Column Case Report No. 72｜ ILC International Low Back Pain Clinic (Osaka) Column
October 17, 2024
The patient
A male patient in his 60s.
The patient’s medical history to date
The patient developed back pain 10 years ago when the weather was cold.
He has had back pain for several years now, regardless of temperature.
He visited several doctors, but had only received block injections so far.
He had back pain when walking, which gradually worsened.
He came to our hospital seeking to improve his symptoms.
Symptoms before treatment
He had back pain when bending over.
He also had intermittent claudication.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 7 | 0 | 0 | 1 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main area of pain: lower back
Bending forward: Easy
Bending backward: Possible
Pressure points: None
Lasegue test: Negative
Coughing and sneezing: No aggravation
Additional explanations on our clinic’s medical examination
・Daily activities
Turning over in bed and sitting for long periods of time are easy.
Standing up and bending over are somewhat difficult.
Imaging and findings
- L4/5, 5/s – Intervertebral disc degeneration, protrusion
The above findings were also observed on the imaging.
・There is a high possibility that the cause of the back pain is due to the L4/5, 5/s intervertebral disc degeneration and protrusion.
Treatment
After consulting with the patient, the Cellgel Method was performed on L4/5 and 5/s.
The treatment was performed by Dr. Kotera.
The treatment took about 40 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
