An hour may change everything for patients with lumbar spinal stenosis (LSS). Find out how this minimally invasive, outpatient procedure, which has a safety profile similar to an epidural steroid injection (ESI), may help you stand longer and walk farther with less pain.
Learn MoreAbout mild for Patients
Pain or numbness in lower back when standing
Pain, numbness or tingling in legs or buttocks when walking
Relief when sitting or leaning forward
Help your LSS patients, even those with comorbidities, by removing a major root cause of their neurogenic claudication. Move to mild® to provide patients with long-term relief using a therapy that has a safety profile equivalent to an ESI, but with lasting results. Learn more about the minimally invasive mild® Procedure’s key benefits, clinical outcomes and how it can be incorporated into your treatment algorithm.
Learn MoreAbout mild for Healthcare Professionals
Vertos Medical is proud to announce that we have officially joined Stryker, bringing our minimally invasive solutions for chronic lower back pain caused by lumbar spinal stenosis to even more patients. Together with Stryker, we’re enhancing our ability to provide pain relief. Thank you to our dedicated team, partners and supporters for being part of this journey. Follow Stryker Interventional Spine on LinkedIn for the latest innovations, education and updates.
#PowerOverPainTogether #WeAreStryker #StrykerIVS
Justin Samuels is not just a #TeamVertos member—he’s also the son of an “awesome” mom, Sherry Samuels.
When Sherry had been experiencing back pain that started to affect her mobility and mood, Justin urged her to get screened as a candidate for the Mild Procedure.
Sherry underwent the procedure and says it was “one of the easiest procedures I`ve ever had.”
Today, she’s back to an active lifestyle, able to walk, stand, get better sleep, go shopping, and play with her grandkids.
In his role at Vertos, Justin is driven by the knowledge that he can help #LSS patients get back to living their best life.
We’re proud to have supported Justin and Sherry through the Mild Procedure. In honor of #PainAwarenessMonth, we’re sharing how Mild elevates LSS patients, their families, and their healthcare providers. To hear more stories, visit the🔗 link in bio.
This #NationalAPPWeek we’re celebrating the Advanced Practice Providers (APPs) who help patients with lumbar spinal stenosis (#LSS) get on the path to lasting relief with the Mild Procedure.
Nurse Practitioners and Physician Assistants play a critical role in helping diagnose and treat LSS, and we are grateful to them this week and every day of the year!
Learn more about how we`re elevating APPs by visiting the 🔗 link in bio.
Meet Joanna King, a member of #TeamVertos. Her dad, Paul, once led an active life of fishing, hunting, and hiking, but that came to a halt when he started experiencing back pain.
Joanna convinced her dad to get the Mild Procedure, and it was a success. Within a few days, Paul and Joanna were able to go for a walk to get oysters together.
According to Paul’s physician, Dr. Steve Aydin of Kayal Orthopaedic Center (@kayalortho), Paul "had such a significant outcome due to direct image review and correlation to symptoms.” That allowed Dr. Aydin to “target and maximize the Mild Procedure, giving “the patient significant pain relief and functional improvement.”
We’re grateful to have fantastic team members like Joanna, who advocate for patients and their loved ones.
During #PainAwarenessMonth, be sure to visit the 🔗 link in bio to hear more stories of Vertos Team members who’ve championed Mild to their family.
As an IPM provider, APP Patrick McGinn relies on the Mild Procedure as a minimally invasive treatment option for #LSS patients with neurogenic claudication. He believes in the procedure so much that he even encouraged his own Granny to receive it.
Listen to Patrick and his Granny discuss her Mild experience, and visit the🔗 link in bio for more info.
#TeamVertos is proud to introduce its newest members!
Help us give a warm welcome to District Sales Managers, Brian Ginocchetti, Michael Dolan, Morgan Swecker, and Rob Lampert.
Congratulations on this new journey in your career, and welcome to the team!
Interested in joining our team? Click the 🔗 link in bio for employment opportunities.
APP Ashley Comer (@acomer3) helped her grandmother reclaim her active life through the Mild Procedure.
As an experienced IPM provider, Ashley has confidence in Mild and championed the procedure as a treatment for her grandmother’s #LSS symptoms.
Check out Ashley and her grandmother’s story, and go to the 🔗 link in bio to learn how Mild is elevating both patients & IPM practitioners.
With the Mild360 Fellows Enrichment Program, interventional pain fellows are empowered to optimize the Mild Procedure in their future practices, participate in society and industry events, and position themselves as leaders in the field.
If you’re a pain management fellow interested in learning more about Mild, don’t miss this valuable opportunity! Enroll today at the 🔗 link in bio.
