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Greetings

Welcome!

I deeply appreciate those who have come to us for solutions regarding pain-related diseases for the last 25 years.

As Korea's first hospital solely dedicated to pain-related diseases, we are excited to treat our patients in a better environment with newly renovated facilities. The upgraded hospital will allow us not only to continue systematic and specialized treatment by operating the Pain Center and Hyperhidrosis  Surgical Center but also to help chronic pain patients in dealing with emotional sufferings related to pain with a psychotherapiest. We specialize in treating various kinds of pain diseases such as trigeminal neuralgia and other chronic facial pain and headache, herpes zoster related pain and postherpetic neuralgia, degenerative spinal disease (cervical and lumbar disc diseases), fibromyalgia, complex regional pain syndrome (CRPS), and chronic pain with unknown organic causes (functional chronic pain). Our team, composed of the most renowned specialists in the field of pain diseases, will do our best until all of our patients are pain-free.

Treatment of pain diseases sees the highest rate of success if treated in the early stage and can prevent chronic pain. We will answer any inquiries regarding even seemingly minor pain-related issues so please do not hesitate to contact us.

We will strive to make sure all our patients are healthy and happy.
Best wishes.

Aim

We will provide every single patient with the best managements through multidisciplinary pain treatments.

Goals

  • 1. To discover the exact causes of pain diseases and offer the best treatment
  • 2. To evaluate and manage comorbid psychological problems of chronic pain patients
  • 3. To serve patients like family

About Dr. Chan Kim

Dr. Chan Kim MD has been a leader in pain medicine receiving the world's attention with his experiences of performing 5,000 trigeminal nerve block with alcohol on trigeminal neuralgia patients for the first time in the world. He graduated from the School of Medicine at Yonsei University and now serves as the professor of pain clinic of the College of Medicine of Ajou University,

Dr. Kim is recognized as the best physician in pain medicine in Korea. He was selected as Noted Doctor in pain medicine by EBS in 2008, becoming sensational after broadcasting of an image of his hands, black due to numerous c-Arm guided nerve blocks for decades.

People call him as the doctor who has sacrificed himself to relieve pain from those who suffer  even when the procedures he perform damage his own hands due to radiation exposure. But these hands are a proof to how much Dr. Kim and our team regard our patients and our efforts  a genuine doctor thinking of patients, which worth much more than any other honors or medals in the world.

MD,PhD. Kim, Chan photo

MD,PhD. Kim, Chan

  • Graduated School of Medicine at Yonsei University
  • Former Head Professor of Pain Clinic of Anesthesiology and Pain Medicine department in College of Medicine at Ajou University
  • Served as the Chairman of the Korea Pain Society
  • Served as the President of The Korean Pain Research Society, Korean branch of International Association for the Study of Pain (IASP)
  • Selected as 'The Best Doctor' by Dong-A Daily News
  • Performed 5,000 trigeminal nerve block with alcohol on trigeminal neuralgia patients for the first time in the world
  • Performed 3,000 sypmpathetic block on hyperhidrosis patients for the first time in Korea
  • Selected as the Korea's first 'Noted Doctor in Pain' by EBS in 2008

Treatment

Herpes Zoster

Herpes zoster photo

Patients with herpes zoster experience skin rashes with severe pain innvervated by an inflammed spinal or trigeminal nerve. It causes inflammation and damage to a specific nerve originated from sensory ganglion when the patient's immune system is weakened by latent varicellar zoster virus.

Herpes Zoster, often misconceived as a simple skin disease in the early stage. Stingy or burning pain appears on some parts of the body depending on the affected nerves and continues for three to four days with possible feeling of fatigue or chill that is similar to cold symptoms. It normally spreads with an appearance of rashes and blisters on skin for several days. Seventy to 80% of the patients suffering from herpes zoster recover from the acute pain and skin rashes within two to three weeks; however, those who have low levels of immunity may continue to suffer from postherpetic neuralgia for the rest of their lives even after the treatment of skin rashes. Herpes zoster is becoming increase even among young people in their 20s to 30s.

