Minimally Invasive Lumbar Decompression (MILD® Procedure)
The MILD® Procedure is a minimally invasive treatment designed to relieve pressure on the nerves in the lower back caused by lumbar spinal stenosis. This quick, outpatient procedure involves removing a small portion of the thickened ligament (ligamentum flavum) that is compressing the nerves and causing symptoms like neurogenic claudication (pain or discomfort during walking or standing).
The procedure is performed in a surgery center, and patients can return home the same day. Since it requires no stitches or large incisions, recovery is fast—most patients can return to their regular activities as early as the next day.
If you’re struggling with chronic back pain from lumbar spinal stenosis and want to explore whether the MILD® Procedure is right for you, contact us today to schedule a consultation. We’re here to help you find relief and get back to doing what you love!
Before MILD
Spinal nerves under pressure with resulting neurogenic claudication
After MILD
Spinal nerves no longer under pressure
What is lumbar spinal stenosis?
Lumbar spinal stenosis happens when age-related changes to the spine from condition such as arthritis and osteoporosis cause the space around the nerves to narrow. This creates a condition called neurogenic claudication.
When standing or walking, the weight of the body puts pressure on these pinched nerves, causing pain that gradually gets worse until the person can’t continue standing or walking. Sitting down for a few minutes, however, alleviates the pain and the person is able to get up again. Unfortunately, after standing or walking for a few minutes, the pain returns.
When to Expect Relief and How Long It Lasts
Pain relief usually begins the very next day after the procedure. When combined with physical therapy and other treatments to address any remaining pain sources, the results can be long-lasting.
Instructions Before the Procedure
1. If you take blood thinners, we will provide detailed instructions on when to stop and restart them.
2. Please let us know if there are any changes to your health, such as a new pregnancy, or if you start antibiotics before your procedure.
3. Since this procedure is done with sedation in a surgery center, plan for a friend or family member to drive you home afterward. They are welcome to wait in the waiting area during your procedure, or you can call them when you are ready to leave.
4. We’ll provide additional instructions based on the surgery center where your procedure is scheduled.
Instructions After the Procedure
- Plan to take it easy for the first 24–48 hours following the procedure.
- Avoid heavy lifting or strenuous physical activities for at least a week.
- Gradually return to your normal daily activities as you feel comfortable.
- Light walking or gentle movements are encouraged to prevent stiffness.
- Avoid operating heavy or potentially dangerous equipment on the day of your procedure.
- Plan to avoid driving for the rest of the day of the procedure.
Alcohol: If you received sedation, please skip alcohol for the rest of the day.
Dressings: We will provide instructions on when you may remove any dressings. Do not remove them on your own.
Blood Thinners: You can restart your blood thinners the day after your procedure unless we have advised you otherwise.
Comfort at the Procedure Site: It’s normal to feel some mild discomfort at the procedure site. Applying ice can help ease the soreness—just remember to wrap the ice in a cloth and avoid placing it directly on your skin. Refrain from using heat on the procedure site on the day of your procedure.
Additional Instructions: Follow up appointments and any other specific instructions will be provided the day of the procedure.
Is the MILD® Procedure covered by my insurance plan?
Yes, Medicare and the Medicare Advantage plans cover the MILD® procedure. Some commercial insurance plans cover it as well. Prior authorization is required by most plans.