Column Treatment Case Report No. 125| ILC International Lumbago Clinic (Osaka Clinic)
April 10, 2025
The patient
A female patient in her 30s.
The patient’s medical history to date
When the patient was in high school, she had a strained back.
About 2 years ago, she felt similar symptoms and was diagnosed with disc herniation and spondylolysis.
She regularly has to carry her child.
The patient came to our clinic to improve her symptoms.
Symptoms before treatment
Turning over in bed: no problem
Standing up: no problem
Washing one’s face: no problem
Prolonged standing and semi-crouched position: somewhat difficult
Prolonged sitting: somewhat difficult
Lifting and carrying heavy objects: extremely difficult
・Pain levels before treatment
Lower back | Lower limbs | Numbness | Buttocks | |
---|---|---|---|---|
Pain level | 10 | 10 | 8 | 0 |
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.

Bending forward: no change
Backward bending: slight pain on the left side
Lasegue test: positive at 70 degrees on the left side
MMT: full
Lumbar point of tenderness: midsection, L5/s on the left side
Coughing/sneezing: occasional aggravation
Additional explanations on our clinic’s medical examination
Imaging and findings

- L5/s – disc herniation
The above findings were also observed on the imaging.
Findings on disc L5/s show that the compression of the spinal canal is the probable cause of the patient’s symptoms.
Treatment
After consulting with the patient, the Cellgel Method was performed on L5/s.
The treatment was performed by Dr. Maruyama.

The treatment took about 20 minutes.
After resting in the recovery room, the patient was able to walk home by herself.
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)
*Cost for this particular patient’s case: Cellgel Method performed on 5 sites = 1,760,000 yen (including tax)
Risks and side effects of the Cellgel Method: transient pain may occur after treatment. Although nerve damage is not non-existent due to the very nature of the treatment, 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 aggravate 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 will discuss with the patient during their visit to the clinic to determine the best treatment option for the 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 page of our treatment
This article was written by the Administrative Director of our clinic