Smile joint and spine. Smile exercise Exercise The power hospital goes out.

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1 Smile joint and spine Smile exercise Exercise The power hospital goes out.

2 Premium of joint spine treatment Powerful hospital 16 years Himchan Hospital is specialized in treatment of joint and spine 03 Hospital Introduction 04 Medical Staff Profile 05 Subjects Diseases And Symptoms 06 OS(Orthopedics) - Non-surgical treatment - Surgical treatment Contents 09 NS(Neurosurgery) - Non-surgical treatment - Surgical treatment 11 Rehabilitation - Physical therapy - Manipulative therapy and DRX 13 Medical Exam Device 14 Health screenings 15 International Medical Center 16 FAQ 17 Foreign patient Evaluation 18 Video Consultation

3 Hospital Introduction Hospital of wide clinical experience 8 branches Gangnam, Gangbuk, Gangseo, Mokdong, Busan, Bupyeong, Incheon, Changwon Bupyeong Gangnam Gangbuk Incheon Bupyeong Incheon Gangnam Gangbuk Gangseo Gangseo Mokdong Mokdong Changwon Busan Changwon Busan Employee Status Total Number of employee : 1,400 Doctor 100 Nurse 850 Administrative assistants Ward Total No of wards 240 Wards, 1,190 beds. Current status Average number of outpatients per day: 350 Average number of inpatients per day: 20 Hospital Joint Specialty Hospital designated by the Ministry of Health & Welfare Certified medical institution by the Ministry of Health & Welfare

Regional director in Gyoungin area, The Korean shoulder and elbow society.

certificate; Taiwan - IFPOS (International federation of podiatric orthopaedic society) Certificate; Brazil - Performed more than 1,000 surgical procedures using a navigation system that only a small

4 Medical staff Profile Director, Seung-Jun Park Current, director, Bupyeong Himchan Hospitaln Hospital Number of patients : 71,035 Number of patients for surgery : 5,532 - Visiting professor, Orthopeadic Surgery, Samsung Seoul Hospital - Visiting professor, Inha University - Visiting professor, Gachon University Gil Hospital - Visiting professor, Soon Chun Hyang University Hospital - Regional director in Gyoungin area, The Korean shoulder and elbow society. - Member of The Korean Orthopaedic Association - Member of The Korean Paediatric Orthopaedic Society - Italy SAMO University Hip workshop certificate - Pan-asia pacific pediatric orthopaedic society certificate; Taiwan - IFPOS (International federation of podiatric orthopaedic society) Certificate; Brazil - Performed more than 1,000 surgical procedures using a navigation system that only a small number of domestic medical staff can carry out Number of patients : 62,939 Number of patients for surgery: 5,289 Director, Dong-Hyun Seo Director of Orthopeadics Surgery - Visiting professor of Orthopeadics Surgery, Hallym University - Member of The Korean Orthopaedic Association - Member of The Korean shoulder and elbow society - Member of The Korean Hip Society - International Member of European Foot and Ankle Society(EFAS), - The American Orthopaedic Foot & Ankle Society( AOFAS), Korean Foot and Ankle Society( KFAS) - Member of International Society of Arthroscopy, - Knee Surgery and Orthopaedic Sports Medicine(ISAKOS) - IMUKA(Current concepts in orthopaedic pathology) - Member of Korean Society for Bone and Mineral Research (KSBM) - Oversea Training - UIHC foot and ankle clinic (Iowa, USA), - Kristonsspital Liestal (Liestal, Switzerland) - Czech Republic Motol university hospital (Prague, Czech), National Cancer Center (NCC) Number of patients : 89,394 Number of patients for surgery : 2,179 Director. Jin-Kyu Park Director of Neurosurgery - Advisory Doctor, National Pension Service -Visiting professor of Neurosurgery, Gachon University Gil Hospital -Former clinical professor of neurosurgery, Uijeongbu St. Mary s Hospital, Catholic University of Korea -Work experience in neurosurgery at Seoul St. Mary s Hospital, Catholic University - Former neurosurgery at St. Mary s Hospital, Catholic University - Awarded Best Thesis award of the Korean Spinal Neurosurgery Society(2007) - Member of the Korean Neurosurgical Society - Member of the Korean Spinal Neurosurgery Society -Life member of the Korean Cervical Spine society -Lecturing to Italian spinal nerve surgery medical staff 2

