Treatment Case Studies
& Blog

June 26, 2024

category

The patient

A male patient in his 70s

Patient’s medical history up to now

25 years ago, he underwent surgery for spinal canal stenosis.

Two weeks ago, he began to experience back pain, buttock pain, and paresthesia in the left lower limb. He also exhibited symptoms of intermittent claudication.

The patient came to our clinic to improve his symptoms.

Symptoms prior to treatment

・Pain levels before treatment

Lower backLower limbsNumbnessButtocks
Pain level8778

No pain at all is rated as 0, and the maximum possible pain is rated as 10.

Main pain area: left hip to left lower extremity

Forward bending: mild buttock pain

Backward bending: mild buttock pain

Lasegue test: negative

Tenderness: L4/5

Intermittent claudication: present

Additional explanation of our clinic’s medical examination

・Daily activities

Pain when standing, sleeping, and sitting. In other words, the patient is in constant pain.

Imaging and findings

  • L1/2,2/3,3/4,4/5,5/s – disc degeneration
  • L3/4,4/5,5/s – Intervertebral foramen stenosis
  • L4/5,5/s – Post decompression surgery

The above has been observed on the imaging.

L3/4,4/5,5/s – intervertebral foramen stenosis due to disc protrusion, which is the probable cause of the main symptoms.

Treatment

After consultation with the patient, the Cellgel procedure was performed on L3/4,4/5,5/s.

The treatment was performed by Dr. Kono.

The image below shows the DiscoGel after injection.

The treatment took about 15 minutes.

After resting in the recovery room, the patient was able to walk home by himself.

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