Column Treatment Case Report No. 174｜ ILC International Lumbago Clinic (Osaka Clinic)
September 11, 2025
The patient
Patient: Female, 60s
Patient’s Medical History
The patient has had leg pain for 14 years.
More than 10 years ago, visited another hospital and was diagnosed with spondylolisthesis.
Received osteopathic treatment, which improved symptoms, but later symptoms aggravated again.
Visited our clinic seeking symptom relief.
Symptoms before treatment
Turning over in bed: Easy
Standing up: Easy
Washing face: Easy
Maintaining a half-bent posture / prolonged standing: Somewhat difficult
Sitting for long periods: Somewhat difficult
Lifting/holding heavy objects: Very difficult
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 0 | 4 | 3 | 5 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain and numbness: buttocks, lower limbs.
Additional explanations on our clinic’s medical examination
Imaging and findings
- L3/4, L4/5 – Disc degeneration, protrusion
- L5/S – Disc degeneration, herniated disc
The above findings were also observed on the imaging.
Compression of the spinal canal on discs L3/4, L4/5, and L5/S is considered the most likely cause of symptoms.
Treatment
After consulting with the patient, the Cellgel Method was performed on L3/4, 4/5 and 5/s.
The treatment was performed by our administrative director, Dr. Kotera.
The treatment took about 30 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
