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 MoreWhy continue providing temporary relief when you have an opportunity to fix the problem? Thank you #MildProcedure trainers @drajayantonymd, @jassalmd, @drpryz and @harrysukumaran for sharing your experiences of how focusing on function with Mild has improved patient outcomes and referrals.
Move beyond serial ESIs and #MovetoMild to evolve your practice's standard of care. Learn more about peer training and education at the link in bio.
Look for the ligament, it's a common problem, even in patients with comorbidities. Remove the problem with Mild and leave nothing behind.
Could a collaborative approach help you identify 🔎 more patients who could benefit from the minimally invasive #MildProcedure?
Join @aspn_painneuro’s CME webinar, "Reviewing MRIs: A Collaborative Approach to Patient Selection" Monday, 6/21 at 8pm EDT to learn how to review MRIs for simple patient identification. An expert physician and APP panel will discuss how to match more patients with the right treatments sooner by working together. 📝 Registration is available at link in bio!
Thank you to panel members leading this CME event, including Timothy Deer, MD, Navdeep Jassal, MD, Eugene Paik, MD, Dawood Sayed, MD, Christine Christensen, NP, Ashley Comer, NP and Zohra Hussaini, ARNP.
Have you seen the NEW study results demonstrating the 5️⃣-year long-term durability of the #MildProcedure, a minimally invasive decompression procedure that addresses a major root cause of lumbar spinal stenosis (LSS)?
Published by investigators at the @clevelandclinic, the study highlights three key takeaways, including that 88% of Mild patients avoided surgical decompression for at least five years while experiencing significant symptom relief. Review additional key takeaways and access the full data at link in bio.
Team building in progress. ⚠️ We are busy at work in and out of the lab expanding our #MildProcedure expertise!
Interested in joining Team Vertos? View available positions throughout the U.S at link in bio.
Mild trainers are at the forefront of advancing lumbar spinal stenosis (LSS) patient care. Thank you @organicstrings, @nvadvancedpain, @pain4eemd and @drweisbein for facilitating peer education that will cause real change in the care path for LSS patients to move beyond serial ESIs and improve patients’ function.
#MovetoMild to evolve your practice’s standard of care. Learn more about training and education at link in bio.
Look for the ligament, it's a common problem, even in patients with comorbidities. Remove the problem with Mild and leave nothing behind. #MildProcedure
Injections falling short? Move patients to the minimally invasive #MildProcedure. Typically performed in less than an hour, Mild offers a strong safety profile,* quick recovery time and is nationally covered by Medicare. Learn more and view data* at the link in bio.
Look for the ligament, it's a common problem, even in patients with comorbidities. Remove the problem with Mild and leave nothing behind.
Investigators at the @clevelandclinic recently published an independent, retrospective cohort study analyzing the long-term durability of the #MildProcedure through 5️⃣-year follow-up. The analysis demonstrates that Mild, a minimally invasive treatment for lumbar spinal stenosis (LSS), significantly decreased the need for surgical decompression at the same treatment level at 5 years. Access the full study results and published paper on the blog at link in bio.
Thank you to the investigator and author team: Nagy Mekhail, MD, PhD, Shrif Costandi, MD, George Nageeb, BS, Catherine Ekladios, MD, Ogena Saied, MS
Searching for a new career opportunity? 🔭 With new positions added across the U.S., join our growing team! At Vertos Medical, our goal is to help patients with lumbar spinal stenosis (LSS) reduce pain, increase mobility and reclaim their quality of life - in a minimally invasive way.
Learn more about becoming a part of Team Vertos at the link in bio. #MildProcedure
Why repeat ESIs that don't address the root cause of lumbar spinal stenosis (LSS) when you can #MovetoMild, a minimally invasive treatment with an equivalent safety profile and lasting results?* Help make life a walk on the beach 🌊 for patients with LSS - consider the #MildProcedure as the next step.
*View data and ways to further evolve your practice’s LSS care path at the link in bio.
Happy #NationalNursesDay and start of #NationalNursesWeek to the individuals who are critical for putting the "care" in healthcare. ⚕ By definition, the verb "nurse" means, "to take care of, look after or tend to." We are so grateful for your selfless dedication to patients! #MildProcedure
Advanced interventional therapies, like the #MildProcedure for lumbar spinal stenosis (LSS), mean there's opportunity to move beyond serial ESIs and embrace change in your practice routine. @pain4eemd shares three key steps to develop practice treatment algorithms that optimize care and outcomes at the link in bio.
Whether patients with lumbar spinal stenosis (LSS) are in early to late disease state, have stenosis at levels: L1-S1 or grade ≤ 2 spondylolisthesis, look for the ligament. 🔍 Move more LSS patients to the #MildProcedure, even those with comorbidities, when neurogenic claudication symptoms present.
View the retrospective report authored by @drpryz at link in bio to learn why leading providers are changing their standard of care for LSS treatment.
Time ⌛. Research 📚. Dedication 🤝. These are the building blocks used to create and move innovative treatments forward. @jassalmd gives a glimpse of the #MildProcedure's evolution and the NEW Streamlined Technique, pioneered by Dr. Brent Chafin, in our latest blog. Discover its benefits and learn how to #MoveMidline at the link in bio.
Mild physician education is in full swing! One key aspect of training is educating patients about their diagnosis and moving to Mild as an early treatment option after failure of an initial ESI. 🔊 Listen as @anjumbux shares his approach to educating patients about the Mild experience.
Many thanks to the month's educational leaders, Drs. @anjumbux, Eugene Paik, @dr.khemlani and @dsayed123, for sharing their knowledge and helping educate their peers on the #MildProcedure, a minimally invasive treatment for lumbar spinal stenosis (LSS). Learn more about training and education at link in bio.
Look for the ligament, it's a common problem, even in patients with comorbidities. Remove the problem with Mild and leave nothing behind.
A six-center retrospective review found that VAS outcomes post-Mild do not vary based on previous ESI use*. It made no difference whether patients had a single injection or none versus multiple injections prior to Mild. Don't delay patient care; ➡️ #MovetoMild after an initial ESI fails.
*View data at link in bio and challenge your thinking around ESIs.
Look for the ligament, it's a common problem, even in patients with comorbidities. Remove the problem with Mild and leave nothing behind.
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. We do not discriminate on the basis of sex, age, color, race, religion, marital status, national origin, ancestry, sexual orientation, 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
