We cover a variety of diseases requiring surgical treatment. Our department is staffed with highly skilled anesthesiologists.

We focus the biopsychosocial model of pain and promote adequate use of several lines of analgesics including opioids. In close cooperation with other departments, we evaluate physical and psychological conditions of patients with pain. Our interdisciplinary approach synergistically promotes to achieve high-quality pain management.

All diseases treated surgically, and any comorbidities of the patient.

Neuropathic pain (post-herpetic neuralgia, diabetic polyneuropathy, spinal pain syndrome, brachial plexus injury, phantom limb pain, thalamic pain, etc); Nociceptive/Inflammatory pain (low back pain, osteoarthritis, peripheral vascular diseases, etc); Cancer pain; pain by cancer treatments; facial myokymia, etc.

By inserting electrodes into the epdidural space and stimulating the spinal cord, the SCS achieves pain relief, amelioration of spasticity subsequent to nerve injury and improvement of peripheral circulation.

Painful and degenerative syndromes of the musculoskeletal system are treated by the exercise treatment, which can prevent pain and degeneration of the system.

Educating coping strategy and correcting behavioral patterns can result in recovery of meaningful life

Botulism injection improves the facial myokymia, the cervical dystonia, and other spastic disorders.

Standard monitoring, including electrocardiography, percutaneous oxygen saturation, and blood pressure measurement, is basically performed during and after surgical anesthesia. In addition, central intravenous catheter, pulmonary arterial catheter, transesophageal echocardiography, and cerebral oxygen saturation monitoring can be performed according to the invasiveness of the surgery and the patients’ condition.

We perform multi-faceted evaluations on pain including nature of pain, health literacy, pain catastrophizing, neuropathic pain screening, personality inventory, psycho-psychiatric assessment, etc).

We provide approaches to prevent pain-related decreases in ADL and the QOL, using appropriate pharmacotherapy in combination with other treatment methods, such as cognitive behavioral therapy.
Diseases treated in this department include: postherpetic neuralgia; pain after spinal cord injury; cervical myelopathy; pain after brachial plexus injury; phantom limb pain; diabetic neuropathy; disc herniation; pain syndrome after spinal surgery; lumbar spinal canal stenosis; complex regional pain syndrome (CRPS) [reflex sympathetic dystrophy syndrome (RSD) and causalgia]; ossification of the spinal ligaments; trigeminal neuralgia; glossopharyngeal neuralgia; intercostal neuralgia; and pain after thoracotomy.

We support cancer treatment by effectively managing diverse types of treatment-related pain (such as chemotherapy-related neuropathy and postoperative pain).
> Cancer-related pain
We manage pain during the advanced cancer stages mainly using narcotic analgesics in cooperation with the Department of Palliative Care.Nerve block is applied accordingly.

We aim to conserve affected limbs and avoid amputation as much as possible by performing effective approaches, such as pharmaco-, spinal cord stimulation, and nerve block therapies. Diseases treated with these approaches include: Buerger's disease; and antiphospholipid antibody syndrome.

We also treat musculoskeletal pain, such as low back and joint pain and stiff shoulders. Preventive approaches, such as appropriate therapeutic exercises and obesity treatment, are also focused on. Diseases treated with these approaches include: low back pain; cervical disease; hip and knee osteoarthritis; stiff shoulders; periarthritis (frozen shoulders); and traumatic neck syndrome (whiplash).

Such as migraine, cluster headache, tension-type headache, temporal arteritis, atypical facial pain, sphenopalatine neuralgia, and sore tongue.

Such as facial nerve paralysis (Bell's palsy), Hunt syndrome, ophthalmoplegia syndrome, facial spasm, psychosomatic disorders, spasmodic torticollis, and chronic fatigue syndrome.