MILD Procedure for Lumbar Spinal Stenosis in Wilkes-Barre, PA

Mild® procedure (Minimally Invasive Lumbar Decompression) is an innovative treatment designed to relieve pain and improve mobility for patients suffering from lumbar spinal stenosis—especially when caused by a thickened ligament in the lower back called the ligamentum flavum.

During the mild® procedure at Comprehensive Pain Specialists, our experienced physicians use state-of-the-art fluoroscopy (live X-ray) to precisely target the area of spinal narrowing. The procedure is performed under local anesthesia and mild sedation to maximize your comfort. Through a tiny incision—less than half an inch—we use specialized instruments to gently remove small amounts of bone and excess ligament tissue that are compressing the spinal nerves.

This technique is specifically designed to minimize trauma to surrounding tissues, avoid the need for open surgery or stitches, and promote a much quicker recovery.

Mild® (Minimally Invasive Lumbar Decompression) procedure is a proven, minimally invasive treatment designed to relieve pain, numbness, and weakness caused by spinal nerve compression.

Lumbar spinal stenosis occurs when the spinal canal narrows, placing pressure on the nerves in your lower back and causing symptoms that can severely impact your mobility and quality of life. If you have tried conservative treatments such as physical therapy, medications, or epidural steroid injections without satisfactory relief, the mild® procedure may be a valuable next step.

Why Choose the mild® Procedure at Comprehensive Pain Specialists?

• Expert Evaluation: Our pain specialists conduct thorough evaluations to determine if you are an appropriate candidate for the mild® procedure, ensuring personalized care tailored to your specific condition.
• Minimally Invasive Approach: The mild® procedure is performed through a tiny incision, removing small portions of bone and ligament to relieve nerve compression. This technique avoids the need for traditional open surgery, resulting in a lower risk of complications and a faster recovery.
• Outpatient Convenience: Most patients can return home the same day, with minimal downtime and a quick return to daily activities.
• Proven Results: Clinical studies and our own patient experiences show significant improvements in walking ability, reduction in pain, and decreased reliance on pain medications for properly selected patients.

Is the mild® Procedure Right for You?
The decision to proceed with the mild® procedure depends on several factors, including the severity of your symptoms, your overall health, and your response to other treatments. At Comprehensive Pain Specialists, we prioritize patient education and shared decision-making—helping you understand all your options so you can make the best choice for your health.

The mild® procedure may be ideal for patients experiencing persistent lower back pain, numbness, or tingling in the legs or buttocks—especially symptoms that worsen with standing or walking and improve when sitting or leaning forward. These issues are often linked to a thickening of the ligamentum flavum, a common cause of spinal stenosis.

At Comprehensive Pain Specialists, we consider the mild® procedure for patients who:

• Have tried conservative treatments (such as physical therapy, medications, or epidural steroid injections) without adequate relief
• Are not yet candidates for more invasive surgeries like laminectomy
• May be at higher risk for traditional surgery due to age or other medical conditions

Because the mild® procedure is performed through a tiny incision, without general anesthesia, implants, or stitches, it is a safer option for many patients, including those who may not tolerate traditional surgery.

Personalized Evaluation by Our Specialists
Not every patient with spinal stenosis is a candidate for the mild® procedure. At Comprehensive Pain Specialists, our experienced pain management physicians use thorough clinical evaluations and advanced imaging to ensure that symptoms are due to hypertrophic (thickened) ligamentum flavum and that the mild® procedure is the most appropriate treatment.

The duration of relief following a mild® procedure can vary based on individual health factors, the severity of your spinal stenosis, and how closely you follow your personalized aftercare plan. At Comprehensive Pain Specialists, our experience and clinical research indicate that most patients benefit from significant pain reduction and improved mobility for three to five years after the procedure. Some patients may experience relief for even longer, while others may need additional therapies if symptoms return.

Our team is committed to your ongoing spinal health. We recommend regular follow-up visits to monitor your progress, address any changes, and ensure that you continue to enjoy the best possible quality of life.

Choosing Dr. Youssef Josephson, D.O., at Comprehensive Pain Specialists for your Mild Procedure evaluation and treatment means placing your trust in a dedicated physician within a leading pain management practice. As part of the Comprehensive Pain Specialists team, Dr. Josephson brings specialized expertise in minimally invasive spine interventions, providing patients with advanced options for relief from chronic back pain, including lumbar spinal stenosis.

At Comprehensive Pain Specialists, we pride ourselves on patient-centered care. Dr. Josephson exemplifies this approach, taking the time to thoroughly assess each patient’s unique symptoms, medical history, and imaging studies before recommending the most effective treatment plan. His extensive experience performing the Mild Procedure—a state-of-the-art, minimally invasive solution for lumbar spinal stenosis—ensures that your care is guided by the latest clinical evidence and best practices in pain management.

Patients consistently value Dr. Josephson’s clear and compassionate communication. He explains every step of the Mild Procedure, including what to expect before, during, and after treatment, as well as potential risks and benefits. This empowers you to make informed decisions about your health and treatment options.

Dr. Josephson and the team at Comprehensive Pain Specialists are committed to maximizing your comfort and safety. They utilize advanced techniques to reduce pain and recovery time, and provide thorough follow-up care to support your return to a more active, pain-free lifestyle. By choosing Dr. Josephson, you benefit from both his clinical expertise and his genuine dedication to helping you feel heard, respected, and supported on your journey to improved mobility and quality of life. For more information, contact us or book an appointment online. We are located at 1177 PA-315, Dolphin Plaza, Wilkes-Barre, PA 18702. We serve patients from Wilkes-Barre PA, Glen Lyon PA, Dallas PA, Pittston PA, Mountain Top PA, Plymouth PA, and surrounding areas.