finding depression to supported, and susceptible to judicial be one of those other diseases
How later courts described this case
- finding depression to supported, and susceptible to judicial be one of those other diseases
- explaining that “a whether the claimant is disabled. Id. proper RFC analysis has three at 595-96. In so doing, the ALJ need components: (1) evidence, (2) logical not credit them if they conflict with explanation, and (3) conclusion”
- “The general rule is one amply conservative treatment regimen is supported by common sense: the probative evidence that the ALJ must [ALJ] can consider work done by the consider. See 20 C.F.R. claimant after the alleged onset of §404.1529(c)(3)(iv
- on remand, the ALJ’s prior decision has no preclusive effect, as it is vacated and the new hearing is conducted de novo
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE MIDDLE DISTRICT OF NORTH CAROLINA
STEPHEN B.E., )
)
Plaintiff, )
v. ) 1:25CV591
)
FRANK BISIGNANO, )
Commissioner of Social )
Security, )
)
Defendant. )
ORDER AND MEMORANDUM OPINION
OF UNITED STATES MAGISTRATE JUDGE
The plaintiff, Stephen B.E. I. PROCEDURAL HISTORY
(“Stephen”), brought this action to
obtain review of a final decision of the Stephen filed an application for
Commissioner of Social Security disability insurance benefits and a
denying his claim for social security period of disability in February of
disability insurance benefits and a 2014, alleging a disability onset date
period of disability.1 The Court has of November 1, 2006. (Tr. 145-46.)
considered the certified The applications were denied initially
administrative record, Stephen’s and upon reconsideration. (Tr. 78-81,
motion for summary judgment, and 84-87.) After a hearing, ALJ Bowling
the briefing from both parties. determined on May 3, 2017 that
Because substantial evidence Stephen was not disabled under the
supports the determination of the Act. (Tr. 13-61.) The Appeals Council
Administrative Law Judge (“ALJ”), denied a request for review. (Tr. 1-6.)
the Court will deny Stephen’s request This Court then remanded the action
for remand or the award of benefits, for further proceedings. (Tr. 896-97.)
as set forth below.
A new hearing was held with a
different ALJ (“ALJ Stefanelli”) who
also concluded that Stephen was not
disabled under the Act, and the
1 Transcript citations refer to the Reference, this matter was referred to the
Administrative Transcript of Record filed Undersigned to conduct all proceedings
manually with the Commissioner’s in this case pursuant to 28 U.S.C. §
Answer. See Docket Entry 4. By Order of 636(c). Docket Entry 14.
Appeals Council again denied a conflicting evidence, make credibility
request for review. (Tr. 821-73.) determinations, or substitute its
Stepehen challenged the new decision judgment for that of the
in this Court, which granted the Commissioner. Craig v. Chater, 76
Commissioner’s uncontested motion F.3d 585, 589 (4th Cir. 1996). Put
to remand on April 27, 2022. (Tr. simply: the issue before the Court is
1264-65.) ALJ Stefanelli held a new not whether Stephen is disabled but
hearing on December 5, 2023 (Tr. whether the finding that he is not
1204-35) and issued a new decision disabled is supported by substantial
on January 17, 2024 (Tr. 1187-95), evidence and based upon a correct
again concluding that Stephen was application of the relevant law. Id.
not disabled under the Act. The
Appeals Council denied a request for III. THE ALJ’S DECISION
review on May 7, 2025, making ALJ
Stefanelli’s 2024 decision the final The ALJ followed the correct process,
decision for purposes of review. (Tr. set forth in 20 C.F.R. § 404.1520, to
1168-74.) Therefore, unless otherwise determine disability. See Albright v.
noted, the Court at all times is Comm’r of Soc. Sec. Admin., 174 F.3d
addressing ALJ Stefanelli’s 2024 473, 475 n.2 (4th Cir. 1999).
decision.
