Rivera v. Commissioner, SSA ( 2022 )


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  • Appellate Case: 22-1026     Document: 010110775558       Date Filed: 11/30/2022     Page: 1
    FILED
    United States Court of Appeals
    UNITED STATES COURT OF APPEALS                          Tenth Circuit
    FOR THE TENTH CIRCUIT                        November 30, 2022
    _________________________________
    Christopher M. Wolpert
    Clerk of Court
    RODOLFO RIVERA, JR.,
    Plaintiff - Appellant,
    v.                                                          No. 22-1026
    (D.C. No. 1:20-CV-02570-RMR)
    COMMISSIONER, SSA,                                           (D. Colo.)
    Defendant - Appellee.
    _________________________________
    ORDER AND JUDGMENT*
    _________________________________
    Before PHILLIPS, McHUGH, and ROSSMAN, Circuit Judges.
    _________________________________
    Rodolfo Rivera, Jr., appeals pro se from a district court order affirming the
    Commissioner’s denial of Social Security disability insurance benefits.1 Exercising
    jurisdiction under 
    28 U.S.C. § 1291
     and 
    42 U.S.C. § 405
    (g), we affirm.
    *
    After examining the briefs and appellate record, this panel has determined
    unanimously to honor the parties’ request for a decision on the briefs without oral
    argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore
    submitted without oral argument. This order and judgment is not binding precedent,
    except under the doctrines of law of the case, res judicata, and collateral estoppel. It
    may be cited, however, for its persuasive value consistent with Fed. R. App. P. 32.1
    and 10th Cir. R. 32.1.
    1
    We liberally construe Mr. Rivera’s pro se filings, but we do not act as his
    advocate. See Walters v. Wal-Mart Stores, Inc., 
    703 F.3d 1167
    , 1173 (10th Cir.
    2013).
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    I
    Mr. Rivera sought disability benefits for back, vision, and respiratory
    problems, among other ailments. After a hearing, an administrative law judge (ALJ)
    evaluated Mr. Rivera’s application according to the agency’s five-step sequential
    evaluation process. See Wall v. Astrue, 
    561 F.3d 1048
    , 1052 (10th Cir. 2009).2 At
    step two of the process, the ALJ determined Mr. Rivera was severely impaired by
    degenerative disc disease of the cervical spine with radiculopathy, carpal tunnel
    syndrome of the left upper extremity, chronic rhinitis, and obesity. But at step four
    of the evaluation process, the ALJ concluded Mr. Rivera was not disabled because he
    2
    In Wall, we outlined the five-step process used by the Social Security
    Administration to determine whether a claimant is disabled:
    Step one requires the agency to determine whether a claimant is
    presently engaged in substantial gainful activity. If not, the agency
    proceeds to consider, at step two, whether a claimant has a medically severe
    impairment or impairments. An impairment is severe under the applicable
    regulations if it significantly limits a claimant’s physical or mental ability
    to perform basic work activities. At step three, the ALJ considers whether
    a claimant’s medically severe impairments are equivalent to a condition
    listed in the appendix of the relevant disability regulation. If a claimant’s
    impairments are not equivalent to a listed impairment, the ALJ must
    consider, at step four, whether a claimant’s impairments prevent her from
    performing her past relevant work. Even if a claimant is so impaired, the
    agency considers, at step five, whether she possesses the sufficient residual
    functional capability to perform other work in the national economy.
    
    561 F.3d at 1052
     (citations and internal quotation marks omitted).
    2
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    retained the residual functional capacity (RFC) to perform a reduced range of
    “medium work,” including his past relevant work in irrigation system maintenance.3
    The Appeals Council declined review, and the district court affirmed the ALJ’s
    decision. Mr. Rivera then timely appealed.
    II
    “We review the Commissioner’s decision to determine whether the ALJ’s
    factual findings are supported by substantial evidence in the record and whether the
    3
    “Medium work” is defined as follows:
    Medium Work. Medium work involves lifting no more than 50
    pounds at a time with frequent lifting or carrying of objects weighing up
    to 25 pounds. If someone can do medium work, we determine that he or
    she can also do sedentary and light work.
