Department information

Comprehensive Consultation Department

Clinic Hours:
Monday-Saturday 9:00am-1:00pm, and 3:00pm-6:00pm (Reception desk closes at 17:30)

We provide consultation for patients suffering from common ailments to intractable diseases for a wide range of patients, from infants to elderly persons.

The Comprehensive Consultation Department provides integral consultation, including internal medicine and/or surgery. We provide consultation on common diseases, such as the common cold and backaches, as well as intractable diseases.

総合診療科はお子様から高齢者まで

For persons with multiple symptoms, such as a history of cardiac arrhythmia and recently becoming forgetful, and for persons who are not sure which department to visit, please come to the Comprehensive Consultation Department.* If specialized medical care is required, we will introduce you to the appropriate facility.

We also offer specialized outpatient examinations, such as health checks and a smoking cessation program

Examples of ailments for which the Comprehensive Consultation Department provides consultation

  • The common cold, rashes, diarrhea, joint pain, influenza, asthma, allergies, high blood pressure, diabetes, dementia
  • Cancer, strokes, Parkinson’s disease, etc.
The Comprehensive Consultation Department is the patient’s partner

Shinjuku Hiro Clinic provides comprehensive medical care beyond simple consultations. We provide comprehensive treatment including prevention, care for the elderly, and welfare. Our medical team is experienced in community medicine and tirelessly works to solve the problems facing the patient and his/her family.

患者さんのパートナーとしての総合診療科

We provide consultations for the following

  • Persons who would like to know which foods are best for their health condition.
  • Persons who have difficulty visiting the clinic due to problems with their legs or hips.
  • Families who will start home care for a patient released from the hospital.
  • Patients who live alone and are worried about sudden changes in their condition, etc.

A pediatrician is available for consultation on Monday and Friday mornings.

The dermatology and orthopedics departments of the clinic are available to deal with child patients full time as a rule. However, a certified pediatrician is available to patients for consultation on Monday and Friday mornings in order to provide highly specialized pediatric healthcare.

小児科専門医
  • Vaccinations
  • Consultations for pediatric care (Developmental disabilities, sick child daycare)
  • Consultations for bronchial asthma, allergies,
  • Adolescent care, etc.

Children of junior high school age or younger are requested to come with their parents.

This clinic believes a parent should be aware of the condition and illness of his/her child. Child visitors of junior high school age or younger should be accompanied by their parents.

In cases where a child visits unattended, his/her parent will be contacted by telephone before and after consultation. If contact cannot be established, consultation may not be possible depending on the decision of the doctor, etc.

To ensure safety for children too, the clinic is barrier-free and located on the 1st floor. Inside the clinic is barrier-free, and strollers can be used throughout the facility. The examination room and restroom are spacious.

An internal medicine specialist is available on Wednesdays (morning and afternoon) and Friday afternoon.

The internal medicine specialist provides early stage responses mainly for respiratory problems. Additionally, the doctor handles a wide range of diseases such as cardiovascular diseases, gastroenterological diseases and lifestyle-related diseases. Please feel free to contact us regarding medical checkup, our smoking cessation program, and matters related to asthma or allergies, etc.

Specialized outpatient care

  • Osteoporosis outpatient care
  • Outpatient consultation on dementia
  • Outpatient smoking cessation program (insurance coverage/own expense)
  • Botulinum therapy (Botox injection)
  • Botulinum therapy (Botox injection)
  • Medical checkup・Various examinations
  • A reservation for a physical examination or a comprehensive geriatric assessment (CGA)
  • Health checkup
  • Sexually transmitted disease (STDs) test
  • Cancer detection blood test

Comprehensive Consultation Department/Frequently Asked Questions.

  • What department should I go?
    The Comprehensive Consultation Department will make an overall evaluation of your health condition. According to the decision of the physician, we will also introduce you to a collaborative institution in cases where a specialized examination is needed.
  • Do I need a referral from another doctor?
    No
  • Do you provide a medical checkup for employment?
    Yes. We can provide a medical checkup at this department. Since there are a number of procedures such as reception times, please make a reservation in advance.
  • Can I receive a vaccination?
    Yes. Please telephone the clinic and make a reservation in advance.
  • I can’t speak Japanese
    We can cope with some languages, please feel free to contact us.

