Column Treatment Report No.44 – ILC International Low Back Pain Clinic (Osaka) Column
July 27, 2024
The patient
A female patient in her 70s
The patient’s medical history to date
She first developed lower back pain a year ago.
Rehabilitation at a local doctor’s office failed to alleviate the pain, and although she trained with a wheelbarrow and did calisthenics as recommended, she saw no improvement. She came to our hospital seeking relief from her symptoms.
Symptoms before treatment
Her lower back hurts from the hips.
No numbness.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 4 | 5 | 0 | 2 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main area of pain: lower back, lower limbs
Bending forward: Possible
Bending backwards: Painful
Lasegue test: Negative
Pressure points: Left in L3/4, 4/5, 5/s
Coughing and sneezing: no effect
Additional information on our clinic’s medical examination
・Daily activities
Sitting is not a problem, but standing is difficult.
Turning over in bed and getting up are also somewhat difficult.
Images and findings
- L4/5-Disc degeneration
- L5/S-Disc herniation
The above was also observed in the imaging.
・Disc herniation was observed in L5/S- and is highly likely to be the cause of the main symptoms.
L4/5-disc degeneration was observed from a prophylactic perspective.
Treatment
After consulting with the patient, the Cellgel method was performed on L4/5 and 5/s
The treatment was performed by Dr. Maruyama.
The treatment took about 45 minutes to complete.
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
