MILD® Procedure

The MILD® Procedure (Minimally Invasive Lumbar Decompression) is a safe, outpatient treatment designed to relieve lower back and leg pain caused by lumbar spinal stenosis. The procedure removes a small amount of thickened ligament tissue in the lower back that is narrowing the spinal canal and compressing nerves — without the need for open surgery.

MILD® is performed through a tiny incision (smaller than a baby aspirin) and is an excellent alternative for patients who are not ready for, or wish to avoid, more invasive spine surgery.

Your provider may recommend the MILD® Procedure if you have:

• Lumbar spinal stenosis causing chronic back and/or leg pain
• Difficulty standing or walking for long periods (neurogenic claudication)
• Pain that improves when sitting or bending forward
• Limited relief from medications, physical therapy, or injections
• A desire to avoid traditional open back surgery

The MILD® Procedure improves mobility, decreases pain, and enhances quality of life with minimal downtime.

The procedure is performed in an outpatient surgical setting under local anesthesia with mild sedation.

• You will lie comfortably on your stomach.
• A tiny incision (about 5mm) is made in the lower back.
• Using a specialized portal and fluoroscopic (X-ray) guidance, your provider inserts small tools to remove excess ligament tissue that is pressing on the nerves.
• No stitches are needed — the incision is so small that it can be closed with a simple bandage.
• The entire procedure typically takes about one hour, and most patients return home the same day.

• Mild soreness at the incision site is normal and usually resolves quickly.
• You should limit strenuous activities for a few days after the procedure.
• Most patients resume light activities within 24–48 hours.
• Walking is encouraged shortly after the procedure to promote healing.
• Many patients experience significant improvement in their ability to stand, walk, and engage in daily activities within a few weeks.

The MILD® Procedure is extremely safe and has a very low complication rate. Rare potential risks include:

• Mild soreness at the incision site
• Bleeding or infection (very rare)
• Incomplete relief requiring additional therapy
• Temporary back stiffness

At Horizon Spine & Pain of Utah, we use the latest techniques and the safest practices to ensure the best possible outcomes.

Patients trust Horizon Spine & Pain of Utah because we offer:

• Board-certified spine and pain specialists experienced in minimally invasive procedures
• Fluoroscopic-guided precision for accurate decompression
• Personalized, patient-centered care plans
• Outpatient treatment options with faster recovery times
• Focus on restoring mobility and reducing reliance on medications

We are committed to helping you move better, feel better, and live better — with less pain.