    
    20 C.F.R. § 1567
    (c). Social Security Ruling 83-10 further explains:
    Medium work. The regulations define medium work as lifting no more
    than 50 pounds at a time with frequent lifting or carrying of objects
    weighing up to 25 pounds. A full range of medium work requires
    standing or walking, off and on, for a total of approximately 6 hours in
    an 8-hour workday in order to meet the requirements of frequent lifting
    or carrying objects weighing up to 25 pounds. As in light work, sitting
    may occur intermittently during the remaining time. Use of the arms
    and hands is necessary to grasp, hold, and turn objects, as opposed to
    the finer activities in much sedentary work, which require precision use
    of the fingers as well as use of the hands and arms.
    ....
    In most medium jobs, being on one’s feet for most of the workday is
    critical. Being able to do frequent lifting or carrying of objects
    weighing up to 25 pounds is often more critical than being able to lift up
    to 50 pounds at a time.
    Soc. Sec. Rul. 83-10, 
    1983 WL 31251
    , at *6.
    3
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    correct legal standards were applied.” Keyes-Zachary v. Astrue, 
    695 F.3d 1156
    , 1161
    (10th Cir. 2012) (internal quotation marks omitted). “Substantial evidence is more
    than a mere scintilla and is such relevant evidence as a reasonable mind might accept
    as adequate to support a conclusion.” Noreja v. Comm’r, SSA, 
    952 F.3d 1172
    , 1178
    (10th Cir. 2020) (internal quotation marks omitted). “We consider whether the ALJ
    followed the specific rules of law that must be followed in weighing particular types
    of evidence in disability cases, but we will not reweigh the evidence or substitute our
    judgment for the Commissioner’s.” Hackett v. Barnhart, 
    395 F.3d 1168
    , 1172
    (10th Cir. 2005) (citation and internal quotation marks omitted).
    Mr. Rivera contends the ALJ erred in 1) finding he no longer uses inhalers to
    treat his respiratory condition, 2) evaluating his vision impairment, and 3) assessing
    his RFC without fully accounting for his back pain. We consider these arguments in
    turn.4
    1. Use of Inhalers
    Mr. Rivera contends the ALJ erroneously found he no longer uses inhalers.
    The ALJ stated, “[T]he claimant testified that he no longer uses inhalers.” R. at
    39-40. Mr. Rivera disputes this finding. According to Mr. Rivera, he indicated
    during the hearing that he “was out of inhalers and needed a refill.” Aplt. Opening
    4
    In the district court, Mr. Rivera also argued the ALJ erred at step four by
    failing to account for all of the demands of Mr. Rivera’s past work in irrigation
    system maintenance. That argument is not advanced in the opening brief, so we do
    not consider it. See Keyes-Zachary, 695 F.3d at 1161 (explaining that appellate
    review is confined to the issues adequately briefed on appeal).
    4
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    Br. at 10. But that was not Mr. Rivera’s testimony. The ALJ asked Mr. Rivera,
    “[A]re you still on the inhalers, other medications for . . . breathing specifically?”
    R. at 69. Mr. Rivera replied, “No. No.” Id. This testimony demonstrates that he
    denied using inhalers, not that he needed to refill his prescriptions. Later during the
    hearing, the ALJ recalled that Mr. Rivera had “mentioned . . . not using inhalers
    anymore,” id. at 75, and Mr. Rivera did not clarify his earlier testimony or correct the
    ALJ. Under these circumstances, we conclude substantial evidence supports the
    ALJ’s finding that Mr. Rivera testified he no longer uses inhalers.
