An hour may change everything for patients with lumbar spinal stenosis (LSS). Find out how this minimally invasive, outpatient procedure, which has a safety profile similar to an epidural steroid injection (ESI), may help you stand longer and walk farther with less pain.
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Pain or numbness in lower back when standing
Pain, numbness or tingling in legs or buttocks when walking
Relief when sitting or leaning forward
Help your LSS patients, even those with comorbidities, by removing a major root cause of their neurogenic claudication. Move to mild® to provide patients with long-term relief using a therapy that has a safety profile equivalent to an ESI, but with lasting results. Learn more about the minimally invasive mild® Procedure’s key benefits, clinical outcomes and how it can be incorporated into your treatment algorithm.
Learn MoreThis #NursePractitionerWeek, we’re celebrating the invaluable work Nurse Practitioners (NPs) do every day helping lumbar spinal stenosis (#LSS) patients in practices across the country.
Team Vertos thanks NPs everywhere for all that they do, especially the NPs on our Advanced Practice Provider (APP) Advisory Board: @acomer3, Kristen Bowman, @ansky5121, Marie Zambelli, and @z_hussaini .
The Know Your Back Story national health awareness campaign is designed to educate, engage, and increase awareness of the enlarged ligament as a potential cause for chronic low back pain (CLBP).
Patients are encouraged to know their own “back stories” by getting screened for lumbar spinal stenosis (#LSS) and learning more about treatment options available, such as the Mild Procedure.
The next step to providing your LSS patients with lasting results may be Mild.*
*View clinical data and learn more about the Mild Procedure at the #linkinbio.
If epidural steroid injections (ESIs) are no longer effective for your lumbar spinal stenosis (#LSS) patients, the next step may be Mild. The Mild Procedure addresses a major root cause of LSS by removing excess ligament tissue to restore space in the spinal canal.
Inform your patients early on about their treatment options beyond injections. To help you start these conversations, we've developed resources to include with your routine discharge information to help educate your ESI patients on finding lasting relief with Mild.
Contact your Vertos Medical representative to learn more.
Get more of your patients making the #MOVE2mild and on the path to lasting relief by empowering the Advanced Practice Providers (APPs) in your practice through education, support, and teamwork.
View the recent blog from APP Advisory Board Member, @jamey_lynch, at the #linkinbio for image review tips, anatomical landmark identification, and step-by-step videos to help determine if your lumbar spinal stenosis (#LSS) patient could be a candidate for the Mild Procedure.
Great new article from @patientsrising highlighting how the Know Your Back Story national health awareness campaign helps patients with chronic lower back pain (CLBP) access nonopioid therapies and identify potential causes for their recurring problem.
View the #linkinbio to access the article + an earlier podcast featuring Dr. @stangolovac which discusses nonopioid pain management treatment options, like the Mild Procedure, and why expanded access to those alternatives can improve patient outcomes and postpone the recurrence of problems.
Mild is making news!
Dr. Mark Coleman from National Spine & Pain Centers helped close out #PainAwarenessMonth and spread awareness of the Know Your Back Story national health awareness campaign, by recently appearing on WJLA TV’s @abc7gmw with hosts @eileen_whelan and @kiddoshea.
Dr. Coleman helped educate viewers about the prevalence of chronic lower back pain (CLBP), the symptoms & effects of lumbar spinal stenosis (#LSS), and treatment options available for CLBP patients, like the Mild Procedure.
Click the #linkinbio to see Dr. Coleman’s full segment.
https://bit.ly/3M3lSaf
#KnowYourBackStory #LetsGetMoving #NationalHealthAwarenessCampaign #enlargedligament #paincare #interventionalpain #painmedicine #minimallyinvasive #lumbarspinalstenosis #stenosis #lss #vertos #lookfortheligament #vertosmedical #spinalstenosis #lumbarstenosis #painphysician #paindoctor #painphysicians #spineexpert #spinehealthcare ...
We are excited to have new members joining Team Vertos in our mission to offer safe, effective solutions to the lumbar spinal stenosis (#LSS) community.
Coming onboard is our new Regional Sales Director, Brian Ellis, District Sales Managers, Brad Reifsnyder and Morgan Jones, and Principal R&D Technician, Adriana Peralta.
Interested in joining our team? Click the #linkinbio for employment opportunities.
This Pain Awareness Month, we’re bringing knowledge to both patients and providers on the effects of chronic low back pain (CLBP).
The first-ever Mobility Index, introduced as part of the Know Your Back Story campaign, was developed with data from the Harris Poll’s “Mobility Matters: Landmark Survey on Chronic Low Back Pain in America” to demonstrate how people should be moving through the decades of their lives without CLBP.*
Learn more about using the Mobility Index to show patients how their mobility measures up at the #linkinbio.
*"Mobility Matters" Harris Poll data at the #linkinbio.
Benyamin RM, Staats PS, MiDAS ENCORE Investigators. mild® is an effective treatment for lumbar spinal stenosis with neurogenic claudication: MiDAS ENCORE Randomized Controlled Trial. Pain Physician. 2016;19(4):229-242.
Mekhail N, Costandi S, Abraham B, Samuel SW. Functional and patient-reported outcomes in symptomatic lumbar spinal stenosis following percutaneous decompression. Pain Pract. 2012;12(6):417-425. doi:10.1111/j.1533-2500.2012.00565.x.
2012 data from Health Market Sciences report for Vertos Medical 2013.
Data on file with Vertos Medical.
Staats PS, Chafin TB, Golvac S, et al. Long-term safety and efficacy of minimally invasive lumbar decompression procedure for the treatment of lumbar spinal stenosis with neurogenic claudication: 2-year results of MiDAS ENCORE. Reg Anesth Pain Med. 2018;43:789-794. doi:10.1097/AAP.0000000000000868.
