Column Treatment Report No.29｜ILC International Low Back Pain Clinic (Osaka) Column
June 22, 2024
The patient
A male patient in his 50s
Patient’s medical evolution up to now
His symptoms first appeared while playing golf in early April.
At the hospital, he was diagnosed with a herniated disc.
He had been taking medication and keeping a close watch on his condition, but his symptoms kept getting worse.
He came to the hospital to improve his symptoms.
Symptoms before treatment
Pain and numbness from right thigh to outer lower leg
Mild back pain
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 1 | 6 | 7 | 3 |
No pain at all is rated as 0, and the greatest possible pain is rated as 10.
Main pain and numbness area: legs
Forward bending: Possible
Backward bending: numbness in the right lower extremity
Coughing/sneezing: pain-inducing
Lasegue test: positive right 45 degrees
Tenderness point: right L4/5,5/s
Heel stand: right leg lowered
Standing on tiptoe: possible
Additional explanation on our clinic’s medical examination
・Daily activities
Difficulty in washing one’s face.
Sitting is possible, but symptoms worsen when standing.
Imaging and findings
- L4/5, 5/s – disc degeneration and protrusion
The above is confirmed by the imaging.
・L4/5,5/s – disc degeneration, protruding spinal canal compression
The above are the most likely cause of the main symptoms.
Treatment
After consultation with the patient, the Cellgel procedure was performed on L4/5,5/s.
The treatment was performed by Dr. Maruyama.
The treatment took about 35 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
