June 10, 2009 – Matthew James Griffin v. Sandra Penn, No. 27,786

27,786Nmctapp

Testo completo

IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO
Opinion Number: __________
Filing Date: June 10, 2009
NO. 27,786
MATTHEW JAMES GRIFFIN,
Plaintiff-Appellant,
v.
SANDRA PENN,
Defendant-Appellee.
APPEAL FROM THE DISTRICT COURT OF SANTA FE COUNTY
Daniel A. Sanchez, District Judge
Matthew James Griffin
Tehachapi, CA
Pro Se Appellant
Hatch, Allen & Shepherd, P.A.
E. W. Shepherd
Amy M. Cardwell
Albuquerque, NM
for Appellee
OPINION
VANZI, Judge.
{1} 	Plaintiff, a prisoner pro se, brought excessive force and inadequate medical care
claims against Defendant prison medical director. 	Defendant moved for summary
judgment arguing that she was not liable under 42 U.S.C. § 1983 (1986) for violating
Plaintiff’s rights under the Eighth Amendment to the United States Constitution. The
district court granted Defendant’s motion for summary judgment, and Plaintiff
appealed. We affirm.
I. 	BACKGROUND
{2} 	This case arises out of events that occurred at the Penitentiary of New Mexico
in Santa Fe County. Correctional officers James Lopez and Sergeant John P. Marquez
noticed that Plaintiff had covered the window of his cell door with a towel, a blanket,
and a mattress. Plaintiff’s actions were the second disruption to the normal operation
of the North Facility of the penitentiary that morning and constituted a security risk.
When Plaintiff refused to remove the obstruction, the officers did so by force.
Plaintiff was then removed from his cell and placed in wrist restraints and ankle
shackles (collectively, restraints) by officers Larry Grant and James Lopez. Plaintiff
does not dispute that the restraints were applied to him because he deliberately created
a security situation that required the officers to enter his cell and assert control over
2
him. However, Plaintiff contends that he complied with all directives of the prison
staff and offered no resistance after he was removed from his cell.
{3} 	Defendant was, at the time of the incident, a licensed physician and the medical
director for the Penitentiary of New Mexico. Prison regulations state that “[m]edical
personnel shall check the inmate when initially placed in restraints and every two
hours thereafter while in restraints.” According to Defendant, she was not present
when Plaintiff was removed from his cell and placed in restraints. However, after the
restraints had been applied, Defendant looked at Plaintiff’s legs and determined that
they were correctly applied and not too tight. 	She was able to place her fingers
through the restraints. During her examination, Defendant observed “small abrasions”
on Plaintiff’s legs which she considered “minor skin interruptions.” Other than the
minor abrasions, which she did not consider an “excessive risk to [Plaintiff’s] health
and safety,” Defendant did not observe any lacerations on Plaintiff’s ankles or wrists.
{4} 	Plaintiff disputes Defendant’s version of these events. According to Plaintiff,
Defendant was present when the restraints were applied. 	Plaintiff claims that
Defendant did not place her fingers between the restraints and his legs, and further
states that he repeatedly told Defendant and others that the restraints were too tight
and were injuring him.
{5} 	The restraints were kept on Plaintiff for roughly four hours. Throughout that
3
period, and for several hours thereafter, the penitentiary activity logs indicate that
Plaintiff continuously paced in his cell. 	At approximately 4:00 p.m. the restraints
were removed because they were restricting Plaintiff’s blood circulation, had caused
wounds on his ankles, and because he showed a willingness to comply with staff.
Plaintiff asserts that the severity of the injuries he suffered as a result of the tightened
restraints was intensified by a subsequent infection of the wounds. 	The infection,
Plaintiff claims, resulted from Plaintiff being forced to urinate on himself because
Defendant and the correctional officers monitoring him allegedly denied Plaintiff
access to, or use of, a toilet despite his insistence that he needed to relieve himself.
Plaintiff does not dispute that he was provided medical treatment for his wounds by
prison medical staff at that time and again on at least five other occasions.
{6} 	In his amended complaint, Plaintiff asserted causes of action against Defendant
under both state and federal law. Defendant filed a motion to dismiss the state law
claims which the district court granted. Defendant subsequently moved for summary
judgment on Plaintiff’s Eighth Amendment prohibition against “excessive and
unjustified physical force.” 	The district court granted Defendant’s motion and
dismissed Plaintiff’s complaint on two grounds: First, the district court found that,
based on the pleadings and a video tape submitted by Defendant, “Plaintiff was not
denied medical care by . . . Defendant, nor was . . . Defendant indifferent to his
4
medical needs.” 	Second, the district court found that “Defendant . . . did not
participate in the placement of the [restraints] on . . . Plaintiff, nor was she present
when [restraints] were placed on . . . Plaintiff. 	She did check the [restraints] on
Plaintiff after they had been applied. Plaintiff cannot establish that Defendant was in
control of this activity.” Thus, the court “agree[d] with . . . Defendant . . . that . . .
Plaintiff is unable to establish an Eighth Amendment [v]iolation against Defendant.”
Plaintiff appeals from this decision and argues that the district court erred in resolving
undisputed issues of fact and that it improperly considered the video tape in making
factual determinations.
II. 	DISCUSSION
