Column Treatment Case Report No. 160｜ ILC International Lumbago Clinic (Osaka Clinic)
July 26, 2025
The patient
A female patient in her 70s.
The patient’s medical history to date
The patient was diagnosed with spinal canal stenosis at another hospital 3 to 4 years ago.
She was told that she would have to undergo surgery once she became unable to walk, and she is currently receiving oral medication for treatment.
Recently, she feels that her numbness has intensified.
The patient visited our clinic seeking to improve his symptoms.
Symptoms before treatment
Numbness is constantly felt from the lower back on the left side to the left toes.
Pain in the left buttock is aggravated in the supine position and by prolonged sitting.
Turning over in bed: no problem
Standing up: somewhat difficult
Washing one’s face: no problem
Prolonged standing and semi-crouched posture: somewhat difficult
Prolonged sitting: somewhat difficult
Lifting and carrying heavy objects: somewhat difficult
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 5 | 7 | 7 | 8 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain and numbness: lower back, lower limbs.
Bending forward: Sticking feeling in the back of the thigh
Bending backward: low back pain from the midline to the left side
Lassegue test: stiffness appear laterally on the thigh at a 70 degree angle on the left side
MMT: full
Lumbar point of tenderness: L3/4 and 4/5 on both sides
Coughing and sneezing: no aggravation
Additional explanations on our clinic’s medical examination
Imaging and findings
- L1/2 – disc herniation
- L4/5 – disc degeneration, spinal canal stenosis
- L5/s – disc degeneration, disc herniation
The above findings were also observed on the imaging.
Findings show that the compression of the spinal canal on discs L1/2, 4/5, and 5/s is the probable cause of the symptoms.
Treatment
After consulting with the patient, the Cellgel Method was performed on L1/2, 4/5 and 5/s.
The treatment was performed by Dr. Maruyama.
The treatment took about 35 minutes.
After resting in the recovery room, the patient was able to walk home by herself.
Our clinic’s treatment method
Additional information about the Cellgel method we have introduced in this column.
Cost of the Cellgel method: 1,320,000 yen per area (including tax) to 1,760,000 yen per 5 areas (including tax)
Risks and side effects of the Cellgel method: Transient pain may occur after treatment. Nerve damage is not a zero possibility due to the very nature of the treatment, but there have been no reports of damage so far in either report cases or publications. There is a very small possibility of allergic reactions to local anesthetics. Symptoms may temporarily worsen during the first week or two after treatment. This is believed to be due to the decompression effect of the implant, which retracts the surrounding tissues. In addition, if the disc is almost completely collapsed, treatment may be difficult. The doctor hold a consultation with you during your visit to the clinic to determine the best treatment option for your condition.
For more detailed information, please refer to the following links:
Blog page explaining the Cellgel Method in an easy-to-understand manner
The Cellgel Method on our treatment methods page
This article was written by the Administrative Director of our clinic
