Column Case Report No. 2｜ ILC International Low Back Pain Clinic (Osaka) Column
April 9, 2024
The patient
A male patient in his 50s
The patient’s medical history to date
He developed lower back pain after receiving a massage overseas. He was later diagnosed with disc herniation and was hospitalized for treatment.
He regularly had lower back pain every month for about 3 years, and was sometimes unable to move.
Recently, the strain on his lower back in his everyday life has increased.
Symptoms before treatment
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 3 | 0 | 0 | 0 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain: lower back
Bending forward: Possible
Bending backward: Possible
Lasegue test: lower back pain on the left side at a 70 degrees angle on the right leg
Pressure points: None
Additional explanations on our clinic’s medical examination
・Daily activities
The left side of the lower back is more likely to hurt when standing.
The lower back can suddenly hurt while sleeping, bending forward, or even when doing nothing in particular.
Imaging and findings
- L2/3,4/5,5/s – degeneration of the intervertebral discs and protrusion
The above findings were also observed on the imaging.
・Degeneration and protrusion of the L2/3, 4/5, and 5/s intervertebral discs were observed, and there is a high possibility that this is the cause of the main symptoms.
Imaging and findings
After consulting with the patient, the Cellgel Method was performed onL2/3 ,4/5 ,5/s.
The treatment was performed by Dr. Maruyama.
This is an image of the patient’s back before the Discogel injection.
The treatment took about 60 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