A. 	Standard of Review
{7} 	“An appeal from the grant of a motion for summary judgment presents a
question of law” that we review de novo. Tafoya v. Rael, 2008-NMSC-057, ¶ 11, 145
N.M. 4, 193 P.3d 551 (internal quotation marks and citation omitted). 	“Summary
judgment is appropriate where there are no genuine issues of material fact and the
movant is entitled to judgment as a matter of law.” Id. We review the record in the
light most favorable to support a trial on the merits, Weise v. Washington Tru
Solutions, L.L.C., 2008-NMCA-121, ¶ 2, 144 N.M. 867, 192 P.3d 1244, and we
“construe all reasonable inferences from the record in favor of the party that opposed”
5
summary judgment. Hamberg v. Sandia Corp., 2008-NMSC-015, ¶ 7, 143 N.M. 601,
179 P.3d 1209 (internal quotation marks and citation omitted). However, the party
opposing summary judgment has the burden to “show at least a reasonable doubt,
rather than a slight doubt, as to the existence of a genuine issue of fact.” 	Ciup v.
Chevron U.S.A., Inc., 1996-NMSC-062, ¶ 7, 122 N.M. 537, 928 P.2d 263. To meet
this burden, the party “cannot rely on the allegations contained in its complaint or
upon the argument or contention of counsel to defeat it. Rather, the opponent must
come forward and establish with admissible evidence that a genuine issue of fact
exists.” Id. (citations omitted).
B. 	Eighth Amendment
{8} 	Claims of denial of appropriate medical treatment as well as excessive force
can violate the Eighth Amendment’s prohibition on cruel and unusual punishment.
We discuss each of these issues in turn as they relate to Plaintiff’s contention that
Defendant’s actions constituted “a deliberate indifference and reckless disregard for
the clearly established constitutional right” to be free from cruel and unusual
punishment.
1. 	Denial or Delay of Medical Care
{9} 	This Court has previously adopted the United States Supreme Court’s holding
in Estelle v. Gamble, that in order to state a cognizable claim that he has been denied
6
adequate medical treatment in violation of the Eighth Amendment, a “prisoner must
allege acts or omissions sufficiently harmful to evidence deliberate indifference to
serious medical needs.” 	429 U.S. 97, 106 (1976); see Archuleta v. Goldman, 107
N.M. 547, 549, 761 P.2d 425, 427 (Ct. App. 1987). 	We have clarified that
“[a]ctionable indifference may be demonstrated by the response of prison doctors to
a prisoner’s needs or by the acts of guards intentionally denying or delaying access
to proper medical care.” 	Archuleta, 107 N.M. at 549-50, 761 P.2d at 427-28. The
“deliberate indifference” standard includes two components: the first objective and
the second subjective. Cordova v. LeMaster, 2004-NMSC-026, ¶ 30, 136 N.M. 217,
96 P.3d 778 (internal quotation marks and citation omitted). To satisfy the objective
component of the deliberate indifference test and demonstrate a cognizable violation
of the Eighth Amendment, Plaintiff must demonstrate an injury that is “sufficiently
serious.” Id. The subjective component requires a showing that an officer acted with
a sufficiently culpable mental state. 	Id. 	Thus, indications that an inmate has a
“serious” need for medical treatment include the existence of an injury that “a
reasonable doctor or patient would find important and worthy of comment or
treatment; the presence of a medical condition that significantly affects an individual’s
daily activities; or the existence of chronic and substantial pain.” 	Riddle v.
Mondragon, 83 F.3d 1197, 1202 (10th Cir. 1996) (internal quotation marks and
7
citation omitted).
{10} 	There is no dispute—and Plaintiff’s own allegations show—that he was
provided medical treatment for his leg injuries after the restraints were removed, and
that he continued to receive medical treatment for several weeks afterward. Nor does
Plaintiff complain about the adequacy of the medical care he received. 	Rather,
Plaintiff argues that he did not receive medical treatment on a timely basis and that a
dispute of fact exists as to whether Defendant “delayed or denied [him] medical
treatment between 12:36 p.m. and 4:00 p.m.” Thus, our analysis is limited to whether
Plaintiff’s contention that the delay of medical care during this narrow window of time
constitutes a cognizable claim under the Eighth Amendment.
{11} 	In cases where treatment was delayed rather than denied altogether, the inmate
must allege facts showing he suffered “substantial harm” as a result of the delay.
Garrett v. Stratman, 254 F.3d 946, 950 (10th Cir. 2001). The “substantial harm” or
objective element of this test is satisfied by a showing that a delay in treatment
resulted in “lifelong handicap, permanent loss, or considerable pain” and the
“deliberate indifference” or the subjective element is satisfied by facts indicating that
prison officials were aware of facts from which they could infer that the delay would
cause a substantial risk of serious harm and did, in fact, draw that inference. 	Id. at
949-950. Under this standard, “[d]elays that courts have found to violate the Eighth
8
Amendment have frequently involved life-threatening situations and instances in
which it is apparent that delay would exacerbate the prisoner’s medical problems.”
Grant v. Bernalillo County Detention Ctr., No. 98-2193, 1999 WL 157415, at *3
(10th Cir. Mar. 23, 1999). 	In contrast, in instances in which delays in providing
treatment involve less serious medical conditions, the Eighth Amendment may not be
implicated. 	See, e.g., Wesson v. Oglesby, 910 F.2d 278, 283 (5th Cir. 1990)
(concluding that a delay in obtaining treatment for a prisoner’s swollen, bleeding
wrists caused by tight handcuffs was insufficient to establish an Eighth Amendment
