Column Treatment Case Report No. 113｜ ILC International Lumbago Clinic (Osaka Clinic)
March 11, 2025
The patient
A male patient in his 40s.
The patient’s medical history to date
The patient had surgery to treat disc herniation when he was 19 years old.
He has had 3 episodes of strained back in the past 5 months, which all went away after about 2 weeks.
He had rehabilitation at another hospital, but saw no improvement.
The patient visited our clinic seeking to improve his symptoms.
Symptoms before treatment
Right lower back pain and buttock pain.
Turning over in bed: somewhat difficult
Standing up: somewhat difficult
Washing one’s face: somewhat difficult
Prolonged time in a half-sitting posture or standing position: very difficult
Prolonged sitting: somewhat difficult
Lifting and holding heavy objects: somewhat difficult
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 5 | 0 | 1 | 4 |
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, lower limbs.
Forward bending: somewhat difficult
Bending backward: possible
Lasegue test: positive on the right side
MMT: full
Lumbar tenderness point: disc L4/5 on both sides
Coughing and sneezing: aggravation
Additional explanations on our clinic’s medical examination
Imaging and findings
- L3/4 – slight degeneration of the disc
- L4/5 – disc degeneration, protrusion, degeneration of the endplates
The above findings were also observed on the imaging.
Findings show that the most likely cause of pain is compression of the spinal canal on discs L3/4 and 4/5.
Treatment
After consultation with the patient, the Cellgel Method was performed on L3/4 and 4/5.
The treatment was performed by our administrative director, Dr. Kotera.
The treatment took about 20 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
