Column Case Report No. 70｜ ILC International Low Back Pain Clinic (Osaka) Column
October 10, 2024
The patient:
A female patient in her 70s
The patient’s medical history to date
The patient was diagnosed with sciatica at an orthopedic clinic about two years ago. That condition was relieved after 3 months of acupuncture and other treatments.
About a month ago, pain started in the left buttock, followed by numbness.
She received a block injection, but it did not relieve the pain.
She visited the clinic for treatment and to improve the pain and numbness.
Symptoms before treatment
The left buttock has been painful for about two months. The outside of the left knee hurts after walking.
There is numbness from the left buttock to the left leg.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 0 | 9 | 6 | 9 |
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: Possible
Bending backward: Possible
Pressure points: L3/4, 4/5, 5/s
Lasegue test: Negative
Coughing and sneezing: no aggravation
Additional explanations on our clinic’s medical examination
・Daily activities
Sitting for long periods of time and holding heavy objects are extremely difficult.
The only exercise she does is walking.
Images and findings
- L3/4 – Disc herniation
- L4/5, 5/s – Disc degeneration
The above findings were also observed on the imaging.
・There is a high possibility that the main symptoms of spinal canal compression, pain and numbness are caused by the disc herniation in L3/4.
L4/5，5/ｓ- From a preventative aspect.
Treatment
After consulting with the patient, the Cellgel method was performed on L3/4, 4/5, 5/s.
The treatment was performed by Dr. Maruyama.
The treatment took about40 minutes.
After resting in the recovery room, the patient was able to walk home by herself.
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
