mild® Procedure.
Lasting Relief.

With a safety profile similar to an epidural steroid injection, mild® restores space in the spinal canal to improve back and leg pain.

What Is Lumbar Spinal Stenosis (LSS)?

Animation Graphic - Kink in the spinal canal
LSS Defined
  • A condition in which the lower spinal canal narrows and compresses the spinal nerves in the lower back
  • Best visualized as a “kink in a drinking straw,” this compression can contribute to pain and mobility issues
Image - Four people with LSS
How Common is LSS?
  • Over two million LSS patients nationwide are diagnosed and treated annually
  • Generally found in people over the age of 50
  • The likelihood of developing LSS increases with age
Graphic - Healthy vs. aging spinal canal with lumbar spinal stenosis
What are the causes of LSS?

The natural wear and tear on the spine as people age can lead to a number of contributing factors that cause the narrowing of the spinal canal and create pressure on the spinal nerves:

  • Thickening of ligament tissue
  • Overgrowth of bone (osteoarthritis)
  • Bulging of discs
Image - Woman in doctor's office analyzing spine
How is LSS diagnosed?

In addition to taking a medical history that includes a list of your symptoms, other tests may be performed to verify LSS:

  • Physical examinations to test mobility
  • Imaging: X-rays, MRI, CT scan

Symptoms of LSS

Graphic - Lower back pain while standing
Pain When Standing
  • Pain or numbness in the lower back when standing upright
Graphic - Lower back pain and numbness while walking
Pain When Walking
  • Pain, numbness, heaviness or tingling in upper legs or buttocks when walking
Graphic - Lower back pain relief while sleeping in curled position
Pain When Sleeping
  • Pain when lying down that may be relieved by curling into the fetal position
Graphic - Lower back pain relief while bending forward on a grocery cart
Relief When Sitting or Bending Forward
  • Temporary relief when bending forward while sitting or standing as pressure on the spinal cord is released and space in the spinal canal is “opened”
  • Common actions include finding a chair, leaning over shopping cart, using walker or cane

LSS Treatment Options

LSS treatment algorithm
Your Next Step Could Be mild®

mild® is an early treatment option to consider if more conservative therapies, such as physical therapy or pain medications, are not providing adequate relief. The mild® Procedure addresses a major root cause of LSS by removing excess ligament tissue to restore space in the spinal canal. The mild® Procedure typically takes less than an hour and can be performed through a single, tiny incision smaller than the size of a baby aspirin (5.1 mm).

Speak To A mild® Doctor

Whether you were recently diagnosed with LSS, have had surgery or are getting epidural steroid injections that are no longer providing pain relief, talk to a mild® Doctor to see if you are a candidate for the mild® Procedure.

A mild® Procedure
with Proven Results

mild® has been performed on thousands of patients to provide lasting pain relief and increased mobility.

Understanding the
mild® Procedure

Clinical Outcomes for mild®

Graphic - Patient - Stand 7x longer
Increase Standing Time

Cleveland Clinic 1-Year Study: Patients were able to increase their average standing time from 8 minutes to 56 minutes with less pain.

graphic - Patient - Walk 16x Farther
Increase Walking Distance

Cleveland Clinic 1-Year Study: Patients were able to increase their average walking distance from 246 feet to 3,956 feet with less pain.

Graphic - 5-Year Durability
Avoid Back Surgery

Cleveland Clinic 5-Year Study: mild® helped 88% of patients avoid back surgery for at least 5 years while providing lasting relief.

Graphic - Patient - mild® vs. Epidural Steroid Injection for back pain
Safety Profile Similar to an Epidural Steroid Injection

MiDAS ENCORE 2-Year Study: mild® has a safety profile similar to an epidural steroid injection, but with lasting results. In this study, there were no statistically significant differences in the safety profile between study groups.

mild® is a minimally invasive procedure typically performed in an outpatient setting using only local anesthetic and light sedation. The nature of the procedure carries that do not apply to receiving an epidural steroid injection.

85% Patient Satisfaction
Patient Satisfaction

MiDAS ENCORE 2-Year Study: Patients reported an 85% patient satisfaction rate with the mild® Procedure.

Key Benefits of the mild® Procedure

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Short Outpatient Procedure

mild® is typically performed in less than an hour and does not require general anesthesia, implants, stitches, steroids or opioids. The procedure can be performed using only local anesthetic and light sedation and leaves no implants behind.

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Quick Recovery Time

Patients typically resume normal activity within 24 hours with no restrictions

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Addresses a Major Root Cause of LSS

mild® addresses a major root cause of LSS by removing small pieces of bone and thickened ligament. This restores space in the spinal canal, which reduces the compression of the nerves.

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No Treatment Options Eliminated

Unlike some major surgeries, mild® doesn’t eliminate future treatment options or other therapies for back pain. If symptoms persist or evolve, both conservative and more invasive therapies remain compatible.