“The Commissioner uses a five-step
II. STANDARD OF REVIEW process to evaluate disability claims.”
Hancock v. Astrue, 667 F.3d 470,
While Section 405(g) of Title 42 of the 472-73 (4th Cir. 2012) (citing 20
United States Code “authorizes C.F.R. §§ 416.920(a)(4),
judicial review of the Social Security 404.1520(a)(4)).
Commissioner’s denial of social
security benefits,” see Hines v. Under this process, the
Barnhart, 453 F.3d 559, 561 (4th Cir. Commissioner asks, in
2006), the scope of that review is sequence, whether the
specific and narrow, see Smith v. claimant: (1) worked during the
Schweiker, 795 F.2d 343, 345 (4th alleged period of disability; (2)
Cir. 1986). Specifically, review is had a severe impairment; (3)
limited to determining if there is had an impairment that met or
substantial evidence in the record to equaled the requirements of a
support the Commissioner’s decision. listed impairment; (4) could
42 U.S.C. § 405(g); Hunter v. return to her [or his] past
Sullivan, 993 F.2d 31, 34 (4th Cir. relevant work; and (5) if not,
1992); Hays v. Sullivan, 907 F.2d could perform any other work
1453, 1456 (4th Cir. 1990). In in the national economy.
reviewing for substantial evidence,
the Court does not re-weigh
2
Id. at 472. A finding adverse to the onset date of November 1, 2006
claimant at any of several points in through his date last insured of
this five-step sequence forecloses a September 30, 2010. (Tr. 1189.) The
disability designation and ends the ALJ next found the following severe2
inquiry. Id. at 473. “Through the impairments at step two: intercostal
fourth step, the burden of production neuralgia and thoracic radiculitis; and
and proof is on the claimant. If the post-cholecystectomy pain
claimant reaches step five, the burden syndrome.3 (Tr. 1190.) At step three,
shifts to the Secretary to produce the ALJ found that Stephen did not
evidence that other jobs exist in the have an impairment or combination
national economy that the claimant of impairments listed in, or medically
can perform considering his age, equal to one listed in, Appendix 1. (Tr.
education, and work experience.” 1191.)
Hunter, 993 F.2d at 35 (internal
citations omitted). The ALJ next set forth Stephen’s
Residual Functional Capacity (“RFC”)
The ALJ determined at step one that and determined that he could perform
Stephen had not engaged in a reduced range of light work except
substantial gainful activity during the he should “never [be] required to
relevant period, from his alleged climb ladders, ropes, or scaffolds
2 ALJ Stefanelli noted that ALJ Bowling’s symptom. (Tr. 1190, 294.) He has had no
2017 decision found Stephen had severe sedation from medications. (Tr. 1190,
migraines with resulting concentration 304.) He has also indicated that his pain
limitations. (Tr. 1190; see Tr. 15-16.) But is much improved with medications. (Tr.
ALJ Stefanelli found Stephen’s migraines 1190, 303.)
did not meet the durational requirement
of at least 12 months and that he did not 3 “‘Intercostal Neuralgia’ is ‘pain in the
have concentration, persistence, or pace chest wall due to neuralgia of one or more
problems. (Tr. 1190.) Stephen does not of the intercostal nerves.’ ‘Neuralgia’ is
challenge that specific finding. See ‘[p]ain of a severe, throbbing, or stabbing
Grayson v. Co. v. Agadir Int’ l LLC, 856 character in the course or distribution of
F.3d 307, 316 (4th Cir. 2017) (a party a nerve.’ ‘Intercostal’ is defined as
waives an argument by failing to present ‘[b]etween the ribs.’” Ramon M. v.
it in his opening brief). However, even if Berryhill, No. CV CBD-18-2025, 2019
Stephen did challenge this finding, it WL 2436938, at *6 n.4 (D. Md. June 10,
would fail. As ALJ Stefanelli pointed out 2019) (citing and quoting Stedmans
in her 2024 decision, Stephen has not Medical Dictionary, available on
reported concentration symptoms to Westlaw at §§ 599340, 599220, and
medical providers and he is generally 450160.). A “cholecystectomy” involves
noted as alert, oriented, and as having the surgical removal of the gall bladder.
normal concentration. (Tr. 1190, 313, See Stedmans, § 169870. “Radiculitis” is
325, 270, 263, 251.) In April 2009, he did a disorder of the spinal nerve roots. Id., §
not indicated inability to concentrate as a 748650.
