Arthur C Jimenez, M.D.

Lidoderm effectiveness in reducing pain in post-operative unilateral knee replacements patients
Nafissi A.; Husain S.; Ahmed T.; Fedman D.; Bansal A.; Vitale K.; Jimenez A.; Gusmorino P.
2011 ;12(4 SUPPL 1):P53-P53, Journal of pain
Post-operative pain continues to be one of the most common complications in ambulatory surgery. Uncontrolled pain prolongs hospitalization, hinders recovery and contributes to patient dissatisfaction. Current pain therapies, such as opioids, have several debilitating side effects that include nausea, constipation, and drowsiness, which impact the patient's functional recovery. The objective was to assess Lidoderm (lidocaine 5%) patch effectiveness in reducing pain and opioid use in post-operative unilateral knee replacement patients. This was a randomized, double-blind, placebo-controlled trial. One Lidoderm or placebo patch was cut in half and placed on either side of the incision of the operated knee, for 12-hours on and 12-hours off each day. Both groups continued to receive their regular pain medication as needed, which included acetaminophen/codeine, acetaminophen/hydrocodone, acetaminophen 325mg/oxycodone5 mg (Percocet), hydromorphone, tramadol, and celecoxib. Pain levels were based on a 10-point numerical analog scale and were assessed daily for a total of 7-days. Data from 87 participants were included, 44 in Lidoderm and 43 in placebo group: the mean amount of Percocets used was 24.76 (SD=16.45) in the Lidoderm and 27.76 (SD=22.35) in the placebo group (p=0.64). The mean amount of Percocet use per day was 3.53 (SD=2.34) in the Lidoderm and 3.90 (SD=3.21) in the placebo group (p=0.71). The mean decrease in pain scale for the Lidoderm was 3.01 (SD=2.42) and 2.08 (SD=1.70) for the placebo group, and was significant (p=0.003). No side effects reported. Providing post-operative analgesia is difficult yet imperative to recovery. Patients with lidoderm patches had an overall lower pain level that was statistically significant over a 7-day post-operative period. The average total and daily Percocet use was also lower in the Lidoderm group. Based on our results, we found that placing a topical Lidoderm patch provides an effective adjunct treatment in post-operative pain management
— id: 131848, year: 2011, vol: 12, page: P53, stat: Journal Article,

Rehabilitation after scapulectomy
Vitale, Kenneth C; Jimenez, Arthur
2009 Apr;88(4):267-271, American journal of physical medicine & rehabilitation
An 84-yr-old man presented with right posterior shoulder pain and growing mass. Shoulder range of motion was limited in forward elevation and abduction; result of the neurologic testing was normal. Radiologic workup showed an irregular mass resembling Paget's disease or sarcoma. On surgical inspection, a 16-cm hemorrhagic mass, occupying the entire scapula, was identified. Patient underwent tumor resection and scapulectomy. Postoperatively, he started a rehabilitation program. With attempted ambulation, patient exhibited strong tendencies to lean rightward, walked in circles, and risking fall. The gait abnormality could not be corrected and acute inpatient rehabilitation admission was recommended. A unique rehabilitation program was developed to correct gait deviation, improve balance, and compensate for deficits. After a comprehensive inpatient rehabilitation, the patient was successfully discharged home. We present a review of scapulectomy, postoperative care, and a recommended rehabilitation program
— id: 97787, year: 2009, vol: 88, page: 267, stat: Journal Article,

Inpatient admission for pain rehabilitation: re-examing an old idea
Feldman D; Vitale K; Jimenez A; Gusmorino P
2008 Apr;9(4):51-51, Journal of pain
— id: 91371, year: 2008, vol: 9, page: 51, stat: Journal Article,

Functional recovery of a patient with complex regional pain syndrome in an inpatient pain rehabilitation program : a case report
Feldman DD; Vitale KC; Gusmorino P; Snow B; Shen H; Jimenez A; Moroz A; Knotkova H
2008 ;1(3):319-326, Journal of pain management
— id: 90956, year: 2008, vol: 1, page: 319, stat: Journal Article,

Radial Neuropathy: Not Always the 'Saturday Night' Libation or Humerus Variation: A Case Report
Jimenez A; Feldman D; Vitale K
2008 Nov;89(11):e46-e46, Archives of physical medicine & rehabilitation
— id: 91367, year: 2008, vol: 89, page: e46, stat: Journal Article,

Clinical Outcome of a Centenarian With a Joint Replacement: Are You Getting Too Old For This? A Case Report
Yoon S; Jimenez A; Vitale K
2008 Nov;89(11):E51-E51, Archives of physical medicine & rehabilitation
— id: 91369, year: 2008, vol: 89, page: E51, stat: Journal Article,

