Column Case Report No. 80｜ ILC International Lumbago 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 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
