Column Treatment Case Report No. 266| ILC International Lumbago Clinic (Osaka Clinic)
September 8, 2026
The patient
A male patient in his 60s.
The patient’s medical history to date
The patient has had low back pain for 30 years.
His condition has repeatedly gone back and forth between better and worse.
The pain worsens when he bends forward or in a prolonged stooped posture.
He has also had acute low back pain episodes several times and received traction therapy for it.
One year ago, he felt a dull pain in the left leg, but it subsided after realignment treatment at a bonesetter’s clinic.
The patient visited our clinic seeking to improve symptoms.
Pre-treatment symptoms
Turning over in bed: Easy
Standing up: Easy
Washing his face: Slightly difficult
Stooping posture / standing for a prolonged time: Very difficult
Sitting for extended periods: Easy
Lifting and carrying heavy objects: Very difficult
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 4 | 2 | 0 | 0 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain and numbness: left lower back to left lower limb

Bending forward: no aggravation
Bending backward: limited due to pain
Lasegue test: numbness in the ankle at 60 degrees on the left
Point of tenderness: left L3/L4 through L5/S1
Coughing and sneezing: no aggravation
Additional explanations on our clinic’s medical examination
Imaging and findings

- L2/3, L3/4, L4/5: Disc degeneration, bulging, foraminal stenosis
The above findings were also observed on the imaging.
Compression of the spinal canal due to the disc findings at L2/3, L3/4, and L4/5 is highly likely to be the cause of the 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 30 minutes.
After resting in the recovery room, the patient was able to walk home by his own means.
Our Clinics’ Treatment
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