    2. Step Two: Vision Impairment
    Mr. Rivera challenges how the ALJ evaluated his vision impairment at step
    two. We first outline the governing legal principles. We then discuss how the ALJ
    evaluated Mr. Rivera’s vision impairment and consider two arguments Mr. Rivera
    advances challenging the ALJ’s analysis.
    a. Governing Step-Two Principles
    At step two of the sequential evaluation process, an ALJ must consider
    “whether a claimant has a medically severe impairment or impairments.” Wall,
    
    561 F.3d at 1052
     (internal quotation marks omitted). Step two involves a
    “de minimis” showing because “only those claimants with slight abnormalities that
    do not significantly limit any basic work activity can be denied benefits without
    undertaking the subsequent steps of the sequential evaluation process.” Langley v.
    Barnhart, 
    373 F.3d 1116
    , 1123 (10th Cir. 2004) (brackets and internal quotation
    marks omitted). “The step-two severity determination is based on medical factors
    5
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    alone, and does not include consideration of such vocational factors as age,
    education, and work experience.” 
    Id.
     (internal quotation marks omitted). Neither is
    the step-two severity determination based on a claimant’s “statement of symptoms”;
    rather, “a physical or mental impairment must be established by objective medical
    evidence from an acceptable medical source” and “result from anatomical,
    physiological, or psychological abnormalities that can be shown by medically
    acceptable clinical and laboratory diagnostic techniques.” 
    20 C.F.R. § 404.1521
    . As
    long as an ALJ finds at least one severe impairment at step two, the ALJ must
    proceed with the sequential evaluation process and evaluate the limiting effects of all
    impairments, both severe and non-severe, at subsequent steps of the evaluative
    process. See Allman v. Colvin, 
    813 F.3d 1326
    , 1330 (10th Cir. 2016) (explaining that
    at step two, 
    20 C.F.R. § 404.1520
    (a)(4)(ii) requires only one severe impairment, and
    if established, the ALJ must proceed to evaluate the limiting effects of all
    impairments, severe and non-severe, during subsequent steps under § 404.1545(e)).
    b. ALJ’s Evaluation of Mr. Rivera’s Condition
    The ALJ recognized Mr. Rivera had been diagnosed with “unspecified macular
    degeneration,” which the ALJ deemed a medically determinable, but non-severe,
    impairment. R. at 36. Mr. Rivera’s macular degeneration and several other
    conditions were non-severe impairments, the ALJ found, because there was “no
    evidence of any ongoing functional limitations from these impairments due to the
    limited nature of [his] complaints, the good response to treatment, or the lack of any
    evidence of any functional limitations for any 12-month period of time.” Id. at
    6
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    36-37. Nonetheless, the ALJ still “consider[ed] any potential effects these
    impairments might cause or contribute to . . . the [RFC].” Id. at 37.
    The ALJ also observed Mr. Rivera had been “‘diagnosed’ with a number of
    symptoms,” including “unspecified subjective visual disturbance.” Id. The ALJ
    stated that “[s]ymptoms are not, on their own, medically determinable impairments,”
    although “to the extent these symptoms correlate to [Mr. Rivera’s] medically
    determinable impairments, they have been considered along with [the medically
    determinable impairments] in evaluating the severity of those medically determinable
    impairments.” Id. Thus, the ALJ ultimately found at step two that
     Mr. Rivera’s macular degeneration was not a severe impairment;
     That his “unspecified subjective visual disturbance” was not, on its own,
    a medically determinable impairment; and
     Mr. Rivera had four other severe impairments.
    See id. at 36-37. The ALJ therefore proceeded with the subsequent steps of the
    sequential evaluation process. See id. at 37-42.
    c. Mr. Rivera’s Arguments
    On appeal, Mr. Rivera challenges the ALJ’s determination on two grounds.5
    5
    Mr. Rivera contends the ALJ contradicted himself by initially finding
    Mr. Rivera had non-severe impairments, yet later acknowledging he had other severe
    impairments. See Aplt. Opening Br. at 5. We disagree. As we have indicated, the
    ALJ found at step two that Mr. Rivera had four severe impairments. See R. at 36.
    The ALJ then separately identified Mr. Rivera’s non-severe impairments. See id. at
    36-37. The ALJ proceeded to step three and evaluated whether any of Mr. Rivera’s
    severe impairments satisfied the criteria of a listed impairment and concluded they
    did not. See id. at 37. Thus, the ALJ continued to step four and reiterated that
    Mr. Rivera had four severe impairments. See id. at 39. We discern no contradiction.
