Column Case Report No. 67｜ ILC International Lumbago Clinic (Osaka) Column
October 3, 2024
The patient:
A female patient in her 50s
The patient’s medical history to date
The pain started 2 or 3 years ago when she was hit on the left leg.
She developed a strained back last year.
She visited our clinic seeking relief from pain.
Symptoms before treatment
Pain from the buttocks down to the feet. The left knee is also not so good and it is difficult to exert strength on the left side.
Both calves and soles are often subject to cramps. Almost no numbness currently.
When the lower back is strained, pain and numbness appear in both knees.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 8 | 6 | 1 | 8 |
The pain level is rated on a scale of 0 (no pain at all) to 10 (worst possible pain).
Main areas of pain – Lower back, buttocks and lower
Forward bending: possible
Back bending: possible
Pressure points: none
Lasegue’s test: negative
Coughing & sneezing: exacerbating when suffering from a strained back.
Additional explanations on our clinic’s medical examination
・Daily activities
Sitting for long periods and lifting heavy objects are extremely difficult.
Turning over in bed and getting up are also somewhat difficult.
Image and findings
- L4/5 – Intervertebral disc degeneration, protrusion on the left side.
- L5/6 – Intervertebral disc degeneration, protrusion.
- Transitional vertebra.
The above findings were also observed on the imaging.
・There is a high possibility that the main symptoms with a dominance to the left are caused by the protrusions of the L4/5 and 5/6 discs.
Treatment
After consulting with the patient, the Cellgel Method was performed on L4/5 and 5/6.
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
