Column Treatment Case Report No.49 | ILC International Low Back Pain Clinic (Osaka)
August 6, 2024
The patient
A male patient in his 70s
The patient’s medical history to date
He was diagnosed with a herniated disc in his late 30s. His condition improved with medication and rehabilitation.
After that, he experienced pain several times, but was simply put under observation.
Two years ago, he began to feel muscle weakness and started going to the gym, but he injured his lower back and hip.
He came to our clinic for treatment.
Symptoms before treatment
He could not get up, and even when walking, he was feeling pain, so he was using painkillers and compresses to ease the pain.
Low back pain only
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 10 | 0 | 0 | 0 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain: lower back
Forward bending: Possible
Backward bending: Painful
Pressure points: L3/4 bilaterally
Lasegue test: Negative
Additional information about our clinic’s medical examination
・Daily activities
The patient does not feel much pain when sitting, but it hurts when standing up suddenly.
It is also very difficult for him to turn over in bed.
Images and findings
・L3/4, 4/5 – Mild spinal canal stenosis
・L1/2, 2/3, 5/6, 6/s – Disc degeneration, protrusion
・Transition vertebra (L6)
The above was also observed on the imaging.
・L3/4, 4/5 – Mild spinal canal stenosis was observed, but there were no symptoms such as numbness.
There is a very high possibility of discogenic low back pain.
Treatment
After consulting with the patient, the Cellgel method was performed on L1/2, 2/3, 3/4, 4/5, 5/6, and 6/s.
The treatment was performed by Dr. Maruyama
The treatment took about 75 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
