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Pain Clinic in Konan-ku, Yokohama City. 2min. from Kamiooka stn.. Yokohama Pain Clinic
クリニック名称

Yokohama Pain Clinic (YPC)
1-10-11-4F, Kamiooka-nishi,
Konan-ku, Yokohama City
 Tel :045-849-7870
 Fax :045-849-7871
Yokohama Clinic
 
Tel:
045-849-7870
Fax:
045-849-7871
  
   Emergency Care for Crick in the back
  with pick up service by a wheelchair equipped vehicle

Excruciating  back pain is rendering you immobile. You have an active day scheduled for tomorrow.You had better call Yokohama Pain Clinic (YPC) immediately.

We will send a wheelchair equipped taxicab or one of our YPC staff members to pick you up at your home.Your consultation and treatment will have priority over other patients.

If your medical service fee is paid at your own expense, any recurrence of the crick within three months after initial treatment will be treated again with no extra charge.

We will give you a report explaining your condition. This report will relieve any doubts that your employer might have about your condition. This report comes at no extra charge.

 
   
   

   YPC handles 4 patients a day

 
 < Our optional services >


  1. We will arrange a taxi specifically designed for elderly-care to pick you up at your home or our staff will pick you up using a wheel chair if it is possible and time permitting.
  2. Your consultation and treatment will have priority over other patients.
  3. If your medical service fee is paid at your own expense, we  guarantee the full recovery of your daily life within 1 week without extra charge.
  4. We will give you a report that will explain your condition. This report will relieve any doubts that your employer might have about your condition. It comes at no extra charge.

  < Medical service fee >
 
  30,000 yen includes all examination and treatment and
  all optional services.

  < 4 patients a day >
 
  At this time, there is a limit of four patients per day and we
  operate on a first-come-first-served basis.
   Basic Information   
   Yokohama Pain Clinic     1-10-11-4F, Kamiooka-nishi, Konan-ku,  
 Yokohama City
         Tel : 045-849-7870 Fax : 045-849-7871
 E-mail : backpain@pain.jp
                             
    Office hours  
          Mon. Wed.  9:00AM - 12:30PM    3:00PM - 6:00PM
          Tue. Fri.  9:00AM - 12:30PM    3:00PM - 5:00PM
         Sat.  9:00AM - 12:00PM    2:00PM - 3:30PM
          Days off  Thu. Sun. National holidays
    Reservation  
    Through Zoc Doc appointment service. Before making your appointment, please check the same day
    or following day availability on this website.

    Please print out and fill out the questionnaire as follows;    
Questionnaire
  
 
   Q&A

     Is pain management covered by health insurance? 
    A Most Japanese health insurances provide for pain management.
       Please ask our YPC office staff for more information by email.

     Do you accept credit cards?
    A Sorry, at this moment, we don’t accept any cards.
  
 
 
 
   What's does back pain feel like ?  

 
Not only are people affected by back pain but their lives are also harmed by back pain because they can't go to the office. In many cases people lose their jobs.

Neck pain and back pain are very similar in terms of cause, but with neck pain, people have the ability to go to the office where as with back pain, people can not go to the office. This is the big difference.

Back pain must be treated fast so that people can go to work.In this economic climate, taking a few days off from work because of back pain may cause you to lose your job especially when managers don't have any experience with back pain.
   
 
   Difference of Back Strain and Crick
 
 

The basic symptom is that you cannot move without incredible  suffering.Movement is next to impossible due to severe pain. It's a frightening, disabling pain, that stops you in your tracks. There are two types of acute back pain and both are sudden and intense. One is called ‘back strain’ and the other is called a ‘crick’.
 

With back strain, the pain comes from muscle spasms and ligament inflammation around the vertebrae. There are some muscles around the vertebrae which may be injured by excessive stretching. If the muscle is damaged, the nerves in the muscle send the ‘excessive pain signal’ to the spinal cord which carries the signal directly to the brain. So that will result in severe pain.

