Figueroa Alvarez v. SHHS

                    [NOT FOR PUBLICATION]
                UNITED STATES COURT OF APPEALS
                    FOR THE FIRST CIRCUIT

                                         

No. 95-1028

                  JOSE R. FIGUEROA ALVAREZ,

                    Plaintiff, Appellant,

                              v.

           SECRETARY OF HEALTH AND HUMAN SERVICES,

                     Defendant, Appellee.

                                         

         APPEAL FROM THE UNITED STATES DISTRICT COURT

               FOR THE DISTRICT OF PUERTO RICO

       [Hon. Salvador E. Casellas, U.S. District Judge]
                                                                  

                                         

                            Before

                    Torruella, Chief Judge,
                                                      
              Selya and Boudin, Circuit Judges.
                                                          

                                         

Raymond Rivera Esteves and Juan A.  Hernandez Rivera on brief  for
                                                                
appellant.
Guillermo  Gil,  United  States  Attorney,  Maria Hortensia  Rios,
                                                                             
Assistant  United  States  Attorney,  and  Donna  McCarthy,  Assistant
                                                                  
Regional  Counsel, Department of Health & Human Services, on brief for
appellee. 

                                         
                        August 2, 1995
                                         


          Per Curiam.   In 1990, Jose  Figueroa Alvarez filed
                                

an  application  for  Social  Security  disability  benefits,

alleging disability due to lower back pain.  After a hearing,

the administrative law  judge (ALJ) denied  Figueroa's claim,

concluding  that he could perform his past relevant work as a

security  guard,  and  the  Appeals  Council  denied  review.

Figueroa then appealed to  the district court, which affirmed

the decision.  He  now seeks review in  this court.   Because

Figueroa's  specific objections on  appeal are meritless, and

because  our  review of  the  record  shows that  substantial

evidence supports the finding that Figueroa was not disabled,

we affirm.  

          In  his  decision,  the  ALJ  determined  that  the

medical evidence of record showed  that Figueroa has a severe

musculoskeletal condition, but  not one meeting or  equalling

the conditions listed in 20 C.F.R. Pt. 404, Subpt. P, App. 1.

Specifically, a CT scan showed lumbar spine spondylolysis and

spondylolisthesis  at the  L4-L5 level and  posterior bulging

with  small central  disc herniation  and compression  of the

dural sac at that level.  The ALJ  found that Figueroa's back

condition was  compatible with  episodic pain,  but concluded

that the evidence did  not establish a medically determinable

basis for  the degree of  pain alleged.   He also  found that

Figueroa's back condition had not limited his neurological or

orthopedic  functioning since  Figueroa had  always exhibited

                             -2-


good range of  motion and no  muscle weakness.   Nonetheless,

the  ALJ determined that Figueroa could no longer perform his

prior  medium exertional  level  job as  warehouseman  and/or

fingerlift operator.   Because  he found that  Figueroa could

still perform light work, however,  the ALJ concluded that he

could perform his past  relevant work as a security  guard, a

job Figueroa had held from 1983-86 and again in 1990.

                         DISCUSSION
                                               

          On appeal,  Figueroa claims that the  ALJ failed to

consider  his   allegations  of  disabling   pain,  erred  in

concluding  that  he  could return  to  his  past  work as  a

security guard,  and denied  him disability benefits  without

considering evidence in his favor.  

          A.  Allegations of Disabling Pain
                                                       

          In  support of  his  claim that  the ALJ  failed to

consider  his allegations of  disabling pain, Figueroa states

first  that  he  constantly  and  persistently  complained to

examining physicians  of severe disabling pain.   He suggests

that  the ALJ  ignored that  evidence.   The record  does not

substantiate his claim.

