mild® removes a major root cause of lumbar spinal stenosis (LSS) to improve back and leg pain.
mild® for Patients
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.
Pain, numbness or tingling in legs or buttocks when walking
Relief when sitting or leaning forward
mild® for Healthcare Professionals
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.
Washington DC got moving! Thank you to all the physicians, Advanced Practice Providers (APPs), and patients who joined us to learn more about the connection between an enlarged ligament and low back pain on our National Health Awareness Campaign tour.
We are excited to be able to help more lumbar spinal stenosis (#LSS) patients rewrite their “back story” and step with strength, confidence, and enthusiasm into their next exciting chapter. Let’s get moving!
Visit www.KnowYourBackStory.com or the #linkinbio for upcoming tour stops and to learn more.
Philadelphia showed us lots of love! Thank you to all the physicians, Advanced Practice Providers (APPs), and patients that joined us and made the Philly tour stop of the National Health Awareness Campaign so successful!
We are so grateful for the opportunity to empower more lumbar spinal stenosis (#LSS) patients and those suffering from an enlarged ligament to learn more about their “back story."
We spent this past weekend with the country’s leading lumbar spinal stenosis (#LSS) experts at @the_greenbrier to discuss what’s next for the #MildProcedure. As a team, we collaborated on disrupting the current landscape of Interventional Pain and our continued push to make Mild the gold standard of care and first-line treatment for LSS.
Thank you to all of our attendees for your insight, feedback, support, and adaptability – it was truly a remarkable (and memorable) occasion!
Philly and DC are the places to be! Save the date and meet us at the Ritz-Carlton on June 28 in Philadelphia and June 30 in Washington, DC as we continue our campaign to help more people learn about the connection between the enlarged ligament and low back and leg pain.
Join us to explore interactive educational features, view new data, and hear patient stories. Spread the word among your patients, colleagues, Advanced Practice Providers (APPs), staff, and referring physicians. We can’t wait to see you there!
Patient Event: 12-5 PM
HCP Event: 6-8 PM
Contact your local representative or visit KnowYourBackStory.com for more information. Get your patients back on their feet and #LetsGetMoving together!
Everyone has a “back story" and we are on a mission to help patients nationwide to understand theirs! We have partnered with @aspn_painneuro and The National Association of Memoir Writers to develop a National Health Awareness Campaign to raise awareness about the connection between the enlarged ligament and low back and leg pain.
Join us as we help patients rewrite their back story and get on a path to find lasting relief. Learn more and see tour dates at www.knowyourbackstory.com and the #linkinbio.
NYC, here we come! Join us June 22nd to kick off the KNOW YOUR BACK STORY National Health Awareness Campaign. Together, we can help more people learn about the connection between the enlarged ligament and low back and leg pain.
Mark your calendar for this Don’t-Miss Event at The Altman Building. Invite your patients, Advanced Practice Providers (APPs), colleagues, staff, and referring physicians to join us to explore interactive educational features, view new data, and hear stories from people who’ve found relief from low back and leg pain.
Patient Event: 3-5 PM
HCP Event: 6-8 PM
Contact your local representative for more info!
Help more patients step with strength, confidence, and enthusiasm into their next exciting chapter. Let’s get moving!
Congratulations to the @wipm_society on a successful annual meeting! Throughout their educational program, this group of distinguished clinicians shared clinical pearls and discussed the impact the Mild Procedure has made on their individual practices.
Special thanks to @drjordantate for leading the Mild Procedure demonstration and @ladypaindoc for hosting a discussion of the value of Mild in her practice. These inspiring physicians are helping more patients find their path to relief!
According to our Advanced Practice Provider (APP) Advisory Board, imaging review, a key aspect of Mild patient candidate identification is often not included in initial schooling. To help APPs learn the basics of image review, become more familiar with identifying anatomical landmarks, and understand how to confirm if a patient is a candidate for the Mild Procedure, we asked @jamey_lynch, an APP with the Pain Consultants of San Diego to walk us through his tips and techniques for MRI imaging review.
Click the #linkinbio for tips on becoming confident with image review and follow along a series of videos to see his step-by-step approach to determine if patients with lumbar spinal stenosis (#LSS) should make the #MOVE2mild.
We are on a mission to change the lives of millions of people suffering with chronic low back and leg pain. Are you ready to join us?
Let’s Get Moving! Efforts kick off June 22. Stay tuned and let’s work together to increase awareness in your community so patients know how to find a Spine Health Doctor to learn more about the steps they can take to stand longer and walk farther with less pain.
Lumbar spinal stenosis (#LSS) patients are ready to get back on their feet! Help the LSS patients in your practice get on the path to lasting relief by making the #MOVE2mild earlier in your treatment algorithm.
With a safety profile equivalent to an epidural steroid injection (ESI) and an incision smaller than the size of a baby aspirin, the Mild Procedure is designed to get patients in and out and on their way.*
*Learn more and view clinical data at the #linkinbio.
Thank you to our Vertos APP Board Members @acomer3, Marie Zambelli, NP, Kelsey Kimball, PA, @lmw.c, @p.mcginn, and @ansky5121 for a successful webinar!
If you missed it, click the #linkinbio to view this collaborative discussion around the importance of patient education, outcomes assessment, and the role of Advanced Practice Providers (APPs) in optimizing patient care after the Mild Procedure.
New Level 1 Data is in! Upon reviewing the recently published MOTION Study results, interventional pain specialist, Dr. Quang Nguyen said, “the significance of this data cannot be overstated...I love using this data when discussing this procedure with my patients with LSS. They know that my decision to treat their HLF is based on Level 1 data and real-world results.”
How many more patients will you help achieve lasting relief by making the #MOVE2mild earlier in your treatment algorithm?
See the data demonstrating the superiority of Mild + conventional medical management (CMM) over CMM alone for yourself 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.