Column Case Report No. 76｜ ILC International Lumbago Clinic (Osaka) Column
October 29, 2024
The patient
A male patient in his 30s.
The patient’s medical history to date
The patient had surgery for disc herniation 5 years ago. After that, he took medication and underwent rehabilitation.
However, his symptoms failed to improve significantly.
The patient visited our clinic seeking to improve the symptoms.
Symptoms before treatment
When moving his body after sitting for about 30 minutes, he gradually felt pain and numbness creeping up in his right hip, right buttock and right calf.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 4 | 3 | 3 | 6 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain and numbness: lower back down to the lower limbs
Bending forward: Possible
Bending backward: Possible
Pressure points: None
Lasegue test: Negative
Coughing and sneezing: No aggravation
Additional explanations on our clinic’s medical examination
・Daily activities
He can stand up and turn over in bed with ease.
Standing up and sitting for long periods of time is somewhat difficult.
Imaging and findings
- L4/5 disc herniation
The above findings were also observed on the imaging.
・There is a high possibility that the pain and numbness are caused by the L4/5 disc herniation.
Treatment
As there was a possibility of leakage in L4/5 since it had been operated on in the past, an air leak test was performed which came back negative.
After consulting with the patient, the Cellgel Method was performed on L4/5.
The treatment was performed by Dr. Kotera.
The treatment took about 25 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
