How to “Get Back to a Healthy Back”

Published November 14, 2022

Get Back to a Healthy Back

(BPT) – Do you ever have pain, numbness or tingling in your lower back, legs, or buttocks? Do you often find yourself seeking a place to sit to relieve the pain? Or have you ever leaned over a shopping cart while grocery shopping to alleviate the pain? If you answered yes to any of these questions, you are not alone. You are one in over 72.3 million Americans who are suffering with chronic low back pain (CLBP), which can be a debilitating physical condition[1].

Lumbar spinal stenosis (LSS) is a condition in which the lower spinal canal narrows and compresses the nerves causing chronic low back pain (CLBP). This compression, which, is often caused by an enlarged ligament, looks like a “kink in a drinking straw,” contributing to pain and mobility issues.

This age-related condition is the leading cause of disability and physical and emotional stress amongst those who have CLBP[2]. Often, people suffering with LSS are limited by their ability to stand or walk, often stopping them from participating in their work, hobbies and activities of daily living.

If you ever notice that you find relief by bending over, or leaning on an object, such as a shopping cart, this is a tell-tale sign that you may be suffering with LSS. The most common reason for LSS is due to an enlarged ligament and up to 78% of patients with CLBP do not know the cause of their pain could be related to an enlarged ligament[1]. To confirm the source of your CLBP, you need to speak to a spine health doctor who can assess your symptoms and order the proper diagnostic imaging tests (such as an MRI).

While there are many treatments for chronic low back pain, often these improvements are temporary. If you have tried NSAIDs, physical therapy, or even an epidural steroid injection (ESI) and find that the pain continues to return, you should speak to a spine health doctor to diagnose if you are one of the millions of people with LSS due to an enlarged ligament.

If an enlarged ligament is causing your pain, your doctor can also let you know if you are a candidate for a short, outpatient, minimally invasive lumbar decompression procedure, known as the mild® Procedure. This FDA-cleared procedure restores space in the spinal canal through a tiny incision smaller than the size of a baby aspirin to provide mobility and pain improvement. The procedure does not require general anesthesia, implants, stitches, steroids, or opioids, and patients typically resume normal activity within 24 hours with no restrictions [3]. The mild® Procedure is covered nationwide by Medicare (all ages, all plan types, including Medicare Advantage) the VA, U.S. Military & IHS. Commercial coverage varies. The procedure has an 85% patient satisfaction rate[4] and studies show that mild® continues to improve patient functionality over time[3]. Patients may be able to stand 7 times longer and walk 16 times farther after having this procedure[5]. Over one-year, the average standing time increased from 8 to 56 minutes with less pain, and the average walking distance increased from 246 to 3,956 ft with less pain[5].

When should you speak to a spine health doctor? If you can relate to the mobility issues below based on your age range, you should visit to learn more about your options.

  • If you are in your 50s and have trouble standing for more than 30 minutes, are unable to walk more than a mile, or have pain daily[1]
  • If you are in your 60s with the same mobility issues above, or you are unable to jog[1]
  • If you are in your 70s, and have trouble standing for 30 minutes, going up and down stairs, have problem getting in and out of a chair, or have pain daily[1]

To learn more about lumbar spinal stenosis, or to find a spine health doctor near you, you can visit

The mild® Procedure has a strong safety profile and has been performed on thousands of patients. Although the complication rate for the mild® Procedure is low, as with most surgical procedures, serious adverse events, some of which can occur[6]. Individual results may vary. Please learn more and view safety information at


Pop the Champagne! We just turned FIVE!

It feels like we just blinked and we’re here. So many milestones over the years. We have settled into our new location and expanded our team. Despite all the changes, one thing remains crystal clear. We are grateful for each and every one of YOU!

While we are proud of what our first five years has entailed, most of all we are motivated and excited about what is yet to come.

Thank you for your support and we always welcome your feedback.


“Managing your Pain without Pills”

Presented by: Jennifer Bunch, MD at Restorative Pain Medicine Physicians

On Friday, February 3, 2023, Dr Bunch was graciously invited to speak to the Residents of Freedom Square of Seminole. Freedom Square offers a variety of residential options for seniors to include independent, assisted living, skilled nursing, memory care and rehabilitation services.

One of the benefits of living in a Senior Living Community is access to resources designed to improve health and quality of life. Patients with chronic pain and especially Seniors tend to isolate for a variety of reasons and may not have access to healthcare or be informed of other options to their chronic pain.

Thank you again to Freedom Square of Seminole for engaging your Residents and offering education to enhance the wellness of your community.

Physical Therapy Pain Management

Physical Therapy pain management is an effective and safe alternative to medication for pain relief. Physical therapists can provide gentle manual therapy techniques, therapeutic exercise and various heat and cold modalities to reduce pain levels while building strength and conditioning.

Physical Therapy Role in Chronic Pain Management is presented by Hannah Scholten, PT, DPT, Cert. MDT, clinical supervisor, UF Health Rehabilitation – Wildlight. Hannah discusses the issue of chronic pain in the U.S., the history of pain management and existing pain treatment options. She provides an introduction to physical therapy for chronic pain management and provides additional self-management options and resources to try at home.
UF Health Rehabilitation – Wildlight: