# Eltzroth v. Commissioner of Social Security

> District Court, S.D. Ohio · December 14, 2021

URL: https://www.frixlaw.com/law-library/cases/10379203

## Case

- **Court:** District Court, S.D. Ohio
- **Decided:** December 14, 2021
- **Opinion:** 100trialcourt
- **Cited by:** 0 later opinions in the Frix Law Library

## Citator (automated)

- No negative treatment found by the automated citator. That is not the same as a confirmation that the case is good law; read the citing cases.
- Full citator and citing cases: https://www.frixlaw.com/law-library/cases/10379203

## How later opinions describe it (automated extraction)

- holding that it was not harmless error for the ALJ to fail to analyze Step Three as to an impairment found to be severe at Step Two where the claimant put forth evidence that could meet the relevant listing

## Opinion text

UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF OHIO
EASTERN DIVISION

JANET MARIE ELTZROTH,

Plaintiff,

v. Civil Action 2:20-cv-6558
Chief Judge Algenon L. Marbley
Magistrate Judge Chelsey M. Vascura
COMMISSIONER OF SOCIAL
SECURITY,

Defendant.

REPORT AND RECOMMENDATION
Plaintiff, Janet Marie Eltzroth (“Plaintiff”), brings this action under 42 U.S.C. § 405(g)
for review of a final decision of the Commissioner of Social Security (“Commissioner”) denying
her application for Social Security Period of Disability, Disability Insurance Benefits, and
Supplemental Security Income benefits. This matter is before the Court on Plaintiff’s Statement
of Errors (ECF No. 17), the Commissioner’s Memorandum in Opposition (ECF No. 19), and the
administrative record (ECF No. 11). For the reasons that follow, it is RECOMMENDED that
Plaintiff’s Statement of Errors be OVERRULED and that the Commissioner’s decision be
AFFIRMED.
I. BACKGROUND
Plaintiff filed an application for Title II Period of Disability and Disability Income
Benefits on June 5, 2018, and an application for Title XVI Supplemental Security Income
Benefits on June 26, 2018, alleging that she had been disabled since November 30, 2017. (R.
206–10.) On January 22, 2020, following administrative denials of Plaintiff’s application
initially and on reconsideration, Administrative Law Judge Deborah F. Sanders (the “ALJ”) held
a hearing, at which Plaintiff, represented by counsel, appeared and testified. (R. 38–99.) A
vocational expert (“VE”) also appeared and testified at the hearing. (Id.) On April 1, 2020, the
ALJ issued a decision denying benefits. (R. 15–31.) On October 27, 2020, the Appeals Council
denied Plaintiff’s request for review and adopted the ALJ’s decision as the Commissioner’s final

decision. (R. 1–3.) Plaintiff then timely commenced the instant action. (ECF No. 1.)
Plaintiff sets forth two contentions of error: (1) the ALJ’s residual functional capacity is
not supported by substantial evidence (specifically relating to Plaintiff’s migraines, upper right
extremity, and concentration, persistence, and pace), and (2) the ALJ failed to properly evaluate
Plaintiff’s fibromyalgia under Social Security Ruling 12-2p. (Pl.’s Statement of Errors 6–16,
ECF No. 17.)
II. THE ALJ’S DECISION
The ALJ issued her decision on April 1, 2020, finding that Plaintiff was not disabled
within the meaning of the Social Security Act. (R. 15–31.) At step one of the sequential
evaluation process,1 the ALJ found that Plaintiff had engaged in periods of substantial gainful
activity since November 30, 2017, the alleged onset date of disability. (Id.) However, the ALJ
also found that there has been one or more continuous 12-month periods during which Plaintiff
did not engage in substantial gainful activity. (Id.) At step two, the ALJ found that Plaintiff has
the following severe impairments: degenerative joint disease of the sacroiliac joints;

degenerative disc disease of the cervical, thoracic, and lumbar spine; pubic symphysis
degenerative changes; gluteus minimus tendinitis; fibromyalgia; osteoarthritis of the right hand
and wrist; rheumatoid arthritis without rheumatoid factor; functional movement disorder;
headaches; polyneuropathy; asthma; obesity; anxiety; dysthymic disorder; and adjustment
disorder with depressed mood. (Id.) At step three, the ALJ found that Plaintiff did not have an

1 Social Security Regulations require ALJs to resolve a disability claim through a five-step
sequential evaluation of the evidence. See 20 C.F.R. §§ 404.1520(a)(4). Although a dispositive
finding at any step terminates the ALJ’s review, see Colvin v. Barnhart, 475 F.3d 727, 730 (6th
Cir. 2007), if fully considered, the sequential review considers and answers five questions:

1. Is the claimant engaged in substantial gainful activity?

2. Does the claimant suffer from one or more severe impairments?

3. Do the claimant’s severe impairments, alone or in combination, meet or equal the
criteria of an impairment set forth in the Commissioner’s Listing of Impairments, 20
C.F.R. Subpart P, Appendix 1?

4. Considering the claimant’s residual functional capacity, can the claimant perform his
or her past relevant work?

5. Considering the claimant’s age, education, past work experience, and residual
functional capacity, can the claimant perform other work available in the national
economy?

See 20 C.F.R. §§ 404.1520(a)(4); see also Henley v. Astrue, 573 F.3d 263, 264 (6th Cir.
2009); Foster v. Halter, 279 F.3d 348, 354 (6th Cir. 2001).
impairment or combination of impairments that meets or medically equals the severity of one of
the listed impairments in 20 CFR Part 404, Subpart P, Appendix. (R. 19–21.)
The ALJ then set forth Plaintiff’s residual functional capacity (“RFC”) 2 as follows:
After careful consideration of the entire record, the undersigned finds that the
claimant has the residual functional capacity to perform light work as defined in 20
CFR 404.1567(b) and 416.967(b) except the claimant would be limited to standing
and/or walking no more than four hours in an eight hour day and sitting no more
than four hours in an eight-hour day. She could occasionally climb ramps and stairs
but could never climb ladders, ropes, or scaffolds. She would be able to frequently
balance and occasionally stoop, kneel, crouch, and crawl. She would avoid
concentrated exposure to extreme cold, extreme heat, and irritants, such as fumes,
odors, dust, gases, and poorly ventilated areas. The claimant would never work at
unprotected heights or around dangerous machinery, and she would never operate
a motor vehicle. She would be able to frequently handle and finger with the
dominant right upper extremity. The claimant would be able to perform tasks
without fast production rate pace and no strict production quotas, such as assembly
line work. She would be able to adapt to a relatively static work environment with
infrequent changes in the work setting.
(R. 21.) At step four, relying on testimony from the VE, the ALJ found that Plaintiff was
capable of performing her past relevant work as an Administrative Assistant/Office Clerk or
Telemarketer. (R. 29.) At step five, the ALJ also determined that other jobs exist in significant
numbers in the national economy that Plaintiff can perform such as Office Helper/Clerical
Assistant, Mailroom Clerk, Storage Facility Rental Clerk, Surveillance System Monitor,
Addresser and Address Clerk, and Document Preparer. (R. 30–31.) The ALJ therefore
concluded that Plaintiff has not been under a disability since November 30, 2017. (R. 31.)
III. STANDARD OF REVIEW
When reviewing a case under the Social Security Act, the Court “must affirm the
Commissioner’s decision if it ‘is supported by substantial evidence and was made pursuant to

2 A claimant’s RFC is an assessment of “the most [he] can still do despite [his] limitations.” 20
C.F.R. § 404.1545(a)(1).
proper legal standards.’” Rabbers v. Comm’r of Soc. Sec., 582 F.3d 647, 651 (6th Cir. 2009)
(quoting Rogers v. Comm’r of Soc. Sec., 486 F.3d 234, 241 (6th Cir. 2007)); see also 42 U.S.C.
§ 405(g) (“[t]he findings of the Commissioner of Social Security as to any fact, if supported by
substantial evidence, shall be conclusive . . . .”). Under this standard, “substantial evidence is
defined as ‘more than a scintilla of evidence but less than a preponderance; it is such relevant

evidence as a reasonable mind might accept as adequate to support a conclusion.’” Rogers, 486
F.3d at 241 (quoting Cutlip v. Sec’y of Health & Hum. Servs., 25 F.3d 284, 286 (6th Cir. 1994)).
Although the substantial evidence standard is deferential, it is not trivial. The Court must
“take into account whatever in the record fairly detracts from [the] weight” of the
Commissioner’s decision. TNS, Inc. v. NLRB, 296 F.3d 384, 395 (6th Cir. 2002) (quoting
Universal Camera Corp. v. NLRB, 340 U.S. 474, 487 (1951)).
Nevertheless, “if substantial evidence supports the ALJ’s decision, this Court defers to
that finding ‘even if there is substantial evidence in the record that would have supported an
opposite conclusion.’” Blakley v. Comm’r of Soc. Sec., 581 F.3d 399, 406 (quoting Key v.

Callahan, 109 F.3d 270, 273 (6th Cir. 1997)). Finally, even if the ALJ’s decision meets the
substantial evidence standard, “a decision of the Commissioner will not be upheld where the
SSA fails to follow its own regulations and where that error prejudices a claimant on the merits
or deprives the claimant of a substantial right.” Bowen v. Comm’r of Soc. Sec., 478 F.3d 742,
746 (6th Cir. 2007).
IV. ANALYSIS
As set forth above, Plaintiff raises two issues in her Statement of Errors: (1) the ALJ’s
RFC is not supported by substantial evidence, due to the ALJ’s failure to appropriately consider
Plaintiff’s migraines, upper extremity limitations, and limitations in concentration, persistence,
and pace; and (2) the ALJ erred in her analysis of Plaintiff’s fibromyalgia pursuant to SSR 12-
2p. (ECF No. 17.) The undersigned considers each contention of error in turn.
A. The ALJ’s RFC is supported by substantial evidence.
1. Standards Governing RFC Assessment
The determination of a claimant’s RFC is an issue reserved to the Commissioner. 20
C.F.R. §§ 404.1527(e), 416.927(e). Nevertheless, substantial evidence must support the

Commissioner’s RFC finding. Berry v. Astrue, No. 1:09-cv-411, 2010 WL 3730983, at *8 (S.D.
Ohio June 18, 2010). The Social Security Act and agency regulations require an ALJ to
determine a claimant’s RFC based on the evidence as a whole. 42 U.S.C. §§ 423(d)(5)(B),
1382c(a)(3)(H)(i) (incorporating § 423(d) for Title XVI). Consistently, Social Security Ruling
96-8p instructs that the ALJ’s RFC assessment must be based on all of the relevant evidence in
the case record, including factors such as medical history, medical signs and laboratory findings,
the effects of treatment, daily activities, lay evidence, recorded observations, medical source
statements, effects of symptoms, and evidence from attempts to work. SSR 96-8P, 1996 WL
374184 (July 2, 1996). An ALJ must explain how the evidence supports the limitations that he
or she sets forth in the claimant’s RFC:

The RFC assessment must include a narrative discussion describing how the
evidence supports each conclusion, citing specific medical facts (e.g., laboratory
findings) and nonmedical evidence (e.g., daily activities, observations). In
assessing RFC, the adjudicator must discuss the individual’s ability to perform
sustained work activities in an ordinary work setting on a regular and continuing
basis (i.e., 8 hours a day, for 5 days a week, or an equivalent work schedule), and
describe the maximum amount of each work-related activity the individual can
perform based on the evidence available in the case record. The adjudicator must
also explain how any material inconsistencies or ambiguities in the evidence in the
case record were considered and resolved.
Id. at *7 (internal footnote omitted).
2. The ALJ did not err in considering Plaintiff’s migraines.
Plaintiff contends that the ALJ erred by not including limitations related to her migraine
headaches in the hypothetical question to the VE. (Pl.’s Statement of Errors 7–8, ECF No. 17.)
Plaintiff argues that the ALJ “erred by not making a specific finding concerning the frequency
and duration of [Plaintiff’s] headaches as part of the residual functional capacity and this error is

not harmless” because “the vocational expert advised that more than 10–12% off-task behavior
and more than half of a day to a day of absence per month would not be tolerated by most
employers.” (Id. at 8, citing VE’s testimony at R. 95–97.)
In her decision denying benefits, the ALJ noted that Plaintiff “had developed chronic
migraines, that were managed with Trileptal medication.” (R. 24.) The ALJ also included
“headaches” among Plaintiff’s severe impairments. (Id. at 18.) The ALJ did not otherwise
discuss Plaintiff’s migraines or include any limitations relating to migraines in the RFC. Yet
Plaintiff has not identified any evidence which would warrant migraine-related limitations.
Although Plaintiff cites her own self-reports and medical records documenting a diagnosis of
migraines (e.g., R. 76, 768), “[t]he mere diagnosis . . ., of course, says nothing about the severity

of the condition.” Higgs v. Bowen, 880 F.2d 860, 863 (6th Cir. 1988). Moreover, “an ALJ is not
required to accept a claimant’s subjective complaints.” Jones v. Comm’r of Soc. Sec., 336 F.3d
469, 476 (6th Cir. 2003). And Plaintiff has not identified any evidence that her migraines,
separate and apart from the other impairments recognized by the ALJ, limits her functioning in
any way, let alone that her migraines would result in her being off-task for more than 10–12% of
the time or missing more than a day of work each month. Accordingly, the undersigned finds no
error by the ALJ in not including further limitations in the RFC as a result of Plaintiff’s migraine
headaches.
3. The ALJ did not err in considering Plaintiff’s upper extremity limitations.
Plaintiff asserts that the ALJ erred in limiting her to frequent—as opposed to
occasional—handling and fingering with the dominant right upper extremity. (Pl.s’ Statement of
Errors 8–9, ECF No. 17.) This error is not harmless, Plaintiff contends, because the VE testified
that restriction to occasional handling and fingering, in combination with the other restrictions

assessed by the ALJ, would preclude light and sedentary unskilled work. (Id., citing VE’s
testimony at R. 96–97.) Plaintiff further contends that the frequent limitation “is not based on
any medical opinion in the record and, as a result, is merely a presumption based on the ALJ’s
own lay opinion of the medical evidence.” (Id. at 9.)
The undersigned disagrees. Among other physical and postural limitations, state agency
medical reviewer Dr. Steve McKee, M.D., on reconsideration of the record, opined that Plaintiff
was limited to “frequent handling/fingering with right hand.” (R. 131.) The ALJ found Dr.
McKee’s limitations as to Plaintiff’s “sitting, standing, and walking, as well as her postural
limitations” to be unpersuasive because “the evidence shows [Plaintiff] to be more limited,” and
therefore “reduced” Plaintiff’s RFC exertional and postural limitations, (R. 27), but declined to

similarly reject Dr. McKee’s opined manipulative limitations, ultimately incorporating these
limitations into Plaintiff’s RFC. The opinion of state agency reviewer Dr. McKee constitutes
substantial evidence on which the ALJ may rely to craft the RFC. See Hefflin o.b.o. LDS v.
Kijakazi, No. 1:20-cv-1414, 2021 WL 4477785, at *6 (N.D. Ohio Sept. 30, 2021) (collecting
cases for the proposition that “State Agency opinions may constitute substantial evidence
supporting an ALJ’s decision”); see also 20 C.F.R. § 404.1513a(b) (ALJs are required to
consider findings by state agency medical consultants). Moreover, the ALJ thoroughly discussed
the record evidence regarding Plaintiff’s upper right extremity, including Plaintiff’s subjective
complaints of stiffness, swelling, and decreased range of motion in her hands due to arthritis,
right-hand tenderness and weakness, as well as Plaintiff’s treatment records, examination
findings, and objective testing results, and ultimately concluded that this record evidence
supports her RFC determination regarding Plaintiff’s manipulative limitations. (See R. 22-24
(discussing Plaintiff’s self-reports, treatment history, examination results, and objective testing
evidence relating to Plaintiff’s right extremity); and R. 25 (concluding that Plaintiff “would be

able to frequently handle and finger with the dominant right upper extremity,” explaining that
“[t]his [limitation] is supported by the above records as well as the claimant’s testimony and self-
report”).)
And although Plaintiff cites other record evidence that may have supported a more
limited RFC, “[a]s long as substantial evidence supports the Commissioner’s decision, we must
defer to it, even if there is substantial evidence in the record that would have supported an
opposite conclusion.” Warner v. Comm’r of Soc. Sec., 375 F.3d 387, 390 (6th Cir. 2004).
Accordingly, the ALJ’s handling and fingering limitations were supported by substantial
evidence.

4. The ALJ did not err in considering Plaintiff’s limitations in concentration,
persistence, or pace.
Plaintiff contends that the ALJ did not sufficiently account for all of the opined
limitations by consultative examiner Marc E.W. Miller, Ph.D., whose opinion the ALJ found to
be persuasive. (Pl.’s Statement of Errors 10–11, ECF No. 17.) Dr. Miller stated that Plaintiff’s
“abilities and limitations in regard to understanding, remembering, and carrying out one and two
step job instructions appear to be adequate at this time”; that her “abilities and limitations in
regard to maintaining attention span and concentration indicate some difficulty”; and that “her
abilities and limitations in regard to dealing with stress and pressure in a work setting indicate
difficulty.” (R. 727.) Plaintiff asserts that “[t]he consultative examiner clearly opined that Ms.
Eltzroth would have difficulty maintaining attention and concentration and difficulty responding
appropriately to changes in the work setting; however, the ALJ failed to include these limitations
in her residual functional capacity determination.” (Pl.’s Statement of Errors 10, ECF No. 17.)
The ALJ acknowledged Plaintiff’s complaints of poor concentration, but also noted that
the record reflected multiple normal mental status examinations. (R. 25–26, citing R. 687-88,

763–806, 807–08, 860.) The ALJ further found Dr. Miller’s opinions regarding Plaintiff’s
difficulties with attention, concentration, and dealing with stress and pressure to be “persuasive.”
(Id. at 28.) Accordingly, the ALJ’s RFC includes limitations that Plaintiff “would be able to
perform tasks without fast production rate pace and no strict production quotas, such as assembly
line work. She would be able to adapt to a relatively static work environment with infrequent
changes in the work setting.” (R. 21.)
Plaintiff fails to explain how Dr. Miller’s assessment of “difficulty” with attention,
concentration, stress, and pressure are not sufficiently accounted for by the mental limitations the
ALJ assessed. These limitations acknowledge that Plaintiff has deficits in attention,

concentration, and dealing with work pressures and stress; the nonspecific “difficulty” identified
by Dr. Miller that Plaintiff has in these areas demands nothing more. See Mosley v. Berryhill,
No. 1:13-0055, 2017 WL 1153896, at *10 (M.D. Tenn. Mar. 28, 2017) (an assessment of
“difficulty” with an activity “does not constitute a definitive functional limitation that the ALJ
was required to incorporate into the RFC”). And although Plaintiff argues that the ALJ “failed to
acknowledge that [Plaintiff] may be unable to stay alert, stay focused or work at a consistent
pace, even at a simple, unskilled, routine job” (Pl.’s Statement of Errors 11, ECF No. 17), Dr.
Miller did not so opine. The undersigned therefore finds the ALJ’s limitations related to
concentration, persistence, and pace to be supported by substantial evidence.
B. The ALJ did not err in considering Plaintiff’s fibromyalgia.
Plaintiff contends that the ALJ erred in her consideration of Plaintiff’s fibromyalgia
pursuant to Social Security Ruling 12-2p, resulting in her failure to incorporate limitations
related to Plaintiff’s fibromyalgia into the RFC. (Pl.’s Statement of Errors 13, ECF No. 17.)
Plaintiff also argues that the ALJ erred in finding Plaintiff’s fibromyalgia did not medically equal

a listing in 20 CFR Part 404, Subpart P, Appendix 1. The undersigned disagrees on both points.
1. The ALJ did not err in declining to assess additional limitations due to
Plaintiff’s fibromyalgia.
Plaintiff offers the following argument in support of her challenge to the ALJ’s
consideration of her fibromyalgia:
[T]he record is replete with evidence that satisfies the requirements of SSR 12-2p.
Although, the ALJ determined that Ms. Eltzroth’s fibromyalgia was a severe
impairment, she failed to include accommodations in the residual functional
capacity determination for Ms. Eltzroth’s chronic pain and to consider her resulting
inability to perform substantial gainful activity on a sustained basis, without
additional absences and time off task.

(Pl.’s Statement of Errors 13, ECF No. 17.)
Plaintiff’s reliance on SSR 12-2p is misplaced. SSR 12-2p deals primarily with the
ALJ’s determination of whether fibromyalgia constitutes a “medically determinable impairment”
at step two of the sequential evaluation process. Because the ALJ found Plaintiff’s fibromyalgia
to be a medically determinable impairment, SSR 12-2p requires only that the ALJ consider
Plaintiff’s fibromyalgia in the remaining steps of the sequential evaluation process. As the Sixth
Circuit has explained:
On July 25, 2012, the SSA released SSR 12-2p . . . , which “provides guidance on
how we develop evidence to establish that a person has a medically determinable
impairment of fibromyalgia, and how we evaluate fibromyalgia in disability
claims. . . .” [SSR 12-2p, at *1.] To that end, SSR 12-2p describes criteria for
establishing that a person has a medically determinable impairment [ ] of
fibromyalgia, id. at *2–3, the sources of evidence the ALJ may look to, id. at *3–4,
and how a claimant’s subjective assertions of pain and functional limitations are
evaluated, id. at *4. [SSR 12-2p] also states that fibromyalgia should be analyzed
under the traditional five-step evaluation process used for analyzing other claims
for SSI. Id. at *5–6. Importantly, . . . SSR 12-2p . . . merely provides guidance on
how to apply pre-existing rules when faced with a claimant asserting disability
based on fibromyalgia.
Luukkonen v. Comm’r of Soc. Sec., 653 F. App’x 393, 398–99 (6th Cir. 2016). The Sixth Circuit
has further acknowledged that fibromyalgia is “elusive” in that “unlike medical conditions that
can be confirmed by objective testing, fibromyalgia patients present no objectively alarming
signs.” Rogers, 486 F.3d at 243 (quoting Swain v. Comm’r of Soc. Sec., 297 F. Supp. 2d 986,
990 (N.D. Ohio 2003)). “Nonetheless, a diagnosis of fibromyalgia does not automatically entitle
[a claimant] to disability benefits . . . .” Vance v. Comm’r of Soc. Sec., 260 F. App’x 801, 806
(6th Cir. 2008) (emphasis in original) (citing Sarchet v. Chater, 78 F.3d 305, 306–07 (7th Cir.
1996) (“Some people may have a severe case of fibromyalgia as to be totally disabled from
working . . . but most do not and the question is whether [claimant] is one of the minority.”)
(citations omitted)). Accordingly, in cases involving fibromyalgia, an ALJ must “decide . . . if
the claimant’s pain is so severe as to impose limitations rendering her disabled.” Swain, 297 F.
Supp. 2d at 990.
Here, the ALJ determined at step two of the sequential evaluation process that Plaintiff’s
