Column Treatment Report No.21 / ILC International Low Back Pain Clinic (Osaka) Column
June 4, 2024
The patient
Female patient in her 80s
The patient’s medical evolution to date
Suffered from strained lower backs twice in her 30s.
She fell over a year ago and visited a hospital because of the intense pain, where she was diagnosed with a compression fracture.
She was prescribed menthol pads and painkillers, and asked to watch the evolution, but decided to visit our clinic because of the lack of improvement over her back pain.
Symptoms before treatment
Her back starts hurting after walking for about 10 minutes.
・Pain levels before treatment
| lower back | lower limbs | numbness | buttocks | |
|---|---|---|---|---|
| Pain level | 8 | 1 | 0 | 0 |
No pain at all is rated as 0, and 10 as the maximum possible pain.
Main area of pain: lower back
Bending forward: Possible
Back bending: Possible
Lasegue test: Negative
Pressure points in the lower back: Left L3/4, 4/5, right 5/s positive
Coughing and sneezing: No effect
Additional explanation about our medical examination
・Daily activities
There is little pain when waking up,
the pain becomes more intense when sitting for long periods of time or washing one’s face.
Images and findings
- L2/3, 3/4 – mild to moderate, spinal canal stenosis
- L4/5 – Annulus fibrosus injury
- L1 – Compression fracture
The above was confirmed by the imaging.
L2/3, 3/4, 4/5 – Spinal stenosis and compression due to annular damage are likely to be the cause of the symptoms in the lower back.
L1/2 and 5/s: Disc degeneration and protrusion, from a prophylactic perspective
Treatment
After consulting with the patient, the Cellgel method was performed on L1/2, 2/3, 3/4, 4/5, and 5/s.
The treatment was performed by Dr. Maruyama.
The treatment took about 55 minutes.
After resting in the recovery room, he walked back to the hospital.
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