          First,  there are  significant  gaps in  Figueroa's

medical records between December  1988, when he first injured

his back, and October 1991, when the hearing took  place.  We

have  found  no  medical  records  indicating  that  Figueroa

complained of  pain to  examining physicians for  the periods

                             -3-


from May 1989 to  December 1989, February 1990 to  June 1990,

or March 1991 to October 1991.1  

          Second, as the transcript shows, at the hearing the

ALJ elicited Figueroa's testimony  on relevant aspects of the

pain  he alleged,  as required  under Avery  v. Secretary  of
                                                                         

Health  and Human Services, 797 F.2d 19, 29 (1st Cir. 1986).2
                                      

In his decision, the  ALJ took account of that  testimony and

stated  that  Figueroa's  "salient  complaint" was  pain  and

decreased sensation in his right leg.  In view of the medical

evidence, however,  the ALJ  did not fully  credit Figueroa's

allegations of pain.  He noted the gaps in Figueroa's medical

treatment history, including the fact  that he had not sought

                    
                                

1.  The record contains an  August 1989 report of the  Puerto
Rico Industrial  Commission in which  the Commission reported
that  Figueroa alleged pain in his lower right back and right
hip.   Apparently, because of Figueroa's  allegation of pain,
the Commission overturned the State Insurance Fund's May 1989
discharge of Figueroa  as "cured and without disability."  In
February or March 1991,  the State Insurance Fund determined,
under  the  applicable  worker's compensation  law,  that  in
December  1988 Figueroa  had  sustained a  partial  permanent
disability of 15 %  of his "general physiological functions."
Although disability determinations  by other agencies  may be
considered  by  the Secretary,  they  are not  binding.   See
                                                                         
Mandrell v. Weinberger, 511 F.2d 1102, 1103 (10th  Cir. 1975)
                                  
(Veterans'   Administration   disability   determination   is
entitled  to  consideration,  but   is  not  binding  on  the
Secretary).

2.  Under  Avery, the  ALJ was required  to inquire  into the
                            
nature, location, onset,  duration, frequency, radiation, and
intensity  of   the  pain  in  question;   the  factors  that
precipitated  or  aggravated  the  pain;  the  type,  dosage,
effectiveness, and  adverse side effects of  pain medication;
treatment  for  the  pain  other  than  medication;  and  the
claimant's functional restrictions and daily activities.  

                             -4-


any treatment after February 1991.   He concluded that, while

Figueroa's  back condition  could cause  pain on  an episodic

basis,  the pain had proven treatable and had not limited his

functioning significantly, except to the extent that he could

not perform medium or heavy work.  

          Besides  the  gaps  in Figueroa's  medical  record,

other  evidence  supports  the ALJ's  conclusion.    Although

Figueroa testified that his pain was constant  and strong, he

also said  that medication  "alleviate[d]" the pain  and that

massaging  his leg  alleviated  painful cramping  during  the

night.   He testified that his medication gave him heartburn,

and  for  that  reason  it  had  been  changed;  his  current

medication allegedly had side effects, too, but Figueroa gave

no specifics and acknowledged that  he took it anyway because

it "at  least relieve[s] the pain a  little."3  The ALJ noted

that Figueroa appeared in no distress at the hearing and that

he walked adequately with no assistive device.  Figueroa also

testified that he  could walk for 30 meters,  that one of his

daily activities was  walking around  his yard,  and that  he

walked around the house when  leg pain woke him up at  night.

A  consulting  neurologist  reported  in  January  1991  that

Figueroa had back pain syndrome, but that he could do tip toe

                    
                                

3.  In  his decision,  the ALJ  stated that  Figueroa's pills
caused  numbness,  but  we   found  nothing  in  the  hearing
transcript to support  that statement, and so assume  that it
was inadvertent error.

                             -5-


gait, walk  on his heels  and squat  on his  knees; that  his

forward lumbar flexion was 80 degrees forward and his lateral

lumbar  flexion  was  20   degrees;4  that  his  Lasegue  was

negative5 and  his straight leg raising was  90 degrees; that

he  had no motor weakness  and no muscle  atrophy although he

had minimal  paravertebral muscle  spasm; and that  there was

decreased sensation  in his right leg  without any anatomical

distribution.   In  February and  June 1991,  Social Security

physicians reviewed  Figueroa's medical records  and assessed

his  residual functional  capacity  (RFC).6   Each  indicated

that, despite his back  condition, Figueroa could perform the

exertional requirements of light work:  he could occasionally

lift  or  carry 20  pounds and  frequently  lift or  carry 10

                    
                                

4.  Accompanying range of motion charts show that full lumbar
flexion forward  is 90 degrees  and that full  lateral lumbar
flexion is 20 degrees. 

