Id. at 24. The ALJ explained that he considered all symptoms and the extent to which these symptoms can reasonably be accepted as consistent with the objective medical evidence and other evidence, and that he also considered opinion evidence in accordance with the Social Security regulations. Id. He ultimately concluded that although plaintiffs medically determinable impairments could reasonably be expected to cause the alleged symptoms ... [his] statements concerning the intensity, persistence and limiting effects of these symptoms are not entirely credible. Id. at 31.
At the fourth step, the ALJ concluded that the plaintiff is unable to perform any past relevant work. But at step five, the ALJ determined, based on the VEs testimony, that, considering the claimants age, education, work experience, and residual functional capacity, there are jobs that exist in significant numbers in the national economy that the claimant can perform. Id. at 33. The VE testified that the claimant could perform representative occupations such as order filler, cashier, electrical assembler, and merchandise tagger. Crediting this testimony, the ALJ concluded that the claimant was not disabled.
C. The Appeal
Plaintiff appealed the ALJs decision to the Social Security Administrations Appeals Council, which denied review on February 6, 2017. The ALJs decision then became the final decision of the Commissioner, and plaintiff brought this case under 42 U.S.C. § 405(g), seeking reversal thereof.
II. Standard of Review
The Commissioners findings of fact are conclusive if based on the correct legal standard and supported by substantial evidence. 42 U.S.C. § 405(g) ;
Seavey, 276 F.3d at 9. Substantial evidence includes such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 28 L.Ed.2d 842 (1971) (quoting Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229, 59 S.Ct. 206, 83 L.Ed. 126 (1938) ). So long as the Commissioners determinations are supported by substantial evidence, they must be affirmed, even if the record arguably could justify a different conclusion. Rodriguez Pagan v. Secy Health & Human Servs., 819 F.2d 1, 3 (1st Cir. 1987) (per curiam).
III. Discussion
In support of his motion to reverse the Commissioners decision, plaintiff argues that the ALJ erred in concluding at step two that his bilateral shoulder impairments were not severe and in weighing the related medical opinion evidence. He urges that the resulting RFC and hypothetical question posed to the VE were thus also erroneous and require reversal.
A. Severity of Bilateral Shoulder Impairment
A step-two severity finding requires plaintiff to show that his medically determinable impairment significantly limits his physical or mental ability to do basic work activities. 20 C.F.R. §§ 416.920(c), 416.921. The parties agree that this regulation is a de minimis policy, designed to do no more than screen out groundless claims. McDonald v. Secy of Health & Human Servs., 795 F.2d 1118, 1124 (1st Cir. 1986) ([A] finding of non-severe is only to be made where medical evidence establishes only a slight abnormality or combination of slight abnormalities which would have no more than a minimal effect on an individuals ability to work even if the individuals age, education, or work experience were specifically considered ... (quoting Social Security Ruling 85-28) ).
Plaintiff contends that because medical evidence established that his bilateral shoulder condition resulted in functional limitations, the ALJ erred in finding the condition non-severe at step two. He points to the May 2015 report of his treating physician, Dr. Covett, opining that bilateral hypertrophic changes limit plaintiffs ability to push and pull, with arthritis in both shoulders limiting his ability to reach and grasp. R. 981-82. Dr. Covett also noted degenerative joint disease in plaintiffs left shoulder, and the radiology report showed calcific tendinopathy in the right shoulder. In finding the shoulder impairments non-severe, the ALJ explicitly addressed the evidence upon which plaintiff now relies:
On October 12, 2015, a right shoulder x-ray showed calcific tendinopathy, but no acute radiographic abnormality. There was no left shoulder imaging study in the record (Exhibit B9F, pp. 20-21). Objective physical exams repeatedly support 5/5 strength in the bilateral upper and lower extremities, no joint edema, intact manipulation and fingering, and normal range of motion (Exhibits B1, B2, B5, B6F). Therefore, the undersigned finds the right shoulder tendinopathy condition causes less than minimal functional limitations in the claimants ability to perform basic work activities and is a non-severe impairment. The left shoulder pain is a symptom and not a medically determinable impairment; however, the evidence suggests this could also be tendinopathy and would be non-severe, in the alternative.
R.22.
Substantial evidence supports the ALJs conclusion. As to the right shoulder, the evidence of impairment does not demonstrate functional limitations. Treatment notes from 2009 to 2014 show full strength, normal upper extremities without tenderness. See R. 565 (October 23, 2009); R. 310 (October 18, 2011); R. 289, 923 (October 21, 2013); R. 603 (May 12, 2014); R. 659 (June 13, 2014). A clinical note dated July 28, 2015 indicates decreased range of motion, R. 993, and the October 2015 x-ray shows a mild impairment, R. 1003, but the clinical notes by November 23, 2015 again indicate normal range of motion. R. 987. The radiologists October 2015 diagnosis of calcific tendinopathy is not determinative of severity, where plaintiff still bears the burden of demonstrating the resulting limitations. See Church v. Astrue, No. 10-30236, 2012 WL 369424 at *8 and n. 6 (D. Mass. Feb. 2, 2012).
