Patient Information
A female in her 40s
Diseases and Symptoms
Patient Condition

This patient has been experiencing nerve pain in her left leg for the past 7 years and was diagnosed with lumbar spondylolisthesis. She did not want to undergo surgery and decided to wait. After hearing that her friend successfully received treatment at our clinic, she contacted us in May, sent MRI images, and consulted before coming to Japan for treatment today.
Examination Results and Diagnosis
After a discography examination, several cracks were found in the discs, so Discseel treatment was performed. If the discography results show no cracks in the discs, PLDD would be the appropriate choice. However, in conditions where the lumbar vertebrae have shifted, cracks are generally found in most of the discs.
Procedure Details
Discseel® Procedure

A discussion was held with Dr. Ishida before the treatment. The purpose of this discussion was to ensure there was no error in selecting the treatment method based on the X-ray and MRI results.

The treatment was carried out with the help of a translator. The patient was in a sedated state due to the use of a tranquilizer, while her family observed the treatment process from the next room.
As expected, cracks were found in the disc between the 4th and 5th lumbar vertebrae. If no cracks were found, PLDD could be used, but if cracks were found, then Discseel or DRT would be the appropriate treatment choice.
The treatment lasted for 16 minutes, but for the patient under sedation, it feels like a moment. To my knowledge, we are the only clinic in Japan that uses sedatives for outpatient back pain treatments. Apologies if I am mistaken.
Clinic Director's Comments
There are several methods used for outpatient back pain treatment. At our clinic, we have experience with all available one-day back pain treatment methods in Japan, with over 1,000 procedures done each year, and our clinic in Shin-Osaka has been operating for 7 years. My personal experience with back pain treatment, starting with PLDD at Seiran Hospital in Nara Prefecture, spans more than 10 years. I believe that the results of one-day back pain treatments are related to experience in the treatment. We also provide consultations and explanations about disease conditions for those suffering from back pain or sciatic nerve pain.

Unfortunately, our beloved Hanshin Tigers lost narrowly by one point to the Yomiuri Giants yesterday. Very disappointing... We will bounce back tomorrow!
About the Author

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:6,766 Cases
Jun.2018 - Feb. 2025