Column Treatment Report No.33｜ILC International Low Back Pain Clinic (Osaka) Column
July 02, 2024
The patient
A female patient in her 60’s
Patient’s medical history to date
In 2013, she felt a slight numbness in her left leg, but it disappeared after about 2 weeks.
In 2022, she developed acute back pain while exercising.
She received drug therapy, acupuncture, moxibustion, and rehabilitation at a hospital, but it was unable to improve her condition.
She came to our clinic to seek improvement of her symptoms.
Symptoms prior to treatment
No pain in the morning, but numbness is present.
Left lower back pain, pain from the buttock to the back of the thigh and calf.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 6 | 4 | 4 | 6 |
No pain at all is rated as 0, and the greatest possible pain is rated as 10.
Main areas of numbness: lower back, legs
Forward bending: Possible
Backward bending: possible
Coughing/sneezing: no effect
Lasegue test: positive on the left side at 70 degrees
Tenderness point: None
Additional Explanation about our clinic’s medical examination
・Daily activities
Pain with prolonged standing.
No pain when sleeping.
Imaging and findings
- L5/6-Degeneration and protrusion of the intervertebral disc
- L3/4, 4/5- Mild spinal canal stenosis
- L6/s – herniated disc
The above is confirmed by the imaging.
Mild spinal canal stenosis and compression of the spinal canal due to disc herniation and protrusion are the most likely causes of the predominance of symptoms on the left-side.
Treatment
After consultation with the patient, the Cellgel method was performed on L3/4, 4/5, 5/6, and 6/s.
The treatment was performed by Dr. Maruyama.
The treatment took about 40 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
