Column Treatment Case Report No. 101｜ ILC International Lumbago Clinic (Osaka Clinic)
January 28, 2025
International Lumbago Clinic (Tokyo Clinic)
The patient
A male patient in his 20s.
The patient’s medical history to date
The patient developed a strained back when he was a student. He was put under observation and treated with acupuncture and massages.
3 years ago, he was transferred from a sales job to a desk job, and after 6 months, numbness began to appear in his legs.
He tried physical therapy and muscle training, but there was no improvement.
He came to the clinic with the aim of improving on the underlying cause of his symptoms.
Symptoms before treatment
Numbness in the lower limbs and buttocks. No back pain.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 0 | 2 | 4 | 4 |
No pain at all is rated as 0, and the greatest possible pain is rated as 10.
Main numbness area – from the buttocks to the lower extremities.
Forward bending: Possible
Backward bending: Possible
Point of tenderness: None
Lasegue test: negative
Coughing and sneezing: no aggravation
Intermittent claudication: none
Additional explanations on our clinic’s medical examination
・Daily activities
Standing up and holding heavy objects pose no problem.
Prolonged sitting is somewhat difficult.
Imaging and findings
- L4/5 – mild protrusion
- L5/s – disc herniation
The above findings were also observed on the imaging.
・The left dorsal herniation in L5/s is the most likely cause of the main symptoms.
L4/5 was done as a preventive measure.
Treatment
After consultation with the patient, the Cellgel Method was performed on L4/5 and 5/s.
The treatment was performed by Dr. Kotera.
The treatment took about 20 minutes
After resting in the recovery room, the patient was able to walk home by herself.
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
