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
Transform your practice routine and help get more patients on the path to lasting relief with the Mild Procedure.
Staggering numbers of patients with chronic low back pain (CLBP) are being treated with epidural steroid injections (ESIs). For these patients, Mild may be a better option.
Contact your Vertos representative for NEW Mild resources to help educate your practice and your community about Mild as a minimally invasive treatment for lumbar spinal stenosis (#LSS).
Learn more about Mild at the 🔗 link in bio.
Patients with chronic pain, numbness, or tingling in the low back, legs, or buttocks when standing or walking may be suffering from the symptoms of lumbar spinal stenosis (#LSS).
Invite your patients to take this short survey that can help them learn more about LSS symptoms and the Mild Procedure.
Access the survey at the 🔗 link in bio.
Happy #NationalWalkingDay!
Today we celebrate the power of walking, but for patients with lumbar spinal stenosis (#LSS), the ability to walk for extended periods of time can often be impacted by symptoms of pain, numbness, heaviness, and tingling in the lower back, legs, or buttocks.
By treating LSS at the source, the Mild Procedure can help provide increased mobility and lasting pain relief, allowing patients to reclaim their quality of life.*
Take the next step by learning more about Mild at the 🔗 link in bio.
*View clinical data at the 🔗 in bio.
April is #MoveMoreMonth!
The American Heart Association (@american_heart) recommends 150 minutes of moderate aerobic activity per week to stay healthy,* but for many patients with lumbar spinal stenosis (#LSS), simply standing or walking for extended periods of time can be difficult.
By working with cardiologists in your referral network to identify symptoms of LSS, you can help more patients reclaim their mobility to become more active and get on the path to lasting relief.
The Mild Procedure treats LSS at the source to help patients stand up to 7x longer and walk up to 16x farther.**
Please see the 🔗 link in bio for:
*American Heart Association article
**Mild clinical data
How many of your patients are suffering from “ESI exhaustion?”
When receiving serial epidural steroid injections (ESIs) for chronic low back pain (CLBP), the temporary nature of the relief and the increasing need for additional injections may cause feelings of frustration and hopelessness; a phenomenon known as “ESI exhaustion.”
Help your patients get back on their feet with a safe, durable treatment option* with the Mild Procedure for lumbar spinal stenosis (#LSS).
Contact your Vertos representative for new educational outreach resources and learn more about Mild at the 🔗 link in bio.
*Clinical data at the 🔗 link in bio.
Are you an Advanced Practice Provider (APP) ready to take your provider-patient communication to the next level?
Nurse practitioner Ashley Comer (@acomer3) shares her insights in the blog “Creating your Mild Talk Track: 3 Simple Steps APPs Can Take Today to Enhance Patient Education.”
Visit the blog at the 🔗 link in bio for tips on using the Mild Procedure patient brochure most effectively, including peer-led videos to help facilitate your consultations.
The Mild Procedure is clinically proven to help patients with lumbar spinal stenosis (#LSS) stand 7x longer and walk 16x farther with less pain.*
By getting patients back on their feet and back to the things they love, the Mild Procedure empowers patients to reclaim mobility and get on the path to lasting relief.
View Dr. David Qu’s case study for this patient, along with others from leading interventional pain management physicians, at the 🔗 link in bio.
*Clinical data at the 🔗 link in bio.
@papainandspine
We are excited to welcome new #TeamVertos members!
Join us in saying hello to Senior Sales Compensation Analyst, Megan Ness; District Sales Manager, Jessica Kroll; District Sales Specialists, Josh Cartwright and Jake Henzes; and Clinical Specialist, Anna Rath.
We`re thrilled to have you here with us. Welcome to Vertos!
Interested in joining our team? Click the 🔗 link in bio for employment opportunities.
Make sure your community knows about your Mild expertise!
Members of your local community, including patients with chronic low back pain (CLBP) and referring clinicians, are interested in your solutions for long-term relief and improved mobility.
Re-engage with prior epidural steroid injection (ESI) patients and inform referring providers that you offer the Mild Procedure for lumbar spinal stenosis (#LSS) to help you optimize patient care in your area. Contact your Vertos representative for resources to help get more patients on the path to lasting relief.
Learn more at the 🔗 link in bio.
Imaging review is an integral component in identifying potential lumbar spinal stenosis (#LSS) candidates for the Mild Procedure.
View our blog designed to help Advanced Practice Providers (APPs) gain knowledge and confidence in reviewing MRIs. Through a series of tips and techniques, APP Advisory Board member Jamey Lynch (@jamey_lynch) from Pain Consultants of San Diego (@paincsd), helps APPs learn the basics of image review, become more familiar with identifying anatomical landmarks, and understand how to confirm candidates for Mild.
Read the blog at the 🔗 link in bio.
We are #hiring and excited about growing #TeamVertos with new career opportunities. Join us on our mission to help lumbar spinal stenosis (#LSS) patients get on the path to lasting relief.
View current openings available throughout the U.S. and apply online at the link 🔗 in bio.
Vertos Medical is an Equal Employment Opportunity employer.
#NowHiring #JoinOurTeam #MedicalDeviceJobs #MedicalDevices
Celebrating our amazing team! 🙌
We appreciate the hard work, collaboration, and innovation you bring to advance Vertos, this day and every day! We celebrate your achievements and are grateful for the positive impact you are making for the lumbar spinal stenosis community.
Thank you #TeamVertos! 💙
#EmployeeAppreciationDay #ChronicLowBackPain #LookForTheLigament #MOVE2mild #MobilityMatters #KnowYourBackStory #MildProcedure #VertosMedical #PainManagement #LSS
See how Dr. Anjum Bux (@anjumbux) from Bux Pain Management (@buxpain) gets his lumbar spinal stenosis (#LSS) patients back to their favorite things by making the #MOVE2mild.
The Mild Procedure for LSS has been shown to provide clinically meaningful and statistically significant improvements in mobility and pain reduction while helping patients avoid surgery for at least 5 years.*
View the case study for this patient, along with others from leading interventional pain management physicians, at the 🔗 link in bio.
*View clinical data at the 🔗 link in bio.
Advanced practice providers (APPs) play a pivotal role in helping patients along the treatment care path.
By empowering your team to identify patients with lumbar spinal stenosis (#LSS) who could benefit from an alternative to repeat epidural steroid injections (ESIs), you can help get more patients on the path to lasting relief.
Contact your Vertos representative for resources, and help ensure APPs within your practice know:
⏰ When to #MOVE2mild
🔎 How to “look for the ligament”
👍 Which patients may be right for Mild
Learn more 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.
Although the complication rate for the mild® Procedure is low, 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 at knowyourbackstory.com.
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.
