Column Treatment Case Report No. 114| ILC International Lumbago Clinic (Osaka Clinic)
March 13, 2025
The patient
A female patient in her 70s.
The patient’s medical history to date
Six years ago, after experiencing hip pain, heavy legs, and other symptoms, she was diagnosed with spinal canal stenosis.
The symptoms disappeared spontaneously.
3 years ago, numbness and cramps appeared in her legs.
She was diagnosed with spinal stenosis at her local doctor, and with a hernia at a general hospital.
Currently, the numbness in her legs has become stronger.
The patient visited our clinic seeking to improve her symptoms.
Symptoms before treatment
Low back pain, pain and numbness in the front and back of both thighs to the perineum, numbness in the back of the toes.
Turning over in bed: no problem Standing up: no problem
Washing one’s face: no problem
Prolonged standing and semi-crouched posture: somewhat difficult
Prolonged sitting: no problem
・Pain levels before treatment
Lower back | Lower limbs | Numbness | Buttocks | |
---|---|---|---|---|
Pain level | 4 | 3 | 3 | 1 |
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 to the lower limbs.

Additional explanations on our clinic’s medical examination
Imaging and findings

- L1/2, 2/3, 3/4, 5/s – disc degeneration
- L4/5 – disc herniation
The above findings were also observed on the imaging.
Compression of the spinal canal due to disc herniation in L4/5 is the most probable cause of the pain and numbness.
Compression of the spinal canal due to disc degeneration in L1/2, 2/3, 3/4, and 5/s is also a possible cause of the symptoms.
Treatment
After consulting with the patient, the Cellgel Method was performed on L2/3, 3/4, 4/5 and 5/s.
The treatment was performed by our administrative director, Dr. Kotera.

The treatment took about 30 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