202.09 [Closely approaching advanced age] + [unable to communicate in English] + [Unskilled or none] =Disabled
Treated for depression and anxiety
Claimant's weight is listed as 200+ lbs the whole time
Claimant went to Temple ER for back pain, was given Naproxen and released
Received multiple back injections
Mild spondylotic disease; shallow protrusion of annular tear at L4-5; mild bilateral foraminal enchroachment due to facet arthopathy.
Revealed mild compartment osteoarthritis in left knee
On physical exam, CE notes that claimant is obese; has pain with flexion, extension, and rotation, as well as in left shoulder.
Impression: 1) Low back pain radiating to left lower extremity; 2) Left shoulder pain; 3) GERD; 4) Exogenous obesity
1) L10 occ, 25 frq; C 2-3 occ, 20 frq
2) Stand and walk for 4 hours
3) Sit for 8/8
4) Occ posturals
Only significant for ruling out skilled work.
1 hour continuous sitting, then needs to walk around for an hour; but can only walk around for 15 minutes at a time, then must lay down or recline; only walk for a total of 1 hour a day. Lift only 1-5 pounds at a time occasionally