Dr. Roufaiel

Dr. Roufaiel

Minimally Invasive Lumbar Decompression (MILD)

It is a minimally invasive, outpatient procedure which is a safe and effective treatment alterative to Epidural Steroid Injections (ESI) for Lumbar Spinal stenosis (LSS). During the procedure, Dr. Roufaiel relieves pressure in the spinal canal by removing excess ligament tissue.


Dr. David M. Roufaiel

Performing the MILD procedure to relieve back pain in Jupiter, Florida

Frequently Asked Questions

MILD stands for Minimally Invasive Lumbar Decompression.

In the MILD procedure, Dr. Roufaiel uses a special sculpting tool that he advances through a small hole about the size of an eraser on the tip of a pencil (5.1 mm). The tool is used to carve out the ligament that is putting pressure on your spinal cord. This allows the spinal canal to widen and hence reduce compression on the nerve roots.

The MILD procedure usually lasts about one hour.

Each patient along with their physician determine appropriate recovery time and activities. Most patients that have undergone the MILD procedure typically resume normal activity within 24 hours, with no restrictions.

Clinical data show a 7x increase in standing time and a 16X increase in walking distance.

As with any procedure, it carries it risks. However, it is relatively very safe compared to treatment alternatives such as implants and open surgery. It requires no general anesthesia, steroids, opioids, stitches, or implants, which makes it optimal for the COVID environment.

Those diagnosed with Lumbar Spinal Stenosis (LSS) are typical candidates for this procedure. These patients usually experience pain, numbness and tingling in the back, legs and buttocks and relief when sitting, leaning forward, or curling up while sleeping.

Yes, the MILD procedure is covered by all Medicare plans. Contact us below so we can help you set up an in-person or telemedicine visit.

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