With a crick in the back, pain comes from the facet joints. The facet joints are small joints which connect adjacent vertebrae and move slightly in two directions. The joints help you to bend your back forward and backward and lean back and forth and side to side. With such movement, signals from the facet joints keep the body balanced. The facet joints are very sensitive because there are many receptors around them giving information to the brain about the precise movement of the vertebrae.

When you suddenly bend your back or suddenly lean forward or backward, one or two of the facet joints may become overstretched. Facet joint receptors are extremely sensitive. They will send severe pain signals to the brain if agitated. When sudden movement causes the ligaments comprising the facet joints to become inflammed, this inflammation makes the receptors hypersensitve and this will result in severe pain everytime you move.


   For those of you who can't take a day off the next day
 

Often when people have a crick, they mistake facet joint pain as back strain. The person with facet joint pain then tries to stretch and this stretching worsens the pain. It is extremely important for doctors to decipher the source of the pain. If the doctor mistakes facet pain as muscle pain or vice-versa, treatment is wasted.

The way to know if back pain is due to a facet joint problem is to inject a local anesthesia into the painful joint area. Needle technology has improved so that the injection itself is not so uncomfortable. This injection will answer whether or not the facet joint is the origin of the pain. For some patients, mobility improves promptly after this injection , but for other patients, mobility might improve after half a day or so. When the injection is performed in the afternoon you will be able to sleep comfortably that evening and go to work the next morning.

Most people, at some time in their life, will suffer from acute back pain. But in many cases it's not possible to know the exact reason behind the acute pain. Patients often ask why they are in such great pain but there is no easy explanation. One reason, however, can be bone degeneration. Degeneration of bone is simply a fact of living.


We are, however, able to treat this severe pain and patients will feel good enough to go to work the next day. The patient must be careful in the week following the procedure. The prognosis is generally good, provided the patients continue with follow-up treatment and with daily activities. 

If our diagnosis of facet joint syndrome is correct, then, after treatment there will remain some degree of pain. The degree of pain should be tolerable and should gradually subside over the next week.  If the pain becomes intolerable and persists for more than two weeks after the treatment, we will know that the patient is not suffering from facet joint syndrome or muscle strain and we will start a complete diagnostic check.

 

   The diagnosis and medical treatment
 

Symptoms of cricks and back strain may include the following:

 

1. Acute episodes of facet joint pain are often repeated, random, and
  can occur a few times per year.

2. Most patients will have a persisting point of tenderness overlying
  the inflamed facet joints and will exhibit a behaviour which helps
  them to guard against further pain.

3. Typically, there will be more discomfort while leaning backward
  than while leaning forward.

4. Low back pain from the facet joints often radiates down into the
  buttocks and down the back of the upper leg. The pain is rarely
  present in the front of the leg, or rarely radiates below the knee or
  into the foot.

 

Our diagnositic procedure and treatment for ‘back strain’ and ‘crick’:

1) fill out the questionnaire

2) Consultation with a doctor

3) Examination of the muscles.

4) Examination of the the movement of the legs and the movement
  of the joints of the spine.

5) Examination of the nerves of the spine and legs

6) X-rays for identifying the origin of the pain.

7) Blood tests may be necessary to make a precise diagnosis and to
  prepare for the nerve block.

8) Procedures performed after the diagnosis ,

  A.       Trigger point block 

   B.       Lumbar epidural block

   C.  Lumbar facet join block

 

We use one or two of the blocks described above on the basis of the symptoms and in rare case we’ll use all three.
 

9) After having nerve block therapy, you will rest on a bed for one
  hour. After one hour you will be able to go home on your feet
  without help.

 

 [Alternative therapies]

1)    Immobilization: Stay immobilized and rest for several days.

2)    Manual treatment: Chiropractic therapy or physiotherapy is sometimes useful, that is if you have the chance and the guts.

3)   Medication: Pain killers are slightly effective.