Subjects diseases and symptoms OS(Orthopaedics) Degenerative arthritis Knee articular cartilage damage [ Causes ]

Treatment ] Initial stage : Exercise therapy, non-steroidal anti-inflammatory drugs(nsad) Mid-stage : Arthroscopy,

[ Causes ] degenerative changes, bony cartilage damage due to severe impact [ Symptoms ] Knee pain, edema, gait

transplantation(act), Cartilaginous plate transplantation Meniscus tear Cruciate ligament rupture [ Causes ]

Arthroscopy [ Cause ] Extreme sports or movement [ Symptoms ] ligament discomfort, pain, gait disorder, [

NS(Neurosurgery) Spinal disc herniation Spondylolisthesis Spinal stenosis [ Causes ] Degenerative changes,

Non-surgical - Neuroplasty Surgery -Discoidectomy [ Causes ] Aging, trauma, weakening of the vertebrae [ Symptoms

5 Subjects diseases and symptoms OS(Orthopaedics) Degenerative arthritis Knee articular cartilage damage [ Causes ] aging, obesity, persistent and excessive joint use [ Symptoms ] Arthralgia, edema, dyskinesia, leg deformations [ Treatment ] Initial stage : Exercise therapy, non-steroidal anti-inflammatory drugs(nsad) Mid-stage : Arthroscopy, Orthopraxy Late stage : Replacement arthroplasty. [ Causes ] degenerative changes, bony cartilage damage due to severe impact [ Symptoms ] Knee pain, edema, gait disorder [ Treatment ] Arthroscopy-Osteochondral autograft transplantation, Autologous chondrocyte transplantation(act), Cartilaginous plate transplantation Meniscus tear Cruciate ligament rupture [ Causes ] degenerative changes, severe impact [ Symptoms ] Knee joint pain and edema, dyskinesia, deformation [ Treatment ] Arthroscopy [ Cause ] Extreme sports or movement [ Symptoms ] ligament discomfort, pain, gait disorder, [ Treatment ] Arthroscopic reconstruction of the cruciate ligament. NS(Neurosurgery) Spinal disc herniation Spondylolisthesis Spinal stenosis [ Causes ] Degenerative changes, excessive weight load [ Symptoms ] Lumbago, radioactive pain, numbness, paraplegia, weakness [ Treatment ] Non-surgical - Neuroplasty Surgery -Discoidectomy [ Causes ] Aging, trauma, weakening of the vertebrae [ Symptoms ] Radiological pain, pain in legs when standing or walking for a long time [ Treatment ] Spondylodesis [ Causes ] Aging [ Symptoms ] Pain in legs when standing or sitting for a long time [ Treatment ] Non-surgical - Drugs, Physical therapy -> Surgery 3

OS(Orthopaedics) Non-surgical treatment Injection therapy A method of injecting a drug into a lesion in accordance with an ultrasound guide [ Gene & cell therapy ] A therapeutic agent injecting a

6 OS(Orthopaedics) Non-surgical treatment Injection therapy A method of injecting a drug into a lesion in accordance with an ultrasound guide [ Gene & cell therapy ] A therapeutic agent injecting a gene cell therapeutic agent containing chondrocyte cells into which growth factor gene having anti-inflammatory action is introduced Advantages no incision, no anesthesia, short procedure time (10 minutes), Decreased pain for over 2 years with one dose [ Ligament strengthening treatment ] Advantages short procedure time (10 minutes), low chance of complications. Repeatable [ Autologous blood PRP(Platelet-Rich Plasma) injection therapy ] Advantages fast healing speed, short treatment time(10 minutes), exclusion of side effects and infection risk 4

Orthopedic Surgical treatment Stem cell transplantation A procedure in which stem cells are harvested and cultured from bone marrow to be

The risk of genetic modification is low.

Arthroscopy Surgical treatment with a thin tube attached a tiny camera and a laser surgical instrument Advantages minor wounds and pain,

7 Orthopedic Surgical treatment Stem cell transplantation A procedure in which stem cells are harvested and cultured from bone marrow to be transplanted into cartilage damaged areas. [ autologous stem cell transplantation ] Advantage No rejection. The risk of genetic modification is low. [ Stem cell transplantation ] Advantages Pre-selection of optimal cells, applicable regardless of cartilage and patient status Arthroscopy Surgical treatment with a thin tube attached a tiny camera and a laser surgical instrument Advantages minor wounds and pain, rapid recovery Length of hospitalization 7 days Surgical Correction of Hallux Valgus Great toe (hallux) joint deformity. Surgery Osteotomy to repair the protruding bones Advantages Quick recovery with Himchan s know-how Hospitalization period 10 days 5

