Column Case Report No. 140｜ ILC International Low Back Pain Clinic (Tokyo) Column
March 18, 2024
The patient
A male patient in his 20s.
The patient’s medical history to date
In high school, he developed a strained back when he stood up from a chair. He went to the hospital and recovered after a few days.
In 2022, he visited a local orthopedic clinic and was diagnosed with disc herniation. He was told that surgery was not recommended.
He came to our clinic seeking treatment.
Symptoms before treatment
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 9 | 8 | 7 | 8 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main area of pain: lower back
Forward bending: pain in the lower back
Back bending: pain in the lower back
Lasegue test: negative
Pressure points: L4/5 and 5/s on both sides
Additional explanations on our clinic’s medical examination
・Daily activities
The pain is always present, but it becomes more intense when standing for a long time.
The patient was able to walk between 100 to 500m or less.
Imaging and findings
- L4/5 – Degeneration of the intervertebral discs
- L4/5 – Disc herniation
The above findings were also observed on the imaging.
・Disc herniation was observed in L4/5, ansd is very likely to be the main cause of the symptoms.
Treatment
After consulting with the patient, the Cellgel Method was performed on L4/5.
The treatment was performed by Dr. Kono.
This is an image of the patient’s back after the Discogel injection.
The treatment took about 15 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
