Column Treatment Case Report No. 95｜ ILC International Lumbago Clinic (Osaka Clinic)
January 07, 2025
The patient
A male patient in his 60s.
The patient’s medical history to date
He has had back pain and numbness since he started playing golf 20 years ago.
Recently, the pain is aggravated when he carries heavy objects or stands for long periods of time.
The patient visited our clinic seeking to improve her symptoms.z
Symptoms before treatment
Recently, the patient had pain in the outer side of the left thigh. It is a feeling of heaviness rather than pain.
He also has a feeling of weakness there.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 3 | 5 | 6 | 5 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of pain and numbness: lower back, lower limbs.
Bending forward: possible
Bending backward: possible
Point of tenderness: L4/5 on the left side
Lasegue test: negative
Coughing and sneezing: no aggravation
Intermittent claudication: none
Additional explanations on our clinic’s medical examination
・Daily activities
Standing up and sitting in a half-sitting posture are no problem at all.
Turning over in bed and prolonged sitting are somewhat difficult.
Imaging and findings
- L2/3, 3/4, 4/5 – Degeneration of the intervertebral discs, protrusion
- L5/s – Degeneration of the intervertebral disc
The above findings were also observed on the imaging.
・The protruding disc is very probably the main cause of pain and numbness because of the nerve compression.
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. Kotera.
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
