Column Treatment Case Report No. 105｜ ILC International Lumbago Clinic (Osaka Clinic)
February 08, 2025
The patient
A female patient in her 50s.
The patient’s medical history to date
The patient first developed a strained back 15 years ago. One year ago, she experienced groin pain while playing golf.
She started feeling lower back pain one month ago, and developed numbness in her legs.
The patient visited our clinic seeking to improve her symptoms.
Symptoms before treatment
Lower back pain, numbness in the left groin and posterior aspect of the left thigh
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 7 | 5 | 5 | 4 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain and numbness: lower back, lower limbs.
Bending forward: painful
Bending backward: possible
Point of tenderness: no aggravation
Coughing and sneezing: no aggravation
Intermittent claudication: none
Additional explanations on our clinic’s medical examination
・Daily activities
Turning over in bed and standing up pose no problem.
Sitting and standing for long periods of time are somewhat difficult.
Imaging and findings
- L3/4 – disc herniation
The above findings were also observed on the imaging.
・The protruding disc in L3/4 is likely the cause of pain and numbness because of the compression of the spinal canal.
Treatment
After consulting with the patient, the Cellgel Method was performed on L3/4.
The treatment was performed by Dr. Kotera.
Image after the injection of Discogel.
The treatment took about 20 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
