Redden v. SSA 08-CV-314-SM 06/09/09 UNITED STATES DISTRICT COURT

DISTRICT OF NEW HAMPSHIRE

Judith Redden, Claimant

v. Civil No. 08-cv-314-SM Opinion No.

Michael Astrue, Commissioner, Social Security Administration, Respondent

O R D E R

Pursuant to

(g), Judith Redden moves to

reverse the Commissioner's decision that she was not disabled,

and therefore not eligible for Social Security disability

insurance benefits, from September 11, 2003, through December 31,

2004. The Commissioner, in turn, moves for an order affirming

his decision. For the reasons given below, the matter is

remanded to the Administrative Law Judge ("ALJ") for further

proceedings consistent with this opinion.

Standard of Review

The applicable standard of review in this case provides, in

pertinent part:

The [district] court shall have power to enter, upon the pleadings and transcript of the record, a judgment affirming, modifying, or reversing the decision of the Commissioner of Social Security, with or without remanding the cause for a rehearing. The findings of the Commissioner of Social Security as to any fact, if supported by substantial evidence, shall be conclusive

(g). However, the court "must uphold a denial of

social security disability benefits unless ■'the [Commissioner]

has committed a legal or factual error in evaluating a particular

claim.'' " Manso-Pizarro v. Sec'v of H HS,

(1st

Cir. 1996) (quoting Sullivan v. Hudson.

(1989)).

As for the statutory requirement that the Commissioner's

findings of fact be supported by substantial evidence, "[t]he

substantial evidence test applies not only to findings of basic

evidentiary facts, but also to inferences and conclusions drawn

from such facts." Alexandrou v. Sullivan.

, 917-

18 (S.D.N.Y. 1991) (citing Levine v. Gardner.

(2d Cir. 1966)). In turn, "[s ]ubstantial evidence is 'more than

[a] mere scintilla. It means such relevant evidence as a

reasonable mind might accept as adequate to support a

conclusion.' " Currier v. Sec'v of H EW.

(1st

Cir. 1980) (quoting Richardson v. Perales.

(1971)). Finally, when determining whether a decision of the

Commissioner is supported by substantial evidence, the court must

"review[ ] the evidence in the record as a whole." Irlanda Ortiz

2 v. Sec'v of HHS,

(1st Cir. 1991) (quoting

Rodriquez v. Sec'v of HHS.

(1st Cir. 1981)).1

Background

The parties have submitted a Joint Statement of Material

Facts (document no. 10). That statement is part of the court's

record and will be summarized here to the extent necessary to

provide context for this decision.

Redden started working for Osram Sylvania in the mid 1970s,

and worked there until September 10, 2003. Her employment ended

under circumstances described in an October 8, 2003, letter to

Redden from Osram Sylvania's Human Resources Manager:

[T]his letter is sent to you to confirm that Human Resources sent you home from work on September 10, 2003 due to a reaction from your pain medication.

At that time, you were instructed not to report to work because we were concerned about you[r] safety and we discussed that you should be seen by a physician and your medication reviewed. You have remained out of work since that time per doctor's notes.

1 "It is the responsibility of the [Commissioner] to determine issues of credibility and to draw inferences from the record evidence. Indeed, the resolution of conflicts in the evidence is for the [Commissioner], not the courts." Irlanda Ortiz,

(citations omitted). Moreover, the court "must uphold the [Commissioner's] conclusion, even if the record arguably could justify a different conclusion, so long as it is supported by substantial evidence." Tsarelka v. Sec'v of H HS. 842 F .2d 529, 535 (1st Cir. 1988).

3 (Administrative Transcript (hereinafter "Tr.") at 502.) Redden

never returned to work.

Two days before her claimed onset date of September 11,

2003, Redden was referred by Dr. Andrew Forest to Interventional

Spine Medicine ("ISM"), a pain clinic (Tr. at 476). Between

September 11, 2003, and January 1, 2005, the onset date

determined by the ALJ, Redden visited ISM at least twelve times.

(Tr. at 479-97.) During that same fifteen-month span, she made

at least eight visits to Seacoast Area Physiatry ("SAP") (Tr. at

266-84, 641-45), had more than seventy treatments from a

chiropractor (Tr. at 573-84), and underwent a course of physical

therapy (343-54).

