Column Treatment Case Report No. 107｜ ILC International Lumbago Clinic (Osaka Clinic)
February 20, 2025
The patient
A male patient in his 40s.
The patient’s medical history to date
The patient has had low back pain for about 10 years, with episodes of severe pain about twice a year.
This year, the pain became the most intense to date.
Since then, he has had severe pain about 4 times. He visited an orthopedic surgeon and received block injections.
The patient has been going to an osteopathic center for observation.
The patient visited our clinic seeking to improve his symptoms.
Symptoms before treatment
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 10 | 0 | 0 | 10 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain and numbness: lower back, buttocks.
Pain is strong during back and forth flexion, and no point of tenderness was observed.
Intermittent claudication: present.
Additional explanations on our clinic’s medical examination
・Daily activities
Infrequent but severe pain when turning over in bed.
Standing up and prolonged sitting are also very difficult.
Imaging and findings
- L1/2, 2/3, 3/4, 4/5, 5/s – disc herniation
The above findings were also observed on the imaging.
・The disc herniation is compressing the spinal canal and is a very likely cause of that pain that is increasing in frequency.
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. Kotera.
The treatment took about 35 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
