Column Treatment Case Report No. 203｜ ILC International Lumbago Clinic (Osaka Clinic)
December 19, 2025
The patient
A male patient in his 40s.
The patient’s medical history to date
In his teens, he played soccer, which is when low back and buttock pain first appeared.
in his 30s, hw suffered from recurrent episodes of acute low back pain (lumbago).
Symptoms have gradually worsened over the past 2–3 years.
Recently started weight training, which he felt provided slight symptomatic relief.
Had previously been receiving treatment at another clinic/osteopathic facility.
The patient visited our clinic seeking to improve his symptoms.
Pre-treatment symptoms
Rolling in bed: easy
Standing up: easy
Washing face: somewhat difficult
Forward-bending posture / prolonged standing: somewhat difficult
Prolonged sitting: somewhat difficult
Lifting/holding heavy objects: somewhat difficult
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 7 | 0 | 0 | 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 on the left side.
Bending forward: no problem
Bending backward: no problem
Lasegue test: negative
Point of tenderness: discomfort noted at L3/4 and L4/5 on the right side
Coughing and sneezing: aggravation
Additional explanations on our clinic’s medical examination
Imaging and findings
- L2/3, L3/4, L4/5: Disc degeneration and bulging
The above findings were also observed on the imaging.
These findings suggest that disc degeneration and associated bulging at L2/3, L3/4, and L4/5 may be the primary contributors to the patient’s symptoms.
Treatment
After consulting with the patient, the Cellgel Method was performed on L2/3, 3/4 and 4/5.
The treatment was performed by Dr. Ohara.
The treatment took about 35 minutes.
After resting in the recovery room, the patient was able to walk home unaided.
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
