Group I, Category 19 Incorrect RFC Decision
ISSUE
The DDS proposed a medical vocational allowance determination. The evidence in file does not support the severity as assessed by the DDS.
CASE DISCUSSION & POLICY ANALYSIS (INCLUDING SPECIFIC REFERENCES)
This 45-year-old claimant is filing a DIB claim alleging disability due Ehlers-Danlos Syndrome, fibromyalgia, Raynaud's Syndrome, chronic regional pain syndrome, chronic migraines, madelung's deformity, PTSD; panic, anxiety disorder, vertigo, and tendonitis of the left ankle as of 08/26/2014.
The evidence in file shows the claimant has a history of Ehlers-Danlos syndrome, hand tremors and headaches. At the MSE she walked with a cane and a hand tremor was noted. On exam, she reported being bullied in school and experiencing several traumatizing events. On her MMSE, the claimant scored 30/30, suggesting no cognitive or memory impairment. Her depression and anxiety were rated as severe. At an office visit on 1/20/16, she stated she was having headaches 2-3 times per week and migraines every other week. …show more content…
She is able to follow instruction but has some forgetfulness. She alleges difficulty lifting, squatting, bending, standing, walking, sitting, kneeling, stairs, seeing, remembering, completing tasks, concentrating, understanding, following instructions, and using her hands. The claimant’s allegations are partially credible. She has a diagnosis of Ehlers-Danlos syndrome, however there are no restrictions related to the impairment. She also has speculative diagnosis’ of restless leg syndrome and fibromyalgia although there is no trigger point counts noted in the evidence. She appeared depressed and anxious at the MSE and the examiner noted she appeared
ISSUE
The DDS proposed a medical vocational allowance determination. The evidence in file does not support the severity as assessed by the DDS.
CASE DISCUSSION & POLICY ANALYSIS (INCLUDING SPECIFIC REFERENCES)
This 45-year-old claimant is filing a DIB claim alleging disability due Ehlers-Danlos Syndrome, fibromyalgia, Raynaud's Syndrome, chronic regional pain syndrome, chronic migraines, madelung's deformity, PTSD; panic, anxiety disorder, vertigo, and tendonitis of the left ankle as of 08/26/2014.
The evidence in file shows the claimant has a history of Ehlers-Danlos syndrome, hand tremors and headaches. At the MSE she walked with a cane and a hand tremor was noted. On exam, she reported being bullied in school and experiencing several traumatizing events. On her MMSE, the claimant scored 30/30, suggesting no cognitive or memory impairment. Her depression and anxiety were rated as severe. At an office visit on 1/20/16, she stated she was having headaches 2-3 times per week and migraines every other week. …show more content…
She is able to follow instruction but has some forgetfulness. She alleges difficulty lifting, squatting, bending, standing, walking, sitting, kneeling, stairs, seeing, remembering, completing tasks, concentrating, understanding, following instructions, and using her hands. The claimant’s allegations are partially credible. She has a diagnosis of Ehlers-Danlos syndrome, however there are no restrictions related to the impairment. She also has speculative diagnosis’ of restless leg syndrome and fibromyalgia although there is no trigger point counts noted in the evidence. She appeared depressed and anxious at the MSE and the examiner noted she appeared