Column Treatment Case Report No. 171| ILC International Lumbago Clinic (Osaka Clinic)
September 2, 2025
Patient Profile
Age/Sex: Male, 60s
Medical History
Had a sense of discomfort in the lower back for some time, but symptoms improved with observation.
Diagnosed with spondylolisthesis more than 10 years ago.
One month ago, pain appeared in the right leg. No numbness.
Recently, symptoms have calmed down considerably.
Visited our clinic seeking fundamental improvement.
Symptoms before treatment
Daily Movements
Turning over in bed: easy
Standing up: somewhat difficult
Washing his face (bending forward): easy
Maintaining half-bent or standing posture: somewhat difficult
Sitting for long periods: easy
Lifting/holding heavy objects: easy
・Pain levels before treatment
Lower back | Lower limbs | Numbness | Buttocks | |
---|---|---|---|---|
Pain level | 7 | 7 | 0 | 6 |
Pain Level (0 = none, 10 = worst possible)
Main symptom area: lower back to right lower limb

Other Findings
Coughing/sneezing: no aggravation
Forward bending: no problem
Backward bending: no problem
Lasègue’s sign: negative
Lumbar point of tenderness: L5/S on the right side
Additional explanations on our clinic’s medical examination
Imaging and findings

- L4/5, L5/S: Disc degeneration, foraminal stenosis
The above findings were also observed on the imaging.
Findings show that the compression of the spinal canal on discs L4/5 and 5/s is the probable cause of the symptoms.
Treatment
After consultating with the patient, the Cellgel Method was performed on discs L4/5 and L5/S.
The treatment was performed by Dr. Ohara.

Duration of the treatment: approximately 25 minutes.
After resting in the recovery room, the patient was able to walk home unaided.
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