By September 24, 2003, ISM's Dr. Asi Hacobian had diagnosed

Redden with "chronic neck pain" and "cervical facet

arthropathy."2 (Tr. at 479) Thereafter, Dr. Hacobian provided

Redden with five fluoroscopically guided cervical facet joint

nerve blocks and three fluoroscopically guided radiofrequency

lesion treatments of the cervical facet joints.3 On November 6,

2 "Arthropathy" is defined as "[a]ny disorder affecting a joint." S t e a d m a n 's M edical D ictionary 150 (27th ed. 2000).

3 Redden received nerve blocks in September, October, and November of 2003, and October of 2004 (Tr. at 479-81, 485, 493), and received cervical facet lesion treatments in December of 2003, and January and November of 2004 (Tr. at 486, 487 494).

4 2003, Dr. Hacobian wrote: "pt to be off work for 3 wks, then

reevaluate and decide if she is ready to return to work." (Tr.

at 484.) On January 19, 2004, he wrote that she could return to

work part time, for four hours a day, three days a week, with

various restrictions. (Tr. at 488.) Every office visit form

from ISM reports that Redden was taking Darvocet.

Redden had her first consultation with SAP during the

disputed time period on March 8, 2004 .4 (Tr. at 266.) She

complained of bilateral shoulder pain and neck pain. (I d .)

According to the report of her initial consultation:

Since September, [Redden] has been followed by Interventional Spine Medicine. They did nerve blocks, short lasting, which gave her good benefit, and then radiofrequency ablation. Since that time, she has had partial, but not full, improvement. She says that she has fewer flares than she used to, and has even had a day or two when her pain was down to zero. However, due to persistent daily pain in her neck, shoulders, and even some in the back, she is referred back to our practice. Her pain averages a fairly constant 7/10, rarely goes beyond this, and can go as low as zero.

(Tr. at 266.) That report includes the following impression:

1. Bilateral shoulder impingement, left greater than right.

2. Cervical and shoulder girdle myofascial pain syndrome, with differential diagnosis possibly

4 She had previously received treatment from SAP between June of 2001 and May of 2002. (Tr. at 204-64.)

5 including cervical instability, although this is unlikely. The patient also appears to have mild thoracic outlet syndrome, most likely on the basis of postural deficit bilaterally.

3. Chronic pain.

(Tr. at 268.) Under the heading "Plan," the March 8 SAP report

includes the following relevant entries:

1. She has tried numerous NSAIDs,5 including, but not limited to, Mobic, Relafen, Bextra, Celebrex and Naproxen. She has tried Nortriptyline and Flexeril, also without benefit. She has never tried Oruvail, and a prescription is provided for 200 mg #30 one QD, with one refill. . . .

2. She is not on a muscle relaxant, and a limited prescription is provided for Soma 350 mg #30 up to one TID, without refill. . . .

3. Continue use of Darvocet. She currently has this prescribed through Interventional Spine Medicine. We will see if she needs a refill at next visit.

4. Strongly recommend cortisone injection to left shoulder subacromial space.

8. She does have a work capacity, four hours a day, three days a week . . . .

(Tr. at 268-69.) Redden received at least one cortisone

injection from SAP. (Tr. at 273-74.) In a Workers' Compensation

Form dated March 15, 2004, SAP's Stefanie Diamond, PA-C, reported

that Redden had reached maximum medical improvement, and that she

5 "NSAID" is an abbreviation for "nonsteroidal anti­ inflammatory drugs." Steadman's, supra note 2, at 1231.

6 was able to work a maximum of four hours per day and a maximum of

three days per week.6 (Tr. at 275.)

In a note dated May 26, 2004, Diamond reported: "I have told

Judith that she continues to be at maximum medical improvement

and I anticipate that she will have episodic flare ups of neck

and shoulder girdle pain. I don't know that we have much else to

offer her other than medication and continued independent

exercise and p.r.n. RFA." (Tr. at 276.)