claim); Martin v. Gentile, 849 F.2d 863, 871 (4th Cir. 1988) (concluding that a
fourteen hour delay in obtaining treatment for a sliver of glass in a detainee’s palm did
not constitute a violation of the Eighth Amendment). See Jackson v. Simmons, No.
CIV. A. 99-3363-KHV, 2001 WL 1456859, at *6 (D. Kan. Nov. 2, 2001) (where an
inmate alleged excessive force including putting handcuffs on too tightly which
caused severe pain and swelling, the court found the injury to the plaintiff’s wrists
may be insufficient by itself to constitute an Eighth Amendment violation).
{12} 	In this case, Plaintiff argued to the district court that as a result of the delay in
medical 	attention, 	his 	injuries 	were 	“significant,” 	required 	“painful 	medical
treatment,” and resulted in “tissue scarring.” 	We note first that Plaintiff has not
explained what the “significant” injuries were, nor has he produced evidence that the
9
alleged injuries were the result of the short delay in medical treatment. 	Such
conclusory allegations without specific supporting facts are not sufficient to create a
genuine issue of material fact under the summary judgment standard.
{13} 	Further, we are unwilling, as a matter of law, to reach the conclusion that a bare
assertion of “tissue scarring” on Plaintiff’s ankles constitutes either a lifelong
handicap or permanent loss. It is well established that when a prisoner claims that a
delay in receiving medical treatment amounts to inadequate medical care, he must
place verifying medical evidence in the record to establish the detrimental effect of the
delay in medical treatment. 	Coleman v. Rahija, 114 F.3d 778, 784 (8th Cir. 1997).
Plaintiff has failed to do so, and we therefore hold that his allegations of tissue
scarring, by itself, are insufficient to support a constitutional claim amounting to
inadequate medical care.
{14} 	With respect to whether Plaintiff demonstrated that he experienced considerable
pain, our review of the record reveals that the only pain Plaintiff specifically identified
was the “painful medical treatment” required to treat his injuries. In light of the fact
that Plaintiff was required to— but did not—submit any further evidence of the nature
or severity of his pain, we must conclude that he has not met the requirement of
suffering considerable pain as that term is defined for purposes of the Eighth
Amendment. 	See Kikumura v. Osagie, 461 F.3d 1269, 1293 (10th Cir. 2006)
10
(recognizing that a plaintiff’s claim of twelve hours of tormenting, debilitating pain
accompanied by severe vomiting, along with his significant physical injuries, was
enough to satisfy the substantial harm requirement of the objective component of a
deliberate indifference claim), overruled on other grounds by Robbins v. Oklahoma,
519 F.3d 1242, 1246 (10th Cir. 2008); Mata v. Saiz, 427 F.3d 745, 755 (10th Cir.
2005) (holding that the plaintiff’s evidence of severe chest pain for several days
prevented summary judgment on the objective component of a prisoner’s Eighth
Amendment claim involving inadequate medical care); Oxendine v. Kaplan, 241 F.3d
1272, 1278 (10th Cir. 2001) (finding that “considerable pain [experienced] while [a]
finger continued to rot,” can constitute substantial harm); Sealock v. Colorado, 218
F.3d 1205, 1210 (10th Cir. 2000) (holding that for purposes of summary judgment,
the objective element was met by evidence of severe pain for several hours). On the
record before us, we have no basis to evaluate Plaintiff’s claim in light of the well-
settled principle that “not every twinge of pain suffered as the result of delay in
medical care is actionable.” Id.
{15} 	Accordingly, we conclude that while Plaintiff may have experienced a several-
hour delay in treatment, he has not identified any substantial harm resulting from the
delay in treatment. Finally, we determine that Plaintiff has asserted no facts plausibly
suggesting that Defendant acted with deliberate indifference to his medical needs.
11
Rather, the undisputed evidence demonstrates to the contrary as Plaintiff was seen and
treated by Defendant and other medical staff on several occasions. We therefore agree
with the district court’s finding that Plaintiff’s complaint fails to state an Eighth
Amendment claim for inadequate medical care.
2. 	The Restraints and Excessive Force
{16} 	After incarceration, the Eighth Amendment prohibits “the unnecessary and
wanton infliction of pain” on prisoners. Graham v. Connor, 490 U.S. 386, 399 n.11
(1989) (internal quotation marks and citation omitted). The “core judicial inquiry” for
an Eighth Amendment excessive force claim is “whether force was applied in a good-
faith effort to maintain or restore discipline, or maliciously and sadistically to cause
harm.” Hudson v. McMillian, 503 U.S. 1, 7 (1992). In reviewing a prison guard’s use
of force, the court must give “wide-ranging deference” to the measures taken with the
intention of reducing breaches of discipline. See Whitley v. Albers, 475 U.S. 312, 321-
22 (1986) (internal quotation marks and citation omitted).
{17} 	On appeal, Plaintiff argues that the district court improperly resolved the
following disputed material facts when it granted summary judgment on his excessive
force claim in Defendant’s favor: (1) whether Defendant participated in the restraint
of Plaintiff, (2) whether Defendant was present, (3) whether Defendant was in control
of the activity, and (4) the circumstances and manner in which Defendant checked the
12
restraints which bound Plaintiff. Plaintiff claims that, contrary to the district court’s
findings, Defendant was present when the restraints were applied and thereafter while