Newly Diagnosed Seronegative Rheumatoid Arthritis in the Setting of Postoperative Rehabilitation for Total Knee Arthroplasty: A Case Report
Rathi S; Vitale K; Jimenez A
2007 Sep;88(9):E12-E12, Archives of physical medicine & rehabilitation
— id: 91370, year: 2007, vol: 88, page: E12, stat: Journal Article,

Rehabilitation after intramedullary skeletal kinetic distractor implantation: a report of two cases and a suggested therapy program
Vitale, Kenneth; Miller, Timothy; Jimenez, Arthur C
2006 Feb;85(2):176-180, American journal of physical medicine & rehabilitation
Adult limb lengthening occurs via distraction osteogenesis and traditionally involves use of an external fixator. Complications after placement of hardware often disrupt rehabilitative efforts and hinder patients' progress. A completely internal limb-lengthening device has been developed and increasingly used, and it may more commonly be seen by a physiatrist in consultation for postoperative rehabilitation. We present two cases of patients who underwent implantation of the intramedullary skeletal kinetic distractor and required acute inpatient rehabilitation. One patient had previously suffered a malunion deformity with a resultant limb shortening, and the second patient was born with a congenital leg-length inequality. Both patients had successful femoral intramedullary skeletal kinetic distractor implantation and were transferred for acute inpatient rehabilitation. Distraction occurred daily, based on the patient's level of physical activity in therapy, and was measured using a hand-held monitor. Both patients were successfully discharged home, without complications throughout the hospital stay. Knowledge of the theory and mechanism of action of the device is important to guide both the amount and type of therapy prescribed and to follow patient progress. We present general guidelines during the acute rehabilitation of a patient after intramedullary skeletal kinetic distractor surgery
— id: 62533, year: 2006, vol: 85, page: 176, stat: Journal Article,

Brainstem auditory and visual evoked potential studies in patients with chronic cervical pain
Jimenez AC; Gusmorino P; Pinter I; Snow B
1988 Fall;48(2):176-181, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
Brainstem auditory evoked potential (BAEP) and visual evoked potential (VEP) studies were undertaken in 8 patients with chronic cervical pain associated with auditory and visual symptoms of more than 6 months duration. The purpose of the study was to ascertain possible central abnormalities, including posterior cervical sympathetic syndrome (Barre-Lieou syndrome), in their auditory and/or visual pathways. Patients who had been treated surgically for cervical pain were excluded from the study group. All patients had normal cervical radiographs and electromyographic findings. Six also had normal CT scans and myelograms. A criterion of the study was that abnormal results would be considered significant only if ophthalmological and/or otolaryngological work-ups failed to reveal an underlying organic abnormality. The TECA-TE 42 was used throughout the study, as well as the international Ten-Twenty System of Electrode Placement. The results showed no abnormalities in the latency, amplitude, or waveform morphology of the evoked potentials. BAEP and VEP studies do not appear to reveal central abnormalities of the auditory and visual pathways in this group of patients. However, in view of the small number of patients included in the study, no conclusions can be made with certainty and the study is continuing
— id: 20293, year: 1988, vol: 48, page: 176, stat: Journal Article,

Multidisciplinary treatment of physical and psychosocial disabilities in chronic pain patients: a follow-up report
Snow BR; Gusmorino P; Pinter I; Jimenez A; Rosenblum A
1988 Spring;48(1):52-61, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
This report reviews the results of the first 2 1/2 years of a comprehensive multidisciplinary inpatient-outpatient treatment program for patients with chronic pain. Functional data indicate a 33 1/3% rate of return to work or involvement in work training programs, while self-report data indicate a 50% improvement rate. Future directions for research are suggested
— id: 61878, year: 1988, vol: 48, page: 52, stat: Journal Article,

The use of clonidine for the treatment of meperidine withdrawal in a multidisciplinary pain program setting. A case presentation
Jimenez AC; Gusmorino P; Pinter I; Snow B
1987 Spring;47(1):72-77, Bulletin of the Hospital for Joint Diseases Orthopaedic Institute
The management of iatrogenic drug dependence in individuals with pain can be more difficult than the treatment of the pain itself. In addition to a multidisciplinary approach to the treatment of a patient with chronic pain, there is a need for a rapid, safe, and effective method of detoxification from opiate use. Clonidine HCl, a nonopiate, has been found, in this case presentation, to be a valuable option
— id: 20294, year: 1987, vol: 47, page: 72, stat: Journal Article,