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Robert Moghim MD

Anchor Healthcare

MILD (Minimally Invasive Lumbar Decompression)

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If you have lumbar spinal stenosis caused by a thickened spinal ligament, the Minimally Invasive Lumbar Decompression (MILD) procedure can relieve pressure and restore blood flow to the spinal nerves. Here’s how to prepare and recover properly.

You should not eat for 8 hours before your procedure, but clear liquids are usually allowed up to 2 hours before. If you take blood thinners, follow your doctor’s instructions on when to stop them. In most cases, they need to be paused 24-72 hours before surgery, depending on the specific medication and your medical history. Your provider will confirm the timing to balance the risk of bleeding and clotting.

Optimizing your body for surgery is important. Eating an anti-inflammatory diet and prioritizing sleep can support healing. Pre-surgical nutritional supplements may also help prepare your body and reduce complications.

Use a pre-surgical wash like Hibiclens® the night before and the morning of surgery to reduce infection risk. Wear loose, comfortable clothing and arrange for a ride home.

After the procedure, avoid bending, twisting, or heavy lifting for 24-48 hours. Some soreness is normal—use ice packs and take pain relievers as directed. Keep the incision clean and dry for at least 48 hours, avoiding soaking in water.  Post op pain medications are usually not necessary.  

Eating an anti-inflammatory diet will aid healing and reduce inflammation. Stay hydrated, get 7-9 hours of sleep per night, and consider a lumbar brace or binder for additional support. This procedure focuses on functional relief, meaning you may walk farther with less fatigue or have improved posture, but it does not always reduce pain immediately. Full results may take 4-6 weeks, and physical therapy is recommended 4-6 weeks after surgery to strengthen core muscles and enhance mobility.

By following these guidelines, you’re setting yourself up for the best recovery. If you have any questions, contact the medical team.

FAQs

How should I prepare for the MILD procedure?

You should not eat for 8 hours before the procedure, but clear liquids are typically allowed up to 2 hours prior. If you are on blood thinners, follow your doctor's guidance on when to pause them, typically 24-72 hours before surgery. Preparing your body with an anti-inflammatory diet, adequate sleep, and possibly pre-surgical nutritional supplements is also recommended.

What are the long-term benefits and recovery expectations for the MILD procedure?

The MILD procedure aims for functional relief, allowing you to walk farther with less fatigue and possibly improve posture, although immediate pain reduction is not guaranteed. Full results may be seen in 4-6 weeks, and physical therapy starting 4-6 weeks after surgery is recommended to strengthen core muscles and enhance mobility.

What is the MILD procedure and who is it for?

The MILD (Minimally Invasive Lumbar Decompression) procedure is designed for patients with lumbar spinal stenosis caused by a thickened spinal ligament. This procedure helps to relieve pressure on the spinal nerves and restore blood flow.

What is the post-procedure care after undergoing the MILD procedure?

After the procedure, you should avoid bending, twisting, or heavy lifting for 24-48 hours. Keep the incision clean and dry for at least 48 hours, and avoid soaking in water. Use ice packs and take pain relievers as directed to manage soreness.

What should I do to prevent infection before the MILD procedure?

To minimize infection risks, use a pre-surgical wash like Hibiclens® the night before and on the morning of your surgery. Wear loose, comfortable clothing and arrange for transportation home post-surgery.