Column Case Report No.53 | ILC International Low Back Pain Clinic (Osaka) Column
August 24, 2024
The patient
A male patient in his 50s
The patient’s medical history to date
He has had several strained back bouts in the past.
From around the middle of June, he began feeling a strange sensation in his lower back, and after keeping an eye on how the situation evolved, he began to experience pain in his right leg.
After that, his symptoms worsened, and he was diagnosed with disc herniation at a nearby clinic.
He was told that he would need surgery, but he decided to come to our clinic for treatment instead.
Symptoms before treatment
Numbness in the right leg. Numbness in the back of the right thigh and calf.
He has a limp in his right leg. He can sit down somehow but is unable to do so normally.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 2 | 6 | 1 | 6 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of numbness: Lower back, lower limbs
Forward bending: Painful
Backward bending: Possible
Pressure points: Right L4/5
Lasegue test: Negative
Coughing, sneezing: No aggravation
Additional information on our clinic’s physical examination
・Daily activities
The patient exercises about 3 times a week.
Sitting for long periods of time is extremely difficult.
Images and findings
- L5/s – herniated disc, spinal canal stenosis
The above was also observed on the imaging.
・The spinal canal is compressed by the herniated disc at L5/S, and there is a high possibility that this is the cause of the main symptoms.
Treatment
After consulting with the patient, the Cellgel method was performed on L5/S.
The treatment was performed by Dr. Maruyama.
The treatment took about 25 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