As a leading IPM practitioner, Dr. James Choo with Pain Consultants of East Tennessee (@painconsultantsofeasttennessee) uses Mild as a treatment to address a major root cause of #LSS.
When his own father suffered from back pain, he reached out to a colleague, Dr. Kathryn Schott, to perform the procedure.
“His quality of life changed in 24 hours,” Dr. Choo reports. Within a day, his father had returned to walking and has since experienced an increase in mobility.
We’re so pleased to hear that Mild has made an impact for Dr. Choo and his father. To explore how Mild is elevating patients, practices, and IPM providers, please visit the 🔗 in bio.
In honor of #PainAwarenessMonth, we’re reflecting on how #LSS impacts patients and how we can help improve their quality of life.
With the Mild Procedure, we empower Interventional Pain Management (IPM) providers with a minimally invasive treatment for LSS to deliver an enhanced patient experience and expand access for patients looking for relief.
Visit the 🔗 in bio to learn how we’re working to elevate LSS patients and their providers.
Recently, we’ve been talking with physicians and APPs around the nation about how the Mild Procedure can elevate their practices.
We’re sharing how Mild is impacting the entire IPM community by enhancing patient experience, expanding patient access, and empowering practice growth.
Interested in how Mild can elevate your practice and patients? Go to 🔗 link in bio to learn more.
By joining the Mild360 Fellows Enrichment Program, interventional pain fellows gain access to a wide range of training opportunities, including performing the Mild Procedure, reading MRIs, reimbursement, patient outreach, and more.
With opportunities for live peer-to-peer and mentor engagement, Mild360 allows participants to advance their knowledge of treatment options for chronic low back pain (CLBP) caused by lumbar spinal stenosis (#LSS).
Jumpstart your career and enroll today at the 🔗 link in bio.
Since implementing the Mild Procedure to help treat #LSS, Dr. Sushanth Boda (@doc.painrelief) has seen phenomenal improvements in patient experience:
“From a physician’s perspective, it’s awesome to hear those stories that they relay back to us, to really see the impact that we can have for these patients.”
Want to learn how Dr. Boda is enhancing patient experience and growing his practice? Visit the 🔗 link in bio to learn how.
The Mild360 Fellows Enrichment Program is a valuable opportunity for interventional pain fellows nationwide. Live virtual sessions offer peer-to-peer and thought leader engagement from both a clinical and practical perspective.
By joining Mild360, you’ll gain the tools and experience you need to position yourself as a leader in the field of interventional pain management, particularly for managing chronic low back pain (CLBP) caused by lumbar spinal stenosis (#LSS).
Enroll today at the 🔗 link in bio.
Benyamin RM, Staats PS, MiDAS ENCORE Investigators. mild® is an effective treatment for lumbar spinal stenosis with neurogenic claudication: MiDAS ENCORE Randomized Controlled Trial. Pain Physician. 2016;19(4):229-242.
Mekhail N, Costandi S, Abraham B, Samuel SW. Functional and patient-reported outcomes in symptomatic lumbar spinal stenosis following percutaneous decompression. Pain Pract. 2012;12(6):417-425. doi:10.1111/j.1533-2500.2012.00565.x.
2012 data from Health Market Sciences report for Vertos Medical 2013.
Data on file with Vertos Medical.
Staats PS, Chafin TB, Golvac S, et al. Long-term safety and efficacy of minimally invasive lumbar decompression procedure for the treatment of lumbar spinal stenosis with neurogenic claudication: 2-year results of MiDAS ENCORE. Reg Anesth Pain Med. 2018;43:789-794. doi:10.1097/AAP.0000000000000868.
Based on mild® Procedure data collected in all clinical studies. Major complications are defined as dural tear and blood loss requiring transfusion.
MiDAS ENCORE responder data. On file with Vertos Medical.
Jain S, Deer TR, Sayed D, et al. Minimally invasive lumbar decompression: a review of indications, techniques, efficacy and safety. Pain Manag. 2020;10(5). https://doi.org/10.2217/pmt-2020-0037. Accessed June 1, 2020.
Deer TR, Grider JS, Pope JE, et al. The MIST Guidelines: the Lumbar Spinal Stenosis Consensus Group guidelines for minimally invasive spine treatment. Pain Pract. 2019;19(3)250-274. doi:10.1111/papr.12744.
Hansson T, Suzuki N, Hebelka H, Gaulitz A. The narrowing of the lumbar spinal canal during loaded MRI: the effects of the disc and ligamentum flavum. Eur Spine J. 2009;18(5):679-686. doi:10.1007/s00586-009-0919-7.
