Column Case Report No.56 | ILC International Lumbago Clinic (Osaka) Column
August 31, 2024
The patient
A male patient in his 50s.
The patient’s medical history to date
He has had chronic lower back pain since he was 27 years old.
He developed severe lower back pain in mid-July this year.
He came to our clinic for treatment.
Symptoms prior to treatment
He feels pain regardless of the posture, and numbness in both legs.
・Pain levels before treatment.
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 10 | 10 | 10 | 10 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain and numbness: Lower back, lower limbs
Forward bending: Possible
Backward bending: Somewhat difficult
Pressure points: None
Lasegue test: Negative
Coughing and sneezing: Aggravating
Additional explanation on our clinic’s medical examination
・Daily activities
The patient does not usually do any exercise. The symptoms are severe when lying down and getting up.
Sitting for long periods of time is also somewhat difficult.
Images and Findings
- L3/4, 4/5 – Disc degeneration, protrusion
The above was also observed on the imaging.
・There is a high possibility that the main symptoms are caused by the compression of the spinal canal due to the disc degeneration and protrusion in L3/4, 4/5.
Treatment
After consulting with the patient, the Cellgel method was performed on L3/4 and 4/5.
The treatment was performed by Dr. Kodera.
The treatment took about 55 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
