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Dr. Praveen Mambalam has been recognized as one of Seattle Magazine’s Top Doctors in Pain Medicine for August & September 2025. Dr. Praveen Mambalam has been recognized as one of Seattle Magazine’s Top Doctors in Pain Medicine for August & September 2025. Dr. Praveen Mambalam has been recognized as one of Seattle Magazine’s Top Doctors in Pain Medicine for August & September 2025. Dr. Praveen Mambalam has been recognized as one of Seattle Magazine’s Top Doctors in Pain Medicine for August & September 2025.
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Minimally Invasive Lumbar Decompression(MILD) in Washington

Explore our advanced Minimally Invasive Surgical Procedures designed to treat spine, joint, and nerve conditions with greater precision, reduced pain, and faster recovery times.

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What is Minimally Invasive Lumbar Decompression(MILD)

What is Minimally Invasive Lumbar Decompression(MILD)?

Minimally Invasive Lumbar Decompression (MILD) is an advanced, outpatient treatment for individuals suffering from lumbar spinal stenosis, a condition where narrowing in the spine puts pressure on nerves, causing lower back and leg pain. Our experienced team specializes in using MILD to remove small portions of excess ligament and bone tissue that contribute to this nerve compression. Unlike traditional spine surgery, MILD requires no cutting of muscle or large incisions, resulting in less trauma, fewer risks, and faster recovery.

At WaPASS, we’re proud to offer Minimally Invasive Lumbar Decompression (MILD) treatment in Washington, helping patients regain mobility and quality of life without the need for invasive surgery. We carefully evaluate your condition through physical exams and imaging to determine if MILD treatment is right for you. Then we perform the procedure with precision, using image-guided tools and advanced techniques to ensure safety and comfort. Our goal is to help you stand longer, walk farther, and move more freely, without the burden of chronic pain or open surgery. We’re here to guide you every step of the way, from diagnosis to recovery.

Why Consider MILD Surgery? The Key Benefits of This Minimally Invasive Approach

No general anesthesia

At our pain management center in Washington, we perform the procedure under local anesthesia, avoiding the risks of general anesthesia. Patients stay awake, experience minimal discomfort, and return home the same day for a faster, safer recovery.

Same-day discharge

We offers Minimally Invasive Lumbar Decompression (MILD) treatment that lets you walk out the same day. With no hospital stay, recovery begins at home in a relaxed, comfortable environment with minimal disruption to your life.

Quick return to daily activities

Our minimally invasive lumbar decompression surgery involves a tiny incision and no muscle cutting, so you recover quickly. Most patients return to light activities in just a few days—without the long downtime of traditional surgery.

Reduced pain and improved mobility

By relieving nerve pressure, MILD procedure reduces leg and back pain so you can stand, walk, and move more freely. We focus on helping you regain mobility with real, targeted relief that lasts.

Long-lasting relief

MILD procedure at WaPASS offers lasting relief for spinal stenosis by addressing the root cause. Our precise, image-guided approach ensures effectiveness and durability that helps you stay pain-free for the long term.

Pain Conditions That MILD Effectively Treats

We recommend the MILD procedure primarily for patients suffering from:

Lumbar Spinal Stenosis (LSS)

We perform MILD surgery to treat LSS by removing excess ligament tissue that narrows the spinal canal. This relieves nerve pressure and reduces back and leg pain without the need for traditional open surgery.

Neurogenic Claudication

Our MILD procedure is ideal for patients with neurogenic claudication. It decompresses spinal nerves to reduce pain, numbness, and weakness in the legs, helping you walk longer with less discomfort.

Chronic Lower Back Pain from Ligament Overgrowth

Excess ligament thickening can compress spinal nerves. Our Minimally Invasive Lumbar Decompression Treatment precisely removes this tissue to relieve chronic back pain.

Radiating Leg Pain (Sciatica-like Symptoms)

If spinal compression is causing radiating leg pain or tingling, we use MILD to relieve pressure on the nerves, offering long-term relief without invasive surgery or lengthy recovery.

Why live with back and leg pain when relief is just one step away?

Schedule your MILD consultation with WaPASS today!

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Struggling with persistent pain that medications can't fix

Procedure we follow during and after ITP MILD treatment

At WaPASS, your journey with Minimally Invasive Lumbar Decompression (MILD) surgery begins with a personalized consultation. We review your medical history, discuss any medications you’re taking (including over-the-counter options like aspirin), and guide you on any that may need to be paused, such as blood thinners. If you smoke or use nicotine products, we’ll help you quit in advance, as nicotine can delay healing. Before the procedure, imaging tests like X-rays or MRIs are conducted to accurately identify the source of nerve compression.

On the day of your MILD procedure, you’ll receive local anesthesia and light sedation to ensure comfort. The procedure itself takes less than an hour and involves a small incision—no stitches or muscle cutting. Using image-guided tools, our specialists remove excess ligament tissue that’s putting pressure on your spinal nerves. Throughout, your vital signs are closely monitored, and antibiotics may be administered to prevent infection.

Once the MILD procedure is complete, the tiny incision is covered with a small bandage, and most patients are discharged the same day. You’ll spend a short period in recovery where we monitor for any immediate side effects. We’ll provide pain management guidance, typically including light medication, cold packs, and walking to promote circulation and healing. You can resume a normal diet shortly after surgery.

Post-procedure, we provide instructions on how to care for your back. You may need to avoid heavy lifting or bending and, in some cases, wear a back brace. Breathing exercises are encouraged early on to help lung function, especially if you’ve been lying down for a while. Fluid drainage or slight incision discharge is normal, but we’ll advise you on signs to watch for, such as fever or worsening pain.

Follow-up appointments with our doctor are part of your personalized care plan to ensure smooth recovery. Depending on your progress, we may recommend physical therapy to help restore strength and mobility. Most patients return to normal activities within weeks—with less pain, more movement, and a better quality of life.

Procedure we follow during and after ITP MILD treatment

Why Choose WaPASS for your MILD surgery?

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Frequently Asked Question

In some cases, yes. Physical therapy may be recommended to strengthen your back and improve mobility after the procedure for long-term success.

Our spine specialists will review your condition, imaging, and symptoms to determine if MILD treatment in Washington is the best fit for your needs. Start with a consultation at WaPASS.

You may be a good candidate if you have been diagnosed with lumbar spinal stenosis and have not found relief from physical therapy, medications, or injections. Your health provider will evaluate your imaging and symptoms to confirm eligibility.

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