Dermatology/Pediatric Dermatology Department

General dermatological consultation is provided.

Examples of skin diseases

  • Atopic dermatitis, rough hands, acne, burns, athlete’s foot, hives, warts, foot corns, impetigo
  • Moles, ingrown nails, seborrheic keratosis, dry skin, insect bites, eczema, herpes simplex, herpes zoster,
  • Chickenpox, alopecia areata (spot baldness), water warts, etc.

Possible examinations

  • Examination by microscope (athlete’s foot), bacterial culture test, blood sample test (allergies, etc.), dermoscopy (moles)

Possible medical treatment

  • Liquid nitrogen procedure (warts, etc.), comedo extraction (acne), ointment treatment, wound treatment, and ingrown nail treatment are available. Machiwire, ingrown nail clip

Pediatric skin diseases are also treated at the clinic.

Consultation for children with skin problems.

Please feel free to contact us about atopic dermatitis, hives, warts, water warts, impetigo, insect bites, etc. Pediatric medical specialists are also available on Monday and Friday mornings.

Consultation with dermatologist

Consultation specializing in dermatology, from skin diseases to skin care for the elderly, is available. For the improvement of a skin disease, a detailed inquiry of the history of the disease and previous treatments is made and medical tests such as a blood test are carried out as needed, then diagnosis and treatment provided. We seek to provide courteous, easy-to-understand medical care in close connection with the local community. Please feel free to contact us about any skin problem.

For persons concerned about hair loss / thinning hair

抜け毛・薄毛が気になる方へ

The clinic can perform oral treatment for Androgenetic Alopecia (AGA) or male pattern baldness. This condition is commonly seen among adult men with thinning hair. Hair on the forehead and the top of the head starts to recede from either one or both sides after puberty. Generally heredity and male hormones are considered to be the main causes. As hair loss continues, thinning hair become more noticeable.

In addition to Propecia tablets, this clinic also uses Zagarro, a novel medicine in the treatment for male pattern baldness. Please feel free to inquire.

For persons concerned about “little,” “short,” or “thin” eyelashes.

"Eyelash hypotrichosis" is a deficiency or insufficiency in the amount of eyelashes.

Damage due to eyelash care (mascara, eyelash curling, false eyelashes and extensions, etc.), aging (length, thickness and density of eyelashes decrease with age.), skin disorders (loss of eyelashes due to skin diseases such as atopic dermatitis, psoriasis, etc.), and side effects of drugs (anticancer agents, etc.) are considered to be some of the causes.

The clinic uses “Glashvista®”, the first and only domestic treatment medicine for eyelash hypotrichosis approved for medical use. This external medicine improves the length, thickness and density of upper eyelashes.

Please feel free to contact our doctors regarding eyelash problems, eyelash care, etc.

For persons with skin problems such as stains, acne scars, pigmentation after laser treatment, acne skin, etc., please feel free to contact us.

High concentrated azelaic acid cream

Basic skin-care products for medical institutions, etc.

Female doctors (dermatologists) are available in the Dermatology Department. Please feel free to contact our department about female skin and related problems.

Orthopedics Department

We provide consultation for patients of all ages, from young children to elderly adults.
Monday -Sat am to pm

Consultation with orthopedic specialists

We respond to various orthopedic disorders such as lower back pain, knee osteoarthritis and osteoporosis. Rehabilitation therapy as an outpatient or at home is also available.

Examples of medical care

  • Liquid nitrogen procedure (warts, etc.), comedo extraction (acne), ointment treatment, wound treatment, and ingrown nail treatment are available. Machiwire, ingrown nail clip

Consultation on sports disorders or injuries is provided on Fridays. In addition to general orthopedics, the physician on duty on Friday can treat patients from the recreational sports enthusiasts to professional athletes who represent Japan internationally. Please feel free to ask about any of the sports disorders or injuries mentioned below, which we provide consultation on.