A follow-up consultation note from SAP, dated July 28, 2004,

reports:

She is currently on glucosamine, and has been taking MSM over the last four weeks, which she does not feel has helped a great deal . . . . She takes a constant dose of 3-4 Darvocet per day, which is the only thing that has really helped her. She discontinued Flurbiprofen, and was started on Naprosyn by her PCP for her left hip issue. She is not clear whether this really helps either. Other medications include Zoloft, Prilosec, Synthroid.

Over the course of the last 3 years, [Redden] has had extensive treatment and workup. She has tried a TENS unit, without much benefit, and has been on multiple non-steroidal anti-inflammatories, including Celebrex, Bextra, Mobic, Relafen and others. She has been on multiple muscle relaxants, per her report, including Zanaflex (Tizanidine), Baclofen, Flexeril, Skelaxin,

6 In two subsequent Workers' Compensation Forms completed at SAP in April and May, neither Dr. Bruce Myers (April) nor Diamond (May) responded to the question asking them how many hours per day and days per week Redden was able to work. (Tr. at 279-80.)

7 all of which have been ineffective. She has tried Nortriptyline in the past. She was recently tried on Amitriptyline by Dr. Myers, but this caused excessive AM drowsiness . . . [and] she did not really experience any appreciable benefit from the medication.

She has had multiple trigger point injections, and has had more sophisticated injections, including radiofrequency ablation, which did yield some benefit.

IMPRESSION/PLAN: As noted above, chronic cervical and shoulder girdle myofascial pain syndrome, with shoulder impingement. I do believe, as other providers have stated, that she is at maximum medical improvement. . . I have discussed with her that I am somewhat uncomfortable with chronic use of Darvocet.

(Tr. at 281-82.)

After a flare-up in her symptoms. Redden returned to SAP in

October of 2004, for a follow-up consultation. The resulting

note contains the following relevant entries:

Given her worsening symptoms, she has contacted Interventional Spine Medicine, and was scheduled for radiofrequency ablation 10/25/04 with Dr. Hacobian. She has increased her Darvocet from the usual three per day up to between 5-6 per day in the last couple of weeks, because of her worsening symptoms. She also continues on Zoloft, Prilosec and Synthroid.

In the past, as has been mentioned previously, she has had multiple medications, including OxyContin, which chose not to take, due to her concern about that particular medication. Soma, Flexeril, Tizanidine, Ultram, non-steroidal anti-inflammatories, including Celebrex, Bextra, Mobic, Relafen, Nortriptyline and Amitriptyline. TENS unit was not beneficial for her. She was put on one other pain patch, which I believe

8 was a Duragesic patch, but she did not tolerate it.

IMPRESSION/PLAN: . . . Again, I feel that she is at maximum medical improvement, and it is not clear to me that there is a lot more for us to offer her. She had mentioned these issues to Dr. Hacobian, and apparently the possibility of starting Avinza was discussed. This may be a good choice, although, as I had mentioned at her last visit, I am uncomfortable starting her on a long acting narcotic medication at this point. . . . I will offer her samples of Lidoderm transdermal patches, to see if this is beneficial. Given her chronic use of Darvocet, will obtain liver function testing, to be sure that no liver injury is occurring with exposure to Tylenol.

(Tr. at 641-42.)

Finally, in a note resulting from an office visit to SAP on

November 15, 2004, Dr. Myers noted that Redden was taking four

Darvocet a day for pain, and provided the following impression:

Persistent bilateral upper quarter pain and neck pain related to both diagnoses. She is at maximum medical improvement. She may go through the RFA with Dr. Hacobian but for the most part I do not think she is going to improve anymore than she has. She is aware that she is going to have to live with pain.

(Tr. at 643.) He then made the following relevant

recommendations:

1. I have recommended some changes in her medications. As she has had some elevation in LFTs she will discontinue the Darvocet and restart propoxyphene 100 mg 3-4 a day.

9 2. Try increasing her Zoloft to 75-1- mg to help with the pain.

3. Begin Skelaxis 400-800 mg up to 4 times a day for muscle pain. She does not have to take this every day, she can take it on a p.r.n. basis.

(IfLJ

Redden applied for disability insurance benefits on April 7,

2004, claiming repetitive motion injuries and pain resulting from

left rotator cuff surgery, and claiming an onset date of

September 11, 2003. Her claim was denied initially, and after a

hearing before an ALJ. Redden took her claim to the Appeals

Council, which remanded her case to the ALJ.

