Hybrid Laser Treatment

What Hybrid Laser Treatment Is

Laser Treatment + Ozone Treatment

Hybrid laser treatment is a minimally invasive herniated disc treatment with the goal of combining the advantages of both laser (PLDD) treatment and those of ozone (PODD) treatment by doing them at the same time. The advantage of laser treatment is that it reduces the pressure inside the intervertebral disc that is the cause of herniation; the advantage of ozone treatment is that it alleviates the nerve inflammation caused by herniation. Because the treatments’ respective advantages differ, high effectiveness can be anticipated by combining them.

How Hybrid Laser Treatment Is

With the patient under local anesthesia, and while using an X-ray fluoroscope so as not to cause nerve damage, we place a 1.0 mm thick paracentesis needle into the intervertebral disc. Then we decompress the nucleus pulposus with a laser. After that, we finish by injecting ozone in proportion to the damage. We use a special 1.0 mm (paracentesis) needle that makes it possible to perform laser treatment and ozone treatment at the same time.

Treatable Conditions

  • Herniated Discs

Candidates Are People with These Kinds of Problems

  • 1

    Those diagnosed with herniated discs

  • 2

    Those suffering from chronic back pain caused by herniated discs

  • 3

    Those considering herniated disc surgery but who do not want to undergo it

  • 4

    Those who have undergone herniated disc surgery but not improved (or whose condition has recurred)

  • 5

    Those afraid of herniated disc surgery

  • 6

    Those who do not want to be hospitalized for herniated disc surgery

  • 7

    Those who are hoping for treatment that doesn’t take such a toll on the body

※We can also treat older people (80 years or above).

The Benefits of Doing Hybrid Laser Treatment

  • Almost No Scar Will Be Left

    Hybrid laser treatment is effective for herniated discs with especially high internal pressure that have not prolapsed from the ligaments and have mild to moderate herniation. In cases of prolapse or separation, PIDD or DST will be an effective treatment method.

  • Outpatient Treatment That Takes Les

    Treatment takes about 20-25 minutes, and you will need to rest for around 60 minutes afterwards. You can go home in about 90 minutes.

  • No Need for Continued Hospital Visits or Rehabilitation

    Because no continued hospital visits or rehabilitation is necessary after treatment, it’s easy even for those who come from far away to return to their daily lives and work.

How Treatment Is Done and Treatable Conditions

Hybrid laser treatment removes the cause of pain by decompressing the intervertebral disc that is protruding and placing pressure on the nerves. In this treatment approach, as in PLDD and PODD, we use X-ray fluoroscopy from the back and pierce into the intervertebral disc with a 1.0 mm (paracentesis) needle. By sticking laser fiber through the needle and shining a laser into the protruding intervertebral disc (its nucleus pulposus), we evaporate and eliminate the nucleus pulposus, and we remove the part that is the root cause of pain. Furthermore, this is a treatment effective in using the anti-inflammatory effect of ozone to take away pain by injecting ozone from a needle, as in PODD. In particular, this treatment’s distinction is that it is more effective than conventional PLDD or PODD treatment.

Hybrid laser treatment is effective for herniated discs with especially high internal pressure that have not prolapsed from the ligaments and have mild to moderate herniation. In cases of prolapse or separation, PIDD or DST will be an effective treatment method.

A hole is made by cauterizing the nucleus pulposus inside the intervertebral disc with a laser, and the disc is caused to shrink.

Ozone is injected into the inflamed area through the tip of the inserted needle, and inflammation is reduced.

Treatment Time and Post-Treatment Issues

Treatment time
approx. 20-25 minutes

You will need to rest for about 60 minutes after treatment, and you will need about 90 minutes until you can go home. Light activity can be done the following day, but you will need to postpone sports or heavy labor for around 7 days.

About Post-Treatment Issues
When the intervertebral discs have been damaged, there is concern about the recurrence rate just as there is with surgery. The reason is that, like with surgery, repair of the intervertebral disc itself cannot be done. To lower the possibility of recurrence, PIDD (percutaneous implant disc decompression) or DST (Discseel™ treatment) is necessary.

Side effects

After receiving hybrid laser treatment, you may experience some unprecedented back pain, numbness, or muscle tension in your thighs.
These symptoms should be temporary and may subsist from one week to one month after surgery, depending on the symptoms and condition of the patient.
Although the probability is much lower than with surgical procedures, there is a risk of infection or complications in the treated area.
At our clinic, the doctor will explain the treatment in detail in order to reduce these risks as much as possible.
Please contact us with any questions or concerns you may have before treatment.

Treatment Flow

  • InquiryInquiry


    We are an appointment-only clinic, so before you decide to visit us please call us to make an appointment. For further information or if you have any questions please do not hesitate to contact us.

  • Remote Image Diagnostic ServiceRemote Image Diagnostic Service

    Remote Image Diagnostic Service

    To ensure in that you are a good candidate for treatment at the clinic prior to your visit to Japan, you can forward us a recent MRI for our doctor to review and determine for free. If you are located nearby and you wish to undergo the MRI and X-ray scan at our clinic, you can call us to make an appointment.

