The Minuteman Procedure
For Chronic Back Pain Relief
The Minuteman® Fusion is a minimally invasive procedure that offers relief from chronic back pain caused by spinal stenosis, herniated discs, or degenerative disc disease. The procedure involves inserting a small metal implant into the spine to help stabilize the spine, reduce debilitating pain, improve mobility, and reduce reliance on pain medication. Speak with our doctors today to see if Minuteman® Fusion is right for you.
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The Minuteman Fusion for Chronic Pain Relief
If you are living with chronic back pain and non-surgical treatments like physical therapy, injections, and medications have failed to provide relief, then the Minuteman spinal procedure may be right for you. This cutting-edge treatment offers a minimally invasive solution for chronic pain relief without needing to undergo major back surgery.
Compared to traditional back surgery, Minuteman® Fusion by Spinal Simplicity has fewer side effects, a faster recovery, and lower risks. The minimally invasive nature of the procedure reduces the likelihood of complications such as excessive blood loss, infection, and nerve damage. Additionally, the recovery time is shorter than that of traditional back surgery, allowing you to return to your daily activities within a few days.
For more information about the Minuteman procedure, candidates for treatments, and many other frequently asked questions, click the resource buttons below. When you're ready to speak to pain specialists, you can contact us through our online form or by giving us a call to schedule your new patient consultation.
What Patients Are Saying
Great office, good people. Been there quite a few years. Never a problem. Leave them a message, they always respond. I've had six back surgeries 2knees and right shoulder. Gregg keeps my chronic debilitating pain managed well so I can still live my life best I can. Im so grateful.
Jenny Martins / google review
Dr. Rao. I can't find the words to tell you how much he has meant to me. I followed him from an old practice to his very new high tech office. They offer so many different areas of assistance to those with issues from nutrition to spinal surgery... and much more. His office is professional.
Mom To2 / vitals
Dr. Rao is such an amazing doctor! During my first visit, he never tried to rush through my appt.; he genuinely listened to all my concerns and then took his time to explain to me in detail all his recommendations and how they would help me.
Nikki / healthgrades
The Minuteman Procedure Treatment Guide
The Minuteman Procedure Digital Guide
Our board-certified back pain specialist doctors specialize in minimally invasive treatments like the The Minuteman Procedure. Download our guide to learn more about our comprehensive services focussed on pain management for chronic pain.
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The Minuteman Procedure for Back Pain
This innovative method involves a small incision about one inch long on your side to access your spine. After that, a device known as the Minuteman, an interspinous-interlaminar fusion device, is carefully implanted with a bone graft. This device is designed to attach to your posterior non-cervical spine at the spinous processes. Once in place, it provides fixation and stabilization to your spine, reducing the pressure on your spinal nerves. This reduction is key because it alleviates the pain caused by your spine condition.
The entire process usually takes less than 60 minutes and is done as an outpatient procedure. So you're likely to be back home the same day, and the best part? You can start experiencing significant pain relief within one to two weeks.
Minuteman Procedure Video:
Spine Conditions Indicated for The Minuteman Procedure
Chronic back pain can be caused by a variety of pain conditions that affect the spine. The Minuteman procedure is primarily used for degenerative disc disease, lumbar spinal stenosis, and spondylolisthesis.
Take a moment to read through this breakdown of each condition and how the Minuteman procedure can help relieve pain from that condition.
Degenerative Disc Disease (DDD)
Degenerative disc disease is a pain condition where the discs between the vertebrae break down over time, causing them to lose their cushioning effect and leading to pain and stiffness. Symptoms of degenerative disc disease can include back pain, muscle spasms, and reduced mobility.
What makes the Minuteman procedure so effective for degenerative disc disease is its ability to stabilize and fix the thoracic, lumbar, and sacral spine. By doing this, it reduces the pressure on the spinal nerves caused by the degenerated disc, which is often the source of your pain.
Symptoms of Degenerative Disc Disease
While some people may not experience any pain associated with degenerative disc disease, symptoms will appear if the discs are completely worn down. Degenerative disc disease can occur in the cervical spine in the neck region or the lumbar spine in the lower back.
Some common symptoms of DDD include:
- Pain when bending, twisting, or lifting something even moderately heavy
- Pain in the buttocks, legs, or feet may get worse when standing or sitting for long periods without a proper break
- Reduced pain may also be reduced when properly stretching or sitting/lying in ergonomically correct positions
- Muscle spasms or feeling as if your back is giving out
- A numbness or tingling sensation that radiates into the legs
Spinal Stenosis
Spinal stenosis is a common condition that occurs when the spaces within the spine narrow, putting pressure on the spinal cord and nerves. This pressure can cause pain, weakness, and numbness in the legs, back, and buttocks.
Spinal stenosis most commonly affects people over 50 and can be caused by a variety of factors, including aging, arthritis, and injury. The Minuteman procedure provides fixation and stabilization, offering relief from spinal stenosis pain symptoms.
Symptoms of Lumbar Spinal Stenosis:
- Back or Leg Weakness
- Numbness or Tingling
- Heaviness in Legs
- Canes and Walkers
Spondylolisthesis
Spondylolisthesis is a condition where one of your vertebrae slips forward onto the bone directly beneath it. This displacement can often lead to discomfort or pain. You might experience symptoms like lower back pain or stiffness, leg weakness or numbness, and difficulty walking or standing for long periods. It's a condition that can affect anyone, but it's particularly common among athletes and people over 50.