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Covered by Medicare

The mild® Procedure is covered by Medicare (all ages, all plan types) nationwide and many commercial insurers are currently reviewing payment policies. Talk to your doctor to obtain coverage specifics for your plan type.

Key Benefits of the mild® Procedure

SHORT OUTPATIENT PROCEDURE QUICK RECOVERY TIME ADDRESSES A MAJOR ROOT CAUSE OF LSS NO TREATMENT OPTIONS ELIMINATED COVERED BY MEDICARE SHORT OUTPATIENT PROCEDURE mild ® is typically performed in less than an hour and does not require general anesthesia, implants, stitches, steroids or opioids. The procedure can be performed using only local anesthetic and light sedation and leaves no implants behind. QUICK RECOVERY TIME Patients typically resume normal activity within 24 hours with no restrictions 8 ADDRESSES A MAJOR ROOT CAUSE OF LSS mild ® addresses a major root cause of LSS by removing small pieces of bone and thickened ligament. This restores space in the spinal canal, which reduces the compression of the nerves. NO TREATMENT OPTIONS ELIMINATED Unlike some major surgeries, mild ® doesn’t eliminate future treatment options or other therapies for back pain. If symptoms persist or evolve, both conservative and more invasive therapies remain compatible. COVERED BY MEDICARE The mild ® Procedure is covered by Medicare (all ages, all plan types) nationwide and many commercial insurers are currently reviewing payment policies. Talk to your doctor to obtain coverage specifics for your plan type.

Is mild® Right for You?

Take the mild® Survey

Strong Safety Profile

Graphic - Patient - Safety profile similar to an injection
Safety Profile Similar to an Epidural Steroid Injection
  • mild® has a safety profile similar to an epidural steroid injection, but with lasting results
Graphic - Patient - Minimally invasive outpatient procedure
Minimally Invasive Outpatient Procedure
  • Performed through an incision smaller than the size of a baby aspirin (5.1 mm), mild® is a minimally invasive outpatient procedure that does not require general anesthesia, implants, stitches, steroids or opioids
  • The procedure can be performed using only local anesthetic and light sedation and leaves no implants behind
Graphic - Patient - FDA-cleared lumbar spinal stenosis treatment
FDA-Cleared
  • mild® is cleared by the U.S. Food and Drug Administration for lumbar decompressive procedures
Graphic - HCP - Maintains structural anatomy
Maintains Structural Anatomy
  • mild® does not significantly alter the structural anatomy of the spine

Low Complication Rate

Thousands of patients are treated annually with the mild procedure
  • Complication rate <0.1% in more than 30,000 commercial cases
  • No device- or procedure-related serious complications reported in any clinical trial
  • Compatible for patients with existing risk factors

What are mild® Patients Saying?

Real stories from real mild® . Discover the difference mild® is making in the LSS community.

Watch This mild®
Patient Story

“I had the mild® Procedure done and it was a miracle.”
“Why live in pain when you don’t have to?”
“Every day I pinch myself still that I’m walking without pain.”
"That was a big moment in my life, emotionally, to know that I'm going to do things that I couldn't do."
“Now that I am four weeks out from the mild® Procedure, this life-changing experience, it’s hard for me to imagine what I can’t do.”

Resources

Access tools and information to learn more about mild®.

Resource Library

View a brief video to better understand how mild® works and what to expect during and after the procedure.

View Educational Video

Frequently Asked Questions From Patients

mild® may help patients diagnosed with lumbar spinal stenosis (LSS) stand longer and walk farther with less pain by treating the underlying cause of LSS symptoms in a minimally invasive way.

Benefits of the mild® Procedure

  • Outpatient procedure, typically performed in less than 1 hour
  • Patients typically resume normal activity within 24 hours with no restrictions
  • Requires no general anesthesia, implants, stitches, steroids or opioids
  • Low complication risk profile and high efficacy profile as demonstrated in clinical studies

No, the mild® Procedure is performed in an outpatient setting and does not require general anesthesia. The mild® Procedure is generally performed with only local anesthetic and light sedation.

mild® in the Media

Discover the latest news and blog posts regarding the mild® Procedure

Minimally Invasive Lumbar Decompression (mild®) Procedure: What Is It and Is It Right for Me?

Are you one of over two million patients suffering from lumbar spinal stenosis (LSS) annually nationwide? If so, you’re likely experiencing pain or numbness in your lower back when standing upright; pain, numbness, heaviness or tingling in your upper legs or buttocks when walking and pain when sleeping. The pain can become more common the older you get. In fact, lumbar spinal stenosis (LSS) is prevalent in about 20% of patients ages 60+ nationwide. Temporary relief is often found when sitting or bending forward, or by curling into a fetal position when lying down.

There are, however, other ways to relieve this pain and get back to what matters to you most! If your current treatment for lumbar spinal stenosis (LSS) isn’t providing you adequate relief, consider minimally invasive lumbar decompression (mild®) as your next step.

Read More

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