Minimally Invasive Lumbar Decompression in Austin

What Is a MILD Procedure and How Does It Work?

A minimally invasive lumbar decompression (MILD) procedure is a type of minimally invasive spine surgery designed to treat the symptoms of lumbar spinal stenosis, a condition caused by narrowing of the spinal canal. This procedure is performed using a small incision and specialized instruments, allowing your doctor to remove excess ligament tissue that creates pressure on the nerves in the spine.

Unlike traditional open surgery, the MILD approach requires only a tiny entry point, minimizes trauma to surrounding muscles, and is performed on an outpatient basis here in Austin. Because it’s considered a minimally invasive form of spinal decompression, it often results in less blood loss, lower infection risk, and significantly shorter recovery time.

A person wearing black athletic shorts holding their thigh and knee in pain, standing outdoors near a body of water.

What Does a MILD Procedure Treat?

This treatment is recommended for patients whose symptoms are caused by the thickening of the ligamentum flavum, which can enlarge and lead to pressure on nearby nerves. As this ligament grows, the spinal canal becomes smaller, and many patients begin suffering from:

Pain or discomfort in the legs when walking
Numbness, tingling, or cramping that worsens through the day or into the night
Difficulty walking long distances without needing to stop
Loss of function or reduced ability to stay active

What to Expect from the MILD procedure

During the procedure, your doctor makes a small incision, usually around one centimeter. Through this entry point, specialized instruments are inserted to gently remove portions of the overgrown ligament. No hardware, implants, or stitches that lock into the bone are required.

The procedure typically takes less than an hour, and most patients do not require general anesthesia. The incision usually heals within a week or two, and normal activity often resumes quickly. Many notice improvement in symptoms within a week.

Risks of The MILD procedure

Most patients only report mild post-procedure soreness, which can be managed with ice packs and over-the-counter medications. Because the approach is gentle and reduces tissue trauma, the likelihood of major complications is significantly lower compared to open surgical options. However, potential complications include minor bleeding, infection, or temporary soreness at the incision site. There is a very low risk of nerve injury.

Woman at elevators in front of San Antonio Eye Specialists sign.

The MILD Procedure Process

Schedule An Appointment

Use our online form or call our office to schedule an appointment at one of our Texas locations in Austin, Kyle, Dripping Springs, or San Marcos.

Initial Evaluation

Your pain specialist will review your symptoms, past treatment history, lifestyle factors, and any imaging to determine whether minimally invasive lumbar decompression is appropriate for your condition.

MILD Procedure

The procedure is performed in an outpatient setting and typically takes less than one hour. Most patients remain awake or lightly sedated and tolerate the experience well.

Recovery

Because only a small incision is used, many patients return to light or even normal activity within 24–48 hours. Improvements continue throughout the week and beyond as inflammation decreases and nerve function improves.

Testimonials

"Dr. Jarzembeck is AMAZING. I HIGHLY recommend her for anyone suffering in pain. She goes above and beyond to make sure her patients pain has been dealt with."

Genia G.

"Everyone is so friendly and helpful, Dr. Bednar came to me and explained the procedure and answered my questions. Highly recommend!"

Maggie G.

"Dr. Julia is the best! The staff is professional and friendly to all. Best of all, Dr. Julia is finding solutions for my chronic pain! Never thought that it would be possible. It's a journey for me, but it seems like there is a solution."

Nancy M.

Frequently Asked Questions

Is the MILD procedure covered by insurance?

Yes. Medicare, replacement plans, and many commercial insurers cover the MILD procedure, allowing many patients to spend less out of pocket while benefiting from minimally invasive spine surgery. Our team will monitor your coverage and explain your options.

How long does it take?

The procedure usually takes less than an hour and offers numerous benefits thanks to its minimally invasive approach to spinal decompression. Patients appreciate the fast process and the ability to go home the same day.

How long will the benefits last?

Most patients experience long-lasting improvement, even with varying severity of stenosis, because the procedure focuses on relieving pressure on the nerves. Many continue to feel better for a year or longer.

How long is the recovery time?

Recovery is quick since the procedure is minimally invasive, and most patients return to light activity within 24–48 hours. Some may benefit from gentle physical therapy or short-term rehabilitation as symptoms improve.

Do I need general anesthesia when undergoing the MILD procedure?

No. Most patients don’t need general anesthesia, which lowers risks and supports a smoother recovery. Your doctor will monitor your comfort during this minimally invasive spinal decompression procedure.

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Minimally Invasive Lumbar Decompression in Austin, TX

Vendor: Stryker

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What Is a MILD Procedure and How Does It Work?

What Does a MILD Procedure Treat?

What to Expect from the MILD procedure

Risks of The MILD procedure