Column Case Report No.60 ｜ ILC International Lumbago Clinic (Osaka) Column
September 09, 2024
The patient:
A female patient in her 50s
The patient’s medical history to date
She had been experiencing pain in her lower back for about seven years.
3 years ago, she developed a strain in her lower back. She visited an orthopedic clinic and received a pain-relieving injection.
A year ago, she began to experience pain in the back of her right thigh, and after visiting a nearby doctor, she was diagnosed with disc herniation.
She received pain-relieving injections and took medication, but the pain did not go away.
She came to our clinic to alleviate her symptoms.
Symptoms before treatment
Pain in the right buttock and right thigh.
Numbness in the lower right leg. Pain starts in the morning.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 1 | 7~8 | 3 | 7 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main pain area: lower back, lower limbs
Forward bending: Pain in the right thigh, mainly when bending forward
Backward bending: pain in the back of the right thigh.
Pressure point: left L3/4.
Lasegue test: positive at 45 degrees on the right side.
Coughing and sneezing: a little painful.
Additional explanations on our clinic’s medical examination
・Daily activities.
She was able to walk, but the pain was quite strong, so she stooped while walking.
Turning over in bed and getting up were not a problem.
Imaging and findings
- L3/4, 4/5-vertebral disc degeneration, bilateral facet joint inflammation
- L5/s-vertebral disc herniation
The above findings were 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 L5/s disc herniation.
L4/5-vertebral disc degeneration and facet joint inflammation were observed, and there is a possibility that they are also the cause of the main symptoms.
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 35 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