    7
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    First, Mr. Rivera disputes the ALJ’s ruling that “‘[s]ymptoms are not, on their own,
    medically determinable impairments.’” Aplt. Opening Br. at 7 (quoting R. at 37).
    Relying on attachments to his opening brief, Mr. Rivera seems to contend there is
    ample evidence to establish a severe, medically determinable impairment.6
    Mr. Rivera appears to be contending that his unspecified subjective visual
    disturbance was a severe medically determinable impairment, and the ALJ
    erroneously determined otherwise. This argument is unavailing.
    As the ALJ correctly recognized, a medically determinable impairment “must
    be established by objective medical evidence from an acceptable medical source”; it
    cannot be established by a claimant’s “statement of symptoms.” 
    20 C.F.R. § 404.1521
    . But as we explain, Mr. Rivera’s “unspecified subjective visual
    disturbance” was based on a statement he made about his own symptoms. Although
    the ALJ suggested it might have been correlated with Mr. Rivera’s macular
    degeneration (and Mr. Rivera does not contend otherwise), there is no evidence it
    was some other condition. Rather, the record indicates it was the label Mr. Rivera’s
    eye doctors used to describe the symptoms Mr. Rivera reported.
    6
    Some of the attachments to Mr. Rivera’s opening brief are not part of the
    agency record. Several documents actually post-date the ALJ’s decision. We do not
    consider evidence that was not part of the record and considered by the agency. See
    Atteberry v. Finch, 
    424 F.2d 36
    , 39 (10th Cir. 1970) (explaining that judicial review
    is limited to evidence in the agency record); accord Krauser v. Astrue, 
    638 F.3d 1324
    , 1328 (10th Cir. 2011) (recognizing that if new evidence is presented to and
    rejected by the Appeals Council, it generally “plays no role in judicial review”).
    8
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    As Mr. Rivera points out, he saw Dr. Steven Witmarsh for his eye problems.
    See Aplt. Opening Br. at 7. Dr. Witmarsh referred Mr. Rivera for an optometry
    evaluation with a “[p]rovisional [d]iagnosis” of “[u]nspecified subjective visual
    disturbances.” R. at 371. The referral stated that Mr. Rivera had “a history of
    macular degeneration, now with persistent intermittent visual changes, please
    evaluate and treat[.]” 
    Id.
     Mr. Rivera was referred to Dr. Lori Hamm, who noted the
    “[r]eason for [the a]ppointment” was “[u]nspecified subjective visual disturbances.”
    Id. at 367. The note explained that on screening, Mr. Rivera “report[ed] getting a
    film that comes over [his] eyes while reading. Both eyes, intermittent frequency, and
    duration described as for the past 6 months.” Id. at 367-68. But the note specifically
    identified Mr. Rivera’s “[e]ye disorder/disease” as early age-related macular
    degeneration. Id. at 368. And although Mr. Rivera’s exam indicated mostly normal
    anatomical findings, examination of his retina revealed abnormal macula, which was
    assessed as “[n]onexudative age-related macular degeneration.” Id. at 370.7 Indeed,
    notwithstanding the provisional diagnosis of “[u]nspecified subjective visual
    disturbances,” only macular degeneration was listed among the note’s findings. See
    id. at 370-71. As the agency record confirms, the objective medical evidence
    indicated an anatomical abnormality assessed as macular degeneration, which the
    7
    The exam also detected abnormalities of the lenses, and although there were
    no ocular findings of cataracts, the note concluded there were “[m]ild cataracts,” see
    R. at 368, 370. At step two, the ALJ found that Mr. Rivera’s “bilateral cataracts”
    were a non-severe impairment. Id. at 36. Mr. Rivera does not challenge the ALJ’s
    evaluation of his cataracts.
