Column Treatment Report No.26｜ILC International Low Back Pain Clinic (Osaka) Column
June 15, 2024
The patient
Male patient in his 70’s
Patient’s medical evolution up to now
He suffered several strained backs episodes in the past.
This year, he began to have pain in his lower back and legs.
He visited a hospital and was diagnosed with a herniated disc.
He came to the clinic to improve his symptoms.
Symptoms before treatment
When he had to stand up after sitting for a long time, he was unable to walk because of the pain.
Pain and numbness from right thigh to lower leg
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Level of pain | 0 | 7 | 7 | 0 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain: lower back, legs
Forward bending: Possible
Back bending: Possible
Coughing/sneezing: affecting the lower back
Standing on heels: Possible
Standing on tiptoe: Possible
Tender point: No
Lasegue test: Negative
Additional explanations about our medical examination
・Daily activities
Numbness when waking up, but minimal pain otherwise.
No sleep problems.
No back pain when bending or twisting at the waist.
Imaging and findings
- L2/3- Spinal canal stenosis
- L4/5- Intervertebral foramen stenosis
- L3/4, 5/ｓ- Intervertebral disc degeneration, protrusion
The above was confirmed by the imaging.
・L2/3,4/5-Scoliosis, most likely due to foramen magnum stenosis
L3/4,5/s – both symptomatic and prophylactic due to disc degeneration and protrusion.
Treatment
After consultation with the patient, the Cellgel procedure was performed on L2/3, 3/4, 4/5, 5/s
The treatment was performed by Dr. Maruyama.
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