Similarly for the left shoulder, plaintiff has not shown functional limitations flowing from any impairment. He was diagnosed in May 2015 with hypertrophic osteoarthritis of the left shoulder by x-ray, R. 981, and [degenerative joint disease ] of left shoulder, R. 998, but just a single contemporaneous note indicates reduced range of motion in the left shoulder. Id. As with the right shoulder, the preceding and subsequent clinical notes show no continuing limitation. See R. 993 (July 28, 2015); R. 987 (November 23, 2015). See also 20 C.F.R. § 416.909 (requiring 12-month continuous duration for finding of medically determinable impairment).
B. Weighing of Shoulder Evidence
Plaintiff relatedly argues that the ALJ erred in weighing the medical evidence concerning his shoulder impairments. Specifically, he claims error in the ALJs elevation of the opinions of the state agencys two non-examining physicians over that of his treating physician, Dr. Covett. This was particularly problematic, he contends, because the non-examining opinions were based on an incomplete record that did not include Dr. Covetts contrary opinion that arthritis in plaintiffs left shoulder significantly limited his ability reach and grasp. R. 982.
Plaintiffs premise, however, is flawed. The ALJ did not give great weight to the non-examiners, as plaintiff contends, but rather relied principally on the opinion of an examining physician, Dr. Kogen, which he found consistent with the objective record and the two state agency physical and mental functional assessments for less than light work activity. R. 32. In June 2014, Dr. Kogen observed full strength and range of motion in plaintiffs upper extremities and opined that plaintiff suffered no deficits that would limit his ability to reach or grasp. R. 659-60. This is consistent with Dr. Covetts November 2015 observation of normal range of motion. Accordingly, there is no force to plaintiffs argument that the ALJ erred by relying on opinions that failed to account for Dr. Covetts May 2015 opinion.
As to the weight given Dr. Covetts treating source opinion, [t]he law in this circuit does not require the ALJ to give greater weight to the opinions of treating physicians. Hagan v. Colvin, 52 F.Supp.3d 167, 174 (D. Mass. 2014) (quoting Arroyo v. Secy of Health & Human Servs., 932 F.2d 82, 89 (1st Cir.1991). When attributing less than controlling weight to a treating sources opinion, the only constraint is that the ALJ must give good reasons for his decision based on consideration of: (1) the length, frequency, nature, and extent of the treatment relationship; (2) the supportability of the opinion; (3) the consistency of the opinion with the record as a whole; (4) the treating physicians specialization in the relevant area of medicine; and (5) other factors brought to the ALJs attention. Murphy v. Colvin, No. 15-11548, 2016 WL 5402184 at *13 (D. Mass. Sept. 27, 2016)
(citing 20 C.F.R. §§ 402.1527(c)(2)-(6), 416.927(c)(2)-(6) ).
Here, the ALJ properly considered all of the record evidence, and gave good reasons for rejecting Dr. Covetts opinion:
As for the opinion evidence, per SSR 96-2p, the undersigned gives no weight to Dr. Covetts physical and mental functional assessments because he has only treated the claimant for six months and did not have a longitudinal history with the claimant (Exhibits 7F, 8F). In addition, he is a primary care physician, and not a psychiatrist, orthopedic or neurology specialist ... Regarding physical functioning, the undersigned finds Dr. Covetts physical RFC and the claimants subjective allegations of severe pain are out of proportion with objective imaging studies showing mild lumbar disc disease, normal cervical spine, mild right shoulder tendinopathy, normal right hip and knee, and unremarkable laboratory testing results.
R. 32. Although Dr. Covett indicates he began treating plaintiff in November 2014 (R. 975), six months prior to opining on his shoulder limitations (R. 980-83), the only note preceding that opinion is from four days before (R. 995) and the full record contains three visits total (R. 984-99). The ALJ appropriately considered this absence of a longitudinal treatment history in according no weight to Dr. Covetts opinion. See 20 C.F.R. 416.927(c)(2).
As reviewed above, plaintiff showed limited range of motion in each shoulder on only one occasion, after which he resumed full range of motion. Clinical notes consistently support full strength and absence of tenderness in plaintiffs upper extremities, and he testified to receiving no treatment in either shoulder. The record evinced faint calcific density adjacent to greater tuberosity suggestive of calcific tendinopathy, R. 1003, but contained no radiographic evidence of arthritis or other acute abnormality. Accordingly, substantial evidence supports the ALJs rejection of Dr. Covetts opinion.
IV. Conclusion
Plaintiffs Motion to Reverse (Docket # 16) is denied, and Defendants Motion to Affirm the Commissioners Decision (Docket # 17) is allowed.
Judgment may be entered affirming the decision of the Commissioner.