Column Treatment Report No.31｜ILC International Low Back Pain Clinic (Osaka) Column
June 27, 2024
The patient
A male patient in his 60s
Patient’s medical history to date
Four years ago, he felt discomfort in his lower back when sitting in a deep chair.
After being in pain and discomfort for some time, he decided to visit a hospital.
He was diagnosed as having a herniated disc and received medical treatment.
Last year, the herniated disc recurred, causing severe pain in both lower limbs.
He came to the clinic to improve his symptoms.
Symptoms before treatment
Numbness in the soles of his feet.
No symptoms in the lower back or lower limbs.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 0 | 0 | 1 | 1 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main areas of numbness: legs
Forward bending: Possible
Backward bending: Possible
Coughing/sneezing: Effect not known
Tenderness point: No
Standing on heel: Unable to raise left leg
Standing on tiptoe: Possible
Manual Muscle Test (MMT）: Deteriorated predominantly on the left side
Additional explanation about our clinic’s medical examination
・Daily activities
It is slightly difficult for him to sit for long periods of time
Imaging and findings
- L4/5, 5/s – disc degeneration, protrusion
The above is confirmed by the imaging.
L4/5, 5/s – disc degeneration and protrusion are the most likely cause of symptoms of spinal canal compression.
Treatment
After consultation with the patient, the Cellgel procedure was performed on L4/5,5/s.
The treatment was performed by Dr. Maruyama
The treatment took about 25 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