    9
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    ALJ determined was a medically determinable impairment. The term “[u]nspecified
    subjective visual disturbances” was merely the label Dr. Witmarsh and Dr. Hamm
    used to describe the symptoms reported by Mr. Rivera. A statement of symptoms
    cannot establish a medically determinable impairment, 
    20 C.F.R. § 404.1521
    ,
    however. The ALJ did not err in declining to designate Mr. Rivera’s “unspecified
    subjective visual disturbance” a medically determinable impairment.
    Mr. Rivera’s second argument is also unavailing. He contends the ALJ should
    have found his macular degeneration was a severe impairment. But at step two, “a
    claimant need only establish, and an ALJ need only find, one severe impairment,”
    Allman, 813 F.3d at 1330. “The reason is grounded in the Commissioner’s regulation
    describing step two, which states: ‘If you do not have a severe medically
    determinable physical or mental impairment or a combination of impairments that is
    severe, we will find that you are not disabled.’” Id. (quoting 
    20 C.F.R. § 404.1520
    (a)(4)(ii) (ellipses omitted)). The plain language of this regulation
    requires only one severe impairment to avoid the denial of benefits at step two. 
    Id.
    Thus, so long as a claimant establishes at least one severe impairment, the ALJ
    cannot deny benefits at step two and must proceed with the sequential evaluation
    process and account for the limiting effects of all impairments, even those that are
    not severe.
    Here, the ALJ found Mr. Rivera had four other severe impairments. Under
    these circumstances, the ALJ appropriately proceeded with the sequential evaluation
    process, recognizing he was bound to “consider any potential effects [the non-severe]
    10
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    impairments might cause or contribute to . . . the [RFC].” R. at 37. The ALJ also
    considered Mr. Rivera’s symptoms, including his subjective visual disturbance, “in
    evaluating the severity of [his] medically determinable impairments.” 
    Id.
     Because
    the ALJ found at least one severe impairment and proceeded with the evaluative
    process, the ALJ did not err in his step-two evaluation. See Allman, 813 F.3d at 1330
    (“[T]he [ALJ’s] failure to find a particular impairment severe at step two is not
    reversible error when the ALJ finds that at least one other impairment is severe.”).
    3. Step Four: Mr. Rivera’s RFC & the Credibility of his Pain Allegations
    At step four, the ALJ determined Mr. Rivera had the RFC for a reduced range
    of medium work that allowed him to:
     occasionally lift/carry 50 pounds and frequently lift/carry 25 pounds;
     stand and/or walk 6 hours in an 8-hour workday;
     sit 6 hours in an 8-hour workday;
     never climb ladders, ropes, or scaffolds;
     frequently stoop or climb ramps and stairs;
     frequently reach, handle, finger, feel or operate hand controls with his
    bilateral upper extremities;
     tolerate no more than frequent exposure to pulmonary irritants; and
     have no exposure to hazards.
    R. at 38. In assessing this RFC, the ALJ determined Mr. Rivera’s “impairments
    could reasonably be expected to cause some of the alleged symptoms; however, [his]
    statements concerning the intensity, persistence and limiting effects of these
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    symptoms are not entirely consistent with the medical evidence and other evidence in
    the record.” Id. at 39.
    Mr. Rivera contends the ALJ improperly discounted his allegations of neck
    and back pain when assessing his RFC. To better understand this contention, we
    explain the relationship between the ALJ’s RFC assessment and the ALJ’s evaluation
    of a claimant’s credibility.
    In the first phase of step four, an “ALJ must evaluate a claimant’s physical and
    mental [RFC].” Bowman v. Astrue, 
    511 F.3d 1270
    , 1272 (10th Cir. 2008) (internal
    quotation marks omitted). A claimant’s RFC “is the most [he] can still do despite
    [his] limitations.” 
    20 C.F.R. § 404.1545
    (a)(1). The RFC assessment is based on all
    the relevant evidence, including a claimant’s credible allegations of pain. See 
    id.
