Minimally Invasive Lumbar Decompression (MILD)

[@eugeneward900]

Hoping to get this procedure soon after many, many years of pain.

[@ginapierce7719]

This is awesome! Thank you for sharing this information!! I’m 62 and my Lumbar Spine with Scoliosis , bulging and herniated disc! And Spinal Stenosis! My bone density is not good so 4 Dr. Has told me surgery is to much of a risk! I’m in a lot of pain, take shots that don’t help. Getting ready to see if an ablation will. This mild decompression gives me hope thank you so much!!!

[@DrEdwardSRubin]

Hope it helps

[@DH-gk8vh]

I was told yesterday by my pain doctor after having to shots that failed and an MRI that I'm qualified for the MILD PROCEDURE! I have 2 levels of stenosis, but was told my insurance may only approve one surgery at a time, so they recommended I have them seek insurance approval for 1, have the procedure done, wait 12 weeks as that's how long for the body to completely adjust and heal. Then get the 2nd level done. I said ok. In the end I just want to get back to a normal life and feel my insurance will approve everything. You guys have given me hope for the first time in years!!!!!

[@marvinwhisman3333]

I am really considering getting this procedure. It was recommended by my pain specialist and will be getting a second opinion from my neurosurgeon (tomorrow). One thing that concerns me is there is a lot of material such as this excellent video, but very little in the way of actual patient videos. As an example, I can find literally thousands of videos about laminectomies but almost nothing other than some videos put together by Vertos about the MILD procedure. Not sure what that means but I would feel better if there were some first hand accounts of folks who had the procedure and how they managed afterwards. Several people have posted that they were getting one, or just had one, but almost no one does a follow-up.

[@DrEdwardSRubin]

Glad it helps. I don’t keep tabs on others people content. Not a lot of doctors are trained on this procedure.

[@pamhili3884]

Thank you for this excellent information video. I am scheduled to get this procedure next Thursday and now I know what to expect. Thank you Dr Rubin!

[@DrEdwardSRubin]

Hope you are doing well

[@miriamvoelker3167]

I had the Mild In May of 2022. It lasted a year. Then back to injections. Now we are trying the Vertiflex procedure as I get leg cramping from a pinched nerve in my back. Nothing seems to work long. I also had a Laminectomy in 2017 and I wish I’d never had that done. I’m on pain meds daily. I have bad knees so I get gel injections. I fell and tore my rotator cuff, had surgery and now get injections as I retore it. MILD may help you. But sorry it’s not long term. I’m 75.

[@mikeschaefer2808]

Thanks-in my prayers

[@mikeschaefer2808]

Pain mgmt Dr is doing Inspan, been to two different surgeons, they said do it- done research, concerned about “subsission “ Prayers to all

[@maryannwever4476]

I'm having this done jan 2nd. Can't wait

[@lucydelsarto9204]

Very good explanation. Thank you!

[@DrEdwardSRubin]

Glad it was helpful!

[@SupremeLeader187]

I had it done and it’s no joke. They don’t call it back surgery for nothing.

[@DrEdwardSRubin]

It does have a couple week recovery period, but patients are back home the same day. Hope it went well for you

[@isiomaibemesi6354]

Thank you for sharing this information.

[@DrEdwardSRubin]

Your welcome

[@fwmemdmmekba1061]

WE LIKE TO HAVE A MEDICAL FIELD here in MARSHVILLE NC THERE IS ALOT OF INJURIES. KNEES HIPS. BACK. PROBLEMS WE NEED HELP

[@eugeneward900]

Great, helpful video. Thanks!

[@ceiln]

Are there any videos showing a patient actually undergoing the procedure or at least a simulation of it? This would be so helpful.

[@mikeschaefer2808]

Yes there is,for Inspan , gives an idea of what

[@bonnieketterman6542]

Hello this video was very informative I'm having this procedure done on the 21st of June I'm having really bad problems with Mine I can't set or lay comfortable I can't bend or stoop or reach I have really bad pinching spasms In my back sometimes I get pins & needles which are really painful

[@gaylaroof612]

I'm the same way. So how did it go? Is the pain level better?

[@DrEdwardSRubin]

Good luck!!

[@ashaverma7384]

Thank you for this information. I am going to have this next week and very anxious. This info allows to ask sone important questions , and see that it is clearly stated on the consent if they will do bilaterally and how nabh levels. Do you know anyone very good in Phila PA?

