Overseas Training Record

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Training at Texas Spine & Joint Hospital

For one week starting on March 19th, 2018, the first international training in DST (Discseel™ treatment) was held at Texas Spine & Joint Hospital under the direction of Dr. Kevin Pauza, who performs treatment for intervertebral disc regeneration. ILC International Lumbago Clinic, which has now arranged to offer DST treatment outside of the United States, was a participant. ILC staff members, starting with Clinic Director Yasuyuki Nonaka and Managing Director Toshihide Nonaka, joined the training. Dr. Kevin Pauza, M.D. is a physician well known for intervertebral disc repair and regeneration among celebrities and royalty in the West as well as the Middle East.
Regenerative treatment has recently started to attract attention in Japan, too, but it has been conducted along with research in the United States for some decades now. In that time, intervertebral disc regenerative treatment that was once thought impossible has now become a reality. Methods of treatment for diseases of the spine, like herniated discs, that cause low back pain or leg pain are extremely limited around the world even now. Conservative management or long-term outpatient treatment is necessary. Furthermore, it is common in surgery to remove intervertebral discs that are putting pressure on spinal nerves or to fix intervertebral discs that have lost stability with metal fittings, but neither treatment method can prevent intervertebral disc degeneration or bone spurs on the spine.

Training at Texas Spine & Joint Hospital Training at Texas Spine & Joint Hospital
DST is an advanced treatment DST is an advanced treatment

DST is an advanced treatment that makes it possible for patients suffering from low back pain to reclaim their normal lives. The great thing about DST is that it can treat herniated discs, spinal stenosis, and other problems without the use of a scalpel.
Because DST seals cracks in the fibrous ring surrounding the intervertebral disc, and because it can repair and regenerate intervertebral discs, it can treat the underlying cause of degeneration. For that reason, it can be called an alternative treatment to spinal fusion or other surgeries.
In addition, FBSS (“failed back surgery syndrome”: post-spinal-surgery symptoms in which improvement cannot be seen or that have gotten worse), which is normally considered difficult to treat, can now be effectively alleviated through DST.
During the training, we were able to ask Dr. Kevin Pauza and his team members in detail about their many accumulated years of experience and know-how regarding diagnosis, treatment, relapse prevention, patient management, etc. for diseases of the low back caused by intervertebral disc degeneration.

Dr. Kevin Pauza and ILC International Lumbago Clinic were able to share much knowledge about future intervertebral disc regenerative treatment through this training at Texas Spine & Joint Hospital.
Clinic Director Yasuyuki Nonaka and Dr. Kevin Pauza will continue to join forces in the future for purposes of treatment, research, and cooperative development, and they will keep striving to put smiles back on the faces of as many patients as possible.

Dr. Kevin Pauza & Yasuyuki Nonaka Dr. Kevin Pauza & Yasuyuki Nonaka

Training in the EU’s Slovenia

In October 2017, we participated in an international training workshop held at Ljubljana University Medical Centre in Slovenia. Participants were doctors and staff of medical technology and equipment companies from France, Slovenia, Japan, and Switzerland. The purpose of this training was to review important points for PIDD (percutaneous implant disc decompression) treatment.
PIDD is a minimally invasive treatment for herniated discs used especially in Europe. It is a treatment in which the protruding intervertebral disc (its “nucleus pulposus,” or inner core) is restored and decompressed. A local anesthetic is used, and a small needle pierces into the affected intervertebral disc, injecting a gel that then implants itself.
Our clinic also does laser treatment (PLDD), ozone treatment (PODD), and hybrid laser treatment that combines laser and ozone methods for herniated discs, but unlike with PLDD or PODD, with more-effective-than-laser PIDD treatment, the volume of the intervertebral disc will not be reduced.
Since the injected material remains in the intervertebral disc as an implant after treatment, it acts as a buffer (or cushion) material, and preservation of intervertebral disc function can be anticipated. We therefore recommend PIDD over laser or ozone treatment. We can also particularly recommend this treatment to patients who are considering the risk of complications from conventional surgery like discectomy (such as MED or PELD) or to older patients looking for an outpatient treatment that is gentle on the body and does not require an incision.
It is a treatment with clinical results in 50 countries (in Europe, North America, Central and South America, and Asia) since 2007. ILC International Lumbago Clinic is the only place in Japan where you can receive PIDD treatment.