Treatment options shown are commonly offered once conservative therapies (e.g., physical therapy, pain medications, chiropractic) are not providing adequate relief. This is not intended to be a complete list of all treatments available. Doctors typically recommend treatments based on their safety profile, typically prioritizing low risk/less aggressive procedures before higher risk/more aggressive procedures, but will determine which treatments are appropriate for their patients.
The mild® Procedure is a minimally invasive treatment for lumbar spinal stenosis. As with most surgical procedures, serious adverse events, some of which can be fatal, can occur, including heart attack, cardiac arrest (heart stops beating), stroke, and embolism (blood or fat that migrates to the lungs or heart). Other risks include infection and bleeding, spinal cord and nerve injury that can, in rare instances, cause paralysis. This procedure is not for everyone. Physicians should discuss potential risks with patients. For complete information regarding indications for use, warnings, precautions, and methods of use, please reference the devices’ Instructions for Use.
Patient stories on this website reflect the results experienced by individuals who have undergone the mild® Procedure. Patients are not compensated for their testimonial. The mild® Procedure is intended to treat lumbar spinal stenosis (LSS) caused by ligamentum flavum hypertrophy. Although patients may experience relief from the procedure, individual results may vary. Individuals may have symptoms persist or evolve or other conditions that require ongoing medication or additional treatments. Please consult with your doctor to determine if this procedure is right for you.
Reimbursement, especially coding, is dynamic and changes every year. Laws and regulations involving reimbursement are also complex and change frequently. Providers are responsible for determining medical necessity and reporting the codes that accurately describe the work that is done and the products and procedures that are furnished to patients. For this reason, Vertos Medical strongly recommends that you consult with your payers, your specialty society, or the AMA CPT regarding coding, coverage and payment.
Vertos Medical cannot guarantee coding, coverage, or payment for products or procedures. View our Billing Guide.
Vertos is an equal employment opportunity workplace committed to pursuing and hiring a diverse workforce. We strive to grow our team with highly skilled people who share our culture and values. All qualified applicants will receive consideration for employment without regard to sex, age, color, race, religion, marital status, national origin, ancestry, sexual orientation, gender identity, physical & mental disability, medical condition, genetic information, veteran status, or any other basis protected by federal, state or local law.
Hall S, Bartleson JD, Onofrio BM, Baker HL Jr, Okazaki H, O’Duffy JD. Lumbar spinal stenosis. Clinical features, diagnostic procedures, and results of surgical treatment in 68 patients. Ann Intern Med. 1985;103(2):271-275. doi:10.7326/0003-4819-103-2-271.
Kalichman L, Cole R, Kim DH, et al. Spinal stenosis prevalence & association with symptoms: The Framingham Study. Spine J. 2009;9(7):545-550. doi:10.1016/j.spinee.2009.03.005.
Fukusaki M, Kobayashi I, Hara T, Sumikawa K. Symptoms of spinal stenosis do not improve after epidural steroid injection. Clin J Pain. 1998;14(2):148-151. doi:10.1097/00002508-199806000-00010.
Mekhail N, Costandi S, Nageeb G, Ekladios C, Saied O. The durability of minimally invasive lumbar decompression procedure in patients with symptomatic lumbar spinal stenosis: Long-term follow-up [published online ahead of print, 2021 May 4]. Pain Pract. 2021;10.1111/papr.13020. doi:10.1111/papr.13020
Friedly JL, Comstock BA, Turner JA, et al. Long-Term Effects of Repeated Injections of Local Anesthetic With or Without Corticosteroid for Lumbar Spinal Stenosis: A Randomized Trial. Arch Phys Med Rehabil. 2017;98(8):1499-1507.e2. doi:10.1016/j.apmr.2017.02.029
Pope J, Deer TR, Falowski SM. A retrospective, single-center, quantitative analysis of adverse events in patients undergoing spinal stenosis with neurogenic claudication using a novel percutaneous direct lumbar decompression strategy. J Pain Res. 2021;14:1909-1913. doi: 10.2147/JPR.S304997
Pryzbylkowski P, Bux A, Chandwani K, et al. Minimally invasive direct decompression for lumbar spinal stenosis: impact of multiple prior epidural steroid injections [published online ahead of print, 2021 Aug 4]. Pain Manag. 2021;10.2217/pmt-2021-0056. doi:10.2217/pmt-2021-0056
Abstract presented at: American Society of Pain and Neuroscience Annual Conference; July 22-25, 2021; Miami Beach, FL.
Mobility Matters: Low Back Pain in America, Harris Poll Survey, 2022. View data and full summary here.
Deer TR, Grider JS, Pope JE, et al. Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0 (MIST): Consensus Guidance from the American Society of Pain and Neuroscience (ASPN). J Pain Res. 2022;15:1325-1354. Published 2022 May 5. doi:10.2147/JPR.S355285.