3
necessary to perform work duties; limitation” that assesses the
should have no concentrated claimant’s “ability to do sedentary,
exposure to hazards, such as heights light, medium, heavy, or very heavy
or dangerous equipment; and would work,” as well as “nonexertional
be able to change position every 2 limitations (mental, sensory, or skin
hours.” (Tr. 1191.) At the fourth step, impairments).” Hall v. Harris, 658
the ALJ determined that Stephen was F.2d 260, 265 (4th Cir. 1981).
unable to perform his past relevant
work. (Tr. 1193.) Last, at step five, the “Social Security Ruling 96-8p
ALJ concluded that there were other explains that the RFC assessment
jobs in the national economy that must include a narrative discussion
Stephen could perform. (Tr. 1194.) describing how the evidence supports
each conclusion, citing specific
IV. DISCUSSION medical facts (e.g., laboratory
findings) and nonmedical evidence
In his appeal, Stephen asserts only (e.g., daily activities, observations).”
that “[t]he ALJ failed to properly Monroe v. Colvin, 826 F.3d 176, 189
evaluate [his] complaints of pain.” (4th Cir. 2016) (internal quotations
Docket Entry 12 at 11. The record omitted). An ALJ need not discuss
demonstrates otherwise, as set forth every piece of evidence in making an
below. RFC determination. See Reid v.
Comm’r of Soc. Sec., 769 F.3d 861,
A. The RFC Determination. 865 (4th Cir. 2014). Yet, the ALJ
“must build an accurate and logical
The RFC measures the most a bridge from the evidence to [the]
claimant can do in a work setting conclusion.” Brown v. Commissioner,
despite the physical and mental 873 F.3d 251, 269 (4th Cir. 2017).
limitations of his or her impairments “The RFC assessment must first
and any related symptoms (e.g., pain). identify the individual’s functional
See 20 C.F.R. § 404.1545(a)(1); see limitations or restrictions and assess
also Dunn v. Colvin, 607 F. App’x his or her work-related abilities on a
264, 272 (4th Cir. 2015) function-by-function basis . . . . Only
(unpublished) (claimant’s RFC is “[a] [then] may RFC be expressed in terms
medical assessment of what an of the exertional levels of work,
individual can do in a work setting in sedentary, light, medium, heavy, and
spite of the functional limitations and very heavy.” SSR 96-8p, 1996 WL
environmental restrictions imposed 374184, at *1.
by all of his or her medically
determinable impairment(s)”) The Fourth Circuit has held that
(internal citation omitted); Hines, “meaningful review is frustrated when
453 F.3d at 562. The RFC includes an ALJ goes straight from listing
both a “physical exertional or strength evidence to stating a conclusion.”
4
Thomas v. Berryhill, 916 F.3d 307, statements about pain, to determine
311 (4th Cir. 2019) (explaining that “a whether the claimant is disabled. Id.
proper RFC analysis has three at 595-96. In so doing, the ALJ need
components: (1) evidence, (2) logical not credit them if they conflict with
explanation, and (3) conclusion”). As the objective medical evidence or if
noted earlier, the ALJ “must both the underlying impairment could not
identify evidence that supports his reasonably be expected to cause the
conclusion and ‘build an accurate and symptoms alleged. Id. Where the ALJ
logical bridge from [that] evidence to has considered the relevant factors,
his conclusion.’” Woods v. Berryhill, see 20 C.F.R. § 404.1529(c)(3), and
888 F.3d 686, 694 (4th Cir. 2018) heard the claimant’s testimony and
(alteration in original) (quoting observed his or her demeanor, the
Monroe, 826 F.3d at 189). Failure to Court will defer to the ALJ’s
do so constitutes reversible error. See determination regarding those
Lewis v. Berryhill, 858 F.3d 858, 868 subjective complaints. Shively v.