Upon rehearing, the ALJ made the following relevant finding:

"During the period from September 11, 2003 through December 31,

2004, considering the claimant's age, education, work experience,

and residual functional capacity [for a range of light-exertion

work activity], there were a significant number of jobs in the

national economy that the claimant could have performed." (Tr.

at 34.) On that basis, the ALJ determined that Redden was not

under a disability from September 11, 2003, through December 31,

2004. (Tr. at 35.) In determining Redden's residual functional

capacity ("RFC"), the ALJ considered her symptoms, including

pain, and determined that "the claimant's medically determinable

10 impairments could reasonably be expected to produce the alleged

symptoms, but that the claimant's statements concerning the

intensity, persistence and limiting effects of those symptoms are

not entirely credible prior to January 1, 2005." (Tr. at 31.)

The ALJ elaborated:

A review of the medical evidence of record reveals evidence of an extended history of treatment for neck and shoulder pain related to repetitive work activities. Her records indicate a diagnosis of bilateral shoulder impingement and a cervical/shoulder girdle myofascial pain syndrome. . . .

A review of the claimant's medical records, compiled during the period from November of 2002, when she underwent her functional capacity evaluation, through December 31, 2004, fails to reveal any evidence of a significant change in her overall condition which would further limit her assessed functional capacity. During this period, the claimant continued to receive treatment for chronic pain in her neck and shoulders. While continuing to note some fluctuating levels of pain, her records reveal evidence of a gradual improvement with treatment. . . . By April of 2004, she rated her pain at a level of 3 out of 10 at worst, an improvement from a prior rating of 6 out of 10.

(Tr. at 31-32.)

Discussion

According to Redden, the ALJ's decision should be reversed,

and the case remanded, because the ALJ incorrectly determined her

onset date by erroneously determining that her subjective

complaints of pain were not credible and by making a residual

11 functional capacity assessment that was not supported by

substantial evidence in the record.

To be eligible for disability insurance benefits, a person

must: (1) be insured for such benefits; (2) not have reached

retirement age; (3) have filed an application; and (4) be under a

disability.

(a )(1)(A)-(D ). The issue in this

case is whether the ALJ correctly determined that claimant was

not under a disability between September 11, 2003, and December

31, 2004.

For the purpose of determining eligibility for disability

insurance benefits.

[t]he term "disability" means . . . inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.

(d)(1)(A). Moreover,

[a]n individual shall be determined to be under a disability only if [her] physical or mental impairment or impairments are of such severity that [she] is not only unable to do [her] previous work but cannot, considering [her] age, education, and work experience, engage in any other kind of substantial gainful work which exists in the national economy, regardless of whether such work exists in the immediate area in which [she] lives, or whether a specific job vacancy exists for [her], or whether [she] would be hired if [she]

12 applied for work. For purposes of the preceding sentence (with respect to any individual), "work which exists in the national economy" means work which exists in significant numbers either in the region where such individual lives or in several regions of the country.

2 3 (d) (2) (A) .

In order to determine whether a claimant is disabled for the

purpose of determining eligibility for disability insurance

benefits, an ALJ is required to employ a five-step process. See

.

The steps are: 1) if the [claimant] is engaged in substantial gainful work activity, the application is denied; 2) if the [claimant] does not have, or has not had within the relevant time period, a severe impairment or combination of impairments, the application is denied; 3) if the impairment meets the conditions for one of the "listed" impairments in the Social Security regulations, then the application is granted; 4) if the [claimant's] "residual functional capacity" is such that he or she can still perform past relevant work, then the application is denied; 5) if the [claimant], given his or her residual functional capacity, education, work experience, and age, is unable to do any other work, the application is granted.

Seavev v. Barnhart.

(1st Cir. 2001) (citing

, which outlines the same five-step process as

the one prescribed in

).

The claimant bears the burden of proving that she is

disabled. See Bowen v. Yuckert.

(1987) . She

13 must do so by a preponderance of the evidence. See Mandziei v.

Chater,

(D.N.H. 1996) (citing Paone v.