he was in the medical holding cell. 	Further, he contends that despite his repeated
complaints, Defendant refused to modify or adjust the restraints. 	Even accepting
every allegation made by Plaintiff as true, we conclude that the allegations fail to
establish an Eighth Amendment claim of excessive force by Defendant as a matter of
law.
{18} 	In the context of unduly tight handcuffing, the Tenth Circuit has held that, if
established, such conduct could constitute excessive force if a plaintiff alleges: (1)
“some actual injury that is not de minimis, be it physical or emotional,” and (2) that
the officer ignored the “plaintiff’s timely complaints . . . that the handcuffs were too
tight.” 	Cortez v. McCauley, 478 F.3d 1108, 1129 (10th Cir. 2007) (en banc)
(emphasis added). Thus, although the Tenth Circuit has consistently rejected a bright-
line rule requiring a plaintiff to demonstrate physical injury when bringing an
excessive force claim, see Holland ex rel. Overdorff v. Harrington, 268 F.3d 1179,
1195 (10th Cir. 2001), it has nevertheless required that a plaintiff show “some actual
injury” when an excessive force claim relies upon unduly tight handcuffing. Cortez,
478 F.3d at 1129.
{19} 	Applying these principles, Plaintiff in this case claims that he “repeatedly
13
notified” Defendant and others “that the restraints had been applied too tightly, [and]
that the restraints were injuring [him].” Plaintiff asserts that despite his complaints,
Defendant refused to adjust or modify the restraints. 	For purposes of summary
judgment, we assume that Plaintiff has presented evidence that Defendant ignored his
“timely complaints . . . that the handcuffs were too tight.” Id.
{20} 	Even if the force applied to Plaintiff was unreasonable, however, Plaintiff has
not presented any evidence that he suffered a permanent “actual injury” as a result of
the handcuffing. Id. Further, allegations of pain or injury without proof in the form
of medical records, or by other competent evidence, cannot prove an injury. 	See
Crumley v. City of St. Paul, 324 F.3d 1003, 1008 (8th Cir. 2003) (holding that,
because Plaintiff did not submit medical records documenting that bleeding wrists as
a consequence of overly tightened handcuffs resulted in a long term injury, the
plaintiff’s Section 1983 claim in which she alleged excessive force failed); Foster v.
Metro. Airports Comm’n, 914 F.2d 1076, 1082 (8th Cir.1990) (stating that medical
records are required for the plaintiff to prove claimed nerve damage from being
handcuffed too tightly); Montes v. Ransom, 219 Fed. Appx. 378, 381 (5th Cir. 2007),
cert. denied, ___U.S.___, 128 S. Ct. 705 (2007) (“[A]dmissible medical evidence
establishing some injury is required to satisfy the injury requirement of an excessive
force claim based on the application of handcuffs.”); Oliver v. City of Minneapolis,
1 Many of these cases implicate the Fourth Amendment. 	We recognize that
excessive force claims utilize different standards under the Fourth and Eighth
Amendments. 	Compare Graham, 490 U.S. at 397 (test is one of objective
reasonableness under the Fourth Amendment) with Hudson, 503 U.S. at 8 (test under
the Eighth Amendment is a subjective test which inquires as to the subjective good
faith of the officers). The differing standards make clear that the Fourth Amendment
provides greater protection to plaintiffs on claims of excessive force than does the
Eighth Amendment. 	As such, we have no trouble concluding that the analysis set
forth in the cited Fourth Amendment cases involving excessive force in the placing
of handcuffs are, at the very least, equally applicable to Plaintiff’s Eighth Amendment
claim here.
14
No. Civ. 04-3022-PAMRLE, 2005 WL 2406035, at *6 (D. Minn. Sept. 27, 2005)
(Plaintiff’s claimed permanent injuries were deemed temporary, minimal injuries,
because they were not supported by medical records). 1
{21} 	Plaintiff has stated that he had to undergo painful medical treatment for several
weeks and that he has suffered tissue scarring as a result. Although Plaintiff contends
that his injuries were as a result of the time he spent in restraints, he has offered no
medical evidence to support that claim. The “medical” records submitted by Plaintiff
in opposition to the motion for summary judgment are mostly shift post logs
indicating that Plaintiff was transported to the medical unit. They contain no findings
of any trauma and, at the most, indicate that Plaintiff’s legs were cleaned and re-
bandaged by medical staff. 	Well settled precedent compels us to conclude that
Plaintiff’s medical injuries—lacerations and scarring—are de minimis injuries because
any alleged permanent injuries are not supported by medical evidence. Since Plaintiff
15
has failed to produce admissible medical evidence of any serious or permanent
physical or psychological injury from the placement of the restraints, his constitutional
claim under the Eighth Amendment necessarily fails. 	Therefore, his claim of
excessive force fails as a matter of law.
C. 	Video Tape
{22} 	Plaintiff alleged that the district court erred in using a videotape showing
Defendant examining his legs after he was placed in restraints to decide disputed
issues of fact. However, having resolved Plaintiff’s claim based solely on his inability
to demonstrate an Eighth Amendment violation, we do not address Plaintiff’s
objections regarding the district court’s use of the videotape for purposes of summary
judgment.
III. 	CONCLUSION
{23} 	For the foregoing reasons, we affirm.
{24} 	IT IS SO ORDERED.
______________________________
LINDA M. VANZI, Judge
16
WE CONCUR:
_________________________________
MICHAEL D. BUSTAMANTE, Judge
_________________________________
MICHAEL E. VIGIL, Judge

