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.