Column Treatment Case Report No. 102｜ ILC International Lumbago Clinic (Osaka Clinic)
January 30, 2025
The patient
A male patient in his 30s.
The patient’s medical history to date
The patient has been experiencing numbness in his lower limbs for about a year and severe pain for the past 3 months.
He has been receiving block injections at a pain clinic, but there has been no improvement.
The patient visited our clinic seeking to improve her symptoms.
Symptoms before treatment
Severe pain in the lower back, numbness in the left lower limb.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 8 | 8 | 8 | 8 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main area of pain and numbness: from the lower back to the lower limbs
Bending forward: difficult
Bending backward: 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
Sitting in half-sitting posture poses no problem.
Standing up and prolonged sitting are very difficult.
Imaging and findings
- L5/s – disc herniation
The above findings were also observed on the imaging.
・The pain and numbness are most likely caused by the disc herniation in the midline of the L5/s.
Treatment
After consulting with the patient, the Cellgel Method was performed on L5/s.
The treatment was performed by Dr. Kotera.
The treatment took about 25 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