Schweiker,

) (D. Mass. 1982)) Finally,

In assessing a disability claim, the [Commissioner] considers objective and subjective factors, including: (1) objective medical facts; (2) plaintiff's subjective claims of pain and disability as supported by the testimony of the plaintiff or other witness; and (3) the plaintiff's educational background, age, and work experience.

Mandziei,

(citing Avery v. Sec'v of H HS.

(1st Cir. 1986); Goodermote v. Sec'v of H HS.

(1st Cir. 1982)).

Claimant's principal argument is that the ALJ failed to

properly assess her subjective claim of disabling pain under the

requirements set out in Avery.

, and Social

Security Ruling ("SSR") 96-7p,

(S.S.A.).

According to SSR 96-7p, "an individual's statement(s) about

his or her symptoms7 is not in itself enough to establish the

existence of a physical or mental impairment or that the

individual is disabled."

, at *2. When "symptoms,

such as pain, fatigue, shortness of breath, weakness, or

7 "A symptom is an individual's own description of his or her physical or mental impairment(s )." SSR 96-7p,

, at *2.

14 nervousness," i d ., are alleged, SSR 96-7p prescribes a two-step

evaluation process:

* First, the adjudicator must consider whether there is an underlying medically determinable physical or mental impairment(s ) - i.e., an impairment(s ) that can be shown by medically acceptable clinical and laboratory diagnostic techniques - that could reasonably be expected to produce the i n dividuals pain or other symptoms. . . . If there is no medically determinable physical or mental impairment(s ), or if there is a medically determinable physical or mental impairment(s ) but the impairment(s ) could not reasonably be expected to produce the i n dividuals pain or other symptoms, the symptoms cannot be found to affect the individual's ability to do basic work activities. * Second, once an underlying physical or mental impairment(s ) that could reasonably be expected to produce the individual's pain or other symptoms has been shown, the adjudicator must evaluate the intensity, persistence, and limiting effects of the individual's symptoms to determine the extent to which the symptoms limit the individual's ability to do basic work activities. For this purpose, whenever the individual's statements about the intensity, persistence, or functionally limiting effects of pain or other symptoms are not substantiated by objective medical evidence, the adjudicator must make a finding on the credibility of the individual's statements based on a consideration of the entire case record.

In addition:

When additional information is needed to assess the credibility of the individual's statements about symptoms and their effects, the adjudicator must make every reasonable effort to obtain available information that could shed light on the credibility of the individual's statements. In recognition of the fact that an individual's symptoms can sometimes suggest a greater level of severity of impairment than can be shown by the objective medical evidence alone, 20 CFR 404.1529(c) and 416.929(c) describe the kinds of

15 evidence, including the factors below, that the adjudicator must consider in addition to the objective medical evidence when assessing the credibility of an individual's statements:

1. The individual's daily activities;

2. The location, duration, frequency, and intensity of the individual's pain or other symptoms;

3. Factors that precipitate and aggravate the symptoms;

4. The type, dosage, effectiveness, and side effects of any medication the individual takes or has taken to alleviate pain or other symptoms;

5. Treatment, other than medication, the individual receives or has received for relief of pain or other symptoms;

6. Any measures other than treatment the individual uses or has used to relieve pain or other symptoms (e.g., lying flat on his or her back, standing for 15 to 20 minutes every hour, or sleeping on a board); and

7. Any other factors concerning the individual's functional limitations and restrictions due to pain or other symptoms.

I d . at *3.

Here, the ALJ did determine that there was an underlying

medically determinable physical impairment that could reasonably

be expected to produce Redden's pain (Tr. at 31), thus completing

the first step of the SSR 96-7p evaluation process. Difficulties

arise, however, at the second step. For one thing, the ALJ

appears to have made a credibility assessment, and a negative

16 one, without first determining that Redden's "statements about

the intensity, persistence, or functionally limiting effects of

[her] pain . . . [were] not substantiated by objective medical

evidence." SSR 96-7p,

, at *2. The record in this

case appears to be replete with objective medical evidence

substantiating Redden's statements about the intensity,

persistence, and functionally limiting effects of her neck and

shoulder pain. Upon being referred to the ISM pain clinic.