[@DrEdwardSRubin]

Hope it went well

[@ashaverma7384]

Yes it did go well. 50-60% relief but still have posterior hamstring pain.

[@dalesmithies9051]

1.31 mins in,you have just described my present condition.

[@DrEdwardSRubin]

Hope the video was helpful

[@mikeschaefer2808]

Anyone, try a (?) trochanter belt first, doesn’t get rid of all but seems to help

[@theblossomingmagnoliaebay]

Thank you! This is great information.

[@DrEdwardSRubin]

Glad it was helpful!

[@bourda2012]

Great info!! Thank you so much.

[@DrEdwardSRubin]

Your Welcome

[@bourda2012]

@@DrEdwardSRubin I am currently taking PT, after having 2 ESI; March and May of this year. I am praying to be able to put off surgery as long as possible, and even then I pray I can do minimally invasive (MILD). I appreciate your time and info.

[@dl4507]

What kind of “tissue “ are you removing?

[@DrEdwardSRubin]

The goal is to remove ligamentum flavum. Tissue that thickens in the spine as you get older and causes spinal canal narrowing

[@hoho7378]

Would you plaise make pretty practical videos about the pain management procedures generally

[@DrEdwardSRubin]

I have other videos on each topic in pain. Its hard to lump all injections together as they are for different reasons

[@leilas1844]

I’ve been through PT numerous of injections and now waiting to burn the nerves this is insane, why is the medical industry doing this to our bodies when something hurts and can be repaired, do so I’m not going to wait till I am 70 years old I’m young. I’m not happy at all with my doctors I want the best of the bes I have thank god great insurance.

[@peterquartararo9433]

Can a general anesthgeisa be used instead of a local be used?

[@DrEdwardSRubin]

That is up to your doctor. I give propofol sedation with an anesthesiologist. Usually do not need general anesthesia

[@mikeespo7728]

Had the milds procedure done on 8/18....still recovering and did not get the intended result..alot of pain in the butt and legs..far more then before the procedure..kind of praying For a miracle...fyi..not so cut and dry.. Hope you have a good result

[@patrickbowen5398]

I just had the MILD procedure done 2-days ago ...I woke up this morning in Pain - lower back and legs. My heart sunk! I was so hoping by now I would be totally out of pain. This is very disheartening!

[@mikeespo7728]

@@patrickbowen5398 Hello Pat Don't give up hope...although I'm still suffering..alot of people say it could take 6 weeks...the thing that's upsetting to me is that I lost some function of my feet 6 weeks out... Start with some light stretches and stay active..good luck

[@mikeespo7728]

@@patrickbowen5398 one more thing....I'm currently on a medrol (steroid) does pack... Very helpful...don't wait 6 weeks to get on one..good luck

[@patrickbowen5398]

@@mikeespo7728 Yes, I just read that it can take well over 2-weeks before you begin to feel any relief from the MILD procedure. I really can't take steroids - I'm a Diabetic, and they cause my Glucose to go sky high! The best I can do is use an ice pack. Today is 3-days post-op, and I am very uncomfortable....I didn't expect this. No one told me to expect this and none of the literature even mentioned this could happen. I'm just very disheartened here about all of this ...

[@mikeespo7728]

@@patrickbowen5398 so... I just got a new set of MRIs back, yesterday, they indicated that I have redundant nerve Roots at the L 2-3.... What are redundant nerve Roots you ask??? lol "The development of elongated, enlarged and torturous nerve roots" Basically inflammation or edema... Had redundant nerve roots at the L 3/4... 4/5 and they cleared up beautifully after the procedure ...now they're indicated at the L2/3.. Of course I can't sit down with the doctor for another 2 weeks and then they'll probably offer a steroid injection..Why...because that's what they do..

[@patrickbowen5398]

I am preparing to have the MILD procedure done in less than one-week. My question is: Can the MILD procedure be done more than once ?

[@theoryofwarfare]

It can be done more than once, but typically insurance would not allow a repeat for at least one year

[@mikeespo7728]

Had the milds on 8/18 and didn't get the intended result.. Alot of bilateral pain in the butt and legs.. far more than before.. Hope you have a better result

[@carolmartin3028]

​@@mikeespo7728MORE pain?

