Column Case Report No. 171｜ ILC International Lumbago Clinic (Tokyo) Column
October 4, 2024
The patient:
A male patient in his 40s
The patient’s medical history to date
After doing excessive squats in July 2023, he became temporarily unable to walk and visited a local orthopedic clinic, where he was diagnosed with spondylolisthesis.
In July 2024, he began to experience pain in his right lower limb after playing futsal. He began to experience numbness when lying down or sitting down.
He came to our clinic for treatment.
Symptoms before treatment
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 9 | 9 | 9 | 9 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main pain area: Right buttock and right lower limb
Bending backward: No change
Lasegue test: Negative
Pressure points:4/5
Intermittent claudication: None
Additional explanations on our clinic’s medical examination
・Daily activities
Constant pain and numbness.
Images and findings
- L4/5 – Intervertebral disc degeneration
- L4-Anterolisthesis
The above findings were also observed on the imaging.
・L4/5 – Intervertebral disc degeneration, anterolisthesis, and right foramen stenosis were observed, and there is a high possibility that these are the causes of the main symptoms.
Treatment
After consulting with the patient, the Cellgel Method was performed on L4/5.
The treatment was performed by Dr. Minowa.
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
