Column Treatment Case Report No. 98｜ ILC International Lumbago Clinic (Osaka Clinic)
2025.01.16
The patient
A male patient in his 60s.
The patient’s medical history to date
Two years ago, the patient experienced a strained back. That had already hhappened twice in the past.
He received block injections at his local doctor, but did not feel any effect. His symptoms have worsened over the past six months.
Pain appeared after about 5 minutes of walking, and after that he could no longer walk.
The patient visited our clinic seeking to improve her symptoms.
Symptoms before treatment
Pain in the right lower back, right buttock, back of the right thigh and back of the calf.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 8 | 8 | 3 | 8 |
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
Bending forward: possible
Bending backward: possible
Point of tenderness: L3/4, 4/5, 5/ｓ
Lasegue test: negative
Coughing and sneezing: no aggravation
Intermittent claudication: present
Additional explanations on our clinic’s medical examination
・Daily activities
Turning over in bed and prolonged sitting are somewhat difficult.
Symptoms are more severe when standing on the train when commuting to work or going up and down stairs.
Imaging and findings
- L4/5 – disc herniation
- L2/3, 3/4 – disc degeneration, protruding disc
The above findings were also observed on the imaging.
・The disc herniation is the most likely cause of the severe pain.
The protrusions in L2/3 and 3/4 is another possible cause of pain.
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 30 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