  • Choose Operation DateChoose Operation Date

    Choose Operation Date

    If your diagnose confirms that your condition makes you a good candidate for treatment, you can proceed with scheduling the operation date.

  • Travel PreparationsTravel Preparations

    Travel Preparations

    Hospitalization is not required, so you will be discharged on the same day of the treatment. Obtaining a Japanese tourist visa will be enough, in case you are required to have one to enter the country. Patients are supposed to take care of their own visas, travel and accommodation arrangements.

  • Pre-treatment ConsultationPre-treatment Consultation

    Pre-treatment Consultation

    Upon arrival to the clinic the patient undergoes MRI and X-ray scan and an examination by the physician in charge, who according to the final diagnose determines the most suitable treatment option, followed by a detailed explanation.

  • TreatmentTreatment


    Treatment is conducted under local anesthesia, and it takes about 15-60 minutes, depending on the treatment method and number of treated discs.

  • Same-Day DischargeSame-Day Discharge

    Same-Day Discharge

    After resting for 1~2 hours and receiving a post-operative check by the operating physician, the patient is discharged and free to return home.

  • 8

    Post-treatment Follow-up

    We will contact you periodically to monitor your recovery progress. You should also feel free to contact us if you are unsure about anything.

Treatment Costs for Hybrid Laser Treatment

Locations Treated 1 disc 2 discs 3 discs 4 discs 5 discs
Cost of Treatment 440,000 Japanese Yen (JPY) 495,000 Japanese Yen (JPY) 550,000 Japanese Yen (JPY) 605,000 Japanese Yen (JPY) 660,000 Japanese Yen (JPY)
*If the procedure is performed in our hospital, all the costs of consultation, diagnosis, MRI and other tests will be included in the costs listed above.
*If the same treatment is performed again within 3 years of the first treatment, the treatment fees will be reduced by half.
*All taxes included.
*Since this method of treatment is not covered by health insurance, the patient must bear the entire cost of the treatment.
*In case of treatment only (one day treatment), We accept payment by credit card (VISA, MasterCard, China UnionPay).
*If you wish to request rehabilitation (specialized for back pain), bank transfer by credit card is also accepted.
*You can receive a tax refund at the time of filing your tax return for medical expenses.

Q&A about Hybrid Laser Treatment

  • question

    Who is eligible for hybrid laser treatment?


    This treatment is often performed on persons who are experiencing severe chronic numbness and pain or who are suffering from a strong inflammatory response.

  • question

    What are the differences with the PODD method?


    Ozone has a calming effect on inflammation. With the PODD method, ozone is injected into the disc to reduce the internal pressure of the disc, whereas in the case of hybrid laser therapy, the purpose is to reduce the nucleus pulposus in the intervertebral disc, then cauterize it with a laser (PLDD method) in order to create a hollow in the disc, which will then cause the disc to shrink.
    The purpose of the treatment is to inject ozone into the area of inflammation by inserting a needle in that area.

  • question

    Can the hybrid laser treatment be used for back conditions other than herniated discs?


    For other conditions, we will most likely consider other treatment options, such as DST or ozone therapy for spinal stenosis. It may be used as an alternative treatment.

  • question

    How long does it take for the inflammation to go away once ozone is injected into the inflamed area?


    The inflammation may go away within a week of treatment, or it may take up to a month, depending on the individual.

  • question

    Do I need rehabilitation after the PLDD method of treatment?


    Light exercise can be done starting one week after the treatment, but if you are in severe post-operative pain, you should refrain from sports or strenuous exercise.
    You can start with light walking and stretching.
    At our clinic, we work in association with a rehabilitation facility that specializes in back pain rehabilitation. For more information, please see below:
    ILM Low Back Pain Medical Fitness

5 Types of Outpatient Treatment for Low Back Pain

  • The DST Method (Discseel™)

    An intervertebral disc treatment that began in the United States in the 2010s. Can be suitable for a wide range of conditions, including problems in patients after surgery. It is the only (※2)treatment that can repair and regenerate intervertebral discs.
    ※2 According to research by Operation Japan (Ltd.)

    Click here for details.
  • The PIDD Method (Implant)

    An implant intervertebral disc treatment that has been conducted since the 2000s. As with PLDD, results without injury to intervertebral discs can be anticipated. This treatment is suitable for herniated discs only.

    Click here for details.
  • Hybrid Laser Treatment

    A treatment that combines the benefits of PLDD and PODD. This treatment is suitable for herniated discs only.

    Click here for details.
  • The PODD Method (Ozone)

    An ozone intervertebral disc treatment that has been conducted mainly in Europe since the 1990s. It can be suitable for a wide range of conditions.

    Click here for details.
  • The PLDD Method (Laser)

    An outpatient, laser intervertebral disc treatment that has been well known worldwide since the 1980s. This treatment is suitable for herniated discs only.

    Click here for details.