Patient Information
Male, age 40s
Disease/Symptoms
Patient Condition
Since three years ago, the patient has experienced lower back pain, but the condition worsened after moving in March of this year, so decided to come to our clinic.
Examination
![MRI](https://en.nonaka-lc.com/wp-content/uploads/2025/02/blog_photo_20240622_01_en-1.jpg)
This is the MRI result of the waist. The disc between the 5th lumbar vertebra and the 1st sacral vertebra slightly protrudes, so it was diagnosed as disc herniation. The disc thickness is still maintained.
Treatment
PLDD (Percutaneous Laser Disc Decompression)
There were no neurological symptoms in the legs, the disc thickness remains maintained, and the discography examination showed increased pressure inside the disc, so we decided to perform PLDD (Percutaneous Laser Disc Decompression).
![Treatment Procedure①](https://nonaka-lc.com/wp/wp-content/uploads/2024/06/blog_photo_20240622_02.jpg)
The patient did not want the use of sedation, so we only used local anesthesia.
![Fluoroscopy X-ray](https://nonaka-lc.com/wp/wp-content/uploads/2024/06/blog_photo_20240622_03.jpg)
This is the process of inserting the needle for the discography examination. As expected, no damage to the disc was found, but increased pressure inside the disc was detected.
![Treatment Procedure②](https://nonaka-lc.com/wp/wp-content/uploads/2024/06/blog_photo_20240622_04.jpg)
This is the process of semiconductor laser irradiation into the disc. There are no nerves inside the disc, so the patient does not feel pain.
This is a test of semiconductor laser irradiation. The laser will be irradiated like this. The treatment time is 12 minutes.
Words from the Clinic Head
Today, Deputy Clinic Head Ishida is on a business trip to the Tokyo clinic, so it was a very busy day. I did not have time for lunch, so I feel my body has become a little slimmer. Haha.
By the way, yesterday the Hanshin Tigers won dramatically in the 9th inning against DeNA. It was amazing.
About the Author
![Author: Clinic Director Dr. Ysuyuki Nonaka](https://en.nonaka-lc.com/wp-content/themes/nlc-v1.4.2024.7.6/images/about_img_01.jpg)
Clinic Director Dr. Yasuyuki Nonaka
NLC Nonaka Lumbago Clinic offers medical treatment with a combined focus on the spinal conditions that cause low back pain. By introducing advanced treatments from all over the world, we are able to expand the treatment options for patients suffering from back and other spinal diseases, and propose treatment solutions tailored to their symptoms and conditions. Staying focused on diseases such as disc degeneration and disc herniation that cause spinal canal stenosis and back pain, we provide treatments that are less burdensome for elderly patients, for patients considering reoperation, and those seeking to return to society in a short period of time.
Achievement:6,683 Cases
Jun.2018 - Jan. 2025