Column Case Report No. 65｜ ILC International Lumbago Clinic (Osaka) Column
September 26, 2024
The patient
A male patient in his 30s
The patient’s medical history to date
He had a strained back once or twice in the past.
He had been suffering from lower back and buttock pain since September last year.
He had been taking painkillers, but he decided to come to our clinic as his condition did not improve.
Symptoms before treatment
Lower back and buttock pain.
No numbness.
・Pain level before treatment.
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 7 | 0 | 0 | 8 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain – lower back, buttocks
Forward bending: Slight pain
Backward bending: Possible
Pressure points: None
Laseguetest: Positive at a 70 degrees angle bilaterally
Coughing, sneezing: Aggravating
Additional explanations on our clinic’s medical examination
・Daily activities
Aggravation when standing up or squatting, or when sitting or standing for long periods of time.
Images and findings
- L3/4, 4/5 – herniated discs
- L5/s – degenerated disc, protrusion
The above findings were also observed on the imaging.
・There is a high possibility that the pain in the lower back and buttocks is caused by the herniated discs in L3/4 and 4/5.
There is a possibility that the protruding disc in L5/s is causing the symptoms by compressing the spinal canal.
Treatment
After consulting with the patient, the Cellgel method was performed on L3/4, 4/5, and 5/s
The treatment was performed by Dr. Kotera.
The treatment took about 30 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