fibromyalgia constituted a severe impairment. (R. 18.) In explaining how she arrived at
Plaintiff’s RFC, the ALJ acknowledged Plaintiff’s history of fibromyalgia, noting that Plaintiff
“reported difficulty with . . . fibromyalgia, noting that it hurts to stand and walk”; that
“[t]reatment notes indicate that the claimant suffered from a number of arthritic conditions and
fibromyalgia, with physical examinations showing myofascial tenderness, painful range of
motion, and intermittent joint pain”; that Plaintiff “complained of fibro fog” at an August 2018
examination; that “it was again noted that [Plaintiff] had a diagnosis of fibromyalgia” and
“reported pain all over” at an October 2018 examination; and that Plaintiff “presents with
positive findings of . . . fibromyalgia”; (R. 22–25, 28). However, the ALJ also noted that
Plaintiff had a number of exams that were essentially normal as to her pain and range of motion.
(R. 23–24.) The ALJ concluded that some physical RFC limitations were warranted:
While the totality of the medical evidence does not entirely support the claimant’s
allegations [of severe physical impairments], the undersigned finds that these
impairments do warrant some limitations. Specifically, the undersigned finds that
the claimant can perform light work except the claimant would be limited to
standing and/or walking no more than four hours in an eight hour day and sitting
no more than four hours in an eight-hour day. She could occasionally climb ramps
and stairs but could never climb ladders, ropes, or scaffolds. She would be able to
frequently balance and occasionally stoop, kneel, crouch, and crawl. . . . This is
supported by the above records as well as the claimant’s testimony and self-report.
(R. 24–25.) Plaintiff does not explain how the RFC’s limitations are inadequate or propose
specific additional limitations that result from her fibromyalgia. The undersigned therefore finds
no error in the ALJ’s consideration of Plaintiff’s fibromyalgia. Cf. Luukkonen, 653 F. App’x at
399 (dismissing plaintiff’s argument that the ALJ failed to properly apply SSR 12-2p because
any resulting error would have been harmless where the ALJ considered plaintiff’s fibromyalgia
a severe impairment at step two).
2. The ALJ did not err in finding Plaintiff’s fibromyalgia did not medically
equal a listing.
Further, the undersigned finds no error in the ALJ’s conclusion that Plaintiff’s
fibromyalgia does not medically equal a listing in the Listing of Impairments in 20 CFR Part
404, Subpart P, Appendix 1. The ALJ indicated that she considered “all listings, including those
in section 1.00, 3.00, 11.00, 12.00, and 14.00 of Appendix 1 and SSRs 12-2p and 19-2p” in
determining that Plaintiff’s impairments do not meet or medically equal a listing. (R. 19.)
However, Plaintiff contends this brief boilerplate sentence was insufficient to address whether
her fibromyalgia medically equals a listing.
The relevant Social Security regulations require the ALJ to find a claimant disabled if he
meets or medically equals a listing. 20 C.F.R. §§ 404.1520(a)(4)(iii), 416.920(a)(4)(iii); Sullivan
v. Zebley, 493 U.S. 521, 532 (1990). But neither the listings nor the Sixth Circuit require the ALJ
to “address every listing” or “to discuss listings that the applicant clearly does not meet.” Sheeks
v. Comm’r of Soc. Sec., 544 F. App’x 639, 641 (6th Cir. 2013). The ALJ should discuss the

