Column Treatment Case Report No.276 ｜ ILC International Lumbago Clinic (Osaka Clinic)
October 20, 2026
The patient
A male patient in his 70s.
The patient’s medical history to date
He has had pain in the right lower back for about 10 days.
He had felt heaviness in the right lower back for some time before that.
One week ago, he received a sacroiliac nerve block at an orthopedic clinic, and the pain has been improving.
For rehabilitation, he was only told that it would strengthen the muscles.
He was told that if his symptoms got worse, he might need surgery.
The patient visited our clinic seeking fundamental improvement of his symptoms.
Pre-treatment symptoms
Turning over in bed: Slightly difficult
Standing up: Very difficult
Washing the face: Slightly difficult
Stooping posture / standing for a prolonged time: Easy
Sitting for a long time: Easy
Lifting or holding heavy objects: Very difficult
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 8 | 0 | 0 | 0 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of symptoms: right lower back.
Bending forward: no problem
Bending backward: no problem
Lasegue test: negative
Point of tenderness: right L3/4 to 5/s
Coughing and sneezing: no aggravation
Additional explanations on our clinic’s medical examination
Imaging and findings
- L2/3, 3/4: Disc degeneration, bulging, foraminal stenosis
- L4/5: Disc degeneration, disc herniation, foraminal stenosis, endplate degeneration
The above findings were also observed on the imaging.
Compression of the spinal canal due to the disc findings at L2/3, 3/4 and 4/5 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 walked out of the clinic on his own.
Our Clinics’ Treatment
Here is supplementary information about the Cellgel Method introduced in this case.
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
