mild procedure | Interventional Spine

A woman running after finding relief from back and leg pain through minimally-invasive mild® procedure

mild® procedure

Get back on your feet with mild®

Do you experience back and leg pain when you stand or walk? Have other treatments stopped working? 

Every year, thousands of lumbar spinal stenosis (LSS) patients are treated with the mild procedure.1 Research shows that mild provides pain relief up to 5 years.2

Benefits of the treatment

  • Quick recovery time: It is an outpatient procedure and patients are typically discharged within 24 hours3
  • Safety profile: Similar to an epidural steroid injection4
  • No general anesthesia needed: Can be performed using local anesthetic and sedation
  • Incision size 5.1mm1: Performed through a single incision; no implants used. The incision can be typically closed with a bandage.

Potential risks

What is LSS?

LSS is a condition in which the lower spinal canal narrows and compresses the nerves in the lowerback. Aging and natural wear and tear on the spine can cause conditions that put pressure on the spinal nerves.5

Up to 85% of spinal canal narrowing is caused by thickened ligament. mild addresses this major root cause of LSS by removing excess ligament tissue using specialized tools and imaging.6,7


 

Lower back with lower spinal canal highlighted

A procedure with proven results

With a 76.8% patient satisfaction rate,4 studies show that mild continues to improve patient functionality over time.3

Average standing time for patients treated with the mild procedure increased 7x over time

Over one year, average standing time increased from 8 to 56 minutes with less pain.8

Patients treated with the mild procedure walked 16x farther on average

Over one year, average walking distance increased from 246 to 3,956 feet with less pain.8


 

Excess ligament causing pressure on the nerves in the lower back before mild procedure

Before mild

Excess ligament causes pressure on the nerves in the lower back

mild procedure alleviating compression in the lower back

After mild

Similar to “removing a kink in a drinking straw,” mild reduces the compression to restore mobility and relieve pain7


 


How it works

Before

Your doctor will confirm your diagnosis by taking a medical history that includes your list of symptoms, reviewing imaging (MRI/CT) and performing a physical examination. Your doctor may also ask the following questions to better understand how LSS with neurogenic claudication is limiting your mobility.

  • How does your pain disrupt your life? 
  • How long can you stand before you need to rest? 
  • How far can you walk before you need to rest? 
  • Where do you experience discomfort? 
  • Is there anything that relieves your discomfort? 
  • What daily activities are affected due to your discomfort?

During

The mild procedure is minimally invasive and typically takes less than an hour.9 It is typically performed as an outpatient procedure with local anesthetic and sedation. The procedure involves a small incision in the lower back where your doctor will use specialized tools and imaging guidance to remove excess ligament tissue from the spinal canal, alleviating pressure on nerves.8 This can help to reduce pain and restore mobility.4

After

With a quick recovery time, patients are typically able to go home within 24 hours.3 After the procedure your doctor may guide you through the following recovery steps:

  • At-home reconditioning walking program can be initiated immediately, as tolerated 
  • Your doctor may check your progress at 2-weeks, 4-6 weeks and then monthly. They will look for improvements in your mobility and overall quality of life, such as:
    • How easily you can move from one position to another: getting in and out of the bed, a chair or the car
    • How long you can stand and walk before you need to rest 
    • Ability to perform daily living activities: get dressed, take off shoes, household chores, grocery shopping

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Potential risks of the procedure

As with most surgical procedures, serious adverse events can occur, including heart attack, cardiac arrest, stroke, and embolism. Other risks include infection and bleeding, spinal cord and nerve injury that can, in rare instances, cause paralysis. This procedure is not for everyone. Physicians should discuss potential risks with patients.

Please consult with your doctor for the full list of possible side effects related to the mild procedure.