Minimally invasive lumbar decompression (MILD) is a targeted outpatient procedure designed to relieve pressure on spinal nerves caused by lumbar spinal stenosis. By restoring space within the spinal canal, this treatment helps reduce symptoms like lower back pain, numbness, or leg discomfort—especially when standing or walking. It offers meaningful relief without the need for open surgery, allowing patients to return to activity with improved comfort and mobility. Because MILD is performed through a small incision with minimal disruption to surrounding tissue, recovery tends to be quicker than traditional surgical approaches.
What is it?
MILD is a procedure that treats lumbar spinal stenosis by removing excess ligament tissue to decompress the spinal canal and reduce pressure on nerves.
How is it performed?
Through a tiny incision and using fluoroscopic guidance, specialized instruments remove small portions of bone and ligament. The procedure typically takes 45-60 minutes.
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Treatment Benefits
One of the key benefits of MILD is its ability to improve walking tolerance and reduce pain without destabilizing the spine. Patients typically experience greater ease with daily activities, such as standing, walking, or climbing stairs. The procedure is done under local anesthesia, involves minimal tissue removal, and has a low complication rate—making it ideal for patients seeking relief with a lower risk profile.
Who Can Benefit From This Treatment
This procedure is typically recommended for individuals diagnosed with lumbar spinal stenosis who are experiencing neurogenic claudication—pain, tingling, or numbness in the lower extremities that worsens with standing or walking. MILD is a viable option for patients who have not responded well to conservative therapies and want to avoid more invasive surgery. A diagnostic evaluation, including imaging studies, helps determine if MILD is the right fit for your condition.
Learn more about Minimally Invasive Lumbar Decompression by contacting the Minimally Invasive Spine and Pain Institute—our team is here to help you explore your options.
Aftercare for Minimally Invasive Lumbar Decompression
After undergoing MILD, most patients are able to return home the same day. Some soreness or stiffness at the incision site is normal and typically resolves within a few days. Because the procedure is performed through a small incision with minimal disruption to muscles and surrounding tissue, recovery is generally quicker than with traditional back surgery. Following your provider’s instructions carefully will help ensure the best possible outcome and support a smooth return to activity.
Tips for a Smooth Recovery
Follow these guidelines to support healing after minimally invasive lumbar decompression:
Avoid heavy lifting, bending, or twisting for several days after the procedure
Use ice as needed to manage swelling or discomfort at the incision site
Gradually increase walking and light movement to promote circulation and flexibility
Keep the incision clean and dry until fully healed
Watch for signs of infection such as redness, swelling, or unusual drainage