5.  This apparently  means that Figueroa suffered  no pain or
limitation of  movement  when raising  his  legs while  in  a
supine position.   See Blakiston's  Gould Medical  Dictionary
                                                                         
743 (4th  ed. 1979) (Lasegue's  sign becomes positive  when a
supine  patient raises  his entire  lower extremity  with his
knees  in  full extension  and suffers  pain or  muscle spasm
resulting in limitation of movement at a particular  angle of
elevation).

6.  Among  other things,  the  medical opinion  request  form
underlying the February RFC assessment noted Figueroa's claim
of  pain, his  minimal paravertebral muscle  spasm, decreased
sensory  sensation  in  his  right   leg  without  anatomical
distribution,  and  his  original  back injury  and  CT  scan
results.   The  medical opinion  request form  underlying the
June  RFC  assessment noted,  among  other  things, his  back
condition, decreased sensation in  his right leg, and minimal
paravertebral muscle spasm.

                             -6-


pounds;  he could stand, walk and sit with normal breaks each

for  a total of  about 6 hours  in an 8-hour  workday; and he

could push or  pull without limit.  See 20  C.F.R.   404.1567
                                                   

(the  physical exertional requirements of light work comprise

the ability  to lift no more  than 20 pounds at  a time while

frequently lifting  or carrying objects  up to 10  pounds, to

walk  or stand a  good deal, or  to perform some  pushing and

pulling of arm  or leg  controls if the  job mostly  required

sitting); SSR 83-10 ("[T]he full range of light work involves

standing or walking, off and on, for a total of approximately

6  hours   of  an   8-hour  workday.     Sitting  may   occur

intermittently during  the remaining  time.").  Figueroa  has

not  submitted any  physician's evaluation  or other  medical

report which contradicts the  neurologist's assessment of his

condition  as of  January 1991,  nor any  residual functional

capacity evaluation which contradicts the two RFC assessments

indicating that he could perform light work.  

          B.  Past Relevant Work
                                            

          Figueroa objects  to the  ALJ's conclusion that  he

could perform his past relevant work of security guard, which

is  classified as light exertional  work.  See  U.S. Dep't of
                                                          

Labor, Dictionary of Occupational  Titles (DOT) 269 (4th rev.
                                                          

ed. 1991).   In support thereof, Figueroa  cites the postural

limitations  described in  the  Secretary's RFC  assessments.

Both  assessments indicated  that, given his  back condition,

                             -7-


Figueroa could only occasionally climb  stairs, stoop, crouch

and  crawl.7   Figueroa  argues that  the  ALJ, as  a layman,

could not evaluate how  his postural limitations would affect

his  ability  to  perform  the  work  of  a  security  guard,

suggesting that the  ALJ needed the guidance  of a vocational

expert.  

          We disagree.   Figueroa bore the  burden of showing

that he  could no longer perform his former job.  In order to

meet  that  burden,  he   needed  to  provide  "some  minimal

information about  the activities that [his]  past usual work

required[.]"    Santiago v.  Secretary  of  Health and  Human
                                                                         

Services, 944 F.2d  1, 5  (1st Cir. 1991);  accord Dudley  v.
                                                                     

Secretary  of Health  and Human Services,  816 F.2d  792, 794
                                                    

(1st Cir. 1987)  (per curiam).  But  Figueroa never testified

that his prior work as security guard required  any climbing,

stooping,  crouching and  crawling, let  alone doing  so more

than  occasionally, nor does  anything we  have found  in the

record  suggest  that  this is  true.    Thus,  there was  no

evidence  before  the ALJ  to  show that  Figueroa  could not

perform  his  past job  as a  security  guard because  of his

postural limitations.  Nor  are climbing, stooping, crouching

and crawling listed as  physical requirements of the security

guard job in  the relevant vocational publication.   See U.S.
                                                                    

                    
                                

7.  The RFC  assessment forms  define "occasionally"  to mean
"occurring  from very  little up  to  one-third of  an 8-hour
workday (cumulative, not continuous)."

