Column Treatment Case Report No. 143｜ ILC International Lumbago Clinic (Osaka Clinic)
June 05, 2025
The patient
A male patient in his 60s.
The patient’s medical history to date
When the patient was 24 years old, he was hit by a car and has had lower back pain ever since.
He consulted an orthopedic surgeon and had X-rays taken, but was only put in a traction device without any further explanation.
A few years later, he visited an orthopedist who put him in a corset and put under observation.
However, since he felt that he would become unable to walk by himself without the corset, he decided to stop using it.
He has had several episodes of strained back in the past.
The patient visited our clinic seeking to improve his symptoms.
Symptoms before treatment
Turning over in bed: somewhat difficult
Standing up: somewhat difficult
Washing one’s face: somewhat difficult
Prolonged standing posture: somewhat difficult
Prolonged sitting: somewhat difficult
Lifting and carrying heavy objects: very difficult
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 7 | 0 | 1 | 3 |
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, buttocks.
Bending backward: no change
Bending forward: no problem
Bending backward: no problem
Lasegue test: negative
MMT: full
Point of tenderness: L3/4、4/5、5/s
Coughing and sneezing: aggravation
Additional explanations on our clinic’s medical examination
Imaging and findings
- L2/3, 3/4, 4/5, 5/s – disc degeneration, protrusion
The above findings were also observed on the imaging.
Findings show that the compression of the spinal canal on discs L2/3, 3/4, 4/5, and 5/s is the likely 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 Dr. Maruyama.
The treatment took about 65 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
