ARISUGAWA ORTHOPEDICS CLINIC
What is orthopedics problems?
These are disorders of the moving parts of the body.
We provide a variety of conservative treatments including below.

Treatment
• Medication
For your orthopaedic treatment, using the medications will be the one of the choices. Medicines are very helpful to relieve pain, swelling and other symptoms.
As you are able to obtain prescribed drugs from our clinic, it is not necessary to go to a pharmacy. We have many kinds of effective medications such as non-steroidal anti-inflammatory drugs (NSAIDs), chinese herbal medicines and others. Those medications will be prescribed depends on your condition.
• Injections
Trigger point injection
Trigger points are focal areas of spasm and inflammation in skeletal muscle that often located in the upper back and shoulder areas. This injection will relive the muscle pain speedily as involving a local anesthetic directly into the trigger point.
Intra-articular injections
Following intra-articular injection is given when a joint with localized pain has not responded to oral pain medication, oral anti-inflammatory medication, or other conservative treatment options.
・Hyaluronic acid injection could help ease the pain if you have osteoarthritis that affects your knee or shoulder. This shot helps to lubricate your knee or shoulder joint so that it works more smoothly.
・Local anesthetic injection will relieve the pain in the knee and shoulder joint.
・Intra-articular steroid injection decreases inflammation and can be helpful for short-time pain relief.
Although there are some side-effects surrounding steroid medicines, doctor will explain advantages and disadvantages for you.
• Orthosis
An external orthopedic appliance,such as a brace and insole that prevents or assists the movement of weak or injures part of the body.
• Physical Therapy and Rehabilitation
Licensed physical therapists provide services that help to restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities. They restore, maintain and promote overall health, wellness and fitness. Therapists examine patients' medical histories, then test and measure their strength, range of motion, balance and coordination, posture, muscle performance and motor function. After examining, they develop treatment plans.The goal is to improve individual functions at work and home.They also show you some exercises to do at home and to expedite your recovery.
Natural remedies
Following treatments are also effective for people who prefer natural treatment to modern medicines.
• Acupuncture
Acupuncture is a form of traditional Chinese medicine that has been practiced for centuries. By a trained acupuncturist, fine needles are inserted at certain sites in the body for therapeutic or preventative purposes.It involves stimulating sensory nerves under the skin and in the muscles of the body.
This results in the body producing natural substances, such as pain-relieving endorphins. It's likely that these naturally released substances are responsible for the beneficial effects experienced with acupuncture.We recommend acupuncture for persistent lower back pain, shoulder or neck pain and muscle stiffness and so on.
• Shiatu-Massage
Our acupuncturist also provides you the shiatsu-massage. It uses kneading, pressing, soothing and stretching techniques. Shiatsu-massage has many benefits to a wide range of internal, musculoskeletal, and emotional conditions. It is improves blood flow, reduce muscle stiffness, stimulate the skin, aid digestion, and influence the nervous system. We recommend this method especially for people who are suffering from stress, fatigue, chronic back pain, stiff neck and shoulders, insomnia and so on.
• Aromatherapy
Aromatherapy is used kneading, pressing and soothing techniques with the use of 100% pure essential oils from plants for healing. The Essential oils are concentrated extracts taken from the roots, leaves, seeds, or blossoms of plants. One or a few essential oils are added to organic golden jojoba oil depend on your condition. During this therapy, you might inhale essential oil molecules. It will stimulate limbic system that controls emotions and influences the nervous system and hormones, and affect heart rate, stress level, blood pressure, breathing, memory, digestion, and the immune system.We recommend this therapy especially for people who are suffering from stress, fatigue, chronic back pain, stiff neck and shoulders, insomnia and so on.
※ It is required to see the doctor first before your initial treatment all of the above.

Examinations
• X-ray exam
X-rays are most common and widely used method to get diagnosis in orthopaedics. X-rays are always used for fractures and joint dislocations, and are probably suggested when your bone and joint are suspected of injury. The level of radiation exposure is minimal, however, doctor might ask you to have several pictures from different angles in order to make an accurate diagnosis and provide proper medical treatment.
• Magnetic resonance imaging (MRI)
Doctor might recommend MRI exam if X-rays can not provide accurate diagnosis. MRI can often detect micro fractures, tumors, damaged areas in the bones, ligaments, the spinal cord and other soft tissues.
• Dual Energy X-ray Absorptiometry (DEXA)
DEXA scans are often used to diagnose or assess the risk of osteoporosis, a condition that weakens bones and makes them more likely to break.Osteoporosis can affect people of both sexes and all ages, although older, post-menopausal women are particularly at risk. This is because after the menopause the level of estrogen declines, resulting in a decrease in bone mineral density (BMD).This tool can calculate your risk of fracture in the next 10 years. As well as being quick and painless, a DEXA scan is more effective than normal X-rays in identifying low bone mineral density.
• Laboratory
As a part of medical examinations, you might need to have a variety of blood tests. Some conditions, such as rheumatoid arthritis, diabetes, hyperlipidemia, osteoporosis, and so on. Usually, blood test is a simple matter that takes small amount of blood from a vein in your arm. We also have some other blood examinations based on your demand, such as screening allergic triggers.