Column Case Report No. 69｜ ILC International Low Back Pain Clinic (Osaka) Column
October 8, 2024
The patient:
A male patient in his 40s
The patient’s medical history to date
The patient has had lower back pain since high school. He felt pain when doing muscle training.
The current symptoms started 3 weeks ago. The pain is so strong at night that he cannot sleep.
When he visited a local doctor, he was diagnosed with disc herniation.
He visited the clinic with the aim of alleviating his pain symptoms.
Symptoms before treatment
He is in constant pain. He also has pain and numbness in the lower back and legs.
The right side of his lower body is the most affected, and walking is difficult. The symptoms get worse in the evening.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 10 | 6 | 8 | 0 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain: lower back, buttocks and lower
Bending forward: Almost impossible
Bending backward: No change
Pressure points: None
Lasegue test: Pain on both sides at 45 degrees, with the right side the most painful.
Coughing and sneezing: no aggravation
Additional explanations on our clinic’s medical examination
・Daily activities
Turning over in bed is extremely difficult.
Standing up and sitting for long periods of time is somewhat difficult.
Images and findings
- L2/3, 5/s – herniated intervertebral disc
The above findings were also observed on the imaging.
・There is a high possibility that the cause of the symptoms of pain and numbness on the right side is due to disc herniation in L2/3 and 5/s.
Treatment
After consulting with the patient, the Cellgel Method was performed on L2/3 and 5/s
The treatment was performed by Dr. Kotera.
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
