What is a MILD procedure?
MILD is a minimally invasive outpatient procedure that treats lumbar spinal stenosis. Lumbar spinal stenosis is a condition in which the lower spinal canal narrows and compresses the spinal nerves in your low back. This narrowing of the spinal canal is a result of ligamentum flavum hypertrophy, or thickening of a ligament in your spine. This can lead to increased pain and mobility issues.
"Dr. Maniam is great and you took care of my knee. My knee feeks great and i can walk again. The visit was beautiful and they treat me with respect."- K.D. / Google / May 18, 2021
"On first arrival Dr. Kohler and his staff at Ospina Medicine were warm and welcoming. He was precise in his knowledge and explained all parts of both my pain management due to previous injury, and preventative measures for future treatment. Their New York City based state of the art technology and contemporary office made me feel at ease immediately. As someone with continual back pain, and as someone who wants to avoid opioid treatment, the very nature of Ospina Medical using non-opioid approaches to pain management for me was a big bonus. The results have been brilliant, and I am so pleased to have Dr. Kohler to help me through my pain management process."- M.M. / Google / May 17, 2021
"The nicest people, the best care. I feel so much better already. Would recommend to any and all friends, dancers, athletes, who are having pain."- C.J. / Google / May 14, 2021
"Dr Maniam and his staff are excellent. Renya at the front desk is always friendly and makes me feel comfortable. There’s a real sense that they care about their patients. I’ve had numerous spinal epidural‘s and radio frequency ablations, they’ve been painless and have gotten excellent results. This is the best pain management group that I’ve been to and I’ve been to more than a few... I highly recommend Ospina!"- M.G. / Google / May 14, 2021
"I've had 3 cortisone injections with Ospina and I'm amazed by the care they take when applying the injections. I can't believe how well it works and what good care they take of me. (I had received an injection somewhere else and it was more painful, bruised badly, and didn't last near as long.) I will ONLY go to Ospina now. The staff and doctors are truly WONDERFUL. Don't hesitate!"- P.G. / Google / Apr 30, 2021
Who is a candidate for a MILD procedure?
Patients who have been diagnosed with lumbar spinal stenosis, have had surgery in their lumbar spine or are getting epidural steroid injections that are no longer providing relief many be a candidate for the MILD procedure. Patients with LSS often experience pain when standing, walking, or lying down but find relief when they are sitting or bending forward. During your consultation with one of our physicians, your medical history and diagnostic imaging will be reviewed to determine if you qualify for a MILD procedure.
How is a MILD procedure performed?
All MILD procedures must be performed in an ambulatory surgical center (ASC), but our office will work with you and the ASC to coordinate your care. During the procedure, a special instrument is placed at the affected vertebral level through a small incision in your back. Using fluoroscopic guidance your physician will gain access to the ligament in your spine that has thickened. Once at the ligament your physician will carefully remove some of the thickened ligament to allow the space in your spinal canal to open and remove pressure on your nerves. The procedure takes approximately an hour to complete and requires minimal downtime compared to more invasive procedures and surgeries.
If you are experiencing low back pain or have been recently diagnosed with LSS, contact our midtown Manhattan office to book a consultation and find out if a MILD procedure is right for you.