    §§ 404.1529, 404.1545(a)(3). Because an ALJ’s credibility evaluation helps “the
    ALJ assess a claimant’s RFC, the ALJ’s credibility and RFC determinations are
    inherently intertwined.” Poppa v. Astrue, 
    569 F.3d 1167
    , 1171 (10th Cir. 2009).
    We employ a deferential standard when reviewing an ALJ’s credibility
    finding. “Credibility determinations are peculiarly the province of the finder of fact,
    and we will not upset such determinations when supported by substantial evidence.
    However, findings as to credibility should be closely and affirmatively linked to
    substantial evidence and not just a conclusion in the guise of findings.” Hackett,
    
    395 F.3d at 1173
     (brackets and internal quotation marks omitted). An “ALJ must
    articulate specific reasons for questioning the claimant’s credibility where subjective
    12
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    pain testimony is critical.” 
    Id.
     (internal quotation marks omitted). But we cannot
    reweigh the evidence or “substitute our judgment for that of the [ALJ].” 
    Id.
    When evaluating a claimant’s allegations of pain, the ALJ must determine:
    (1) whether the claimant established a pain-producing impairment by
    objective medical evidence; (2) if so, whether the impairment is
    reasonably expected to produce some pain of the sort alleged (what we
    term a “loose nexus”); and (3) if so, whether, considering all the
    evidence, both objective and subjective, the claimant’s pain was in fact
    disabling.
    Keyes-Zachary, 695 F.3d at 1166-67.
    Here, the ALJ recognized Mr. Rivera had a pain-producing impairment. This
    was based on diagnostic imaging indicating Mr. Rivera had progressive degenerative
    disc disease at the C4/5, C5/6, and C6/7 vertebrae, with straightening of the normal
    lordotic curvature of the cervical spine, which might have been secondary to
    positioning or muscle spasm. R. at 379-80. The ALJ also found Mr. Rivera’s
    impairments could be expected to cause some of his symptoms, including his pain.
    See id. at 39. The question then became whether his pain was disabling. On that
    score, the ALJ found that Mr. Rivera’s “statements concerning the intensity,
    persistence and limiting effects of [his] symptoms [were] not entirely consistent with
    the medical evidence and other evidence in the record.” Id. Mr. Rivera disputes this
    finding, but the ALJ’s analysis was sound.
    An ALJ evaluating the credibility of a claimant’s allegations of pain should
    consider:
    a claimant’s persistent attempts to find relief for [his] pain and [his]
    willingness to try any treatment prescribed, regular use of crutches or a
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    cane, regular contact with a doctor, and the possibility that
    psychological disorders combine with physical problems and the
    claimant’s daily activities, and the dosage, effectiveness, and side
    effects of medication.
    Keyes-Zachary, 695 F.3d at 1167 (internal quotation marks omitted). The ALJ must
    “set[] forth the specific evidence he relies on in evaluating the claimant’s credibility”
    but need not engage in “a formalistic factor-by-factor recitation of the evidence.”
    Qualls v. Apfel, 
    206 F.3d 1368
    , 1372 (10th Cir. 2000).
    We conclude the ALJ closely and affirmatively linked his adverse credibility
    finding to substantial evidence in the record, providing “specific reasons” for
    discounting the severity of Mr. Rivera’s pain symptoms, SSR 16-3p, 
    2017 WL 5180304
    , at *10 (Oct. 25, 2017). The ALJ first considered Mr. Rivera’s medications,
    noting they included ibuprofen, oxycodone, gabapentin, and meloxicam, and
    recognizing the gabapentin helped his pain symptoms but “[made] him feel
    different.” R. at 39. The ALJ observed Mr. Rivera’s treatments were “generally
    successful,” including his use of medication. 
    Id. at 41
    . The ALJ supported this
    finding with substantial evidence.8 The ALJ also recognized Mr. Rivera testified that
    his medications helped his neck and back pain, see 
    id. at 74
    , which further supports
    the ALJ’s decision to discount Mr. Rivera’s testimony concerning the limiting effects
    8
    See, e.g., 
    id. at 443
     (June 15, 2017, treatment note indicating neck pain but he
    was “good to go” if he took pain medication (internal quotation marks omitted)); 
    id. at 487
     (July 18, 2016, treatment note continuing medication and adding a second
    medication); 
    id. at 742
     (Aug. 2, 2018, treatment note indicating pain medications
    were working and authorizing refill of prescriptions); 
    id. at 750
     (June 26, 2018,
    treatment note authorizing refill of pain medication).
