Column Treatment Case Report No. 86｜ ILC International Lumbago Clinic (Tokyo Clinic)
July 08, 2023
Patient case
The patient
A female patient in her 30s.
The patient’s medical history to date
10 years ago, the patient experienced a strained back. Since then, she has had recurrent episodes. She has continuous pain in her left lower limb.
In 2022, she became unable to walk after a new episode of strained back. Even though walking has somewhat improved, she still feels a dull ache.
Symptoms before treatment
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 3 | 4 | 3 | 4 |
Main areas of pain and numbness: lower back, lower limbs.
Main areas of pain: lower back, left lower limb.
Bending forward: no change
Bending backward: no change
Lasegue test: negative
Point of tenderness: disc 4/5 on the right side.
Additional explanations on our clinic’s medical examination
・Daily activities
Pain is worse in semi-crouched position, when bending at the waist, and during prolonged walking.
The patient’s walking ability is unaffected.
Imaging and findings
- L4/5- Disc herniation
The above findings were also observed on the imaging.
・L4/5 – disc herniation toward the left side, which is a probable cause of the symptoms in the left lower extremity.
Based on the examination and imaging findings, we proposed the above treatment.
Treatment
After consulting with the patient, the Cellgel Method was performed on L4/5.
The treatment was performed by our administrative director, Dr. Minowa.
This is an image of the patient’s back after the Discogel injection.
The treatment took about 25 minutes.
After resting in the recovery room, the patient was able to walk home by herself.
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