Sports disorder: An injury which occurs as a result of repeated movement during the sport, rather than a one-time, outside force trauma. In such cases, prevention is important. Please feel free to ask about both treatment and prevention.

Sports injury: Damage (injury) to tissue due to outside force trauma occurring during sports or an accident, such as a sprained finger, dislocation, sprain, bone fracture, ligament damage, tendon tear, or pulled muscle. Early diagnosis and treatment is the fast track to return to the sports. Feel free to consult with us.

Osteoporosis outpatient care

To avoid becoming bedridden

The second most common cause for elderly persons becoming bedridden is said to be fractures. Elderly persons are more prone to fractures due to fragile bones, leading to decreased motor functions, and as a result, becoming bedridden.

These days most fractures can be avoided. As the first step to avoid becoming bedridden, please visit the Osteoporosis Outpatient Department for early examination and diagnosis.

What is osteoporosis?

A common belief is that as one ages, experiencing a fracture due to fragile bones is inevitable. In addition, a frequent reason for elderly persons becoming bedridden is falls and fractures.

However, recent medical progress has been significant, and determining the condition of fragile bones which may easily break due to metabolic disorders (such as osteoporosis) has become possible, enabling the prevention of bone deterioration as well as promoting their strengthening.

For people with a loss of height compared to when they were young or who have a recent history of fractures, it is possible to avoid becoming bedridden by starting treatment at an early stage.

Self-check

The second most common cause for elderly persons becoming bedridden is said to be fractures. Elderly persons are more prone to fractures due to fragile bones, leading to decreased motor functions, and as a result, becoming bedridden.
  • Loss of height compared to when they were young
  • Deterioration of posture
  • Lack of intake of food containing calcium, such as milk
  • Menopause
  • A recent history of fractures
  • Taking medicine such as steroids, which may weaken bones.

Treatment for osteoporosis at this clinic

An examinations is carried out by a famous doctor, Dr. Yoshinari Miyamoto

Shinjuku Hiro Clinic provides osteoporosis outpatient care by Dr. Miyamoto. Dr. Miyamoto has considerable experience in osteoporosis treatment. There are many methods of treatment, and the most appropriate depends on the fracture history of the patient, severity, gender, as well as different drug administration methods.

Coordination with our expert staff

Avoiding falls, and strengthening bones are important in the prevention of fractures. Our osteoporosis outpatient department provides a program which is most appropriate for the patient and also provides advice on how to prevent falls, in coordination with physiotherapists who provide rehabilitation at this clinic or at patients’ homes.

Treatment which best suits the patients is selected after a comprehensive examination. At Shinjuku Hiro Clinic, a bone density test using DXA, the most standard bone quantity measuring device, is performed.

Specifically, we determine whether bone density is decreasing or not, by measuring the density of thighbones and the lumbar vertebrae, which are considered to become the most fragile due to osteoporosis. Calcium and hormone levels are measured by a blood test. In addition, bone metabolism markers are also measured.

We use the latest bone density measurement devices.

X-ray bone density measurement devices (bone densitometers) are used for femurs and lumbar vertebrae, and have the advantage of high accuracy. They can also provide accurate measurement in a short time.

Treatment agents for osteoporosis

In general, treatment is carried out using the following medicine to decrease the risk of fractures due to osteoporosis by 30- 50 percent,

  • Calcium
    Calcium inhibits the weakening of bones by providing calcium as a raw material of bones.
  • Activated vitamin D3
    D3 improves calcium absorption from intestines and accelerates bone growth.
  • Vitamin K
    Vitamin K activates osteoblasts and promotes bone growth.
  • Bisphosphonate agents
    Bisphosphonate agents inhibit bone resorption by osteoclasts. Bisphosphonate agents come in various types, such as oral medicine or injection, both of which are available.
  • SERM
    SERM is used to treat osteoporosis caused by decreased estrogen levels after menopause.
  • Parathyroid hormone agents
    Parathyroid hormone agents promote bone growth, but must be administered by injection. Parathyroid hormone agents comes in two types: a daily self-injection by the patient or a weekly injection by a medical institution.
  • RANKL antagonists
    RANKL antagonists inhibit deterioration in bone density by suppressing bone resorption by osteoclasts, similar to bisphosphonate agents. Though semi-annual injections are sufficient, combined oral medicine is required.

