Column Case Report No. 62｜ ILC International Lumbago Clinic (Osaka) Column
September17, 2024
The patient:
A male patient in his 80s
The patient’s medical history to date
The patient has had back pain since his 30s. About a month ago, the pain suddenly became so severe that he was not able to stand up.
He was taken to hospital by ambulance, where it was pointed out to him that his bones had some kind of deformation. He still had back pain when he visited our clinic.
He came to our clinic seeking treatment.
Symptoms before treatment
Pain in the left lower back. Absence of numbness.
Pain worsens when bending down and standing up.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 3 | 0 | 0 | 0 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10. Main pain area: lower back
Bending backward: No change
Pressure points: None
Lasegue test: Negative
Coughing and sneezing: no aggravation
Additional explanations on our clinic’s medical examination
・Daily activities
Washing one’s face is easy, but turning over in bed and sitting for long periods of time are somewhat difficult.
Standing up and standing with one’s knees bent are also difficult.
Images and findings
- L2/3 – Intervertebral disc degeneration
- L3/4, 4/5 – Intervertebral disc degeneration, protrusion
The above findings were also observed on the imaging.
・There is a high possibility that the cause of the pain in the lower back is due to the disc degeneration and protrusion in L3/4 and 4/5.
Disc degeneration occuring in L2/3 , from a prophylactic aspect.
Treatment
After consulting with the patient, the Cellgel method was performed on L2/3, 3/4 and 4/5.
The treatment was performed by Dr. Kotera.
The treatment took about 30 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