Redden was diagnosed with "chronic neck pain." (Tr. at 479.)

Upon being referred to SAP, Redden was diagnosed with "cervical

myofascial pain superimposed upon cervical sprain/strain." (Tr.

at 271.) Those were not Redden's subjective complaints; they are

medical diagnoses. Thus, it is not clear that the ALJ was even

obligated to make a credibility determination.

But, assuming it was necessary to assess Redden's

credibility, the ALJ's credibility determination is not supported

by substantial evidence. The ALJ's decision makes passing

reference to Redden's "extended history of treatment for neck and

shoulder pain," (Tr. at 31), but gives scant attention to the

records generated by that extensive treatment. The ALJ

specifically mentions one treatment note, two MRIs, and two

statements Redden made to her physical therapist. (Tr. at 32.)

But, as noted above, during the disputed time period, Redden's

17 efforts to achieve relief from her pain included a dozen visits

to ISM, eight visits to PAP, multiple visits to a physical

therapist, and more than seventy visits to a chiropractor, plus

workouts at a gym. The ALJ's decision does not acknowledge the

range of professionals Redden saw in search of pain relief, much

less the large number of visits she made to those professionals.

Moreover, the ALJ's statement that Redden's medical records

"reveal evidence of a gradual improvement with treatment" (Tr. at

32) is not supported by substantial evidence. That finding is

based upon an April 2, 2004, treatment plan and progress report

from Redden's physical therapist who noted that Redden initially

presented on February 17 with "constant pain 6/10" (Tr. at 354)

but reported, on April 2 that "her pain [was] @ a level of 3/10 @

worst" (i d .). The medical records include many more pain

metrics, including, at a minimum, these: (1) 5/10, reported to

ISM on November 6, 2003 (Tr. at 481); (2) 3/10, reported to ISM

on November 20 (Tr. at 485); (3) 6-7/10, reported to chiropractor

Russell B. Grazier on February 27, 2004 (Tr. at 573); (4) 7/10,

reported to SAP on March 8 (Tr. at 266); (5) 3/10, reported to

SAP on April 13 (Tr. at 271); (6) 5-6/10, reported to SAP on May

26 (Tr. at 276); (7) 6-7/10, reported to Dr. Grazier on June 4

(Tr. at 575); (8) 5-6/10, reported to SAP on July 28 (Tr. at

281); (9) 5/10, reported to ISM on October 12 (Tr. at 491); and

18 (10) 6/10, reported to ISM on December 21, 2004 (Tr. at 496).8

Those pain reports, viewed in context, do not constitute

substantial evidence supporting a finding that Redden's pain

symptoms were on a path of "gradual improvement" between

September 11, 2003, and December 31, 2004. That finding is

further undercut by multiple statements from treating sources,

entirely unacknowledged by the ALJ, that Redden had reached

maximum medical improvement. To take one example, on July 28,

2004, three months after the 3/10 pain report discussed by the

ALJ, Redden reported pain at a level of 5-6 out of 10 to SAP's

Peter Attenborough, PA-C, who, in the note containing Redden's

8 Given those ten pain metrics from the records of Redden's pain clinic, her physiatrist, and her chiropractor - none of whom were mentioned in the ALJ's decision - it is not accurate to state, as the Commissioner does in his brief, that claimant's "reported complaints of pain and varying intensity levels to her treating sources were also chronicled by the ALJ." (Resp't's Mem. of Law (document no. 9-2), at 16.) In a similar vein are the Commissioner's contentions, on pages 18 through 20 of his brief, that in April, May, and October of 2004, Dr. Myers and PA-C Attenborough "did not limit the number of hours [Redden] could work per day, nor did [they] limit the number of days [she] could work per week." (Resp't's Mem. of Law, at 18-19.) Neither Myers nor Attenborough said that Redden could work eight hours per day or could work five days per week, because neither filled out that part of the Workers' Compensation Medical Form asking them to list the number of hours per day and days per week Redden could work. (Tr. at 279-80, 645.) Moreover, the Commissioner fails to note that in March of 2004, Stefanie Diamond, a colleague of Myers and Attenborough at SAP, did fill out that part of the form, stated that Redden could work a maximum of four hours per day and three days per week, and made that determination in conjunction with her finding that Redden had reached maximum medical improvement. (Tr. at 2 7 0.) The Commissioner's review of the record misses the mark and is unhelpful. See Sims v. Apfel,

(2000) .