Consultation and Diagnosis Process at Pain and Spine Specialists
If you are interested in the Minuteman procedure, scheduling a consultation with our dedicated doctors at Pain and Spine Specialists is a crucial step toward managing your pain effectively. Our team is committed to understanding your unique situation, accurately diagnosing your pain conditions, and recommending the right treatment options for you.
Take a look at an overview of our comprehensive consultation and diagnosis process:


- 1Review of Medical History: Firstly, we delve deep into your medical history. This step is crucial as it helps us understand any past injuries or conditions that could be contributing to your current pain. Have you had previous surgeries? Are there any chronic conditions we should know about? This comprehensive review sets the foundation for a personalized treatment plan.
- 2Physical Examination: Next, our specialists conduct a detailed physical examination. This not only helps us identify the source of your pain but also assesses your overall health and physical condition. It's an essential step in determining whether The Minuteman Procedure is a suitable option for you.
- 3Diagnostic Imaging: We believe in leaving no stone unturned. That's why we use state-of-the-art diagnostic imaging tools like x-rays, MRIs, and CT scans. These images give us a clear picture of your spine, helping us pinpoint any abnormalities that could be causing your discomfort.
- 4Nerve Tests: In some cases, nerve tests may be necessary to further diagnose your condition. These tests can provide valuable information about your nerve function and identify any potential nerve damage or irritation.
- 5Diagnostic Nerve Blocks: Finally, if applicable, we might recommend diagnostic nerve blocks. Procedures such as facet joint injections, epidural steroid injections, SI Injections, and Medial Branch blocks can help determine the exact source of your pain. These procedures involve injecting anesthetic into specific areas around your spine to temporarily block pain signals, allowing us to accurately identify the root cause of your pain.
when is spinal fusion necessary?: Candidates for Treatment
You may be wondering when is spinal fusion necessary? If you are diagnosed with degenerative disc disease, spinal stenosis, or spondylolisthesis, then you may be an ideal candidate for the Minuteman procedure. Before moving forward with the procedure, our pain management doctors will review all of the available treatment options and make recommendations based on your pain condition and medical history.
Non-Surgical Considerations
In many cases our pain management specialists will first recommend non-surgical approaches like injection therapies and medication management to alleviate your discomfort. If these treatments prove inadequate, then more advanced procedures like the Minuteman Fusion may be a good next step.
Alternative Interventional Procedures
At Pain and Spine Specialists, we offer a range of advanced interventional procedures tailored to different spine conditions. In addition the Minuteman spinal fusions, we also offer nerve stimulation, lumbar decompression, and nerve ablation procedures. The procedure our providers recommend will be based on your unique circumstances and diagnosis. You are encouraged to discuss these options with your provider to ensure you fully understand the benefits and potential risks of each procedure.
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The Minuteman Procedure
The following step-by-step outline of the Minuteman spinal procedure ensures that patients understand the process and feel confident in their decision to undergo treatment.
- 1Initial Consultation: Board-certified doctors assess the patient's condition, review their medical history, and determine if the Minuteman® Fusion is the appropriate treatment option.
- 2Preparing for The Minuteman Surgery: Patients receive detailed instructions on how to prepare for the procedure, including any necessary pre-operative tests or adjustments to medications.
- 3Anesthesia: Before the MinuteMan back surgery begins, patients are taken to the operating room to be prepped by an attendant. The area on the back where the procedure will be performed is cleaned with an antiseptic solution. Local anesthesia is administered to numb the area, and anesthesia may also be given through an intravenous line (IV). X-rays are used throughout to mark the exact spot for the surgeon to work on.
- 4Accessing the Affected Disc: With the patient lying face down on the operating table, the surgeon makes a small incision near the affected area of the spine. The incision should be no more than one inch long. A process known as dilation is conducted, where multiple tubes (increasing in size per tube) are inserted through the incision to open up the space around the muscles and provide access to the spine. One final tube, still relatively small to maintain minimal invasiveness, is inserted into the space to allow the Minuteman device to be guided and implanted with bone graft material.
- 5Implanting the Minuteman® Fusion Device: The Minuteman® Fusion implant is carefully inserted into the spine to support the damaged disc and relieve pressure on the nerves.
- 6Closing the Incision: Once the implant is securely in place, the incision is closed using sutures or staples.
- 7Minuteman Post-Op Instructions: After the operation, any instruments and tubes are removed, the tiny cut is sealed, and a dressing is placed over it. The entire process should take no more than an hour, and patients typically able to be up and moving again shortly after.

