513 F. App'x 417
6th Cir.2013Background
- Minor filed for disability in April 2007, alleging disability from May 4, 2005 after a motor vehicle accident.
- She suffers migraines, post‑traumatic brain injury, fibromyalgia, chronic pain, anemia, and depression with cognitive impairment.
- Her treating physicians diagnosed fibromyalgia, cognitive disorder, pain disorder, major depression with panic, and other impairments.
- The record shows extensive narcotic injections and long‑term treatment from multiple providers, including pain, neurology, and psychiatry specialists.
- The ALJ denied benefits at step five, relying on non‑treating sources and discounting treating opinions; the Sixth Circuit reversed and remanded for a benefits award based on treating‑physician rule and fibromyalgia evidence.
- The court ultimately held that substantial evidence supported total disability as of May 4, 2005 and remanded with instructions to award benefits.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Did the ALJ properly weigh treating-source opinions? | Minor’s treating physicians provided controlling input. | Non‑treating sources and objective evidence support the ALJ’s weighing. | No; reversible error; remand for benefits. |
| Did the ALJ apply the treating-physician rule and its requirements correctly? | The ALJ failed to give controlling weight or proper reasons for the weight of treating opinions. | Regulatory framework allows alternative weighting with explanations. | No; violation requiring remand. |
| Were the hypothetical questions to the VE sufficiently comprehensive? | Hypotheticals failed to include all limiting impairments (e.g., pain disorder, cognitive deficits). | Hypotheticals captured core RFC; VE testimony supported non‑disabled finding. | No; flawed hypotheticals warrant remand. |
| Did the ALJ adequately analyze fibromyalgia and related subjective pain with objective evidence? | Fibromyalgia diagnosis and related pain were inadequately considered; reliance on partial records improper. | Objective signs limited and consistent with light work. | No; substantial evidence insufficient; remand for disability finding. |
Key Cases Cited
- Rogers v. Comm’r of Soc. Sec., 486 F.3d 234 (6th Cir. 2007) (reversing when ALJ ignored fibromyalgia framework and relied on insufficient objective data)
- Kalmbach v. Comm’r of Soc. Sec., 409 F. App’x 852 (6th Cir. 2011) (affirming remand for failure to adequately weigh treating sources)
- Germany-Johnson v. Comm’r of Soc. Sec., 313 F. App’x 771 (6th Cir. 2008) (per curiam; ALJ selectively parsed medical records in fibromyalgia case)
- Preston v. Sec’y of Health & Human Servs., 854 F.2d 815 (6th Cir. 1988) (recognizes fibromyalgia as potential disabling impairment under disability framework)
- Wilson v. Comm’r of Soc. Sec., 378 F.3d 541 (6th Cir. 2004) (establishes treating-source rule and weight considerations for medical opinions)