                             -8-


Dep't  of  Labor,  Selected  Characteristics  of  Occupations
                                                                         

Defined in  the  Revised Dictionary  of  Occupational  Titles
                                                                         

(SCO)  Pt. A,  at 45;  App. C,  at C-3  (1993) (the  physical
                

demand   components  of  climbing,  stooping,  crouching  and

crawling are "not  present" in the security  guard job);8 see
                                                                         

also  SSR 83-14  (stating  that relatively  few  jobs in  the
                

national economy require climbing and that workers performing

light exertional jobs would not have to crouch and would have

to stoop  only occasionally to perform  substantially all the

exertional requirements of most  light jobs).  Since Figueroa

never met his burden of showing that his postural limitations

prevented him  from returning  to his  past work  as security

guard, and  the SCO  indicates that his  postural limitations
                               

would not prevent him from  performing the security guard job

as  usually performed in the national economy, the ALJ had no

obligation  to consult a vocational  expert.  See Musgrave v.
                                                                      

Sullivan, 966 F.2d 1371, 1376 (10th Cir. 1992) (an ALJ has no
                    

obligation  to  seek  vocational  expert  testimony  where  a

claimant has  not established a disability  that prevents him

from performing his  past relevant work); see also  SSR 82-61
                                                              

(stating  that   vocational  experts  may  be   necessary  in

determining  how  a  job   is  usually  performed  where  the

                    
                                

8.  The Secretary of  Health and Human  Services may rely  on
the  general   job  categories  in   the  DOT   and  SCO   as
                                                                    
presumptively  applicable to  a claimant's  prior work.   See
                                                                         
Villa v. Heckler, 797 F.2d 794, 798 (9th Cir. 1986).
                            

                             -9-


vocational resource materials are insufficient); compare Gray
                                                                         

v.  Heckler, 760  F.2d 369, 373  (1st Cir. 1985)  (an ALJ may
                       

rely  on vocational  publications  in determining  whether  a

claimant could return to past work where the claimant had the

opportunity to, but did not, testify about the demands of her

prior job).  

          Figueroa  next  suggests   that  the  ALJ   ignored

significant evidence  in determining that he  could return to

his work as a security  guard.  Figueroa points first to  his

testimony that he  could not continue  working as a  security

guard.  At  the hearing,  Figueroa testified that  he had  to

leave  his  security  guard   position  in  June  1990  after

reinjuring his  back.  He also testified that he had tried to

return to  work recently,  but that  he had  to quit  after a

month because he was  required to stand all the  time, making

his leg and  heel numb.9   Furthermore, Figueroa stated  that

                    
                                

9.  The record does not show conclusively that this job was a
security guard position.  Figueroa described his unsuccessful
attempt  to work  again  in response  to  the ALJ's  question
whether he  had worked  as a  security guard  elsewhere after
June  1990,  suggesting that  the  job was  a  security guard
position.  But, when the ALJ then concluded that Figueroa had
worked   as  a  security  guard  for  five  months  in  1990,
Figueroa's   attorney  presented  a  letter  certifying  only
Figueroa's previous  employment as  a security guard  for the
four-month  period from February to  June 1990.   The rest of
the  attorney's response  is listed as  "inaudible."   In his
decision,  the  ALJ  reports  that Figueroa  alleged  at  the
hearing  that he  worked as  a security  guard for  only four
months,  but that in his written submissions to the agency he
stated that he  had also  worked from 1983-86  as a  security
guard.  This  suggests that the ALJ's understanding  was that
Figueroa's   unsuccessful  one-month  employment  was  not  a

                             -10-


he  could stand only for about  25-30 minutes, then he had to

move his legs or stand  on his toes.  Figueroa  also suggests

that the ALJ ignored medical records from April 1989 and June

1990 which  indicated that  he had difficulty  in standing.10

          The fact  that Figueroa  had to leave  his security

guard job in June 1990 or that he complained of difficulty in

standing  in April 1989 and June 1990 is not very significant

since the  record indicates that his  back condition improved

afterwards  and that  it had  not significantly  affected his

legs.    In  September  1990, a  neurosurgeon  reported  that

Figueroa's back pain did not radiate to his legs  and that he

had  very infrequent  cramps; he found  that Figueroa  had no

                    
                                

