Column Treatment Report No.41｜ILC International Back Pain Clinic (Osaka) Column
July 20, 2024
The patient
A male patient in his 80s
The patient’s medical history to date
The symptoms first appeared about three years ago.
His condition improved temporarily after receiving chiropractic treatment, but his symptoms recurred about a year ago.
He came to our clinic seeking improvement of his symptoms.
Symptoms before treatment
Dull pain in the left side of the lower back, buttocks and outer thigh.
Sharp pain in the toes of both feet in the evening.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| pain level | 4 | 4 | 4 | 4 |
No pain at all is rated as 0, and the maximum possible pain is rated as 10.
Main pain area: lower back, buttocks
Bending forward: Possible
Bending backwards: Possible
Lasegue test: Positive at 70 degrees on the left side
Pressure points: L3/4, 4/5, 5/s
Coughing and sneezing: no effect
Additional information on our clinic’s medical examination
・Daily activities
He cannot move anymore after walking about 100 meters.
Sitting offers some relief. He has no symptoms when in a sitting position.
No sleep disorder
Images and findings
- L2/3, 4/5, – Disc degeneration, protrusion
- L3/4-spinal canal stenosis
- L3/4, 5/s-foraminal stenosis
The above is concordant with the imaging.
・There is a high likelihood that the narrowing of the spinal canal and foramen in L3/4, 5/S is compressing the spinal canal and its nerve, and is likely to be the cause of the symptoms.
L2/3, 4/5 may also be the cause of symptoms due to the mild disc degeneration and protrusion.
Treatment
After consulting with the patient, the Cellgel method was performed in L2/3, 3/4, 4/5, and 5/s.
The treatment was performed by Dr. Maruyama.
The treatment took about 55 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