Treatment of Herpes Zoster

Within three days after the rashes appear on the skin, the patient must receive antiviral agents for a week. For patients with severe pain, they can still prevent herpes zoster from developing postherpetic neuralgia if they receive nerve block for relieving inflammation an involved nerve from the early stage of the disease. However, if herpes zoster is not treated properly from the early stage, 50% of patients in their fifties and 80% of patients in their eighties will develop  postherpetic neuralgia, which can affect the quality of their lives immensely due to the chronic pain; therefore, the initial treatment of herpes zoster is extremely important. Herpes zoster related pain in high risk for postherpetic neuralgia should be treated for targeting involved nerve inflammation and regeneration with nerve treatment, and not just be treated as a skin disease.

  • 1. Transforaminal epidural injection on an involved nerve

    This injection relieves the inflammation from sensory ganglion and peripheral nerve where the skin rashes appeared and prevents the occurrence and transformation of postherpetic neuralgia.

  • 2. Radiofrequency thermocoagulation (pulsed or conventional)

    The nerves that induce pain can be blocked by either giving pulsed or conventional radiofrequency thermal ablation on the sensory ganglion using specified thermal device. which can affect the quality of their lives immensely due to the chronic pain; therefore, the initial treatment of Herpes zoster is extremely important. Herpes zoster related pain in high risk for postherpetic neuralgia should be treated for targeting involved nerveinflammation and regeneration with nerve treatment, and not just be treated as a skin disease.

Trigeminal Neuralgia

Trigeminal neuralgia photo

Trigeminal nerve, the fifth cranial nerve among twelve cranial nerves, transmits senses to every part of the face including mouth, teeth, gum and cornea. This nerve controls corneal and conjunctival reflex, movement of the masticatory muscle to allow chewing, and secretion of salivary gland and lachrymal gland.

Trigeminal neuralgia is a disease characterized by momentary and spasmodic pain that feels like electric shock appearing on certain parts of the face. This disease, which appears more frequently among people in their late fifties or older, causes pain commonly on the upper and lower gum and teeth. Patients may also experience pain on several areas such as from cheeks to forehead and from jaw joint to chin or nose, giving a feeling of electric shock on the face. Intense pain occurs at any moment: sitting still, washing face, brushing teeth, eating food, or speaking. Pain occurs even when the wind is blowing to the face or something touches the face and it may feel like being stabbed with a knife. The pain from trigeminal neuralgia sometimes can be mistaken as a toothache, leading some patients to go to the dentist to have their tooth pulled out or get a dental nerve treatment. Because of the Misdiagnosis, these patients continue to suffer from pain even after the dental treatment. Therefore, it is important to get an accurate diagnosis and find the appropriate treatment.

Treatment of trigeminal neuralgia

  • 1. Medication: Tegretol (carbamazepine), Trileptal
  • 2. Trigeminal nerve block with alcohol

    Trigeminal nerve bock with alcohol is worth technique among other percutaneous denervation of trigeminal nerve for medically intractable trigeminal neuralgia. The doctors at our hospital perform this highly successful and effective treatment under the direct leadership of Dr. Chan Kim. Dr. Kim's team has performed the trigeminal Nerve block with alcohol the most in the world. This treatment discovers the accurate area where the pain has occurred with a simple injection using a block needle with fluoroscopy guided and requires no incision.

  • 3. Surgical treatment

    A method of separating blood vessels pressuring trigeminal nerve through  craniotomy (surgery of incising skull)

  • 4. Radiation treatment

    A method of treatment using a radiotherapy system called gamma knife.

Cervical/Lumbar Disc

Cervical/lumbar disc photo

Cervical Disc

Cervical disc occurs when vertebral pulp inside the discs between cervical spines gets out and pressures the nerve root or the spinal cord. Contrary to the general belief, an accident or some kind of unexpected injury is not the main cause of cervical disc. In other words, cervical disc does not occur suddenly but is due to long-term accumulated stress and deformation of neck caused by poor postures and unhealthy habits. Ruptured cervical disc induces pain mainly on the back of the neck and the upper side of the shoulders and also causes numbness in hands. In a severe case, the cervical disc may damage the spinal nerves, causing hypoesthesia, urine and feces dysfunctions, walking difficulty, and even paralysis of lower half of the body.

