                     United States Court of Appeals
                           FOR THE EIGHTH CIRCUIT
                                   ___________

                                   No. 02-2830
                                   ___________

Kenneth Fischer,                     *
                                     *
            Appellant,               *
                                     * Appeal from the United States
      v.                             * District Court for the
                                     * District of South Dakota.
JoAnne B. Barnhart, Commissioner of *
Social Security Administration,      *     [UNPUBLISHED]
                                     *
            Appellee.                *
                                ___________

                          Submitted: February 7, 2003
                              Filed: February 12, 2003
                                   ___________

Before BOWMAN, WOLLMAN, and LOKEN, Circuit Judges.
                        ___________

PER CURIAM.

       Kenneth Fischer appeals the District Court’s1 order affirming the denial of
disability benefits. In his January 1999 application, Fischer alleged disability since
May 1997 from diabetes and from pain related to a right-leg injury. After a hearing,
an administrative law judge (ALJ) found that some of Fischer’s impairments were
severe, but not of listing-level severity. The ALJ determined Fischer had the residual
functional capacity to perform unskilled work; to lift twenty pounds occasionally and

      1
       The Honorable Richard H. Battey, United States District Judge for the District
of South Dakota.
ten pounds frequently; to stand, walk, or sit six hours in a workday; and to
occasionally reach overhead, squat, kneel, and crawl. The ALJ found that Fischer
could not perform his past relevant work, but that he could perform the jobs a
vocational expert (VE) identified in response to a hypothetical the ALJ posed.

       Fischer first argues that the ALJ erred by discrediting his testimony about his
need to elevate his leg while in a reclining position. He also complains that the ALJ
failed to explain why he discounted the related opinion of Fischer’s treating
physician, Dr. Stuart Fromm. We disagree. While there is evidence in the record that
supports Fischer’s credibility, the ALJ gave multiple valid reasons for discrediting
him. See Pearsall v. Massanari, 274 F.3d 1211, 1217 (8th Cir. 2001) (if reviewing
court can draw two inconsistent positions from evidence and one position represents
Commissioner’s findings, the court must affirm decision); Lowe v. Apfel, 226 F.3d
969, 972 (8th Cir. 2000) ("[w]here adequately explained and supported, credibility
findings are for the ALJ to make."). As the ALJ noted, establishing a disability based
on severe pain requires showing more than the inability to work without pain. See
Spradling v. Chater, 126 F.3d 1072, 1074-75 (8th Cir. 1997). Further, in discounting
Dr. Fromm’s opinion, the ALJ properly noted that the opinion was inconsistent with
examination findings and that Dr. Fromm had never recommended any work
restrictions for Fischer. See Holmstrom v. Massanari, 270 F.3d 715, 720 (8th Cir.
2001) (ALJ may discount treating physician’s opinion "if other medical assessments
are supported by superior medical evidence, or if the treating physician has offered
inconsistent opinions.").

      Fischer contends the ALJ should not have rejected the opinion of consulting
psychologist Dewey Ertz, who opined that Fischer met the requirements for Listing
12.04 ("Affective Disorders"). We agree with the ALJ that Fischer met only the
section A requirements for 12.04. See 20 C.F.R. pt. 404, subpt. P, app. 1, § 12.04
(2002) (claimant must meet criteria in A and B, or criteria in C); Kelley v. Callahan,
133 F.3d 583, 589 (8th Cir. 1998) ("opinion of a consulting physician who examines

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a claimant once or not at all does not generally constitute substantial evidence.").
Further, Fischer did not suggest mental impairment as a basis for disability until the
hearing, and he never sought care for his alleged mental problems. Cf. Smith v.
Shalala, 987 F.2d 1371, 1375 (8th Cir. 1993) (ALJ properly discounted non-treating
psychiatrist’s opinion that claimant had disabling mental impairments because
claimant did not allege disabling mental impairment in application, merely made
vague statements about suffering bouts of nervousness, and had never previously
sought or been referred for mental health treatment).

       Finally, Fischer argues that the ALJ’s hypothetical should have included
limitations for his depression and pain disorder and should have factored in his need
to elevate his leg above his waist or rest frequently. Because the ALJ’s findings as
to Fischer’s credibility and Dr. Fromm’s opinion were proper, this argument
necessarily fails as well. See Hunt v. Massanari, 250 F.3d 622, 625 (8th Cir. 2001).
We also note that the ALJ included the unskilled-work limitation in the hypothetical
because of Fischer’s alleged mental impairment and that, according to the VE, there
were still jobs available if a sit-stand option was added to the hypothetical to
accommodate Fischer’s need to elevate his leg (but not to recline).

      Accordingly, we affirm.

      A true copy.

             Attest:

                     CLERK, U.S. COURT OF APPEALS, EIGHTH CIRCUIT.




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