[@renardsacco3144]

How do the patients in the 80’s do? What about any foramenal open stenosis?

[@GDTheTrain13]

Thank you for this video and explanation. I hadn’t heard of this procedure before. If one has stenosis and herniated discs, are they still a candidate ? I assume the stenosis and herniated discs are related

[@DrEdwardSRubin]

It depends on how bad the herniated disc is. If significant impingement then the MILD may not work

[@davidsamuels-s5m]

you mentioned that this procedure is best for elderly folks who would not tolerate an open back procedure but why would this procedure not be appropriate for a person in their mid-50s who does not want to have an open back procedure and may opt for a more minimally invasive procedure which could be effective? Thanks.

[@GasdocOK]

It certainly can be for those patients as well. Insurance coverage may be an issue, though, so be sure to check first.

[@DrEdwardSRubin]

It is appropriate but many private insurances still do not cover it. Medicare covers it. So mid 50s with stenosis and wanting to avoid larger surgery is appropriate

[@frphxkaboom3008]

Your city would be useful. I'm in the Keys so do you know anyone in the Miami area who would evaluate me. I've had discectomy. L4,5 Hemi Laminectomy at L4 for drop foot. Facet joint and epidural injections and RF ablation at L4 and 5. not sure of the exact targets. in that order. I worked for a while now walking is tough.

[@DrEdwardSRubin]

I am based in Long Island NY. Adam Shestack MD is in Del Ray, FL. I trust him, but may be too far for you

[@lisamar707]

How long do you like to have a pt receive steroid injections before this MILD procedure will be considered? Thank you!

[@DrEdwardSRubin]

I usually would do two epidural injections before moving to a MILD procedure

[@NaturalMeAmerica]

I have facet syndrome along with herniated 1,2 with impingement on secal sac. I suffer from stenosis and numbness in left leg. My Dr only want to do shots. I have suffered for 6 years now,and want to know if I should go straight for this?

[@DrEdwardSRubin]

I am limited in my ability to comment on specific cases due to privacy and not seeing the imaging. Ask you doctor if he has any higher level options short of surgery

[@NaturalMeAmerica]

@ Dr Edwards NY Ortho is an ass, he told me I can do any activity including heavy lifting with my disc herniatoons,. It is obvious to anyone that he does not act responsible with patients

[@rizingplanet]

Doc, can mild have a positive impact on neurogenic anomalies of bowel, bladder, ED, and other, that are supplied by the nerves and vertebral components that are compromised?

[@DrEdwardSRubin]

Usually bladder symptoms will respond better to traditional surgery

[@RS-of1om]

Is this procedure safe for seniors in their late 80's ?

[@DrEdwardSRubin]

Yes. we do many patients in 80s

[@renardsacco3144]

Why do i not see Spine orthopedist’s or neurosurgeons doing this procedures?

[@DrEdwardSRubin]

Surgeons do traditional back surgery. I believe they will adopt these techniques as time goes on. At the moment pain specialists are the ones doing MILD

[@veronicascott8949]

Does the tissue in the spine eventually grow back??

[@DrEdwardSRubin]

It can come back. Would likely take a few years

[@carolmartin3028]

? Had micro 5 years ago..is there any possibility this would help...my pain man dr recommended....then failed to schedule

[@DrEdwardSRubin]

Depends if a laminectomy was done at the level of the discectomy. If so, would not do MILD at same level as a previous laminectomy. I have done adjacent levels with stenosis, however.

[@dwaynereynolds6927]

This work for bulging or herniated disc?

[@sharonromer6606]

Helpful

[@DrEdwardSRubin]

thanks

[@azraelinarakoczy7862]

It sounds very promising, thank you

[@DrEdwardSRubin]

It is! Patients leave in one hour with no stitches.

[@FearOfGeorge]

Endoscopy is superior....

[@Louisiananews]

I will have this January 15th 2024

[@DrEdwardSRubin]

Good Luck

[@Louisiananews]

@DrEdwardSRubin thanks Dr Edwards . Of course I asked for versed and propofol..

[@wileycoyote3223]

Hell there. Did you get this done on January 15th? If so, how are you feeling now?

[@Louisiananews]

@wileycoyote3223 yes I did..the pain is now in my right hip and down my right leg..this Monday February 5th I am getting a nerve block

[@wileycoyote3223]

@@Louisiananews so do you think the MILD helped you?