(4th Cir. 2017). Where an ALJ’s Heckler, 739 F.2d 987, 989 (4th Cir.
“analysis is incomplete and precludes 1984).
meaningful review,” remand is
appropriate. Monroe, 826 F.3d at 191. Those relevant factors include:
Moreover, “[a]n ALJ assesses the (i) [Plaintiff’s] daily
credibility of a claimant’s subjective activities;
statements about his condition as part
of the RFC assessment,” Ladda v. (ii) The location, duration,
Berryhill, 749 F. App’x 166, 170 (4th frequency, and intensity
Cir. 2018) (unpublished), using a two- of [Plaintiff’s] pain or
part test: “First, there must be other symptoms;
objective medical evidence showing
‘the existence of a medical (iii) Precipitating and
impairment(s) which results from aggravating factors;
anatomical, physiological, or
psychological abnormalities and (iv) The type, dosage,
which could reasonably be expected to effectiveness, and side
produce the pain or other symptoms effects of any medication
alleged,’” Craig, 76 F.3d at 594 (citing [Plaintiff] take[s] or
20 C.F.R. §§ 416.929(b), [has] taken to alleviate
404.1529(b)). his pain or other
symptoms;
If such an impairment exists, the ALJ
must then consider, as the second (v) Treatment, other than
prong of the test, all available medication, [Plaintiff]
evidence, including the claimant’s receive[s] or [has]
5
received for relief of his symptoms . . . .” (Tr. 1192.) Next, the
pain or other symptoms; ALJ performed step two of the
analysis, concluding that Stephen’s
(vi) Any measures [Plaintiff] “statements concerning the intensity,
use[s] or [has] used to persistence and limiting effects of
relieve his pain or other these symptoms are not entirely
symptoms (e.g., lying flat consistent with the medical evidence
on [his] back, standing and other evidence in the record for
for 15 to 20 minutes the reasons explained in this
every hour, sleeping on a decision.” (Tr. 1192.)
board, etc.); and
The ALJ then gave good reasons for
(vii) Other factors concerning partially discounting Stephen’s
[Plaintiff’s] functional subjective allegations. First, the ALJ
limitations and pointed out that though Stephen at
restrictions due to pain times reported pain at medical
or other symptoms. appointments and also demonstrated
tenderness over his ribs (Tr. 1192,
20 C.F.R. § 404.1529(c)(3). 248-49, 270), see 20 C.F.R. §
404.1529(c)(3)(ii) (ALJ considers
Here, the ALJ completed the two- location, duration, frequency, and
step Craig analysis. As a preliminary intensity of claimant’s pain in
matter, the ALJ summarized evaluating subjective allegations), he
Stephen’s subjective complaints. (Tr. otherwise demonstrated mostly
1192.) Specifically, Stephen alleged normal findings of no edema; no
that he was disabled because of erythema; no allodynia; no
“difficulties sitting, standing, and hyperalgesia; normal strength;
walking for long periods during the normal tone; a healthy, well-
relevant period. He indicated that he nourished, well developed
could lift up to 20 pounds at one time, appearance; intact sensation; normal
sit for up to 2 hours, and stand for 2 movement of all extremities; no acute
hours at a time. The claimant asserted distress; normal reflexes; and normal
that he did not begin going to a pain gait, (Tr. 1192, 1193, 249, 270, 299-
clinic until 2008. The claimant 300, 365, 368, 812), see 20 C.F.R. §
testified that he had difficulty 404.1529(c)(4) (ALJ considers
concentrating.” (Tr. 1192, citation inconsistencies in evidence and the
omitted.) extent to which there are conflicts
between claimant’s statements and
The ALJ then concluded that rest of the evidence in evaluating
Stephen’s “medically determinable subjective complaints). Beyond this,
impairments could reasonably be repeated examinations during the
expected to cause the alleged relevant period showed normal
6
movement of extremities, motor Stephen said steroid injections had
strength, muscle bulk and tone, helped his pain “to a certain degree”
and/or normal gait. (Tr. 363, 365, with his most recent one giving him
367- 68, 370, 372-73.) three weeks of relief. (Tr. 812.)