1 printed pages contain little extracted OCR body text; searchable legal-body completeness has not been established for those pages.

OCR transcription for search; preserved printed pages are authoritative

IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

Filing Date: June 10, 2009
NO. 27,786
MATTHEW JAMES GRIFFIN,

Plaintiff-A ppellant,
V.
SANDRA PENN,

Defendant-A ppellee.

APPEAL FROM THE DISTRICT COURT OF SANTA FE COUNTY
Daniel A. Sanchez, District Judge

Matthew James Griffin
Tehachapi, CA

Pro Se Appellant

Hatch, Allen & Shepherd, P.A.

E. W. Shepherd
Amy M. Cardwell

Albuquerque, NM

for Appellee

OPINION
VANZI, Judge.
{1} 	Plaintiff, a prisoner pro se, brought excessive force and inadequate medical care
claims against Defendant prison medical director. 	Defendant moved for summary
judgment arguing that she was not liable under 42 U.S.C. § 1983 (1986) for violating
Plaintiff’s rights under the Eighth Amendment to the United States Constitution. The
district court granted Defendant’s motion for summary judgment, and Plaintiff
appealed. We affirm.
I. 	BACKGROUND
{2} 	This case arises out of events that occurred at the Penitentiary of New Mexico
in Santa Fe County. Correctional officers James Lopez and Sergeant John P. Marquez
noticed that Plaintiff had covered the window of his cell door with a towel, a blanket,
and a mattress. Plaintiff’s actions were the second disruption to the normal operation
of the North Facility of the penitentiary that morning and constituted a security risk.
When Plaintiff refused to remove the obstruction, the officers did so by force.
Plaintiff was then removed from his cell and placed in wrist restraints and ankle
shackles (collectively, restraints) by officers Larry Grant and James Lopez. Plaintiff
does not dispute that the restraints were applied to him because he deliberately created
a security situation that required the officers to enter his cell and assert control over

2
him. However, Plaintiff contends that he complied with all directives of the prison
staff and offered no resistance after he was removed from his cell.
{3} 	Defendant was, at the time of the incident, a licensed physician and the medical
director for the Penitentiary of New Mexico. Prison regulations state that “[m]edical
personnel shall check the inmate when initially placed in restraints and every two
hours thereafter while in restraints.” According to Defendant, she was not present
when Plaintiff was removed from his cell and placed in restraints. However, after the
restraints had been applied, Defendant looked at Plaintiff’s legs and determined that
they were correctly applied and not too tight. 	She was able to place her fingers
through the restraints. During her examination, Defendant observed “small abrasions”
on Plaintiff’s legs which she considered “minor skin interruptions.” Other than the
minor abrasions, which she did not consider an “excessive risk to [Plaintiff’s] health
and safety,” Defendant did not observe any lacerations on Plaintiff’s ankles or wrists.
{4} 	Plaintiff disputes Defendant’s version of these events. According to Plaintiff,
Defendant was present when the restraints were applied. 	Plaintiff claims that
Defendant did not place her fingers between the restraints and his legs, and further
states that he repeatedly told Defendant and others that the restraints were too tight
and were injuring him.
{5} 	The restraints were kept on Plaintiff for roughly four hours. Throughout that

3
period, and for several hours thereafter, the penitentiary activity logs indicate that
Plaintiff continuously paced in his cell. 	At approximately 4:00 p.m. the restraints
were removed because they were restricting Plaintiff’s blood circulation, had caused
wounds on his ankles, and because he showed a willingness to comply with staff.
Plaintiff asserts that the severity of the injuries he suffered as a result of the tightened
restraints was intensified by a subsequent infection of the wounds. 	The infection,
Plaintiff claims, resulted from Plaintiff being forced to urinate on himself because
Defendant and the correctional officers monitoring him allegedly denied Plaintiff
access to, or use of, a toilet despite his insistence that he needed to relieve himself.
Plaintiff does not dispute that he was provided medical treatment for his wounds by
prison medical staff at that time and again on at least five other occasions.
{6} 	In his amended complaint, Plaintiff asserted causes of action against Defendant
under both state and federal law. Defendant filed a motion to dismiss the state law
claims which the district court granted. Defendant subsequently moved for summary
judgment on Plaintiff’s Eighth Amendment prohibition against “excessive and
unjustified physical force.” 	The district court granted Defendant’s motion and
dismissed Plaintiff’s complaint on two grounds: First, the district court found that,
based on the pleadings and a video tape submitted by Defendant, “Plaintiff was not
denied medical care by . . . Defendant, nor was . . . Defendant indifferent to his

4
medical needs.” 	Second, the district court found that “Defendant . . . did not
participate in the placement of the [restraints] on . . . Plaintiff, nor was she present
when [restraints] were placed on . . . Plaintiff. 	She did check the [restraints] on
Plaintiff after they had been applied. Plaintiff cannot establish that Defendant was in
control of this activity.” Thus, the court “agree[d] with . . . Defendant . . . that . . .
Plaintiff is unable to establish an Eighth Amendment [v]iolation against Defendant.”
Plaintiff appeals from this decision and argues that the district court erred in resolving
undisputed issues of fact and that it improperly considered the video tape in making
factual determinations.
II. 	DISCUSSION
A. 	Standard of Review
{7} 	“An appeal from the grant of a motion for summary judgment presents a
question of law” that we review de novo. Tafoya v. Rael, 2008-NMSC-057, ¶ 11, 145
N.M. 4, 193 P.3d 551 (internal quotation marks and citation omitted). 	“Summary
judgment is appropriate where there are no genuine issues of material fact and the
movant is entitled to judgment as a matter of law.” Id. We review the record in the
light most favorable to support a trial on the merits, Weise v. Washington Tru
Solutions, L.L.C., 2008-NMCA-121, ¶ 2, 144 N.M. 867, 192 P.3d 1244, and we
“construe all reasonable inferences from the record in favor of the party that opposed”

