Column Treatment Report No.37 – ILC International Low Back Pain Clinic (Osaka) Column
July 11, 2024
The patient
A female patient in her 80s
The patient’s medical history to date
She first developed a strained back in her 40s.
Since then, she has had pain in her right lower back that feels as if it is being compressed.
The symptoms reappeared in her 70s.
She tried osteopathic treatment and acupuncture, but then later switched to a fitness club.
She came to the clinic with the aim of improving her symptoms.
Symptoms before treatment
Low back pain, numbness at the joints of both toes
No symptoms when seated.
・Pain levels before treatment
Lower back | Lower limbs | Numbness | Buttocks | |
---|---|---|---|---|
Pain level | 6 | 6 | 7 | 0 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of numbness: lower back, lower limbs
![](https://ilclinic.or.jp/wp/wp-content/uploads/2024/07/image-29.png)
Bending forward: Possible
Bending backwards: Possible
Pressure points: L3/4, L4/5, 5/s. Positive
Coughing and sneezing: No effect
Additional explanation about our clinic’s medical examination
・Daily activities
Symptoms occur when walking.
No problems when bathing.
Pain when washing her face.
Images and Findings:
![](https://ilclinic.or.jp/wp/wp-content/uploads/2024/07/image-30-655x1024.png)
- L2/3, 5/6, 6/s-intervertebral disc degeneration, protrusion
- L3/4, 4/5 – Spinal canal stenosis
The above is confirmed by the imaging.
・There is a high possibility that the symptoms are caused by the spinal canal stenosis in L3/4 and 4/5.
There is also a possibility that the symptoms are caused by compression of the spinal canal in L2/3, 5/6, and 6/s caused by intervertebral disc degeneration and protrusion.
Treatment
After consulting with the patient, the Cellgel method was performed on L2/3, 3/4, 4/5, 5/6, and 6/s.
The treatment was performed by Dr. Maruyama.
![](https://en.ilclinic.or.jp/wp/wp-content/uploads/2024/07/Untitled-design-1.png)
The treatment took about 75 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