Column Treatment Case No.32｜ILC International Low Back Pain Clinic (Osaka) Column
June 29, 2024
The patient
A female patient in her 70s
Patient’s medical history to date
5-6 years ago, she started feeling difficulty when she was standing.
Recently, her symptoms have worsened.
She was diagnosed with scoliosis 4 months ago.
So, she came to our clinic to improve her symptoms.
Symptoms before treatment
Feeling of tightness in the lower back when standing.
Pain in the soles of her feet.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 9 | 9 | 8 | 9 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of numbness: lower back, legs.
Forward bending: Possible
Backward bending: Possible
Coughing/sneezing: Effect unknown
Lasegue test: Negative
Tender points: positive in right L3/4, 4/5
Additional explanation about our clinic’s medical examination
・Daily activities
Symptoms improve when bathing or sitting down.
Pain in the lower back when raising one’s head.
Images and findings
- L2/3, 3/4, 5/s – disc degeneration, protrusion
- L4/5-mild spinal canal stenosis
The above is confirmed by the imaging.
L3/4, 4/5, 5/s – disc degeneration, spinal canal compression due to protrusion are the likely cause of symptoms.
L2/3, circled in the yellow frame – protruding disc, both symptomatic and prophylactic.
Treatment
The Cellgel method was performed on L2/3, 3/4, 4/5, and 5/s after consultation with the patient.
The treatment was performed by Dr. Maruyama.
After the injection of Discogel
The treatment took about 45 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
