Minimally Invasive Spine

Minimally Invasive Lumbar Decompression (MILD)

A same-day procedure that removes portions of thickened spinal ligament to relieve nerve compression, without implants or general anesthesia.

Minimally

Procedure Overview

That specific pattern, leg pain with activity that improves with rest or bending, is a hallmark of lumbar spinal stenosis with neurogenic claudication. It is caused by a thickened ligament inside the spinal canal compressing the nerve roots. For many patients, the thickened ligamentum flavum is the primary culprit, and it can be addressed directly without implants or general anesthesia.

Treatment Purpose

MILD is a same-day outpatient procedure that removes small portions of the thickened ligamentum flavum through a tiny incision using specialized tools. By removing the thickened tissue, space is restored inside the spinal canal and nerve compression is relieved. No implants are used. No general anesthesia is required.

Appropriate Conditions

Lumbar spinal stenosis with neurogenic claudication
Ligamentum flavum hypertrophy
Back and leg pain worsened by standing or walking
Symptoms that improve with sitting or bending forward

Patient Considerations

MILD is specifically designed as an alternative to open decompression surgery. There is no general anesthesia, no fusion, and no overnight hospital stay. The procedure takes approximately 30 to 60 minutes under local anesthesia with mild sedation. Most patients walk the same day.

Treatment Process

The procedure takes approximately 30 to 60 minutes under local anesthesia with mild sedation. A tiny incision is made and specialized tools remove small portions of the thickened ligamentum flavum under fluoroscopic guidance. You go home the same day. Most patients walk the same day and return to normal activities within 1 to 2 weeks.

Frequently Asked Questions

Who is a suitable candidate?

Patients with confirmed lumbar stenosis, neurogenic claudication symptoms, and ligamentum flavum thickening on MRI who have not responded adequately to conservative treatments.

How quickly will I recover?

Most patients walk the same day. Normal activities are typically resumed within 1 to 2 weeks.

What are the risks?

Very low complication rate. Risks include infection, bleeding, or dural puncture, all of which are rare.

Medical disclaimer: This page provides general information and is not medical advice. It does not replace an evaluation by a qualified physician. Talk with a doctor about your specific condition and treatment options. If you are experiencing a medical emergency, call 911.

Need Guidance?

Talk With a SCOPES Specialist

Every care plan is based on your diagnosis, your symptoms, and your goals.

Book Your Visit

Back to all treatments