What is botulinum therapy (Botox injections)?

In this treatment, a drug, botulinum toxin, is injected into muscle tissue to relieve spasticity. This clinic uses the drug manufactured by Glaxo SmithKline.

To relieve tension in the muscles of the limbs, occurring as an aftereffect of a cerebral infarction.

It can be expected that botulism therapy will make everyday activities such as changing clothes easier.

Covered by the National Health Insurance system.

Botulinum therapy has been approved by the Ministry of Health, Labor and Welfare for the following diseases.

  • Spasmodic torticollis, abnormal posture due to muscle tension in the neck and shoulders.
  • Equines foot associated with lower limb spasticity due to cerebral palsy.
  • Tension in the limbs due to a stroke, etc.
  • Hyperhidrosis of armpit

What is spasticity?

Spasticity is a motion disorder (dysfunction) often occurring after a stroke, where muscles become tense, and movement of the limbs is difficult or the limbs move unconsciously. In cases of prolonged abnormal posture due to spasticity, the muscles stiffen and joint motion becomes restricted (contracture), and results in difficulties in daily life. Since spasticity may hinder rehabilitation, treatment for spasticity is sometimes required.

Symptoms of spasticity (examples)
  • Clenched fingers which are difficult to open.
  • Bent elbows.
  • Toes are bent toward the back of feet.
ボトックス痙縮の症状

The active ingredient in botulinum therapy

The active ingredient is a natural protein.

In botulinum therapy, an agent containing botulinum toxin as its active ingredient is used. Botulinum toxin is a natural protein produced by Clostridium botulinum (the bacteria which causes food poisoning).

Effect of botulinum toxin

Botulinum toxin suppresses nerve function leading to muscle tension. Muscle tension can be relieved by injecting botulinum toxin into the muscles.

Is there any risk?

In botulinum toxin therapy, the contagion in botulinum does not pose a risk because the bacillus itself is not injected.

Expected effects
  • Activities of daily living become easier
  • ADL (Activities of Daily Living. basic and essential activities in life such as eating, changing clothes, motion, excreting, grooming and bathing) become easier as the muscles in the limbs relax.
  • ボトックス 日常生活動作が行いやすくなる
  • Rehabilitation becomes easier
  • ボトックス リハビリがしやすくなる
  • Rehabilitation becomes easier as the muscles in the limbs relax and become easier to move.
  • Prevention of contracture
  • ボトックス 拘縮(こうしゅく)の予防
  • Prevention of contracture can be expected. Stiffening of joints, difficulty in movement, and deformity are prevented.
  • Relief of pain
  • ボトックス 痛みをやわらげる
  • By relaxing stiff muscles in the limbs (spasticity), the relief of pain associated with spasticity can be expected.
  • Reduction in caregiving
  • ボトックス 介護の軽減
  • By relaxing stiff muscles in the limbs, reduction of the load of the caregiver can be expected.
Schedule and treatment details

Usually, the effect of botulinum toxin therapy lasts three to four months, and the effect gradually decreases after that. If treatment is discontinued, spasticity returns to its original state. Consequently, botulinum toxin therapy should be received several times a year. However, treatment frequency and intervals varies depending on the person.

Botox Injection Site

Botox is injected into muscle where spasticity is observed. The site varies depending on the patient, but in some cases, it is injected into multiple sites in one setting

Main injection sites on hand (upper limb), and main injection sites on feet (lower limb)
ボトックス注射部位
ボトックス注射部位