MILD Procedure

This procedure can be helpful when spinal stenosis is specifically caused by thickening of a normal ligament in the back that results in narrowing of the nerve passages and spinal stenosis       

This procedure is usually considered in cases when more definitive surgery of the spine is not considered a good first option after evaluation by a spinal surgeon.  

The procedure is performed with a tiny incision and a small scoop is used to remove some of the thickened ligament in order to attempt to make more space for the constricted nerves to travel through. (link Vertos Medical)

Pre Injections Instructions

If you are anxious about your procedure, sedation may be an option for you.
If your plan of care involves sedation, you must meet the following criteria:

01

Come to your appointment with a responsible adult driver.

02

Fast for at least 6-8 hours prior to our appointment time. Morning medications can be taken with a sip of water no later than 2 hours prior to you appointment time. Exceptions may include diabetic medications, in this case please call the office for specific instructions.

03

If you are taking blood thinners or supplements, we may ask that you discontinue them prior to your procedure. Never stop these medications without approval from the physician prescribing them.

If you are taking blood thinners your pain physician may ask they be discontinued prior to injection.  Never stop these medications without permission from the physician prescribing them. Please call our office if your blood thinner is not listed:

  • Acenocoumarol
  • Agggrenox
  • Aggrastat   
  • Arixtra
  • Aspirin
  • Brilinta
  • Edoxaparin
  • Effient
  • Eliquis
  • Heparin
  • Integrilin
  • Lovenox
  • Pentoxil
  • Plavix
  • Pletal 
  • Pradaxa
  • ReoPro
  • Ticlid
  • Warfarin/Coumadin
  • Xarelto

If you are taking any supplements such as Fish Oil, Garlic, Ginseng, Vitamin A&E, Ginger, Kava Kava, Clove, White Willow bark, or Gingko please stop these 7 days prior to your procedure.

Start the Path Towards Healing

Our physicians offer ​diagnostic testing, fluoroscopic guided procedures and steroid injections. Our goal is to restore function of damaged joints, nerves, and muscles to treat low back, neck, and other pain. Our mission is to have all patients living their lives with minimal pain and to meet each of our patients’ needs with the highest quality care. We offer innovative solutions utilizing the latest, minimally invasive technologies.