5
summary judgment. Hamberg v. Sandia Corp., 2008-NMSC-015, ¶ 7, 143 N.M. 601,
179 P.3d 1209 (internal quotation marks and citation omitted). However, the party
opposing summary judgment has the burden to “show at least a reasonable doubt,
rather than a slight doubt, as to the existence of a genuine issue of fact.” 	Ciup v.
Chevron U.S.A., Inc., 1996-NMSC-062, ¶ 7, 122 N.M. 537, 928 P.2d 263. To meet
this burden, the party “cannot rely on the allegations contained in its complaint or
upon the argument or contention of counsel to defeat it. Rather, the opponent must
come forward and establish with admissible evidence that a genuine issue of fact
exists.” Id. (citations omitted).
B. 	Eighth Amendment
{8} 	Claims of denial of appropriate medical treatment as well as excessive force
can violate the Eighth Amendment’s prohibition on cruel and unusual punishment.
We discuss each of these issues in turn as they relate to Plaintiff’s contention that
Defendant’s actions constituted “a deliberate indifference and reckless disregard for
the clearly established constitutional right” to be free from cruel and unusual
punishment.
1. 	Denial or Delay of Medical Care
{9} 	This Court has previously adopted the United States Supreme Court’s holding
in Estelle v. Gamble, that in order to state a cognizable claim that he has been denied

6
adequate medical treatment in violation of the Eighth Amendment, a “prisoner must
allege acts or omissions sufficiently harmful to evidence deliberate indifference to
serious medical needs.” 	429 U.S. 97, 106 (1976); see Archuleta v. Goldman, 107
N.M. 547, 549, 761 P.2d 425, 427 (Ct. App. 1987). 	We have clarified that
“[a]ctionable indifference may be demonstrated by the response of prison doctors to
a prisoner’s needs or by the acts of guards intentionally denying or delaying access
to proper medical care.” 	Archuleta, 107 N.M. at 549-50, 761 P.2d at 427-28. The
“deliberate indifference” standard includes two components: the first objective and
the second subjective. Cordova v. LeMaster, 2004-NMSC-026, ¶ 30, 136 N.M. 217,
96 P.3d 778 (internal quotation marks and citation omitted). To satisfy the objective
component of the deliberate indifference test and demonstrate a cognizable violation
of the Eighth Amendment, Plaintiff must demonstrate an injury that is “sufficiently
serious.” Id. The subjective component requires a showing that an officer acted with
a sufficiently culpable mental state. 	Id. 	Thus, indications that an inmate has a
“serious” need for medical treatment include the existence of an injury that “a
reasonable doctor or patient would find important and worthy of comment or
treatment; the presence of a medical condition that significantly affects an individual’s
daily activities; or the existence of chronic and substantial pain.” 	Riddle v.
Mondragon, 83 F.3d 1197, 1202 (10th Cir. 1996) (internal quotation marks and

7
citation omitted).
{10} 	There is no dispute—and Plaintiff’s own allegations show—that he was
provided medical treatment for his leg injuries after the restraints were removed, and
that he continued to receive medical treatment for several weeks afterward. Nor does
Plaintiff complain about the adequacy of the medical care he received. 	Rather,
Plaintiff argues that he did not receive medical treatment on a timely basis and that a
dispute of fact exists as to whether Defendant “delayed or denied [him] medical
treatment between 12:36 p.m. and 4:00 p.m.” Thus, our analysis is limited to whether
Plaintiff’s contention that the delay of medical care during this narrow window of time
constitutes a cognizable claim under the Eighth Amendment.
{11} 	In cases where treatment was delayed rather than denied altogether, the inmate
must allege facts showing he suffered “substantial harm” as a result of the delay.
Garrett v. Stratman, 254 F.3d 946, 950 (10th Cir. 2001). The “substantial harm” or
objective element of this test is satisfied by a showing that a delay in treatment
resulted in “lifelong handicap, permanent loss, or considerable pain” and the
“deliberate indifference” or the subjective element is satisfied by facts indicating that
prison officials were aware of facts from which they could infer that the delay would
cause a substantial risk of serious harm and did, in fact, draw that inference. 	Id. at
949-950. Under this standard, “[d]elays that courts have found to violate the Eighth

