Take your next step with mild®, a minimally invasive procedure that can help provide lasting relief for back pain caused by lumbar spinal stenosis (LSS).
The mild® Procedure helps relieve the pressure on spinal nerves caused by natural aging and wear and tear of the spine.
If you have
low back/leg pain when
standing or walking
Offers lasting relief
with increased mobility
Minimal
downtime
Covered by
Medicare
The best time to start searching for a mild® Doctor is today. Chronic lower back pain caused by LSS typically worsens in severity over time. This makes early intervention crucial to restoring healthy function, movement, and quality of life.
After locating a doctor in your area, request an evaluation for the mild® Procedure. This may require a physical exam and/or imaging.
We’re sorry, there are currently no mild® Doctors in your area. Please increase your search radius or if you are willing to travel, consider searching near a location you are likely to visit.
Vertos Medical does its best to keep practice information accurate and up-to-date, however please inform us if you encounter issues in reaching one of the above mild® Doctors. The mild® Procedure is currently offered in the United States only, however, we are actively planning for international expansion.
Doctors are listed by proximity to the location entered, not by any form of preference or rank. While doctors are trained to perform the mild® Procedure (minimally invasive lumbar decompression), Vertos Medical holds no guarantee or accountability for the care they provide.
To our mild® healthcare providers – if you need to add, edit or remove your listing, please contact us.
Vertos Medical does its best to keep practice information accurate and up-to-date, however please inform us if you encounter issues in reaching one of the above mild® Doctors. The mild® Procedure is currently offered in the United States only, however, we are actively planning for international expansion.
Doctors are listed by proximity to the location entered, not by any form of preference or rank. While doctors are trained to perform the mild® Procedure (minimally invasive lumbar decompression), Vertos Medical holds no guarantee or accountability for the care they provide.
To our mild® healthcare providers – if you need to add, edit or remove your listing, please contact us: www.Vertosmed.com/contact
Vertos Medical does its best to keep practice information accurate and up-to-date, however please inform us if you encounter issues in reaching one of the above mild® Doctors. The mild® Procedure is currently offered in the United States only, however, we are actively planning for international expansion.
Doctors are listed by proximity to the location entered, not by any form of preference or rank. While doctors are trained to perform the mild® Procedure (minimally invasive lumbar decompression), Vertos Medical holds no guarantee or accountability for the care they provide.
To our mild® healthcare providers - if you need to add, edit or remove your listing, please contact us.
For some people, chronic low back pain is caused by a narrowing and compression of the spinal nerves in the lower back. This can cause pain, numbness, tingling, or heaviness when standing, walking, or sleeping. Some might find temporary relief in bending. The condition is called lumbar spinal stenosis, or LSS.
The mild® (minimally invasive lumbar decompression) Procedure is an FDA-cleared treatment that addresses a major root cause of LSS by removing excess tissue to restore space in your spinal canal. It’s proven to help LSS patients stand longer and walk farther with less pain.
mild® is an early treatment option to consider when conservative therapies (eg, epidural steroid injections, physical therapy, pain medication, chiropractic) are not providing adequate relief.
The mild® Procedure is different from epidural steroid injections (ESIs) or traditional back surgery for LSS.
The doctor will likely want to discuss any past diagnoses, treatment options, and/or other medical conditions. Your doctor may want to discuss some or all of the topics below. Be prepared to discuss these and ask how the mild® Procedure may be an option.
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 here.
Deer TR, Grider JS, Pope JE, et al. Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0 (MIST): Consensus Guidance from the American Society of Pain and Neuroscience (ASPN). J Pain Res. 2022;15:1325-1354. Published 2022 May 5. doi:10.2147/JPR.S355285.
