Column Case Report No. 80｜ ILC International Low Back Pain Clinic (Osaka) Column
November 14, 2024
The patient
A female patient in her 50s.
The patient’s medical history to date
The patient had no previous history of strained back. She has been caring for her parents for over 10 years.
She first developed lower back pain in the summer of 2023.
She has been attending a chiropractor and rehabilitation therapy. Her symptoms were in the lower back and legs.
She came to our clinic seeking improvement of her symptoms.
Symptoms before treatment
Lower back pain, heaviness in both legs.
Numbness in both legs and lower back pain when sitting for long periods.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 8 | 2 | 8 | 3 |
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 to lower limbs
Bending forward: Possible
Bending backward: difficult
Pressure point: L4/5 in the middle
Lasegue test: Negative
Coughing and sneezing: No aggravation
Additional explanations on our clinic’s medical examination
・Daily activities
No intermittent claudication
Turning over in bed and getting up are easy.
Sitting for long periods of time and washing one’s face are somewhat difficult.
Imaging and findings
- L4/5 intervertebral disc degeneration, mild protrusion
The above findings were also observed on the imaging.
・There is a high possibility that the protrusion of the L4/5 intervertebral disc is causing the nerve compression and the main symptoms.
Treatment
After consulting with the patient, the Cellgel Method was performed on L4/5.
The treatment was performed by Dr. Kotera.
The treatment took about 40 minutes.
After taking a rest in the recovery room, since the patient was able to sit, stand, and walk without any problems, he walked home on his own.
Our clinic’s treatment method
Additional information about the Q-Florence method we have just presented above.
Cost of the Q Florence method: 1,600,000 yen/one site (including tax) to 2,300,000 yen/two sites (including tax)
Cost for this patient’s case: Q Florence method 1 site = 1,600,000 yen (including tax)
Risks and side effects of the Q-Florence method: Although there are no reports of such cases in our own experience or in the literature, there is a possibility of damage to nerves, dura mater, and other surrounding tissues due to insertion of the spacer. There is a very small possibility of allergic reaction to the local anesthetic. There is a possibility of dislocation or fracture of the spinous process. Temporary urinary problems and allergic reactions may also occur.
For more detailed information, please refer to the following links:
Blog page with an easy-to-understand explanation of the Cellgel Method
Our clinic’s page on the Cellgel Method
Blog article explaining the Q-Florence method in an easy-to-understand manner (in Japanese)
Our clinic’s page about the Q-Florence Method (in Japanese)
This article was written by the Administrative Director of the Clinic