8
Amendment have frequently involved life-threatening situations and instances in
which it is apparent that delay would exacerbate the prisoner’s medical problems.”
Grant v. Bernalillo County Detention Ctr., No. 98-2193, 1999 WL 157415, at *3
(10th Cir. Mar. 23, 1999). 	In contrast, in instances in which delays in providing
treatment involve less serious medical conditions, the Eighth Amendment may not be
implicated. 	See, e.g., Wesson v. Oglesby, 910 F.2d 278, 283 (5th Cir. 1990)
(concluding that a delay in obtaining treatment for a prisoner’s swollen, bleeding
wrists caused by tight handcuffs was insufficient to establish an Eighth Amendment
claim); Martin v. Gentile, 849 F.2d 863, 871 (4th Cir. 1988) (concluding that a
fourteen hour delay in obtaining treatment for a sliver of glass in a detainee’s palm did
not constitute a violation of the Eighth Amendment). See Jackson v. Simmons, No.
CIV. A. 99-3363-KHV, 2001 WL 1456859, at *6 (D. Kan. Nov. 2, 2001) (where an
inmate alleged excessive force including putting handcuffs on too tightly which
caused severe pain and swelling, the court found the injury to the plaintiff’s wrists
may be insufficient by itself to constitute an Eighth Amendment violation).
{12} 	In this case, Plaintiff argued to the district court that as a result of the delay in
medical 	attention, 	his 	injuries 	were 	“significant,” 	required 	“painful 	medical
treatment,” and resulted in “tissue scarring.” 	We note first that Plaintiff has not
explained what the “significant” injuries were, nor has he produced evidence that the

9
alleged injuries were the result of the short delay in medical treatment. 	Such
conclusory allegations without specific supporting facts are not sufficient to create a
genuine issue of material fact under the summary judgment standard.
{13} 	Further, we are unwilling, as a matter of law, to reach the conclusion that a bare
assertion of “tissue scarring” on Plaintiff’s ankles constitutes either a lifelong
handicap or permanent loss. It is well established that when a prisoner claims that a
delay in receiving medical treatment amounts to inadequate medical care, he must
place verifying medical evidence in the record to establish the detrimental effect of the
delay in medical treatment. 	Coleman v. Rahija, 114 F.3d 778, 784 (8th Cir. 1997).
Plaintiff has failed to do so, and we therefore hold that his allegations of tissue
scarring, by itself, are insufficient to support a constitutional claim amounting to
inadequate medical care.
{14} 	With respect to whether Plaintiff demonstrated that he experienced considerable
pain, our review of the record reveals that the only pain Plaintiff specifically identified
was the “painful medical treatment” required to treat his injuries. In light of the fact
that Plaintiff was required to— but did not—submit any further evidence of the nature
or severity of his pain, we must conclude that he has not met the requirement of
suffering considerable pain as that term is defined for purposes of the Eighth
Amendment. 	See Kikumura v. Osagie, 461 F.3d 1269, 1293 (10th Cir. 2006)

10
(recognizing that a plaintiff’s claim of twelve hours of tormenting, debilitating pain
accompanied by severe vomiting, along with his significant physical injuries, was
enough to satisfy the substantial harm requirement of the objective component of a
deliberate indifference claim), overruled on other grounds by Robbins v. Oklahoma,
519 F.3d 1242, 1246 (10th Cir. 2008); Mata v. Saiz, 427 F.3d 745, 755 (10th Cir.
2005) (holding that the plaintiff’s evidence of severe chest pain for several days
prevented summary judgment on the objective component of a prisoner’s Eighth
Amendment claim involving inadequate medical care); Oxendine v. Kaplan, 241 F.3d
1272, 1278 (10th Cir. 2001) (finding that “considerable pain [experienced] while [a]
finger continued to rot,” can constitute substantial harm); Sealock v. Colorado, 218
F.3d 1205, 1210 (10th Cir. 2000) (holding that for purposes of summary judgment,
the objective element was met by evidence of severe pain for several hours). On the
record before us, we have no basis to evaluate Plaintiff’s claim in light of the well-
settled principle that “not every twinge of pain suffered as the result of delay in
medical care is actionable.” Id.
{15} 	Accordingly, we conclude that while Plaintiff may have experienced a several-
hour delay in treatment, he has not identified any substantial harm resulting from the
delay in treatment. Finally, we determine that Plaintiff has asserted no facts plausibly
suggesting that Defendant acted with deliberate indifference to his medical needs.

11
Rather, the undisputed evidence demonstrates to the contrary as Plaintiff was seen and
treated by Defendant and other medical staff on several occasions. We therefore agree
with the district court’s finding that Plaintiff’s complaint fails to state an Eighth
Amendment claim for inadequate medical care.
2. 	The Restraints and Excessive Force
{16} 	After incarceration, the Eighth Amendment prohibits “the unnecessary and
wanton infliction of pain” on prisoners. Graham v. Connor, 490 U.S. 386, 399 n.11
(1989) (internal quotation marks and citation omitted). The “core judicial inquiry” for
an Eighth Amendment excessive force claim is “whether force was applied in a good-
faith effort to maintain or restore discipline, or maliciously and sadistically to cause
harm.” Hudson v. McMillian, 503 U.S. 1, 7 (1992). In reviewing a prison guard’s use
of force, the court must give “wide-ranging deference” to the measures taken with the
intention of reducing breaches of discipline. See Whitley v. Albers, 475 U.S. 312, 321-
22 (1986) (internal quotation marks and citation omitted).
{17} 	On appeal, Plaintiff argues that the district court improperly resolved the
following disputed material facts when it granted summary judgment on his excessive
force claim in Defendant’s favor: (1) whether Defendant participated in the restraint
of Plaintiff, (2) whether Defendant was present, (3) whether Defendant was in control
of the activity, and (4) the circumstances and manner in which Defendant checked the

