Column Treatment Report No.24 / ILC International Low Back Pain Clinic (Osaka) Column
June 11, 2024
The patient:
Male patient in his 70s
Medical evolution of the patient up to now
About a week ago, he developed lower back pain on the left side.
The next day, he experienced severe pain in his right lower back and leg when going to bed.
He visited a hospital, where he was diagnosed with spinal stenosis.
He had nerve block injections, oral medication, and menthol pads.
After lack of improvement of his condition, he decided to come to our clinic.
Symptoms prior to treatment
He was woken up by pain in his legs three hours after going to sleep.
His right lower leg hurt, starting from the lower back.
・Pain levels before treatment
| lower back | lower limbs | numbness | buttocks | |
|---|---|---|---|---|
| Pain level | 3 | 6 | 4 | 0 |
0 is rated as no pain at all, and 10 as the maximum possible pain.
Main area of pain: legs
Bending forward: Possible
Bending backwards: Pain when in standing position
Coughing/sneezing: No effect
Standing on heels: Possible
Standing on tiptoes: Possible
Pressure points: L3/4, 4/5
Unable to lie face down
Additional explanation about our medical examination
・Daily activities
Turning over in bed and holding heavy objects are somewhat difficult.
Intermittent claudication for about two months
Images and Findings
- L3/4, 4/5-Spinal canal stenosis
- L2/3, 5/s – Protrusion due to intervertebral disc degeneration
The above findings have been confirmed by the imaging.
・There is a high possibility that the leg pain is caused by compression of the spinal canal at L3/4 and 4/5.
L2/3, 5/s – Degenerative disc disease and a protruding disc were confirmed, as well as from a prophylactic perspective.
Treatment
After consultation with the patient, the Cellgel method was performed on L2/3, 3/4, 4/5, and 5/s.
The treatment was performed by Dr. Maruyama and took about 60 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