Stephen also said that Lyrica had been
Stephen asserts that this evidence and “very helpful,” Tramadol gave him
claims of normal findings have adequate pain relief, and “pain
“nothing to do with intercostal medication allows him to function.”
neuralgia.” Docket Entry 12 at 16. (Tr. 812.) See 20 C.F.R. §
However, normal movement and 404.1529(c)(3)(iv)-(v) (ALJ considers
walking are inconsistent with alleged kind of treatment and its effectiveness
debilitating pain. Notably, Stephen in assessing allegations).
reported that movement, positioning,
walking, bending, sitting, and Stephen takes issue with the ALJ
standing aggravated his intercostal describing this treatment as
neuralgia pain. (Tr. 299, 345, 348, conservative, Docket Entry 12 at 16-
352, 354.) Therefore, contrary to his 17, but in Scharbrough v. Comm’r,
argument, Stephen’s ability to move Soc. Sec., No. 23-1830, 2024 WL
normally was relevant evidence. 4371618, at *2 (4th Cir. Oct. 2, 2024),
Moreover, the ALJ was required to the Fourth Circuit rejected the very
consider objective evidence in same argument. Id. (“[T]he ALJ did
evaluating his alleged symptoms. 20 not err by labelling his treatment as
C.F.R § 404.1529(c)(2); Craig, 76 conservative.”). See also 20 C.F.R §
F.3d at 594. 404.1529(c)(3)(iv)-(v) (ALJ considers
medication and other treatment used
Second, the ALJ considered Stephen’s to relieve pain/other symptoms in
conservative treatment history of evaluating subjective symptoms).
steroid injections and pain Accordingly, the ALJ acted
medication. (Tr. 1192, 249, 256, 270, reasonably in considering Stephen’s
273, 286, 300, 377.) The ALJ also conservative treatment in finding that
pointed out that in 2008, 2009, and the degree of his alleged symptoms
2010, Stephen reported that was not entirely consistent with the
medication helped his pain. (Tr. 1192, evidence. (Tr. 1192.)
249, 267, 286, 303, 812.) In February
2009, Stephen said that Lyrica and It was also reasonable for the ALJ to
Tramadol had been “very helpful,” consider Stephen’s reported
and he was able to partake in “normal improvement at medical
activities as well as work because of appointments. (Tr. 1192). Stephen’s
the medication.” (Tr. 1192, 286.) reporting that treatment alleviated his
Stephen also reported that his pain undermines his extreme
medication did not cause any side testimony. For example, Stephen
effects. (Tr. 286.) In September 2009, testified that pain affected his ability
7
to concentrate when it was above six work because of medication. (Tr.
(Tr. 1220-21), but he told his treating 1192; 286 (2/6/09 (“[H]e is able to
doctor that his pain was “4 out of 10” partake in his normal activities as well
and Lyrica brought it “down to 1 to 2 as work because of the medication.”);
out of 10.” (Tr. 248; see also Tr. 263, 279 (11/14/08 (“able to perform his
286.) Stephen argues that it was activities of daily living”).) The ALJ
wrong for the ALJ to consider his also noted that in July 2010, Stephen
treatment regimen of injections and reported that he was working full
pain medication as conservative time. (Tr. 1192; see Tr. 364, 306; 383.)
because intercostal neuralgia is And he estimated 75-85% pain relief
difficult to treat and those were his with his current medications. (Tr.
only treatment options. Docket Entry 364.)
12 16. But he admitted this
conservative approach was effective at Evidence of work during the relevant
relieving his symptoms. That is, period is a legitimate factor the ALJ
doctors chose to treat his condition may consider when determining the
this way, and it worked. Stephen thus consistency of a claimant’s subjective
asks this Court to reweigh the claims of disability. See Sigmon v.
evidence and find in his favor. Califano, 617 F.2d 41, 42-43 (4th Cir.
