Pain Management

    Minimally Invasive Lumbar Decompression (MILD®): Relief for Spinal Stenosis Without Major Surgery

    3/21/2026
    5 min read
    Minimally Invasive Lumbar Decompression (MILD®) for pain from spinal stenosis.

    Minimally Invasive Lumbar Decompression (MILD®): Relief for Spinal Stenosis Without Major Surgery

    If you experience low back pain, leg pain, or difficulty walking that improves when you sit or lean forward, you may be dealing with lumbar spinal stenosis. For many patients, Minimally Invasive Lumbar Decompression (MILD®) offers an effective treatment option without the need for traditional spine surgery.

    At Deseret Rock Pain Specialists, we specialize in advanced, minimally invasive procedures like MILD to help patients regain mobility and reduce pain.

    What Is the MILD Procedure?

    The MILD procedure is a minimally invasive treatment designed to relieve pressure on the spinal nerves caused by lumbar spinal stenosis, specifically from thickened ligament tissue (ligamentum flavum).

    During the procedure:

    • A small incision(s) is made in the lower back
    • Specialized tools are used to remove excess ligament tissue
    • This creates more space in the spinal canal and reduces nerve compression

    No large incisions, implants, or stitches are required.

    What Conditions Does MILD Treat?

    MILD is specifically used for:

    • Lumbar spinal stenosis
    • Neurogenic claudication (leg pain, heaviness, numbness, or cramping with walking)
    • Symptoms that improve when bending forward or sitting

    It is not typically used for herniated discs or instability.

    What to Expect During the Procedure

    The MILD procedure is performed in an outpatient setting and usually takes less than one hour.

    During the Procedure:

    • You will receive light sedation and local anesthesia
    • A tiny incision(s) (about the size of a pencil tip) is made
    • Using fluoroscopic guidance, excess ligament tissue is removed
    • No stitches are typically needed

    Recovery and Results

    Recovery is generally quick and straightforward:

    • Most patients go home the same day
    • Normal activities can often resume within a few days
    • Walking tolerance typically improves within weeks to months

    Benefits Patients May Experience:

    • Reduced leg and back pain
    • Improved ability to stand and walk longer distances
    • Increased mobility and independence

    Many patients notice improvement within weeks, with continued progress over time.

    Benefits of the MILD Procedure

    • ✔ Minimally invasive with no implants
    • ✔ No general anesthesia required
    • ✔ Short procedure time
    • ✔ Quick recovery
    • ✔ Preserves future treatment options

    Risks and Considerations

    MILD is generally very safe, but potential risks include:

    • Infection
    • Bleeding
    • Temporary soreness at the procedure site
    • Rare nerve irritation and injury

    Serious complications are uncommon when performed by experienced providers.

    Is MILD Right for You?

    You may be a candidate if:

    • You have lumbar spinal stenosis confirmed on imaging
    • You experience leg pain, numbness, or heaviness when walking
    • Symptoms improve with sitting or leaning forward
    • Conservative treatments have not provided enough relief

    Take the Next Step Toward Pain Relief

    At Deseret Rock Pain Specialists, we provide innovative, minimally invasive treatments to help you move better and live better.

    📍 3665 S. 8400 W. Ste 200, Magna, UT 84044 📞 801-961-4010 🌐 deseretrock.com

    Contact us today to schedule a consultation and find out if the MILD procedure is right for you.

    Have Questions About Pain Management?

    Our team of specialists is here to help. Schedule a consultation to discuss your specific needs.

    This content is for informational purposes only and is not medical advice. Always seek care from a qualified clinician for diagnosis and treatment. If you are experiencing a medical emergency, call 911 immediately.