OS(Orthopaedics) Replacement arthroplasty Knee Advantages Possible to preserve tissues

Hospitalization period 14 days for one side, 21 days for both sides Hip Joint The necrotic

inserted into the femoral side and ceramic articulating is inserted into the pelvic

8 OS(Orthopaedics) Replacement arthroplasty Knee Advantages Possible to preserve tissues around joints, recovery to similar level to of healthy person. Hospitalization period 14 days for one side, 21 days for both sides Hip Joint The necrotic caput ossis femoris and pelvic bone acetabular are removed, and a metal femoral stem inserted into the femoral side and ceramic articulating is inserted into the pelvic acetabular side to act as a role of joint. Hospitalization period 14 days for one side, 21 days for both sides 6

NS(Neurosurgery) Non-surgical treatment arthroplasty RACZ Method of surgical procedure: To inject a special drug into the

procedure time (10 minutes), quick return to normal life, minimal complications Hospitalization period Back to normal after

ZINUE To inject the drug by inserting a thin catheter with a balloon, inflating the balloon, and expanding the neural path.

9 NS(Neurosurgery) Non-surgical treatment arthroplasty RACZ Method of surgical procedure: To inject a special drug into the site where causes the pain by inserting a small catheter through the hole between the coccyx (tail bone) Advantages short procedure time (10 minutes), quick return to normal life, minimal complications Hospitalization period Back to normal after stabilizing for 2-3 hours post-surgery. ZINUE To inject the drug by inserting a thin catheter with a balloon, inflating the balloon, and expanding the neural path. Advantages short procedure time (20 minutes), breakthrough pain reduction, minimal complications. Hospitalization period Back to normal after stabilizing for 2-3 hours post-surgery. 7

NS(Neurosurgery) Non-surgical treatment LD Surgical procedure to remove

Advantages Minor wound, minimal complications, no risk of paralysis.

metal by inserting artificial disc after removal of disc.

Hospitalization period 14 days Artificial disc replacement Used for the

then fix it Advantages Maintain spinal motility, flexibility and

10 NS(Neurosurgery) Non-surgical treatment LD Surgical procedure to remove the protruding disc with small forceps through the endoscope. Advantages Minor wound, minimal complications, no risk of paralysis. Hospitalization period 10 days Spondylodesis To fix 2-3 spinal bones with metal by inserting artificial disc after removal of disc. Advantages Increased in spinal stability, low recurrence rate Hospitalization period 14 days Artificial disc replacement Used for the cervical vertebrae only, removal of disc and inserting artificial disc then fix it Advantages Maintain spinal motility, flexibility and stability. Degenerative deformity correction, minimizing surgical pain Hospitalization period 7 days 8

Rehabilitation Start Rehabilitation Establishment > of treatment > plan Physiotherapy and patient education Cryotherapy Improvement of blood

Treatment time 2min for one side 4min for both sides Applicable target Chronic muscular pain.

Laser, heat, and electrical stimulation to increase cellular energy in the body tissue and activate damaged tissue to reduce pain.

11 Rehabilitation Start Rehabilitation Establishment > of treatment > plan Physiotherapy and patient education Cryotherapy Improvement of blood circulation and nutrition supply in damaged tissue through cryogenic stimulation. Treatment time 2min for one side 4min for both sides Applicable target Chronic muscular pain. Basic PT Superficial Heat Therapy, Interferential Current Therapy. (ICT), Laser Therapy. Laser, heat, and electrical stimulation to increase cellular energy in the body tissue and activate damaged tissue to reduce pain. Treatment time 20 min Applicable target post-surgery / post-traumatic pain, chronic neuropathy, chronic joint pain, peripheral neuropathy Pain treatment To Treat intractable and chronic pain such as neurogenic pain. No side effects. Applicable target post-surgical / post-traumatic pain, chronic neuropathy, chronic joint pain, peripheral neuropathy 9

DRX and Manual therapy Replacement arthroplasty DRX (intermittent pelvic traction) To restore the

To reduce pain by helping smooth supply of oxygen and nutrients inside of the disc using the

Degenerative Disc, Internal Disc Disruption (IDD) Manipulative therapy (muscle strengthening) 1: 1