12
restraints which bound Plaintiff. Plaintiff claims that, contrary to the district court’s
findings, Defendant was present when the restraints were applied and thereafter while
he was in the medical holding cell. 	Further, he contends that despite his repeated
complaints, Defendant refused to modify or adjust the restraints. 	Even accepting
every allegation made by Plaintiff as true, we conclude that the allegations fail to
establish an Eighth Amendment claim of excessive force by Defendant as a matter of
law.
{18} 	In the context of unduly tight handcuffing, the Tenth Circuit has held that, if
established, such conduct could constitute excessive force if a plaintiff alleges: (1)
“some actual injury that is not de minimis, be it physical or emotional,” and (2) that
the officer ignored the “plaintiff’s timely complaints . . . that the handcuffs were too
tight.” 	Cortez v. McCauley, 478 F.3d 1108, 1129 (10th Cir. 2007) (en banc)
(emphasis added). Thus, although the Tenth Circuit has consistently rejected a bright-
line rule requiring a plaintiff to demonstrate physical injury when bringing an
excessive force claim, see Holland ex rel. Overdorff v. Harrington, 268 F.3d 1179,
1195 (10th Cir. 2001), it has nevertheless required that a plaintiff show “some actual
injury” when an excessive force claim relies upon unduly tight handcuffing. Cortez,
478 F.3d at 1129.
{19} 	Applying these principles, Plaintiff in this case claims that he “repeatedly

13
notified” Defendant and others “that the restraints had been applied too tightly, [and]
that the restraints were injuring [him].” Plaintiff asserts that despite his complaints,
Defendant refused to adjust or modify the restraints. 	For purposes of summary
judgment, we assume that Plaintiff has presented evidence that Defendant ignored his
“timely complaints . . . that the handcuffs were too tight.” Id.
{20} 	Even if the force applied to Plaintiff was unreasonable, however, Plaintiff has
not presented any evidence that he suffered a permanent “actual injury” as a result of
the handcuffing. Id. Further, allegations of pain or injury without proof in the form
of medical records, or by other competent evidence, cannot prove an injury. 	See
Crumley v. City of St. Paul, 324 F.3d 1003, 1008 (8th Cir. 2003) (holding that,
because Plaintiff did not submit medical records documenting that bleeding wrists as
a consequence of overly tightened handcuffs resulted in a long term injury, the
plaintiff’s Section 1983 claim in which she alleged excessive force failed); Foster v.
Metro. Airports Comm’n, 914 F.2d 1076, 1082 (8th Cir.1990) (stating that medical
records are required for the plaintiff to prove claimed nerve damage from being
handcuffed too tightly); Montes v. Ransom, 219 Fed. Appx. 378, 381 (5th Cir. 2007),
cert. denied, ___U.S.___, 128 S. Ct. 705 (2007) (“[A]dmissible medical evidence
establishing some injury is required to satisfy the injury requirement of an excessive
force claim based on the application of handcuffs.”); Oliver v. City of Minneapolis,

1 Many of these cases implicate the Fourth Amendment. 	We recognize that
excessive force claims utilize different standards under the Fourth and Eighth
Amendments. 	Compare Graham, 490 U.S. at 397 (test is one of objective
reasonableness under the Fourth Amendment) with Hudson, 503 U.S. at 8 (test under
the Eighth Amendment is a subjective test which inquires as to the subjective good
faith of the officers). The differing standards make clear that the Fourth Amendment
provides greater protection to plaintiffs on claims of excessive force than does the
Eighth Amendment. 	As such, we have no trouble concluding that the analysis set
forth in the cited Fourth Amendment cases involving excessive force in the placing
of handcuffs are, at the very least, equally applicable to Plaintiff’s Eighth Amendment
claim here.
14
No. Civ. 04-3022-PAMRLE, 2005 WL 2406035, at *6 (D. Minn. Sept. 27, 2005)
(Plaintiff’s claimed permanent injuries were deemed temporary, minimal injuries,
because they were not supported by medical records). 1
{21} 	Plaintiff has stated that he had to undergo painful medical treatment for several
weeks and that he has suffered tissue scarring as a result. Although Plaintiff contends
that his injuries were as a result of the time he spent in restraints, he has offered no
medical evidence to support that claim. The “medical” records submitted by Plaintiff
in opposition to the motion for summary judgment are mostly shift post logs
indicating that Plaintiff was transported to the medical unit. They contain no findings
of any trauma and, at the most, indicate that Plaintiff’s legs were cleaned and re-
bandaged by medical staff. 	Well settled precedent compels us to conclude that
Plaintiff’s medical injuries—lacerations and scarring—are de minimis injuries because
any alleged permanent injuries are not supported by medical evidence. Since Plaintiff

15
has failed to produce admissible medical evidence of any serious or permanent
physical or psychological injury from the placement of the restraints, his constitutional
claim under the Eighth Amendment necessarily fails. 	Therefore, his claim of
excessive force fails as a matter of law.
C. 	Video Tape
{22} 	Plaintiff alleged that the district court erred in using a videotape showing
Defendant examining his legs after he was placed in restraints to decide disputed
issues of fact. However, having resolved Plaintiff’s claim based solely on his inability
to demonstrate an Eighth Amendment violation, we do not address Plaintiff’s
objections regarding the district court’s use of the videotape for purposes of summary
judgment.
III. 	CONCLUSION
{23} 	For the foregoing reasons, we affirm.
{24} 	IT IS SO ORDERED.
______________________________
LINDA M. VANZI, Judge

WE CONCUR:

MICHAEL D. BUSTAMANTE, Judge

MICHAEL E. VIGIL, Judge

16

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