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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 Surgical Procedures 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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Introduction to Minimally Invasive Surgical Procedures

Introduction to Minimally Invasive Surgical Procedures

Minimally invasive surgical (MIS) procedures represent a significant advancement in modern medicine, offering patients effective treatment options with less trauma, reduced pain, and quicker recovery times compared to traditional open surgeries. These techniques involve the use of specialized instruments and technologies such as small incisions, endoscopes, and real-time imaging to access internal areas of the body with precision.

Whether treating spinal disorders, joint issues, or chronic pain conditions,MIS procedures are designed to minimize damage to surrounding tissues. This often results in fewer complications, shorter hospital stays, and a faster return to normal activities. As these approaches continue to evolve, more patients are benefiting from surgical care that is not only effective but also far less disruptive to their lives.

At WaPASS, our specialists offer the best minimally invasive surgery in Washington, delivering advanced solutions tailored to your specific condition ensuring safer procedures, personalized care, and better outcomes.

Our Specialized Minimally Invasive Surgical Procedures

SCS Implantation

Spinal Cord Stimulation (SCS) Implantation uses a small device to deliver mild electrical pulses to the spinal cord, interrupting pain signals. Ideal for chronic back or limb pain, this minimally invasive option offers long-term relief and reduces dependence on medication.

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PNS Implantation

Peripheral Nerve Stimulation (PNS) Implantation targets specific nerves with electrical impulses to block pain. It’s highly effective for localized nerve pain and offers a minimally invasive alternative when medications or surgeries haven’t worked.

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MILD (Minimally Invasive Lumbar Decompression)

MILD surgery in Washington is designed for lumbar spinal stenosis. It removes small amounts of bone and ligament to relieve pressure on nerves. MILD for pain relief provides fast recovery, reduced pain, and no need for open surgery or general anesthesia.

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ITP Implantation

Intrathecal Pain Pump (ITP) Implantation delivers medication directly into the spinal fluid, offering powerful pain relief with smaller doses. This option is ideal for cancer pain or chronic conditions and is performed by top minimally invasive surgeons in Washington.

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Vertiflex Treatment

Vertiflex Treatment for Spinal Stenosis in Washington provides relief from leg and back pain caused by lumbar spinal stenosis. A tiny implant keeps the spine open, reducing nerve pressure. This outpatient, FDA-approved option preserves mobility without fusion surgery.

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SI joint Fusion

SI joint fusion is a minimally invasive surgical procedure used to treat chronic lower back or pelvic pain caused by dysfunction in the sacroiliac joint, where the spine meets the pelvis. It involves stabilizing the joint by inserting small implants, screws, or bone grafts to encourage the bones to grow together.

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Conditions Treated with Minimally Invasive Surgical Procedures

Dealing with chronic pain can be exhausting—especially when medications or traditional therapies don’t help. That’s where Minimally Invasive Surgical Procedures come in. Here are some of the conditions we treat:

Lumbar Spinal Stenosis

If standing or walking causes pain or numbness in your legs, it could be lumbar spinal stenosis. This condition narrows the spinal canal, putting pressure on nerves and reducing mobility over time.

Herniated Disc

A herniated disc can press on nearby nerves, causing sharp pain, weakness, or tingling in the back, legs, or arms. It often results from strain, injury, or wear and tear in the spine.

Degenerative Disc Disease

This age-related condition happens when the spinal discs begin to break down, leading to stiffness, discomfort, or even radiating nerve pain—especially after physical activity or prolonged sitting.

Sacroiliac (SI) Joint Dysfunction

Pain in the lower back, hips, or buttocks may be linked to SI joint dysfunction, often mistaken for a spinal issue. It occurs when the sacroiliac joint becomes inflamed or moves abnormally.

Sciatica

Sciatica refers to nerve pain that travels from the lower back down one or both legs. It’s typically caused by irritation or compression of the sciatic nerve due to a disc issue or spinal misalignment.

Failed Back Surgery Syndrome (FBSS)

When previous back surgery fails to relieve pain or makes it worse FBSS may be the reason. It can stem from unresolved issues, nerve damage, or scar tissue.

Complex Regional Pain Syndrome (CRPS)

CRPS is a chronic pain condition that usually follows an injury or surgery. It causes intense burning, swelling, and sensitivity in the affected area, and can be difficult to treat with conventional methods..

Ready to Reclaim a Pain-Free Life?

Explore cutting-edge relief with our specialized minimally invasive procedures SCS, PNS, MILD, ITP, and Vertiflex.

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Struggling with persistent pain that medications can't fix

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Frequently Asked Question

Our specialists conduct a comprehensive evaluation—reviewing your symptoms, medical history, and diagnostic imaging—to determine the most effective treatment for your specific condition.

At WaPASS, we offer individualized care from top minimally invasive surgeons in Washington, using advanced tools and a multidisciplinary approach to deliver safer, faster, and more effective outcomes.

Spinal Cord Stimulation (SCS) targets pain in the spine and limbs by sending electrical impulses to the spinal cord. Peripheral Nerve Stimulation (PNS) focuses on specific peripheral nerves outside the spinal cord. Both reduce pain signals, but are used for different pain types.

Some procedures benefit from post-op physical therapy to improve mobility and strength. Our team will guide you based on your individual recovery needs.

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