Column Treatment Report No.22｜ILC International Low Back Pain Clinic (Osaka) Column
June 06, 2024
The patient
A male patient in his 80’s
Patient’s evolution up to now
No back symptoms until now.
About 2 months ago, he began to have buttock pain predominantly on the right side and pain in the outer side of the lower legs after he straightened his back.
After seeing no improvement, he came to consult at our clinic.
Symptoms before treatment
He has back pain, buttock pain, lower leg pain, no numbness.
Painful when stretching.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 9 | 9 | 0 | 9 |
No pain at all is rated as 0, and the greatest possible pain is rated as 10.
Main areas of pain: lower back, legs
Forward bending: Possible
Back bending: impossible due to a sense of apprehension
Lumbar tender points: right L3/4, 4/5, right 5/s, all reverberating in the legs
Coughing/sneezing: no effect
Standing on heels: possible
Standing on tiptoe: possible
Additional explanation on our medical examination
・Daily activities
Since his back began to hurt, he has refrained from exercising.
No pain when sleeping or waking up.
No problem when washing his face.
Imaging and findings
- L3/4, 4/5, 5/s – disc degeneration, protrusion
The above was confirmed by imaging.
・L3/4, 4/5, and 5/s- Disc protrusion and compression of the spinal canal is the most likely cause of symptoms.
Treatment
After consultation with the patient, the Cellgel procedure was performed on L3/4, 4/5, and 5/s
The treatment was performed by Dr. Maruyama.
The treatment took about 55 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
