Column Treatment Report No.25｜ILC International Low Back Pain Clinic (Osaka) Column
June 13, 2024
The patient
A female patient in her 70s
Patient’s evolution up to now
She has had several strained backs in the past, but they healed after laying quiet for a while.
This year, she began to experience severe pain in her right leg when she stood up.
She visited a hospital but was simply placed under observation.
Symptoms before treatment
She felt pain in the right leg from the outer side of the thigh to the outer side of the lower leg.
She felt pain when sitting for long periods of time too.
・Pain levels before treatment
| Lower back | Lower limbs | Numbness | Buttocks | |
|---|---|---|---|---|
| Pain level | 5 | 8 | 2 | 2 |
No pain at all is rated as 0, and the greatest possible pain is rated as 10.
Main pain areas: lower back, legs
Forward bending: Possible
Back bending: Possible
Coughing/sneezing: No effect
Standing on heels: Possible
Standing on tiptoe: Possible
Tender point: No
Lasegue test: Negative
Additional explanation about our clinic’s medical examination
・Daily activities
She plays tennis 2 to 3 times a week.
During which she can experience sudden onsets of pain.
It can only be relieved if the right leg is placed on a chair.
Imaging and findings
- L3/4, 4/5-Spinal canal stenosis
- L2/3, 5/s – Protruding disc associated with disc degeneration
- Scoliosis
All the above is confirmed by the imaging.
L2/3, 3/4, 4/5, 5/s – disc degeneration, compression of the spinal canal due to protrusion likely to be the cause of back and leg pain.
Treatment
After consultation with the patient, the Cellgell procedure was performed on L2/3, 3/4, 4/5, and 5/s.
The treatment was performed by Dr. Maruyama.
The treatment took about 70 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