However, an effective and 1980) (“The general rule is one amply
conservative treatment regimen is supported by common sense: the
probative evidence that the ALJ must [ALJ] can consider work done by the
consider. See 20 C.F.R. claimant after the alleged onset of
§404.1529(c)(3)(iv)-(v) (ALJ disability as tending to show that the
considers kind of treatment and its claimant was not then disabled.”).
effectiveness in evaluating subjective Stephen’s reporting at appointments
allegations); Gross v. Heckler, 785 that he could perform normal
F.2d 1163, 1166 (4th Cir. 1986) (“If a activities and worked is inconsistent
symptom can be reasonably with his testimony alleging complete
controlled by medication or disability. See 20 C.F.R. §
treatment, it is not disabling”). 404.1529(c)(4) (ALJ considers
inconsistencies in evidence and extent
Third, the ALJ also appropriately to which there are conflicts between
considered Stephen’s daily activities claimant’s statements and rest of the
in evaluating his alleged symptoms. evidence in evaluating subjective
(Tr. 1192.) See 20 C.F.R. § complaints). Based on the foregoing,
404.1529(c)(3)(i) (ALJ considers substantial evidence supports the
claimant’s activities in evaluating ALJ’s finding that the degree of
subjective allegations). She Stephen’s alleged symptoms was not
considered that in February 2009, entirely consistent with the evidence.
Stephen reported being able to (Tr. 1192.)
partake in normal activities, as well as
Fourth, this is not a case where an ALJ
8
disregarded all of a claimant’s consider other evidence in the record,
allegations. Instead, the ALJ only “his opinion indicate[d] that the lack
partially disregarded Stephen’s of objective medical evidence was his
allegations and accounted for his chief, if not definitive, reason for
complaints of pain and difficulty with discounting” the plaintiff’s
restrictions relating to movement, complaints. Id. at 97. This error was
positioning, sitting, standing, and “particularly pronounced” as the
walking for long periods by assessing claim involved fibromyalgia—a
an RFC for light level work with disease “that does not produce”
postural and environmental objective medical evidence, and thus
limitations and the ability to change “normal clinical and laboratory
positions every two hours. (Tr. 1191- results simply have no relevance to
92, 299, 345, 348, 352, 354, 1215-17, the severity, persistence, or limiting
1220.) And the ALJ further found that effects . . . of the disease.” Id.
Stephen could perform the
requirements of a range of sedentary Given the nature of the disease, the
to light level jobs. (Tr. 1194.) This Fourth Circuit concluded that ALJs
tracks with Stephen’s testimony that “may not rely on objective medical
he could lift up to 20 pounds and evidence (or the lack thereof)—even
sit/stand each for two hours at one as just one of multiple factors—to
time. (Tr. 1215-17.) The ALJ was discount a claimant’s subjective
required to account for the limitations complaints regarding symptoms of
supported by the evidence, not every fibromyalgia or some other disease
limitation Stephen alleged. See 20 that does not produce such evidence.”
C.F.R. § 404.1529(a). In light of all Id.; see also Shelly C. v. Comm’r of
this, the subjective complaints Soc. Sec. Admin., 61 F.4th 341, 361
analysis is legally correct, well (4th Cir. 2023) (finding depression to
supported, and susceptible to judicial be one of those other diseases). As to
review. diseases that do produce such
objective evidence, the Fourth Circuit
Stephen’s reliance on Arakas v. held that ALJs are still prohibited
Comm’r. Soc. Sec. Admin., 983 F.3d from disregarding a claimant’s
83, 95-97 (4th Cir. 2020) is subjective complaints “solely”
misplaced. Docket Entry 12 at 12-13. because they are not substantiated by
In that case, the United States Court objective medical evidence. Arakas,
of Appeals for the Fourth Circuit 983 F.3d at 95 (emphasis added).
