Column Treatment Case No.163 | ILC International Low Back Pain Clinic (Tokyo) Column
August 16, 2024
The patient
A male patient in his 40s
The patient’s medical history to date
He began to experience pain in his lower back and right hip 12 to 13 years ago (around the time he started playing golf).
He visited an orthopedic clinic where he was given medication and kept under observation.
He came to our clinic seeking treatment.
Symptoms before treatment
・Pain level before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 6 | 0 | 0 | 0 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain: Lower back
Forward bending: No change
Backward bending: Slight pain in the lower back
Lasegue test: Negative
Pressure pain: Around the spinous process of L4/5/S
Intermittent claudication: None
Additional information on our clinic’s medical examination
・Daily activities
Symptoms are most severe during prolonged periods of standing or sitting, and when getting up or going to bed.
Images and findings
- L4/5, 5/s – Intervertebral disc degeneration
The above was also observed on the imaging.
・L4/5, 5/s – Intervertebral disc degeneration is likely to be the cause of the main symptoms.
Treatment
After consulting with the patient, the Cellgel method was performed on L4/5, 5/s.
The treatment was performed by Dr. Kono.
This is an image of the patient after the Cellgel was injected.
The treatment took about 15 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
