MILD Procedure
Introduction
The Minimally Invasive Lumbar Decompression (MILD) procedure is a cutting-edge, minimally invasive surgical technique designed to alleviate pain caused by lumbar spinal stenosis (LSS). This procedure aims to restore space in the spinal canal, relieving pressure on the nerves, without the need for general anesthesia, implants, or stitches
Clinical Indications
MILD is specifically indicated for patients suffering from lumbar spinal stenosis (LSS), a condition characterized by the narrowing of the spinal canal, which compresses the nerves and leads to significant pain, numbness, and weakness in the lower back and legs. It is particularly beneficial for patients experiencing neurogenic claudication, a condition where discomfort in the back, legs, or buttocks occurs with ambulation and improves with flexion, often referred to as "shopping cart syndrome
Chronic Pain Conditions Treated
MILD is used to treat chronic pain conditions associated with LSS, including:
- Persistent lower back pain
- Numbness or weakness in the legs and feet
- Difficulty walking or standing for long periods
- Decreased physical activity due to pain or discomfort
Techniques and Goals
The MILD procedure involves making a tiny incision, smaller than a button, in the lower back. Using specialized instruments and live fluoroscopy for constant visualization, the surgeon removes excess ligament tissue and small bone pieces contributing to the stenosis. The goal is to decompress the spinal canal, restoring space and relieving pressure on the nerves.
Therapeutic value & Effect
Therapeutic Value
MILD offers significant therapeutic value by providing immediate relief from symptoms of LSS. It has a low-risk profile, with a safety profile equivalent to epidural steroid injections (ESIs), and is performed without general anesthesia. The procedure is designed to address the root cause of LSS, offering long-term relief.
Duration of Effects
The effects of the MILD procedure are long-lasting, with many patients experiencing significant improvement in their symptoms for several years. Clinical studies have shown that 72% of patients see a clinically significant improvement in function, and 94.4% of patients do not require surgery or reoperation
What to Expect
Patient Experience
When a patient comes to the clinic for the MILD procedure, they can expect a thorough evaluation, including physical examinations and imaging studies, to confirm the diagnosis of LSS. The procedure is typically performed on an outpatient basis, allowing patients to return home the same day. Recovery is relatively quick, with many patients resuming normal daily activities within a few days.
Procedure Details
The MILD procedure is performed under local anesthesia and takes about one hour. The surgeon makes a small incision in the lower back, removes the excess ligamentum flavum, and decompresses the spinal canal. The minimally invasive nature of the procedure results in minimal scarring and a quick recovery time
Possible Side Effects or Complications
While the MILD procedure is generally safe, potential side effects or complications may include infection, bleeding, and nerve damage. However, these complications are rare, and the procedure has a strong safety record with an adverse event rate of less than 0.1%.
We are here to help you
At the Institute of Interventional Pain Management, we are dedicated to helping patients with chronic pain by offering the MILD procedure. This minimally invasive technique provides long-term relief from the debilitating symptoms of lumbar spinal stenosis, allowing patients to return to their daily activities with improved quality of life.