security  guard  position.    Figueroa's  brief  contains   a
confusing  passage  on  this  point, but  seems  intended  to
confirm the ALJ's understanding.  
     Even if the job  in question were a security  guard job,
however, Figueroa's  testimony at  most showed that  he could
not  return  to a  specific  security  guard job  because  it
required him to stand continuously.  He did not show that the
typical security guard job  entails standing for greater than
six hours a day.  Thus,  even if his allegation that he could
not  stand for  a prolonged  period were  fully credited,  he
still  failed  to  show  that  his  inability  to  stand  for
prolonged periods  would prevent his  returning to work  as a
security  guard.  See Pelletier v. Secretary of HEW, 525 F.2d
                                                               
158, 160 (1st Cir. 1975) (a claimant  did not meet her burden
of  proof by  showing  that a  particular  past job  entailed
exposure  to smoke and fumes;  she was required  to show that
such  exposure would  be  a condition  of  her type  of  work
generally).  

10.  The records  stated that he complained  of difficulty in
sitting for prolonged periods of time, too, but Figueroa does
not   allege  the  ALJ  erred  by  failing  to  consider  his
difficulty in sitting.

                             -11-


diminished  sensation or edema in his legs and that he walked

with a  normal  gait;  his  sensory  and  motor  systems  and

reflexes were within  normal limits; his heel  to toe walking

was excellent;  there was  no objective radiculopathy.11   By

December 1990,  a State Insurance Fund  physician advised him

that he could return to work.  In January 1991, Figueroa told

the consulting  neurologist that  he had  difficulty sitting,
                                                                        

but he  did  not complain  about difficulty  in standing  for

prolonged  periods.    Although  the  neurologist found  that

Figueroa had decreased  sensation in his  right leg, he  also

found that  Figueroa  had no  motor  weakness and  no  muscle

atrophy.    The uncontradicted  February  and  June 1991  RFC

assessments both indicated that  Figueroa could stand or walk

for  six hours  out  of an  eight-hour  workday.12   Figueroa

never  sought any treatment for numbness in his legs in 1991.

At the  hearing, Figueroa appeared to  attribute the numbness

in his legs to  the pain he suffered, but, as  noted earlier,

he  also  said  that   his  medications  and  hand  massaging

alleviated the pain.   In addition, he suggested  that moving

his  legs or standing  on his toes  helped relieve discomfort

caused by  prolonged standing.  Under  the circumstances, the

                    
                                

11.  Radiculopathy  is  defined  as  "disease  of  the  nerve
roots."  See  Dorland's Illustrated  Medical Dictionary  1405
                                                                   
(27th ed. 1988).

12.  Neither  physician marked the box on  the RFC form which
indicated that  Figueroa  should alternate  periodically  his
sitting and standing in order to relieve pain or discomfort.

                             -12-


ALJ's apparent failure fully to  credit Figueroa's allegation

that he could  not stand  for prolonged periods  of time  was

supported by substantial evidence in the record.13

          C.  Failure to Consider Whole Record
                                                          

          Figueroa claims  that the ALJ relied exclusively on

evidence   favorable  to   the   Secretary  and   disregarded

"overwhelming evidence"  in the record which  established his

disability.    As   our  discussion  above  shows,   however,

substantial  evidence  in  the  record  supported  the  ALJ's

decision.  Two uncontradicted RFC assessments indicated  that

Figueroa could  perform light work that  entailed standing or

walking for six hours out of an eight-hour workday.  Some six

months  after Figueroa had reinjured his back in June 1990, a

State Insurance Fund physician found  that he could return to

work.    There  was  no  evidence  that  Figueroa sought  any

treatment for pain or numbness after February 1991, and there

was evidence  that  he was  able  to relieve  the  discomfort

occasioned by his back condition.

          Affirmed. 
                               

                    
                                

13.  Figueroa also states that  "another telling fact" is the
fact  that he  wears an  orthopedic girdle,  but he  does not
develop that argument and  so we do not consider  it further.
See  United States  v. Zannino,  895 F.2d  1, 17  (1st Cir.),
                                          
cert. denied, 494 U.S. 1082 (1990). 
                        

                             -13-