Ljubljana University Medical Centre in Slovenia Ljubljana University Medical Centre in Slovenia
PIDD treatment PIDD treatment
doctor & Yasuyuki Nonaka doctor & Yasuyuki Nonaka

Training in Italy

First, there is a high demand for pain treatment for patients in various countries in the EU. At the same time, research and treatment methods for pain are more advanced than in Japan, and of course, there is also treatment for low back pain. This time, we went to Bellaria Hospital in Bologna, Italy with the goal of learning about ozone treatment methods for causes of low back pain aside from intervertebral discs, like spinal arthritis and myofascial pain syndrome. These are becoming a problem in Japan, too. Bellaria Hospital is, to begin with, the birthplace of ozone treatment, and it is a famous training hospital for doctors from not only the EU but also every country engaging in that treatment. Our director also performs intradiscal ozone decompression procedures at present, but that is based on following the methods of his former teacher, Bellaria Hospital’s Dr. Marco Leonardi. And so we set off for Italy with high expectations of being able to get practical training in ozone treatment in the place where it all began.
On the first day, after attending a fundamental lecture by doctors in the neuroradiology department on spinal dissection and intradiscal ozone decompression procedures and another lecture on verification of clinical theses, we observed treatment on location. There was no difference from the way in which we perform the ozone treatment method for intervertebral discs, but we were surprised to see ozone treatment being performed for spinal arthritis. In Japan, normally only a nerve block is performed for spinal arthritis, but we were told that effectiveness is increased by adding ozone instead of just doing a nerve block, so ozone administration is standard.
On the second day, ozone treatment was performed for difficult-to-treat-in-Japan myofascial pain syndrome, and the treatment was performed for 12 patients. Several of our on-site interpreter friends, too, had actually undergone ozone treatment, and we felt that it was being recognized as a common treatment method.
In this training, we were able to learn about the effectiveness and methods of ozone treatment for the conditions of spinal arthritis and myofascial pain syndrome that trouble so many patients.

ozone treatment ozone treatment
Training in Italy Training in Italy
doctors doctors

Exhibition in Russia

In March 2018, we participated in two exhibitions on medical tourism held in Moscow, Russia: the “9th International Exhibition of Medical Treatment Abroad” from March 13th-15th and the “10th Moscow MedShow: Medical Tourism from Russia” exhibition from March 16th-17th.
It was an extremely successful visit, with there being a large number of attendees, including doctors, employees of medical institutions, medical tourism companies and executives, and patients. It is even said that, in Russia, about 1 out of every 2 people will develop a herniated disc or other spinal condition, so it is a country where many people are low back pain patients or are at risk for conditions associated with low back pain. Yet the treatment situation within Russia is such that massage, or other conservative management, and surgery are the mainstream. It seems that there are many cases in which symptoms do not improve even with surgery or in which problems recur. In that type of environment, the treatment for low back pain offered by ILC International Lumbago Clinic attracted the attention of attendees. Many people, beyond just those involved with medical treatment, patients, or media and mass communications, visited our booth. In particular, we received many questions from attendees about DST(Discseel™) treatment to repair and regenerate damaged intervertebral discs. That was because it is an advanced treatment method that had not yet been made public either within Russia, most certainly, or in neighboring countries.
At each exhibition, our director, Dr. Yasuyuki Nonaka, gave a lecture entitled “Cutting-Edge Outpatient Treatment for Low Back Pain.” There was advance information about the lecture from the exhibitions’ organizers, and there were even many people who attended solely for the purpose of hearing our director’s lecture. Attendees were surprised by and greatly interested in the conditions treatable as an outpatient by DST(Discseel™) , using a local anesthetic and not requiring an incision, and the fact that DST(Discseel™) can also be used when someone has undergone spinal surgery in the past without seeing improvement. There were patients who said they definitely wanted to go for this treatment and several offers from medical tourism companies who said they wanted to work in cooperation with our clinic. Participating in this exhibition, we sensed potential in the treatment field of medical tourism and felt the expectations and responsibility that come with the name “ILC International Lumbago Clinic.”

Exhibition in Russia 01 Exhibition in Russia 01
Exhibition in Russia 02 Exhibition in Russia 02
Exhibition in Russia 03 Exhibition in Russia 03
Exhibition in Russia 04 Exhibition in Russia 04