Column Treatment Report No.42 – ILC International Low Back Pain Clinic (Osaka) Column
July 23, 2024
The patient
A male patient in his 70s
A male patient in his 70s
His symptoms first began when he was 20 years old.
He had a burning sensation in both buttocks and both his lower legs feel cold.
He visited an orthopedic surgeon who diagnosed him with spondylolisthesis.
He came to our clinic seeking treatment.
Symptoms before treatment
Severe pain in the inguinal region (groin) when waking up.
・Pain levels before treatment
| lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| pain level | 9 | 7 | 8 | 9 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main pain area: lower back, buttocks
Bending forward: possible
Bending backwards: pain in right lower back
Lasegue test: Positive at 70 degrees on the right side
Pressure points: L3/4, 4/5 – Pain that radiates from the right lower back to the buttocks
Additional explanation about our clinic’s medical examination
・Daily activities
Symptoms are relieved when bending over.
Standing up straight is painful.
Even just lying down causes pain in the right groin area
Images and findings
- L1/2, 2/3, 3/4, 4/5 – Spinal canal stenosis
- L4-spondylolisthesis
The above was also observed in the imaging.
・L2/3, 3/4, 4/5 – The cause of the symptoms is highly likely to be due to severe spinal canal stenosis.
L1/2 may be the cause of symptoms caused by mild spinal canal stenosis.
Treatment
After consulting with the patient, the Cellgel method was performed on L1/2, 2/3, 3/4, and 4/5.
The treatment was performed by Dr. Maruyama.
The treatment took about 50 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
