Column Treatment Report No.43 – ILC International Low Back Pain Clinic (Osaka) Column
July 25, 2024
The patient
The patient
The patient’s medical history to date
Ten years ago, he experienced lower back pain and numbness in his legs.
He was diagnosed with disc herniation.
After undergoing laser therapy, his back pain flared up again, and although he received acupuncture and massage, it failed to provide any relief.
He came to our clinic seeking improvement of his symptoms.
Symptoms before treatment
Low back pain, pain when bending forward or just after getting 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 area of pain: lower back, buttocks
Bending forward: Painful slightly to the right of the midline
Bending backwards: Painful
Lasegue test: Positive at 70 degrees on the right side
Pressure points: L3/4, 4/5, 5/s, felt on the right side.
Coughing and sneezing: no pain
Additional explanations about our clinic’s medical examination
・Daily activities
Turning over in bed is not a problem.
Walking long distances is painful.
Images and findings
- L4/5, tear of the annulus fibrosus in 5/s
The above findings were also observed on the imaging.
There is a high possibility that the symptoms are caused by nerve and spinal canal compression due to the tear of the annulus fibrosus and mild disc degeneration in L4/5, 5/s-.
Treatment
After consulting with the patient, the Cellgel method was performed on L4/5, 5/s.
The treatment was performed by Dr. Maruyama.
The treatment took about 40 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
