 40; B27F, page 4; and B30F, page 2). Finally, while the [Plaintiff]’s gait was, at times, noted to be mildly antalgic on the right (Exhibits B17F, page 9; and B20F, page 27), the [Plaintiff] herself denied an abnormal gait (Exhibit B8F, pages 53, 64, 106 and 119). Further, the [Plaintiff] was noted to have normal coordination and gait (Exhibits B3F, page 4; B4F, page 8; B13F, page 30; B19F, pages 11, and 17; B20F, pages 8, 14; B22F, pages 22, and 33; B25F pages 1 and 4; and B30F, page 47). [She] was able to toe walk and heel walk (Exhibit B30F, pages 27, 31, 35, and 40).

In addition to the [Plaintiff]’s degenerative disc disease, osteoarthritis of the knees, and hip dysplasia, the [Plaintiff] has made allegations of bilateral foot and right ankle pain. In early 2017, the [Plaintiff] reported a 32-year history of right ankle pain. An MRI showed only mild peroneal tenosynovitis, a low-grade deep fiber ligamentous sprain; mild central cord plantar fasciitis; and mild calcaneocuboid degenerative change (Exhibit B4F, page 2). In March 2017, the [Plaintiff] underwent ankle arthroscopy and stabilization (Exhibit B6F). In October 2017, the [Plaintiff] fell and reported injuring her ankle (Exhibit B8F, pages 117-118). However, x-rays of the right ankle completed in December 2017 showed only diffuse osteopenia (Exhibit B11F, page 27 and B22F, page 25). In January 2018, an MRI of the right ankle showed no significant joint effusion. It was noted to show irregular cartilage and edema in the anterior edge of the tibia and peroneal tendinosis (Exhibit B11F, page 40 and B15F). Physical examination showed good peroneal function and stable ankle with no indication for revision surgery (Exhibit B27F). While the [Plaintiff]’s foot pain was considered neuritic in character, EMG study of the lower extremities proved negative (Exhibit B30F).

While the [Plaintiff] is diagnosed with ongoing plantar fasciitis and makes continued complaints of bilateral foot pain, the evidence does not support limitations greater than those indicated in the established residual functional capacity. In fact, as has been mentioned, normal strength, tone and sensation were identified about the extremities (Exhibits B7F, page[]s 18 and 33; B15F, page 20; B19F, page 62; B17F, page 7; B19F, page 40; B27F, page 4; and B30F, page 2). Finally, while the [Plaintiff]’s gait was, at times, noted to be mildly antalgic on the right (Exhibits B17F, page 9; and B20F, page 27), the [Plaintiff] herself denied an abnormal gait (Exhibit B8F, pages 53, 64, 106 and 119). Further, the [Plaintiff] was routinely noted to have normal coordination and gait (Exhibits B3F, page 4; B4F, page 8; B13F, page 30; B19F, pages 11, and 17; B20F, pages 8, 14; B22F, pages 22, and 33; B25F pages 1 and 4; and B30F, page 47). Further, [she] was notably able to toe walk and heel walk (Exhibit B30F, pages 27, 31, 35, and 40).

The record also reveals a diagnosis of bilateral carpal tunnel syndrome (Exhibits (B17F, B18F, B20F, B26F, B27F, B28F, and B30F). While there is mention of feelings of heaviness and weakness about the hands, EMG study showed only mild bilateral carpal tunnel (Exhibit B19F, page 55) and left ulnar neuropathy at the elbow (Exhibit B19F, page 55). While this impairment, in combination with the [Plaintiff]’s other impairments may limit the [Plaintiff]’s physical abilities, those limitations have been more than adequately considered in the established residual functional capacity.

Finally, the record establishes a body mass index (BMI) between 42.8 and 53.38 (Exhibits B7F, page 56; B8F, page 97; B18F; B21F, page 2; B22F, page 19; and B30F, page 17). Body mass index is the ratio of an individual’s weight in kilograms to the square of his or her height in meters (kg/m2). In the medical community, obesity is defined as a BMI of 30.0 or higher (Social Security Ruling 19-2p).

(Tr. 20–21).

B. The ALJ’s Decision

The ALJ found that Plaintiff last met the insured status requirement on December 31, 2017, and did not engage in substantial gainful employment during the period from her alleged onset date (September 30, 2016), through her date last insured (December 31, 2017). (Tr. 17). The ALJ determined that, through the date last insured, Plaintiff had the following severe combination of impairments: degenerative disc disease of the cervical and lumbar spine; osteoarthritis of the knees; bilateral hip dysplasia; carpal tunnel syndrome; and obesity. (Id.). Yet, the ALJ, found that Plaintiff’s impairments, either singly or in combination, did not meet or medically equal a listed impairment. (Tr. 18).

As to Plaintiff’s residual functional capacity (“RFC”), the ALJ opined:

After careful consideration of the entire record, [the ALJ] finds that, through the date last insured, the [Plaintiff] had the residual functional capacity to perform light work as defined in 20 CFR 404.1567(b).

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Trusler v. Commissioner of Social Security, (S.D. Ohio 2021).

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