Based on mild® Procedure data collected in all clinical studies. Major complications are defined as dural tear and blood loss requiring transfusion.
MiDAS ENCORE responder data. On file with Vertos Medical.
Jain S, Deer TR, Sayed D, et al. Minimally invasive lumbar decompression: a review of indications, techniques, efficacy and safety. Pain Manag. 2020;10(5). https://doi.org/10.2217/pmt-2020-0037. Accessed June 1, 2020.
Deer TR, Grider JS, Pope JE, et al. The MIST Guidelines: the Lumbar Spinal Stenosis Consensus Group guidelines for minimally invasive spine treatment. Pain Pract. 2019;19(3)250-274. doi:10.1111/papr.12744.
Hansson T, Suzuki N, Hebelka H, Gaulitz A. The narrowing of the lumbar spinal canal during loaded MRI: the effects of the disc and ligamentum flavum. Eur Spine J. 2009;18(5):679-686. doi:10.1007/s00586-009-0919-7.
Treatment options shown are commonly offered once conservative therapies (e.g., physical therapy, pain medications, chiropractic) are not providing adequate relief. This is not intended to be a complete list of all treatments available. Doctors typically recommend treatments based on their safety profile, typically prioritizing low risk/less aggressive procedures before higher risk/more aggressive procedures, but will determine which treatments are appropriate for their patients.
Although the complication rate for the mild® Procedure is low, as with most surgical procedures, serious adverse events, some of which can be fatal, can occur, including heart attack, cardiac arrest (heart stops beating), stroke, and embolism (blood or fat that migrates to the lungs or heart). Other risks include infection and bleeding, spinal cord and nerve injury that can, in rare instances, cause paralysis. This procedure is not for everyone. Physicians should discuss potential risks with patients. For complete information regarding indications for use, warnings, precautions, and methods of use, please reference the devices’ Instructions for Use.
Patient stories on this website reflect the results experienced by individuals who have undergone the mild® Procedure. Patients are not compensated for their testimonial. The mild® Procedure is intended to treat lumbar spinal stenosis (LSS) caused by ligamentum flavum hypertrophy. Although patients may experience relief from the procedure, individual results may vary. Individuals may have symptoms persist or evolve or other conditions that require ongoing medication or additional treatments. Please consult with your doctor to determine if this procedure is right for you.
Reimbursement, especially coding, is dynamic and changes every year. Laws and regulations involving reimbursement are also complex and change frequently. Providers are responsible for determining medical necessity and reporting the codes that accurately describe the work that is done and the products and procedures that are furnished to patients. For this reason, Vertos Medical strongly recommends that you consult with your payers, your specialty society, or the AMA CPT regarding coding, coverage and payment.
Vertos Medical cannot guarantee coding, coverage, or payment for products or procedures. View our Billing Guide.
Vertos is an equal employment opportunity workplace committed to pursuing and hiring a diverse workforce. We strive to grow our team with highly skilled people who share our culture and values. All qualified applicants will receive consideration for employment without regard to sex, age, color, race, religion, marital status, national origin, ancestry, sexual orientation, gender identity, physical & mental disability, medical condition, genetic information, veteran status, or any other basis protected by federal, state or local law.
Hall S, Bartleson JD, Onofrio BM, Baker HL Jr, Okazaki H, O’Duffy JD. Lumbar spinal stenosis. Clinical features, diagnostic procedures, and results of surgical treatment in 68 patients. Ann Intern Med. 1985;103(2):271-275. doi:10.7326/0003-4819-103-2-271.
Kalichman L, Cole R, Kim DH, et al. Spinal stenosis prevalence & association with symptoms: The Framingham Study. Spine J. 2009;9(7):545-550. doi:10.1016/j.spinee.2009.03.005.
Fukusaki M, Kobayashi I, Hara T, Sumikawa K. Symptoms of spinal stenosis do not improve after epidural steroid injection. Clin J Pain. 1998;14(2):148-151. doi:10.1097/00002508-199806000-00010.
Mekhail N, Costandi S, Nageeb G, Ekladios C, Saied O. The durability of minimally invasive lumbar decompression procedure in patients with symptomatic lumbar spinal stenosis: Long-term follow-up [published online ahead of print, 2021 May 4]. Pain Pract. 2021;10.1111/papr.13020. doi:10.1111/papr.13020
Friedly JL, Comstock BA, Turner JA, et al. Long-Term Effects of Repeated Injections of Local Anesthetic With or Without Corticosteroid for Lumbar Spinal Stenosis: A Randomized Trial. Arch Phys Med Rehabil. 2017;98(8):1499-1507.e2. doi:10.1016/j.apmr.2017.02.029
Pope J, Deer TR, Falowski SM. A retrospective, single-center, quantitative analysis of adverse events in patients undergoing spinal stenosis with neurogenic claudication using a novel percutaneous direct lumbar decompression strategy. J Pain Res. 2021;14:1909-1913. doi: 10.2147/JPR.S304997
Pryzbylkowski P, Bux A, Chandwani K, et al. Minimally invasive direct decompression for lumbar spinal stenosis: impact of multiple prior epidural steroid injections [published online ahead of print, 2021 Aug 4]. Pain Manag. 2021;10.2217/pmt-2021-0056. doi:10.2217/pmt-2021-0056
Abstract presented at: American Society of Pain and Neuroscience Annual Conference; July 22-25, 2021; Miami Beach, FL.
Mobility Matters: Low Back Pain in America, Harris Poll Survey, 2022. View data and full summary at knowyourbackstory.com.
