MILD® (Minimally Invasive Lumbar Decompression)

MILD® is a tiny-incision, image-guided outpatient procedure designed to relieve pressure in the lower spine caused by a thickened ligament. By removing small amounts of excess tissue, MILD restores space within the spinal canal—reducing nerve compression that contributes to pain and mobility limitations. Many patients with lumbar spinal stenosis find they can stand longer, walk farther, and return to daily activities with greater comfort and confidence after undergoing the MILD procedure.

Quick Facts

  • Setting: Outpatient, image-guided
  • Time: ~30–60 minutes
  • Anesthesia: Local with light sedation
  • Incision: ~5 mm (no implants)
  • Recovery: Typically same-day; resume light activity in 24–48 hours

How It Works

Through a tiny portal, your provider uses image guidance to remove small portions of ligament and tissue compressing the spinal canal—restoring space for nerves without disrupting bone or stabilizing structures.

What To Expect

  • Before: Imaging review; hold certain meds as directed
  • During: Local anesthesia, tiny incision, fluoroscopic guidance
  • After: Bandage only; expect soreness for a few days; progressive walking plan

Benefits & Risks

  • Benefits: Small incision, no implant, preserves options for future care, functional gains for many appropriate patients
  • Risks: Bleeding, infection, temporary soreness, rare nerve or dural irritation

Is It Right For Me? (Checklist)

  • ✅ MRI/CT shows lumbar stenosis
  • ✅ Standing/walking worsens symptoms; bending or sitting relieves them
  • ✅ Tried meds/therapy and still limited
  • ✅ Able to participate in a walking program after the procedure

Alternatives At PCET

FAQs

  • Will I have stitches? Usually not; the incision is very small and is closed with strips or a bandage.
  • How soon can I walk? Same day; we’ll give you a graded walking plan.
  • Does MILD prevent future surgery? Not necessarily; it can delay or reduce the need, and keeps future options open.
  • Is it covered by insurance? Many plans cover it when criteria are met; we’ll verify benefits.
  • When will I feel better? Some notice improvement within weeks; gains often continue over 2–3 months.

What Happens Next?

After the mild® Procedure, your provider will review how your pain responds and whether you notice improvement in standing, walking, or daily activities.

If you experience meaningful relief, your provider may discuss follow-up care, activity guidance, physical therapy, or functional rehabilitation to help support your progress.

If you do not get the relief you were hoping for, that does not mean you are out of options. Your provider may reassess whether your symptoms are coming from another source or whether a different treatment path may be more appropriate.

Possible next steps may include:

  • Reviewing your symptoms and imaging again
  • Evaluating other possible pain sources
  • Additional diagnostic testing when appropriate
  • A different procedure or treatment option
  • Physical therapy or functional rehabilitation
  • Other treatment options available through PCET

The goal is to better understand your pain, support your mobility, and determine the next best step for your care.

📞 Call to Schedule

If you’re struggling with lower back or leg pain caused by lumbar spinal stenosis, the MILD® procedure may help restore mobility and comfort with a tiny-incision approach. Call (865) 579-0552 to schedule your appointment today.