Column Case Report No. 82| ILC International Lumbago Clinic (Osaka) Column
November 21, 2024
The patient
A male patient in his 30s.
The patient’s medical history to date
The patient underwent PLDD in 2016. He traveled overseas in September this year, after which, his back pain worsened.
In October, he developed a strained back. After resting, his pain has now reduced to around 40%.
He visited our clinic seeking to improve his symptoms.
Symptoms before treatment
Back pain, numbness in the right leg, pain in the buttocks.
・Pain levels before treatment
Lower back | Lower limbs | Numbness | Buttocks | |
---|---|---|---|---|
Pain level | 4 | 1 | 3 | 4 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main area of pain and numbness: lower back to lower limbs
Bending backward: difficult
Tenderness: L3/4 4/5 5/s
Lasegue test: Negative
Coughing and sneezing: no aggravation
Additional explanations on our clinic’s medical examination
・Daily activities
Intermittent claudication is present.
Washing one’s face and sitting for long periods of time are extremely difficult.
Imaging and findings
- L5/S – Disc herniation
The above findings were also observed on the imaging.
・There is a high possibility that the pain and numbness are caused by the disc herniation in L5/S.
Treatment
After consulting with the patient, the Cellgel Method was performed on L5/s.
The treatment was performed by Dr. Kotera.
The treatment took about 25 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)
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