Various physical therapy instruments are used for muscle strengthening training and stretching

12 DRX and Manual therapy Replacement arthroplasty DRX (intermittent pelvic traction) To restore the herniated disc by targeting disc lesion site selectively. To reduce pain by helping smooth supply of oxygen and nutrients inside of the disc using the principle of zero gravity Treatment time 18 cycle /30 min Applicable target Herniated lumbar disc, Degenerative Disc, Internal Disc Disruption (IDD) Manipulative therapy (muscle strengthening) 1: 1 customized treatment by direct contact of specialist. Various physical therapy instruments are used for muscle strengthening training and stretching training. Treatment time min Applicable target post-surgical / post-traumatic pain, Degenerative Disc, Internal Disc Disruption (IDD), Muscular pain, Neuralgia. 10

Medical Exam Device MRI To reduce patient waiting time and enable the nonstop treatment by operating 2 MRI

To enable to obtain the high-quality images with minimal radiation exposure.

comparing it with healthy person. It is often used to diagnose osteoporosis.

13 Medical Exam Device MRI To reduce patient waiting time and enable the nonstop treatment by operating 2 MRI with 15T output. CT To obtain various image data by one examination with 16 channel CT. To enable to obtain the high-quality images with minimal radiation exposure. Bone density test To assess whether the amount of bone is reduced or increased by measuring bone density and comparing it with healthy person. It is often used to diagnose osteoporosis. Infrared thermometer To determine the site of pain and damage by measuring the body temperature using with Infrared rays. Electrocardiogram(ECG) To check the patient s heart condition before hospitalization or surgery. To identify the risk of the surgery in advance and prepare for emergencies by checking myocardial infarction, myocardial ischemia, arrhythmia, and other diseases. 11

14 Health screening Basic joint examination - Basic examination (10 kinds) - blood test (19 kinds) - respiratory test - cardiovascular test - joint spinal test - bone density test - CT (select 1 between joint and vertebrae) - Consultation Precision joint examination - Basic examination (10 kinds) - Blood test (31 kinds) - Precision blood test (4 kinds) - Respiratory test - Cardiovascular test - Joint spinal test - Digestive test - Joint spine X-ray - MRI (Select 1 between joint and vertebra) - Consultation Special joint examination - Basic examination (10 kinds) - Blood test (31 kinds) - Precision blood test (4 kinds) - Respiratory test - Cardiovascular test - Digestive test - Joint spine X-ray - MRI (Select 1 between joint and vertebra) - Arthroscopy - Consultation General joint examination - Basic examination (10 kinds) - Blood test (31 kinds) - Precision blood test (4 kinds) - Respiratory test - Cardiovascular test - Joint spinal test - Digestive test or CT - Bone density test - Consultation Women s specialized examination - Basic examination (10 kinds) - Blood test (31 kinds) - Precision blood test (4 kinds) - Respiratory test - Cardiovascular test - Digestive test - Breast test - menopause test - Brain precision test - Consultation Worker s examination - Basic examination (10 kinds) - Blood test (31 kinds) - Precision blood test (4 kinds) - Respiratory test - Cardiovascular test - Joint spinal test - Digestive test - Bone density test - Consultation 12

International Medical Center The International Medical Center at Himchan Hospital is a department that helps you to proceed all procedure from the referral of foreign patients to follow-up care after

15 International Medical Center The International Medical Center at Himchan Hospital is a department that helps you to proceed all procedure from the referral of foreign patients to follow-up care after returning to their country without any inconvenience. Coordinator Conciergeservices City Tour A native-language coordinator with a doctor s license will help you communicate directly with patients and medical staff. The International Medical Center will help you from the time you arrive the country to the time you return home. We offer city tours for showing Incheon s tourist attractions to the visitors and guardians visited from long distance. A professional coordinator will help you with all the procedures such as examination, rehabilitation and administration as well as medical treatment. We provide free concierge services from the airport to the hospital and from the hospital to the airport. You can experience the beauty of Incheon by taking a city tour bus. 13

To reduce pain and allow joints to function by inserting an artificial joint made of durable special alloys and polymer materials. Q Why do I need rehabilitation after joint replacement surgery?

