Located in Karuizawa Town, Kitasaku District, Nagano Prefecture, Karuizawa Hanareyama Clinic is a medical facility specializing in orthopedics. The director, Dr. Naoya Makiyama, brings extensive experience from his 31 years of service at Karuizawa Municipal Hospital since 1991, including 12 years as hospital director leading community healthcare. Drawing on this wealth of experience, he established this clinic to provide comprehensive orthopedic care, particularly for spinal conditions. A distinguishing feature of the clinic is its robust rehabilitation program that goes beyond mere pain relief. Experienced physical therapists utilize posture measurement equipment to accurately assess muscle mass and joint conditions, creating individualized rehabilitation programs tailored to each patient's physical status. The clinic's approach emphasizes ongoing support including guidance for recurrence prevention. When surgery is deemed necessary, the director leverages his long-established medical network to facilitate referrals to appropriate medical institutions. The facility features barrier-free accessibility and parking, ensuring a comfortable environment for patients of all ages from children to the elderly. Consultations are held on Monday, Wednesday, Thursday, Friday, and Saturday, both morning and afternoon, with the clinic closed on Tuesdays, Sundays, and public holidays.