Minimally invasive lumbar decompression (MILD) is a procedure used in the treatment of lumbar stenosis (LS). This procedure can be offered to patients who have developed back pain caused by LS.
The MILD procedure is a novel approach to treating patients who suffer from leg and back pain as a result of moderate to severe spinal stenosis. These patients have debilitating symptoms consisting of neurogenic claudication and typically have exacerbation of the pain with standing and walking.
The procedure is done in the operating room under mild intravenous sedation and usually takes 45 to 60 minutes. The patient is discharged on the same day.
Fluoroscopy is used during the procedure in order to identify the bony structures of the spinal canal. During this intervention, laminar bone and ligament tissue is being removed using a bone Rongeur and a tissue sculpture device.
The kind of patients that make good candidates for MILD are those who have failed to respond to physical therapy, home exercises, various analgesic medications and epidural steroid injections. These patients are unwilling or unable to undergo a more invasive procedure or their symptoms are not severe enough to warrant such interventions.
Patients typically present with arthritis of the facet joints, disk bulges and hypertrophy of the ligamentum flavum.( this sentence doesn't make sense. What about these patients? Are they good candidates or not?) The MILD procedure is designed only for those patients who display significant hypertrophy of the ligamentum flavum.
One advantage of this procedure is the fact that the muscles and the adjacent bony structures are being preserved, which significantly decreases the risk of postoperative pain. Patients can gradually resume their levels of activity immediately after the discharge.
Patients who are overwhelmed by pain usually tend to forget that comfort can be achieved again. For more information on Mild Procedure, contact Franklin Pain and Wellness Center.