Column Treatment Case Report No. 110｜ ILC International Lumbago Clinic (Osaka Clinic)
March 04, 2025
The patient
A female patient in her 50s.
The patient’s medical history to date
the patient has chronic back pain.
3 years ago, the patient first noticed numbness in her left calf.
She had been doing some KAATSU training (https://en.wikipedia.org/wiki/Kaatsu).
She was diagnosed with disc herniation in the past.
Symptoms also appeared on the right side after hiking in the mountain one month ago.
She came to our clinic to improve her symptoms.
Symptoms before treatment
Symptoms are more pronounced when lifting heavy objects.
Currently, symptoms are stronger on the right side.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 4 | 7 | 7 | 8 |
No pain at all is rated as 0, and the greatest possible pain is rated as 10.
Main area of pain numbness: lower back – lower limbs
Forward bending: Possible
Backward bending: Slightly difficult
Lasegue test: negative
MMT: Full
Tenderness points in the lumbar region: disc L3/4 and 4/5 on both sides
Coughing and sneezing: no aggravation
Additional explanations on our clinic’s medical examination
Imaging and findings
- 6 vertebrae
- L3/4 – disc degeneration
- L4/5, 6/s – disc degeneration, protrusion
- L5/6 – disc degeneration, disc herniation on the left side
The above findings were also observed on the imaging.
Compression of the spinal canal due to disc herniation on the left side in L5/6 is the probable cause of the pain.
Compression of the spinal canal following the findings on discs L3/4, 4/5, and 6/s is also a potential cause of the pain.
Treatment
After consultation with the patient, the Cellgel Method was performed in L3/4, 4/5, 5/6, and 6/s.
The treatment was performed by our Administrative Director Dr. Kotera.
The treatment took about 35 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
