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Column Treatment Case Study – #17 | International Lumbago Clinic Tokyo Blog


Male in his 40s

Presenting Symptoms

  • In April of this year, the patient strained his back while playing tennis.
  • Around July, pain in the left lower extremity appeared, and he was diagnosed with disc herniation.
  • On a scale of 1 to 10 (1 being minimal and 10 being maximal), his back pain is at 3, lower limb pain is at 8, and numbness is at 7.
  • Walking is also difficult.
  • Sitting for a long time is easy but turning over and lifting heavy objects are very difficult. He also has difficulty standing up and even washing his face.

MRI Imaging & Diagnostic

  • Disc herniation at L4/5 and 5/s were observed.


The Cellgel procedure was performed on L4/5 and L5/S.

Dr. Minowa, our clinic director, performed the procedure.

Here it can be observed that Discogel was injected between the two vertebrae.

This is an image from the front.

The procedure itself was completed in about 15 minutes.

The treatment was performed with the patient in a frog-legged position because of severe pain in the lower left extremity and was unable to lie on his back.

If the posture is difficult to maintain due to pain, we will try to perform the procedure in the least painful position possible.

After resting in the recovery room after the intervention, the patient was able to walk home on his own.

Treatments at our Clinic

Please refer to the following links for more information on the Cellgel method.

Written by Tadaaki Minowa, Clinic Director