Lumbar disc

Lumbar disc occurs when the discs between vertebraes slip out and pressure the nerves, further causing pain. Lumbar disc is called as degenerated disc disease more precisely. It is commonly called as lumbar disc because the fluid inside the soft-jelly like disc, the cartilage between vertebraes, working as a cushion comes out and causes pain by pressing the nerves. It is possible for a patient not to feel any pain if the slipped discs are not pressuring the nerves around. However, if the slipped discs are pressuring the nerves, the patients will feel pain, numbness, or sensory paralysis, and if the discs pressure the motor nerves, the patient may experience muscle weakness and even paralysis in severe situation. Neglecting to treat lumbar disc will not only make the daily lives of the patients more difficult, but also lead the illness to its chronic state; therefore, lumbar disc must be treated aggressively from the beginning in order to avoid serious damages.

Treatment of Cervical and lumbar disc

Cervical and lumbar discs can be treated both surgically and non-surgically. Patients can be treated by nerve decompression surgery or by nonsurgical methods such as physical therapy, nerve treatment using C-Arm, and spinal nerve simulator insertion.

  • 1. Selective nerve root injection
  • 2. Epidural injection

    Trigeminal nerve bock with alcohol is worth technique among other percutaneous denervation of trigeminal nerve for medically intractable trigeminal neuralgia. The doctors at our hospital perform this highly successful and effective treatment under the direct leadership of Dr. Chan Kim. Dr. Kim's team has performed the trigeminal nerve block with alcohol the most in the world. This treatment discovers the accurate area where the pain has occurred with a simple injection using a block needle with fluoroscopy guided and requires no incision.

  • 3. Facet joint injection - Spondylarthritis occurs when the joints between vertabraes are infected.

    This infection that results in backache is due to straining back and is treated with injection.

  • 4. Neuroplasty - Synechotomy and nerve decompression are used to ease the pain.
  • 5. Endoscopic nerve decompression
  • 6. Spinal cord simulator - For cases that are unresponsive to drugs and nerve treatment, electrostimulation wire is inserted into the posterior epidural space in order to reduce pain.

Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome (CRPS)

Complex Regional Pain Syndrome (CRPS)

It is a chronic pain disease characterized by severe pain, swelling, changes in the skin and motor dysfunctions. Complex regional pain syndromes (CRPS, formerly reflex sympathetic dystrophy and causalgia) are neuropathic pain disorders of one or more extremities developing inadequately after the trauma or lesions of the peripheral or central nervous system (CNS). However, CPRS may also develop spontaneous. CRPS is clinically characterized by sensory (pain, hyperalgesia, and allodynia), autonomic (disturbances of skin temperature, color change, presence of sweating abnormalities), and motor (paresis, tremor, dystonia) disturbances (Fig 1). There have been growing evidences that CRPS is a systemic disease involving the CNS and peripheral nervous system. Diagnosis is mainly based on clinical symptoms and signs so it could be under- or over-diagnosed. However, careful clinical evaluation and additional tests should lead to an adequate diagnosis (Fig2-4). The goal of treatment is to improve function, relieve pain, and achieve remission. The early diagnosis and multidisciplinary treatments, which include pain management, rehabilitation, and psychological therapy, are the most important for solving the patient’s problems.

CRPS fig 1-1

A twenty-one year old male CRPS patient has right lower extremity pain for 4 months after knee joint contusion in the military work. His right foot shows severe swelling and redness as well as impossible to dorsiflexion of right ankle and toe joints.

CRPS fig 2-1

Figure 1 is the thermography of one patient. Skin temperature of right lower extremity decreases about 3 °C comparing to left side.

CRPS fig 3

Diffuse osteoporosis is seen on the right foot XY in a 28-year old CRPS patient with right lower extremity pain after the right ankle sprain 4 months ago.

CRPS fig 3

It is a three phase bone scan of a 29-year old female CRPS patient with left upper extremity pain for 6 months after the ulnar nerve decompressive operation at the elbow. Multiple finger joints and elbow joint of the left upper extremity shows increased uptake in the delayed phase bone scan.

  • Our hospital performs various interventional pain managements including continuous epidural infusion, sympathetic blocks, peripheral nerve blocks, joint injections, iv ketamine infusion therapy, iv lidocaine infusion therapy, spinal cord stimulation and physical therapy as well as psychological managements.