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    of his pain symptoms, see White v. Barnhart, 
    287 F.3d 903
    , 909-10 (10th Cir. 2002)
    (“[Claimant’s] admission that medication relieved some of her pain . . . further
    support[s] [the ALJ’s] belief that she was capable of performing more extensive work
    activities than she acknowledged.”).
    The ALJ also observed Mr. Rivera testified his pain was alleviated with use of
    a TENS unit. See R. at 74 (testifying during the hearing that “the TENS unit has
    been really awesome”). And the ALJ explained Mr. Rivera benefited from physical
    therapy and dry needling, see id. at 380-87 (physical therapy notes indicating
    Mr. Rivera benefitted most from dry needling), and although he was offered a
    surgery for his condition at C5/6, Mr. Rivera was unwilling to try that treatment, see
    id. at 64-65 (testifying during the hearing that “when the painkillers stop working . . .
    or if I get to a point where I . . . can’t endure it no more . . ., then[] you can go ahead
    and cut me open”).
    The ALJ discussed Mr. Rivera’s examination findings, acknowledging that
    some treatment notes confirmed his pain symptoms. See, e.g., id. at 443 (June 15,
    2017, treatment note indicating neck pain but he was “good to go” if he took pain
    medication (internal quotation marks omitted)); id. at 469 (Mar. 7, 2017, treatment
    note indicating neck and back symptoms and advising him to continue medication,
    check diagnostic imaging, and refer to physical therapy upon his request); id. at 487
    (July 18, 2016, treatment note indicating neck and upper back pain to be treated with
    medication, heat, stretching, and massage). Yet the ALJ also recognized other exam
    findings were largely normal and sometimes indicated Mr. Rivera had no pain or
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    tenderness at all in his back or neck. See, e.g., id. at 398 (Dec. 14, 2017, treatment
    note indicating no back pain or neck tenderness); id. at 419 (Nov. 29, 2017, treatment
    note indicating normal neck findings); id. at 424-25 (Oct. 30, 2017, treatment note
    indicating neck was normal with no back tenderness); id. at 505 (Apr. 1, 2016,
    treatment note indicating no decrease in neck suppleness).
    The ALJ then discussed observations made by Mr. Rivera’s medical providers
    during his examinations. The ALJ recognized one provider observed Mr. Rivera’s
    straight-leg raise test was normal. See R. at 482 (Sept. 20, 2016, treatment note
    indicating negative straight-leg raise tests). The ALJ also noted another provider
    observed Mr. Rivera’s gait, movements, reflexes, and strength were all normal. See
    id. at 412 (Dec. 14, 2017, treatment note indicating normal findings in each
    category).
    Finally, the ALJ discounted Mr. Rivera’s allegations of pain given his “good
    level of daily activities.” Id. at 40. The ALJ explained Mr. Rivera had reported to a
    consultative examiner that he was able to get in and out of bed, drive, bathe, cook
    and clean for himself, and typically spent his days reading. See id. at 656. The ALJ
    also noted Mr. Rivera completed a disability report indicating he could perform his
    own personal care tasks, drive, use a computer, manage his finances, do laundry, go
    out to eat, and attend church. Id. at 222-24. After examining the record as a whole,
    we are persuaded the ALJ closely and affirmatively linked his credibility finding to
    substantial evidence, which we have no authority to reweigh. See Hackett, 
    395 F.3d at 1172-73
    .
    16
    Appellate Case: 22-1026   Document: 010110775558         Date Filed: 11/30/2022   Page: 17
    III
    The district court’s judgment is affirmed.
    Entered for the Court
    Veronica S. Rossman
    Circuit Judge
    17