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Japan BPI Specialists/Clinics
Hideo Kawai, MD
When was your Brachial Plexus Injury Clinic established? 1992 Identify what specialties related to brachial plexus injuries are represented by practitioners working in your clinic including physical/occupational therapists, if any. Orthopaedic Surgeons 2, Occupational Therapist 1, Physical Therapist 1. What do you/your clinic specialize in treating?
Indicate the total number of brachial plexus patients you/your clinic has evaluated since your establishment: Number of children (Obstetrical brachial plexus injuries): 5 Number of children (Trauma or other brachial plexus injuries): 1 Number of adults (Obstetrical brachial plexus injuries): 5 Number of adults (Trauma or other brachial plexus injuries): 40 State your philosophy regarding evaluation, referral and treatment of obstetrical brachial plexus injuries in children. Brachial plexus exploration in case of total palsy of the deltoid or biceps brachii muscle, 3 to 6 months of age. Nerve transfer or nerve grafts are selected in the level and extent of the brachial plexus injuries. State your philosophy regarding evaluation, referral and treatment of trauma or other brachial plexus injuries in children. Conservative treatment following regular visits is done in case of the incomplete palsy of the limb. Two or three months after injuries, plexus exploration is a treatment of choice to repair damaged plexus. State your philosophy regarding evaluation, referral and treatment of obstetrical brachial plexus injuries in adults. In case of remarkable doformities of the palsy limb, osteotomy or tendon transfer is indicated in the shoulder, elbow and/or hand. State your philosophy regarding evaluation, referral and treatment of trauma or other brachial plexus injuries in adults. Brachial plexus exploration and/or repairs are done including nerve transfer and/or nerve grafts in case of brachial plexus complete palsy 2 or 3 months after injuries. State your philosophy regarding pain management and brachial plexus injuries. Spinal cord stimulation via epidural electrode is indicated for those patients who have very severe pain problems with root avulsion. Indicate research efforts (include dates please) conducted by you specific to brachial plexus injuries. Brachial plexus injuries are evaluated by epidural electrode to examine evoked spinal cord potentials during operation. Magnetic stimulation is used to evaluate recovery process of the repaired biceps brachii muscle. Indicate any other facts that you feel would help families and individuals understand your practice. URL: http://www.pmet.or.jp./~hosb/ Do you accept any national/governmental payment for services or are you enrolled in any state medicaid plans? Please provide information on these plans and include which states you are enrolled in for medicaid services. Payment is partially covered by social insurance of government or company only for residents in Japan. No assistance for foreigners. |
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