Column Treatment Report No.16｜ILC International Low Back Pain Clinic (Osaka) Column
May 23, 2024
The patient
A male patient in his 80s
Patient’s medical history to date
In March of this year, he developed lumbar, buttocks and lower leg pain.
A CT scan at a hospital revealed no abnormality.
Surgery was suggested to him at that hospital.
He came to our clinic for improvement of his symptoms.
Symptoms prior to treatment
Pain in the buttocks when lying on his back.
Pain and numbness in the right lower limb immediately after waking up.
・Pain levels before treatment
| Lower back | Lower limb | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 7 | 7 | 7 | 5 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main pain area: lower limbs
Forward bending: Possible
Backward bending: Painful
Lower extremity extension and elevation test: no problem
Aggravating limb position: when changing position from the same position for a prolonged period.
Extension movement
Relief position: sitting
Additional Explanation about our clinic’s medical examination
・Daily activities
He used to be able to play golf, but now he has some pain when he rotates his body.
Can walk without interruption. Pain is eased when leaning forward.
No difficulty sleeping at night.
Imaging and findings
- Disc degeneration and protrusion were confirmed in L4/5, 5/s.
・The compression of the spinal canal in L4/5 and 5/s is likely the main cause of the symptoms.
Treatment
After consultation with the patient, the Cellgel method was performed on L4/5 and 5/s
The treatment was performed by Dr. Maruyama.
After the DiscoGel injection
The treatment took about 30 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
