Column Treatment Case Report No. 42｜ ILC International Lumbago Clinic (Tokyo Clinic)
January 18, 2023
The patient
A female patient in her 40s.
The patient’s medical history to date
- In 2018, the patient experienced an episode of acute low back pain (lumbago).
- She reported pain radiating from the left buttock down to the lower limb and foot.
- Pain severity on a 1–10 scale (1 = minimal, 10 = maximal):
- Low back: 9
- Lower limb: 8
- Buttock: 9
- Numbness: 2
- Able to walk more than 100–500 meters.
- Standing up, forward-flexed posture, and prolonged sitting are extremely difficult. Face-washing motions are somewhat difficult.
Imaging and findings
- L4/5: Disc degeneration was observed.
- L5/S: Disc herniation was observed.
Treatment
PODD (Percutaneous Ozone Disc Decompression) was performed on L5/S.
After inserting the needle into the intervertebral disc, ozone was injected.
Ozone was also injected into the epidural space.
The entire procedure was completed in approximately 10 minutes.
After resting in the recovery room, the patient was able to walk out of the clinic unaided.
Information on Our Clinic’s Treatment Method (PODD) 💉
Cost:
PODD Cost: Ranges from ¥330,000 (tax included) for 1 site to ¥550,000 (tax included) for up to 5 sites.
Epidural Ozone Cost: Ranges from ¥33,000 (tax included) for 1 site to ¥165,000 (tax included) for up to 5 sites.
Cost for this Patient’s Case:
PODD 1 site = ¥330,000 (tax included)
Epidural Ozone 1 site = ¥33,000 (tax included)
Risks and Side Effects
The optimal treatment plan will be determined with the physician based on the patient’s condition at the time of the visit.
Temporary pain may occur after the procedure.
Although nerve injury cannot be completely excluded due to the nature of the technique, no such cases have been reported in our clinical experience or in the literature.
Extremely rare allergic reactions to local anesthetics may occur.
In cases where the intervertebral disc is severely collapsed with minimal structure remaining, treatment may not be feasible.
For more detailed information, please refer to the link below:
Author of this article: Dr.Tadaaki Minowa, Administrative Director at ILC Clinic