relevant listing, however, where the record raises “a substantial question as to whether [the
claimant] could qualify as disabled” under a listing. Abbott v. Sullivan, 905 F.2d 918, 925 (6th
Cir.1990); see also Sheeks, 544 F. App’x at 641. The Sixth Circuit has held that “[a] claimant
must do more than point to evidence on which the ALJ could have based his finding to raise a
‘substantial question’ as to whether he has satisfied a listing.” Smith-Johnson v. Comm’r of Soc.
Sec., 579 F. App’x 426, 432–33 (6th Cir. 2014) (citing Sheeks, 544 F. App’x at 641–42 (finding
claimant did not raise a substantial question as to satisfying the listing for intellectual disability
where the ALJ’s finding of borderline intellectual functioning simply left open the question of
whether he meets a listing and where claimant pointed to only a few pieces of tenuous evidence

addressing the listing)). “Rather, the claimant must point to specific evidence that demonstrates
he reasonably could meet or equal every requirement of the listing.” Id. (citing Sullivan, 493
U.S. at 530 (“For a claimant to show that his impairment matches a listing, it must meet all of the
specified medical criteria. An impairment that manifests only some of the criteria, no matter
how severely, does not qualify.”) and Reynolds v. Comm’r of Soc. Sec., 424 F. App’x 411, 416
(6th Cir. 2011) (holding that it was not harmless error for the ALJ to fail to analyze Step Three as
to an impairment found to be severe at Step Two where the claimant put forth evidence that
could meet the relevant listing)). Absent such evidence, the ALJ does not commit reversible
error by failing to evaluate a listing at Step Three. Smith-Johnson, 579 F. App’x at 433.
Plaintiff must therefore direct the Court to evidence in the record that raises “a substantial
question” as to whether her fibromyalgia meets or equals a particular listing. As noted by
Plaintiff, although there is no listing for fibromyalgia, SSR 12-2p uses Listing 14.09D
(inflammatory arthritis) as an example listing that might be relevant for claimants with
fibromyalgia. SSR 12-2p, 2012 WL 3104869, at *6. However, Plaintiff does not assert that her

fibromyalgia medically equals Listing 14.09D; nor does she identify any other listing that her
fibromyalgia allegedly equals. She states only that her symptoms of “chronic fatigue; co-
occurring conditions of depression and anxiety; headaches/migraines throughout her medical
record; tender points throughout her body; abdominal pain, nausea, constipation, gastroenteritis;
symptoms of memory loss and lack of concentration; numbness, tingling, stiffness; poor
motivation and energy level; SICCA symptoms; and rash” required further listing-related
discussion by the ALJ. (Pl.’s Statement of Errors 15, ECF No. 17.)
Even if Plaintiff’s fibromyalgia is evaluated in relation to Listing 14.09D, this listing
requires:

D. Repeated manifestations of inflammatory arthritis, with at least two of the
constitutional symptoms or signs (severe fatigue, fever, malaise, or involuntary
weight loss) and one of the following at the marked level:
1. Limitation of activities of daily living.
2. Limitation in maintaining social functioning.
3. Limitation in completing tasks in a timely manner due to deficiencies in
concentration, persistence, or pace.
20 C.F.R. Pt. 404, Subpt. P, App. 1, § 14.09D. Although Plaintiff cites evidence of chronic
fatigue, she has identified no evidence of fever, malaise, or involuntary weight loss. Nor has she
directed the Court to evidence of marked limitations in activities of daily living, maintaining
social functioning, or completing tasks in a timely manner. Accordingly, Plaintiff has not raised
a substantial question as to whether her impairments meet or medically equal the criteria of
Listing 14.09D, or any other Listing.
V. DISPOSITION
In sum, from a review of the record as a whole, the Court concludes that substantial
evidence supports the ALJ’s decision denying benefits. For the foregoing reasons, it is

RECOMMENDED that the Court OVERRULE Plaintiff’s Statement of Errors and AFFIRM
the Commissioner of Social Security’s decision.

PROCEDURE ON OBJECTIONS
If any party objects to this Report and Recommendation, that party may, within fourteen
(14) days of the date of this Report, file and serve on all parties written objections to those specific
proposed findings or recommendations to which objection is made, together with supporting
authority for the objection(s). A Judge of this Court shall make a de novo determination of those
portions of the Report or specified proposed findings or recommendations to which objection is
made. Upon proper objections, a Judge of this Court may accept, reject, or modify, in whole or in
part, the findings or recommendations made herein, may receive further evidence or may recommit

this matter to the Magistrate Judge with instructions. 28 U.S.C. § 636(b)(1).
The parties are specifically advised that failure to object to the Report and
Recommendation will result in a waiver of the right to have the District Judge review the Report
and Recommendation de novo, and also operates as a waiver of the right to appeal the decision of
the District Court adopting the Report and Recommendation. See Thomas v. Arn, 474 U.S. 140
(1985); United States v. Walters, 638 F.2d 947 (6th Cir. 1981).
/s/ Chelsey M. Vascura
CHELSEY M. VASCURA
UNITED STATES MAGISTRATE JUDGE

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/cases/10379203. Public record. Not legal advice.