May 2021

Minimally Invasive “MILD” Relief for Leg and Low Back Pain

An Innovative and Effective Approach for Lumbar Spinal Stenosis Caused by Neurogenic Claudication

Happy PatientPatient “X” had lived with excruciating back and leg pain for years. All that her prior doctors did was offer her painkillers – until a Main Line Spine doctor discovered the source of the problem – and provided her with alternatives for treatment. That diagnosis changed the course of the quality of the rest of her life.

Leg or low back pain can leave you in a world of pain. For some sufferers, when they stand upright, they experience pain or numbness in their lower back. When they walk, they experience pain, numbness, or tingling in their legs or buttocks. But when they bend at the waist or sit down, the discomfort is relieved. Or when they sleep, pain may be relieved by curling into the fetal position.

These symptoms are known in medical terms as neurogenic claudication or pseudoclaudication. These are the most common symptoms associated with spinal stenosis.

The MILD procedure is a safe, highly effective, minimally invasive approach to provide significant relief from these symptoms. It also can provide a significant increase in mobility.

The clinical team at Main Line Spine is highly skilled at accurately diagnosing pain caused by Lumbar Spinal Stenosis. When appropriate, they are also experienced in effectively treating it with the outpatient MILD procedure.

What is Lumbar Spinal Stenosis?

Lumbar Spinal Stenosis is a condition that occurs when the spinal canal narrows in your lower back. This narrowing can be caused by bulging disks, bone spurs, or a thickening of the supportive ligaments in the back of the spinal canal.

As the spinal canal narrows, it reduces the amount of space available for your spinal cord and nerves that branch off from your spinal cord. This restricted space can cause the spinal cord or nerves to become irritated, compressed, or pinched, which can lead to back or leg pain.

Treating Pain Caused by Excess Ligament

If your Main Line Spine doctor determines that you have Lumbar Spinal Stenosis caused by excess ligament, then the MILD procedure might be an appropriate treatment for you.

MILD ProcedureMILD is a quick outpatient procedure, performed through a tiny incision about the size of a baby aspirin. During this procedure, specialized tools are inserted through a tiny incision in your back guided by an X-ray/fluoroscope. Small pieces of bone and excess ligament that are causing the narrowing of your spinal canal are removed.

This procedure restores the space in the spinal canal, decreasing the compression of the nerves. As a result, pain is reduced and mobility is regained.

How Long Does It Take and What Are the Expected Results?

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

No treatment options are eliminated by using MILD. 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 as compatible alternatives.

Patients typically resume normal activities within 24 hours of the MILD procedure with no restrictions.

A Cleveland Clinic 1-year study has shown that after the MILD procedure, patients were able to increase their average standing time from 8 minutes to 56 minutes with less pain. And they were able to increase their average walking distance from 246 feet to 3,956 feet with less pain.

Please talk to your Main Line Spine doctor to determine if you are a candidate for the MILD procedure.


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