Hyperhidrosis

Hyperhidrosis photo

Hyperhidrosis

Hyperhidrosis is a disease that makes a patient secrete an excessive amount of sweat. This illness is subdivided into local hyperhidrosis  and systemic hyperhidrosis depending on the amount of sweat secreted. A patient with local hyperhidrosis secretes an excessive amount of sweat on some parts of body, mainly palms, soles, bending parts of the arms and legs (intertriginous part), armpits (axillary), the groin region (hollow part where thigh begins), the perineal region, forehead, and the end of the nose. Sweating due to an emotional stimulation is a completely normal activity that most people experience in their daily lives; however, if the amount of sweat is so extreme that it causes inconvenience in one's social life, it must be treated.

Diagnosis of Hyperhidrosis

Patient is considered to have hyperhidrosis if he sweats more than 100mg in five minutes. However, measuring the actual amount of sweat is quite difficult; therefore, the degree of inconvenience the patient experiences in daily life acts as a major criteria in diagnosis. A patient is considered to have hyperhidrosis if the amount of sweat is so excessive that it creates inconvenience in his daily life.

Treatment of Hyperhidrosis - Treatment of hyperhidrosis on each area

Hand Hyperhidrosis
  • 1. Thoracic sympathetic nerve block

    Sympathetic ganglion coming from the second and third thoracic vertebrae is the nerve that causes excessive sweating on hands, and the thoracic vertebrae sympathetic nerve destructive procedure is performed using a digital imaging device after the topical anesthesia.

  • 2. Endoscopic thoracic sympathectomy

    Once the patient is under a general anesthesia, the sympathectomy is performed after the sympathetic nerve is found using an endoscope. The procedure takes about an hour.

Foot Hyperhidrosis

Foot hyperhidrosis can be treated only by lumbar sympathetic block, and there is no surgical method.

While lying down sideways, a needle is put to the area where the sympathetic ganglion is located, the anterior part of the lumbar. Using the C-Arm to see through, the test drug is injected, and after the temperature change in the foot is observed, alcohol is used for the treatment.

Armpit Hyperhidrosis

Sweat gland removal (liposuction) - After giving regional anesthesia to both armpits, a small hole of 2 to 3 mm is made on each area. Then liposuction and sweat gland removal are performed simultaneously and the procedure takes about an hour.

Varicose vein

Varicose vein photo

Varicose vein is a disease that enlarges the veins of leg, causing the blue blood vessels to create a spider web-like image on the leg.

Cause  of varicose vein
Valves inside the vein acts as a block that prevents the countercurrent of blood flow to the heart from the legs. If there is a problem on these valves, the blood will flow backwards and will cause varicose vein.

  1. 1. Gene: 50% of varicose vein patients have family history
  2. 2. Age: Older people have higher change of getting varicose vein
  3. 3. Gender: It occurs on female 1.5 to 3.5 times more than on male.
  4. 4. Posture: Posture of standing for a long time or twisting legs can cause varicose vein
  5. 5. Pregnancy: Increased intra-abdominal pressure and hormone change can cause varicose vein
  6. 6. Obesity: Being overweight interrupts the flow of venous blood.

Symptoms of varicose vein
The unpleasant appearance of the varicose vein makes female patients feel uncomfortable to wear skirt or shorts.

Varicose vein is a progressive disease and the following symptoms may suggest further diagnosis

  1. 1. Blood vessels are protruding in winding pattern.
  2. 2. You easily get cramps in legs.
  3. 3. Legs are easily edema and feel heavy .
  4. 4. Affected area gives a feeling of itchiness or aching.
  5. 5. When serious, skin gets blackened and begins to bleed due to an occurrence of ulcer.

Diagnosis of varicose vein
Diagnosis of varicose vein can be done easily with a visual examination and a simple clinical evaluation. For the treatment, the accurate location that is causing the disease must be found by conducting a doppler ultrasonic examination. Also, a possibility of abnormality of deep vein of leg must be checked.

Sclerotherapy of varicose vein

Sclerotherapy treats varicose vein by injecting drugs into the enlarged blood vessels and pressuring the area for a period of time. This method is used for patients with mild cases or patients who have varicose veins in area below the knees, and the treatment is conducted about three to five times depending on patients. The greatest advantage of this method is that it does not require any surgery; however, the disadvantage is that it is not very effective for patients with severe conditions or for those who have varicose vein in the upper thigh.

Endovenous laser treatment

Laser surgery uses the ultrasonic waves to place the laser line inside the vein and burn the endothelium with a special laser beam so that the countercurrent blood flow, which causes the varicose vein, is prevented. The advantages of this surgery are that it does not require general anesthesia and that the patients can walk home right after the surgery and go back to daily life the very next day. The surgery takes approximately 30 to 40 minutes, and the patients recover very quickly.

Treatment of varicose vein

At work

Wear medical pressure stockings if possible when standing or sitting for a long period of time at work. Avoid staying in the same posture. Do not cross your legs and if possible, elevate your legs to a higher position. Try not to wear tight shoes such as high-heels and boots. Tight body shaping underwear can weaken varicose vein.

At home

Place a cushion under your legs while resting. Spray cold water over your legs to prevent vasodilation when taking a shower.

In daily life

Avoid being overweight.
Walking, swimming, yoga and stretching are good exercises for varicose vein.
Avoid hot places like sauna because hot temperature can enlarge blood vessels.

LOCATION

By Car

From Seoul (Start from Seoul tollgate)

  1. Go straight 1.6km toward Busan.
  2. Turn right at Dolma-ro, then go straight 3.8km.
  3. Enter the Yongin-Seoul Highway
    at Seobundang(gogi) IC toward Gwanggyo-Sanghyeon IC.
  4. Turn right at Gwanggyo-Sanghyeon IC toward Changryong daero.
    Then go straight 862m.
  5. Turn left toward Gwanggyoro-Gwanggyo Centeral Town
    (Suwon City Hall, Provincial Assembly).
    Then go straight 1.9km.
  6. Enter the overpass toward Gwongwangro KBS Suwon center.
    Then go straight 2.2km.
  7. Turn right at Suwon City Hall intersection toward Suwon City Hall.
  8. Then make a U-turn at Suwon City Hall intersection. Finally go straight 20m.

By Subway

The Bundang subway line

Get off at Suwon-sicheong(Suwon City Hall) Station (Exit #5→ 300m straight).

The No.1 subway line

  1. Take it No.1 subway, then get off at Suwon station.
  2. Transfer at Suwon station of the Bundang subway line
    (To Wangsimni).
  3. Get off at Suwonsicheong(Suwon City Hall) Station(Exit #5→ 300m straight).

Sinbundang subway line

  1. Take it Sinbundang subway, then get off at Jeongja station.
  2. Transfer at Suwon station of the Bundang subway line
    (To Suwon staion).
  3. Get off at Suwonsicheong(Suwon City Hall) Station(Exit #5→ 300m straight).

By Bus

From Seoul

From Gangnam Staion
  1. Take it No.3002 bus at “Gangnamyeok nara-building”.
  2. Get off at “Suwon City Hall, Seoul Guarantee Insurance”.
  3. Left at the Suwonsicheong(Suwon City Hall) Station intersection
    and go straight 300m.
From Sadang Station
  1. Take it No.7002 bus at Sadang Station exit #4.
  2. Get off at “Suwon City Hall, Seoul Guarantee Insurance”.
  3. Left at the Suwonsicheong(Suwon City Hall) Station intersection
    and go straight 300m.

From Suwon Station

By subway

  1. Take it Bundang subway(To Wangsimni).
  2. Get off at Suwon City Hall station(Exit #5→ 300m straight).

By bus

  1. Take it that bus(No. 13-6, 15, 15-1, 92, 92-1) at “Suwon station, AK Plaza”.
    Or Take it No.51 bus at “Yeokjun sijang”.
  2. Get off at “Suwon City Hall, Suwon job center”.
  3. To the right and go straight 20m.

From Suwon Bus Terminal Station

  1. Take it that bus(No. 82, 82-1, 85, 300, 300-1)
    at “Suwon Bus Terminal Station”.
  2. Get off at “KT namsuwonjisa, Jungbu ilbo”.
  3. Turn right at the intersection, then go straight 20m.


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