reversed an ALJ’s decision because he
“effectively requir[ed]” that the Here, to the extent Stephen contends
claimant provide objective medical that Arakas prohibits the discussion
evidence to support her subjective of objective medical evidence at all
complaints. See 983 F.3d 83, 96 (4th when it comes to intercostal
Cir. 2020). While the ALJ did neuralgia, he is mistaken. While an
9
ALJ should not discount a claimant’s And here, unlike with fibromyalgia,
subjective complaints related to normal movement and gait were
fibromyalgia based on objective probative of Stephen not being in
medical evidence (or a lack thereof), debilitating pain. Consequently, the
Arakas itself indicates that an ALJ ALJ here did not run afoul of Arakas.
can “substantiat[e] the claimant’s Finally, even assuming arguendo that
impairment” with that evidence. the ALJ erred in considering objective
Arakas, 983 F.3d at 97-98 (“Objective medical evidence to assess Stephen’s
indicators such as normal clinical and subjective symptoms, there is no
laboratory results simply have no evidence that Stephen was prejudiced
relevance to the severity, persistence, as a result. See, e.g., Howard v.
or limiting effects of a claimant’s Comm’r of Soc. Sec., No. 3:22-CV-
fibromyalgia, based on the current 00127-FDW, 2023 WL 4111395, at *7
medical understanding of the disease. n.5 (W.D.N.C. June 21, 2023) (“The
If considered at all, such evidence— ALJ mentioned objective imaging
along with consistent trigger-point findings in her discussion of evidence
findings—should be treated as of the record; however, in contrast to
evidence substantiating the Claimant’s assertions, the ALJ did not
claimant’s impairment.”). indicate in the opinion that it played a
‘chief,’ if any, role in her decision to
Additionally, the Fourth Circuit discredit Claimant’s subjective
remanded in Arakas on this issue complaints.”). For all of these reasons,
because the ALJ’s decision the ALJ’s subjective complaints
“indicate[d] that the lack of objective assessment is legally correct,
medical evidence was his chief, if not supported by substantial evidence,
definitive, reason for discounting and susceptible to judicial review.
Arakas’s complaints.” Id. at 97. The
same cannot be said here, where the Last, Stephen asserts that his “claim
ALJ did not “effectively require[ ]” should be remanded again because
objective evidence or offer objective not only did the ALJ apply the
medical evidence as the “chief” or incorrect legal standard again when
“definitive” reason to discount the evaluating [Stephen’s] pain, but she
intensity of Stephen’s subjective also copied, word-for-word, the same
complaints. See id. at 96. Instead, the improper reliance on objective
ALJ amply demonstrated that she medical evidence that led to a consent
relied upon other evidence in the remand during the preceding civil
record, including Stephen’s action before this Court, and should
improvement upon treatment and lead to remand once again in the
activities of daily living (which present case.” See Docket Entry 12 at
included working), as justification for 12. However, in her current decision,
partially discounting Stephen’s ALJ Stefanelli used the correct legal
related symptoms. standard, and provided sound
10
reasons supported by _ substantial
evidence for partially discounting
Stephen’s subjective complaints. To
the extent Stephen addresses ALJ
Stefanelli’s prior decision, the
argument fails because it was vacated
and is not the decision subject to
review in this action. See Hancock v.
Barnhart, 206 F. Supp. 2d 757, 763-
64 n.3 (W.D. Va. 2002) (on remand,
the ALJ’s prior decision has no
preclusive effect, as it is vacated and
the new hearing is conducted de
novo). The decision under review now
is legally correct, well supported, and
susceptible to judicial review. It
should be affirmed.
V. CONCLUSION
After careful consideration of the
evidence of record, the Court finds
that the Commissioner’s decision is
legally correct, supported by
substantial evidence, and susceptible
to judicial review. Accordingly, IT IS
HEREBY ORDERED that
Stephen’s motion for summary
judgment, Docket Entry 11, is
DENIED and that the final decision
of the Commissioner is upheld.
J as | McFadden
Uriited States Magistrate Judge
May 13, 2026
Durham, NC
11