19 pain report, also described her as having reached maximum medical

improvement. (See T r . at 281-82.) Four months later. Dr. Myers,

who also believed that Redden had reached maximum medical

improvement, stated that Redden would simply have to live with

her pain.

The ALJ's decision also falls short in its consideration of

the seven factors listed in

(c)(3) and SSR

96-7p. The Commissioner argues, perhaps correctly, that the ALJ

was not obligated to address each of the seven factors, see

Crocker v. Astrue. No. 07-220-P-S,

, at *6 (D. Me.

June 30, 2008), but needed to deal with "only the ones made

pertinent by the record evidence." But, the ALJ did not meet

that standard.

For example, with regard to factor five, " [t]reatment, other

than medication, the individual . . . has received for relief of

pain," SSR 96-7p,

, at *3, the ALJ said only that

"the medical evidence of record reveals evidence of an extended

history of treatment for neck and shoulder pain" (Tr. at 31), and

that between September 11, 2 0 03, and December 31, 2004, "the

claimant continued to receive treatment for chronic pain in her

neck and shoulders" (Tr. at 32). Those brief conclusory

references do not demonstrate adequate consideration of the

20 treatment claimant received, the number of different kinds of

medical professionals she saw, and the wide range of treatment

modalities those medical professionals prescribed.

The ALJ's consideration of factor four, "[t]he type, dosage,

effectiveness, and side effects of any medication the individual

takes or has taken to alleviate pain," SSR 96-7p,

,

at *3, was also insufficient. The ALJ's decision makes only one

reference to medication, and that is to a medication claimant was

taking in November of 2006, at the time of her second hearing

before the ALJ. (Tr. at 31.) Thus, the ALJ said nothing about

the significant number of different pain medications, and

different types of pain medications, that Redden had taken

between September 11, 2 0 03, and December 31, 2004.9 Redden's

medications were certainly made pertinent by the record evidence,

given that she was discharged from Osram Sylvania because of the

effects the prescribed pain medication had on her. Yet, the

ALJ's decision does not address factor four at all.

While credibility is for the ALJ to determine in the first

instance, see Irlanda Ortiz.

, and the requisite

9 The Commissioner argues unpersuasively that the ALJ's mention of Redden's use of Methotextrate in November of 2006 amounted to adequate consideration of claimant's use of medication in 2003 and 2004.

21 standard of review generally favors affirmance of an ALJ's

credibility determination, see

(g); Tsarelka. 842

F.2d at 535, the ALJ's credibility determination in this case is

not supported by substantial evidence, see Currier.

. During the relevant time period, claimant was treated for

pain by a pain clinic, a physiatrist, a chiropractor, and a

physical therapist. She made nearly 100 visits to those various

specialists. She had also taken either an amount or a

combination of prescribed pain medication that caused her to be

unfit for her job at Osram Sylvania. And, she took so much

prescribed Darvocet that it affected her liver. In the face of

that record evidence, much of it unaddressed by the ALJ,10 it is

difficult to see how Redden's subjective complaints of pain

properly could be deemed "not entirely credible." But, a valid

credibility determination, and a proper RFC assessment, are for

an ALJ on remand.

Conclusion

For the reasons given, claimant's motion to remand for a new

administrative determination (document no. 8) is granted, and the

10 The ALJ did note that claimant once "receiv[ed] some treatment for episodic abdominal pain/constipation associated with her use of narcotic pain medication," (Tr. at 29), but she did so not in the context of assessing the medication factor of a credibility determination, but in the context of determining that claimant's colitis did not qualify as a severe impairment.

22 Commissioner's motion to affirm his decision (document no. 9) is

denied. Pursuant to sentence four of

(g), this

matter is remanded to the ALJ for further proceedings. The Clerk

of the Court shall enter judgement in accordance with this order

and close the case.

SO ORDERED.

Steven J/ McAuliffe ’ C hief Judge

June 9, 2009

cc: Raymond J. Kelly, Esq. Seth R. Aframe, Esq.

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