Spinal Simplicity's Minuteman® interspinous-interlaminar fusion device
Minuteman Procedure Recovery Process
At Pain and Spine Specialists, we understand that recovery is an essential part of your journey to a pain-free life. Following the Minuteman spine procedure, our board-certified doctors will closely monitor your progress and provide you with detailed instructions for post-operative care. This may include pain management strategies, wound care, and activity restrictions to ensure a smooth and successful Minuteman back surgery recovery.
Timeline for Returning to Normal Activities
While individual recovery times may vary, most patients can expect to return to normal activities within a days to a week.
Throughout the recovery process, it's essential to follow your doctor's recommendations and attend all scheduled follow-up appointments.
Possible Side Effects of Spinal Fusion
After the procedure, our doctors will carefully discuss the risks and benefits of the Minuteman back surgery with you, ensuring that you feel confident in your decision.
Some of the potential side-effects include:
- Temporary Pain or Discomfort at the Incision Site
- Infection
- Bleeding
- Nerve Injury
- Implant Migration or Failure
Our skilled doctors use minimally invasive techniques and take all necessary precautions to minimize these risks during and after the procedure. If you encounter any of these side effects, it is imperative to get in touch with us.
The Minuteman Procedure VS Traditional Spine Fusions
Minimally invasive spinal fusion surgery, like any procedure, comes with both advantages and risks. One of the major benefits of opting for this surgery is its minimal trauma to the body and quick recovery time. Being an outpatient procedure, most patients can return home on the same day and resume limited motion.
In contrast, traditional open spinal fusion surgery requires a longer recovery period of several months. On the other hand, minimally invasive surgery usually allows patients to recover within a matter of weeks, with many able to return to work after just a couple of weeks. Additionally, there is a reduced risk of blood loss during the procedure and post-operative infections.
While The Minuteman system offers several advantages, there is a possibility that it may not provide sufficient pain relief. In such cases, additional surgery may be required if the initial procedure does not yield the expected results.
Fast Recovery
It is an outpatient procedure so you go home the same day.
Reduced Risk
Reduced risk of damaging neural and vascular structures.
Non-Invasive
Minimal tissue disruption and decreased blood loss.
Frequently Asked Questions
Explore some of the most common questions we receive about the minutement procedure treatment at Pain and Spine Specialists:
The Minuteman Procedure is typically offered by orthopedic surgeons and pain management specialists.
Coverage for the Minuteman Procedure varies depending on the insurance provider and plan. It's best to contact your insurance company directly to find out if this procedure is covered.
Alternatives to the Minuteman Procedure may include physical therapy, pain medication, injections, or other types of surgery such as spinal fusion or discectomy.
Yes, the Minuteman Procedure is considered a minimally invasive spinal surgery.
You can find a treatment center near you by consulting with your healthcare provider for a referral or by researching online.
You can find a specialist near you by asking your primary care physician for a referral or by searching online through medical directories or health websites.
Coverage for the Minuteman Procedure under Medicare and Medicaid can vary, so it's recommended to check directly with these programs.
Comprehensive Treatment at Pain and Spine Specialists
At Pain and Spine Specialists, we take a comprehensive approach to pain management. We understand that each patient's pain is unique and deserves a treatment plan that addresses their individual needs. Our team of board-certified doctors will develop a tailored plan that not only addresses your immediate discomfort but also aims to prevent future pain.
As you begin treatment journey with us, rest assured that our support extends beyond a successful Minute man back surgery. We are here to monitor your progress, make necessary adjustments, and ensure your comfort throughout the process.

We are a comprehensive pain management practice with board certified Aurora Zip doctors in Maryland, Pennsylvania, and Virginia.

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Treatment Candidates
Patients with the following conditions may be candidates for an The Minuteman Procedure:
Related Pain Regions
The Minuteman Procedure is often used to treat pain in the following regions:
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We Accept All Insurances!
That includes Medicare and state Medicaid.
Usually within one week of the initial call.
Appointments can be schedule by phone or through our contact form here.
At Pain and Spine Specialists we provide comprehensive pain care while offering the most up-to-date minimally invasive techniques. Our ethos is to treat each patient (and potential patient) as if they were a family member.
At Pain and Spine Specialists we want to provide the most efficient and pleasurable experience possible. As in all medical facilities, we have certain policies in place to ensure that you receive the time you require to address your needs as well as enhance your experience while in our care.
We encourage patient feedback to better improve your experience. We strive to create a friendly and warm environment where patients feel their voices are heard and validated.
Meet Our Team
The Minuteman Procedure Specialists in Maryland, Pennsylvania, Florida and Virginia
At Pain and Spine Specialists, our back pain specialists have over 20 years of experience in treating chronic back pain caused by degenerative disc disease, lumbar spinal stenosis, or Spondylolisthesis. Together with our physician assistants and nurse practitioners, we are dedicated to providing effective, interventional treatment options like The MinutenMan procedure.
Our team takes the time to get to know you and your specific health needs, ensuring that we develop customized treatment plans tailored to your condition. You can our offices in Maryland, Pennsylvania, Florida, and Virginia.








