Do you find yourself struggling with pain or physical discomfort in your daily life? Physiotherapy is a treatment designed to restore muscle and joint function, reduce pain, and help you live a more comfortable life. At our clinic, we are dedicated to supporting our patients' health and enhancing their quality of life through this treatment.

Objectives of Physiotherapy

Pain Relief

While painkillers are commonly used to relieve pain, they may not always be effective enough or suitable for every patient due to individual health conditions or personal preferences. In particular, when long-term inflammation causes tissues to stiffen, painkillers often become less effective. Physiotherapy aims to ease pain by manually loosening these stiffened areas.

Improving Joint Mobility

Poor joint movement is rarely isolated to a single joint; it is often interconnected with multiple joints throughout the body. Because of this, simply loosening specific areas like the shoulder, knee, or lower back may not lead to significant improvement. In physiotherapy, we thoroughly evaluate your posture and gait to identify the root causes obstructing your movement, helping to loosen stiffness and rigidity to build a body that moves smoothly.

Features of Our Clinic’s Physiotherapy

Consistent Treatment Plans Designed by Doctors

At our clinic, your attending doctor—who comprehensively understands your condition—directly provides detailed instructions for your physical therapy. By ensuring seamless communication from diagnosis to physical therapy, we strive to deliver highly accurate, tailored treatment for each individual.

Attentive Treatment System

Even after treatment begins, we conduct regular consultations, medical examinations, and imaging tests. Because the body is constantly changing, it is crucial to monitor these adjustments closely. Through patient interviews, we keep track of changes in pain, discomfort, lifestyle, and exercise routines, reflecting these updates directly into your treatment.

Since our treatments are offered as private practice (not covered by public medical insurance), we are not bound by insurance restrictions on the number of sessions. This allows you to continue treatment for as long as medically necessary based on scientific evidence.

Furthermore, separate from the therapy sessions, Dr. Nagumo will directly instruct you on your exercises and evaluate the results during your next follow-up. Our clinic highly values regular medical examinations to ensure patients can actively participate in their own recovery.

Catering to a Wide Range of Needs: From Athletes to Seniors

Even among individuals of the same age or similar physique, bodily characteristics vary greatly depending on lifestyle habits and exercise background. During your examination, we carefully assess your muscle structure, movement patterns, and how your pain triggers, using this data to map out your treatment.

Our goal is not merely to dull the pain with medication, but to enable the physical movements you aspire to achieve. Drawing from Dr. Nagumo's personal experience with various sports-related injuries, we create a treatment approach tailored perfectly to your unique condition.

Treatment Flow

At our clinic, physiotherapy proceeds through the following steps:

Creating a Treatment Plan

We discuss your lifestyle habits and compare them with our clinical findings, muscle structure, and movement patterns to design a customized treatment plan. We thoroughly explain this plan before starting, ensuring you understand and agree with the objectives.

Implementation of Treatment

Under the direction of Dr. Nagumo, a physical therapist will perform the treatment. If any new issues are discovered during the session, they are recorded to optimize your next visit. By moving your body during therapy, you will gain a personal understanding of the causes behind your pain or limited mobility, making it easier to stay positively engaged in your recovery.

Aftercare and Guidance

 Following the session, we will provide you with exercises to practice at home or at the gym until your next therapy appointment. While you may feel an immediate improvement right after treatment, everyday movements tend to pull the body back to its original state. Therefore, daily habits are vital. Consistently practicing your exercises will gradually transform your body. Think of our clinic examinations and therapy sessions as essential check-points to verify your progress.

【Key Details Regarding Private Practice】

• Cost: 5,500 yen per session (30 minutes) tax included
• Frequency & Duration: Varies depending on symptoms, but we generally recommend continuing once a week for about 3 months.
• Risks & Side Effects: Temporary sluggishness or muscle soreness (similar to post-exercise soreness) may occur after treatment.

Applicable Conditions

Our physiotherapy clinic broadly accepts consultations for anyone experiencing pain or difficulty moving their joints.

Frozen Shoulder (Adhesive Capsulitis / 40s & 50s Shoulder)

This includes cases where the shoulder is actively painful, as well as instances where there is no pain but the arm is difficult to lift.

Joint Injuries

This applies to all joints across the body. Examples include rotator cuff tears in the shoulder, meniscus tears in the knee, ligament injuries in the elbow or ankle, and cartilage damage in the hip. These are often caused by postural habits and movement patterns in daily life; correcting them helps prevent recurrence and progression.

Chronic Pain

This includes heavy discomfort around the neck, shoulders, and lower back, a dull ache in the elbow linked to wrist movement, hip pain when standing or walking, and stabbing pain in the soles of the feet. In almost all cases, these are caused by improper movement patterns or a restricted range of joint motion.

Treatment Frequency

Initially, we recommend visiting once every 1 to 2 weeks to establish a consistent rhythm. Once you adapt, you will practice the exercises on your own during your free time, allowing us to gradually reduce the frequency of your clinic visits.

Treatment Example

Here is a real case study of a patient supported at our clinic.
*Progress and outcomes vary depending on individual conditions and symptoms.

【Case Study】 50s Female (Hobbies: Golf, Gym Training)

• Chief Complaint: Mild lower back discomfort after golfing worsened into severe pain.
• Diagnosis: Lumbar Disc Herniation (confirmed via MRI scan).
• Physical Condition: Limited range of motion in the thoracic spine and hip joints, and an imbalance in lower body muscle strength. An "anterior pelvic tilt" (hyperlordosis/swayback) posture was placing excessive strain on the lumbar spine.

Treatment Steps and Progress

1st Session: Movement Analysis and Posture Awareness

• Since the condition did not strictly require long-term painkillers, we aimed to fix the fundamental cause: "movement habits."
• Current Assessment: Confirmed that her body leaned too far forward during squats, placing an excessive load on the lumbar spine.
• Therapy & Guidance: Performed therapy to open up the thoracic area. Assigned home exercises to strengthen the core muscles supporting the spine, along with chest-opening stretches.
  

2nd Session (1 Week Later): Progress Check and Approach Adjustments

• Condition: Lower back pain showed a decreasing trend. Thanks to consistent home care, flexibility around the thoracic region showed noticeable improvement.
• Therapy & Guidance: Performed therapy to loosen the remaining stiffness around the hip joints. To maintain motivation, we added variations to her core training, slightly increasing the intensity to build a stronger core.
  

3rd Session (2 Weeks Later): Range of Motion Re-evaluation and Return to Sports

• Condition: Stiffness in the hip joints resolved, and she successfully adopted proper movement forms.
• Therapy & Guidance: Shifted her gym training from "heavy weights" to "low load with correct form." Ultimately, by helping her master movements that minimize stress on her lower back, we supported her to the point where she could safely resume playing golf.
  

【Notes on Private Practice (Physiotherapy)】

This case study is a specific example conducted under private practice based on a doctor’s diagnosis.

• Estimated Total Cost: 5,500 yen × 3 sessions = 16,500 yen tax included
• Treatment Period: Approximately 1 month
• Side Effects & Risks: Temporary pain, fatigue, or sluggishness may occur during or after treatment. Furthermore, treatment outcomes vary by individual, and identical results are not guaranteed for all cases.
  

Physiotherapy is a gentle, life-enhancing treatment tailored to each patient's body. At our clinic, we provide high-quality care through close collaboration between our physical therapists and doctors. If you are struggling with pain or physical discomfort, please do not hesitate to consult us.

Director of NAG Orthopedics: Yoshimasa Nagumo

Orthopedic Specialist & Sports Doctor

Dr. Nagumo initially built his career as a surgical oncologist specializing in orthopedic cancer treatment. Subsequently, he moved to the United States to engage in advanced research in the field of regenerative medicine.

It was during his time in the U.S. that a personal injury led him to realize the critical importance of sports medicine. Upon returning to Japan, he transitioned his focus to become a sports orthopedic surgeon.

Currently, he leads the "Athlete Support Program," which provides comprehensive medical support to athletes using a combination of blood analysis and cutting-edge regenerative medicine technologies.

[Click here for the program introduction page:https://nagseikei.jp/en/dr/]