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There are several procedures which can be used in pain management. The various procedures range from conservative non-invasive treatments to surgery. The type of treatment used is determined by the level of pain along with the cause. Most doctors treat lower back pain with the simple non-medical treatments first, before resorting to medication along with other procedures. The patient's specific condition will determine the process that will be the most appropriate, but doctors will usually begin with all the treatment plans which can be not invasive. Professor Fonarow states numerous studies had indicated that many of these medications are linked with an increased chance of cardiovascular events, especially if used for a longer duration of time and better doses. It is still unclear for the extent with the risk and how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow did not take part in the study. Other patients have to have a laminectomy, , involving removal of the complete lamina. Most doctors tend not to recommend surgery to treat back pain due to the risks involved. If, however, it is necessary, they need to ensure that the patient is in a healthy enough condition to recoup fully. Surgery is often available people who are healthy and relatively younger, because they are more likely to have complete recovery. Other patients require a laminectomy, , involving removal of the whole lamina. Most doctors don't recommend surgery to take care of back pain due to risks involved. If, however, it is vital, they should ensure that the sufferer is in a healthy enough condition to recoup fully. Surgery is often available people who are healthy and relatively younger, as they are more likely to have complete recovery. One of the first treatment plans suited for those experiencing back pain is exercise. It is usually used if the patient has mild to moderate back pain. The exercises used are mostly non-weight exercises which are recommended by physiotherapists. It is important to not put too much pressure for the back throughout the exercises. Water exercises or swimming are generally especially beneficial. Those who have went through the various pain management procedures without experiencing relief normally have to go through surgery. There are different surgeries done with respect to the location with the problem and also the condition with the patient. Patients with disk problems frequently get the discectomy procedure, , involving removing a portion from the disc nucleus to relive pressure to succeed.