16 FAQ Q When should I get Joint replacement surgery? A Patients with severe degenerative arthritis, rheumatoid arthritis or degenerative arthritis acquired by post-trauma require the artificial joint surgery. To reduce pain and allow joints to function by inserting an artificial joint made of durable special alloys and polymer materials. Q Why do I need rehabilitation after joint replacement surgery? A Rehabilitation is essential to restore muscle loss due to hospitalization and strengthen the muscles around the joints to support the weight of the joints. Q What exercise or lifestyle should I keep using artificial joints longer in my daily life? A The post- operative management is as important as surgery itself. The life span of artificial joints can be extended depend on post-operative management. It is important to keep the rehabilitation movement taught in the hospital after the operation. In addition to rehabilitation exercise, exercise such as swimming or bike is also helpful, but it is good to avoid exercise on heavy impact or heavy lifting. Q How to rehabilitate cervical disc surgery? A Most of the cervical disc surgery uses a method called osteodesis, unlike the lumbar disc surgery. Although it takes longer stabilizing period, it has the advantage of no recurrence. It is necessary to wear a brace for about 2-3 months as bone fusion should be completed. You do not have to limit your exercise as long as you avoid bending neck forward and turning neck suddenly. The exercise therapy is rather limited as exercise itself is likely to overturn the joints of the neck. Active neck movement is necessary from the point of completion of bone fusion, and the posture in computer work exceeding one hour should be avoided. 14

17 Foreign patient Evaluation Dear all of Himchan s family. I would like to express my sincere appreciation to chief director, my doctor, Seung-Jun Park, and rehabilitation center staff of hard work, careful attention, and care. I am a 58-year-old pensioner living in Kazakhstan. I met you for the first time in a meeting in Almaty last April. A director of Himchan hospital examed me and recommended for treatment. I started treatment in Himchan hospital from September 4th. It was painful for a long time, so I was happy when the director urged me to get treatment in Himchan hospital. I tried everything I could do in Kazakhstan, but it was useless. I finally got a knee surgery in Himchan hospital, and now I recommend all my friends to have treatment in Korea. I will not forget about all the medical conditions, the high quality of medical staff, and the kindness you have given me. I hope you will continue to thrive for Korean and foreigners alike.

Kuptsova Annaida I would like to appreciate the hospital staff for their delicacy, interest and outstanding professionalism. The biggest thanks will be given to my doctor.

I also appreciate your kindness and understanding for two coordinators, Hee-Won Seo and Olga. It was lucky to have surgery and rehabilitation at Himchan hospital.

18 Kuptsova Annaida I would like to appreciate the hospital staff for their delicacy, interest and outstanding professionalism. The biggest thanks will be given to my doctor. He is a brilliant and skilled expert. How wonderful nurses were... I could feel warm heart and skillful hand. I also appreciate your kindness and understanding for two coordinators, Hee-Won Seo and Olga. It was lucky to have surgery and rehabilitation at Himchan hospital. I would like to send best regards to the staff in hospital. I really appreciate your hard work. Thanks for your professionalism, understanding, patience and kindness. I would like to express my gratitude to my doctor, Mr Dong-Hyun Seo. He is a great Orthopaedic surgeon with warm heart to care for patient. I could enjoy the life of joy again because of his skillful hands. I pray that God will look after you! Especially, I want to point out that Hee-Won Seo, coordinator, helped us to stay in hospital. She gave me a good image about Himchan hospital for the first time, and eventually she made me to decide to have a surgery. I appreciate again Hee-Won Seo, doctor, and nurses who always take care of us.

Video Consultation We have free medical video consultation with hospital medical staff every Monday and Thursday.

video data sent by the patient in advance. You can meet with your doctor before entering the country through video consultation.

Dong Hyun Suh Arthroscopy, Replacement arthroplasty, low limb joint Professor, Tae ho Kim Arthroscopy, Replacement arthroplasty,

19 Video Consultation We have free medical video consultation with hospital medical staff every Monday and Thursday. Video consultation is proceeded in real time through optimized equipment and programs for video consultation by watching the video data sent by the patient in advance. You can meet with your doctor before entering the country through video consultation. Timetable for video consultation OS(Orthopaedics) Consultation time / 16:00~16:30 (Current local time in south Korea) Professor, Dong Hyun Suh Arthroscopy, Replacement arthroplasty, low limb joint Professor, Tae ho Kim Arthroscopy, Replacement arthroplasty, knee joint, upper limb joint Professor, hyung Tak Oh Arthroscopy, Replacement arthroplasty, knee joint, upper limb joint (shoulder, elbow, wrist, finger)

20 Himchan Hospital m a k e

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