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There are several procedures which can be used in pain management. The various procedures range between conservative non-invasive treatments to surgery. The type of treatment used is dependent upon the level of pain and also the cause. Most doctors treat 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 best option, but doctors will always begin while using treatment plans which are not invasive. Professor Fonarow states numerous studies had demonstrated that many of these medications are related to an increased probability of cardiovascular events, especially if used for a longer duration of time far better doses. It is still unclear for the extent in the risk and exactly how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow did not take part in the study. Other patients require a laminectomy, , involving removal of the complete lamina. Most doctors tend not to recommend surgery to deal with back pain due to risks involved. If, however, it is vital, they need to ensure that the patient is in a healthy enough condition to recuperate fully. Surgery is often restricted to people who are healthy and relatively younger, as is also more likely to have complete recovery. Other patients have to have a laminectomy, which involves removal of the whole lamina. Most doctors usually do not recommend surgery to deal with back pain as a result of risks involved. If, however, it is necessary, they must ensure that the patient is in a normal enough condition to recover fully. Surgery is often reserved for people who are healthy and relatively younger, since they are more likely to have complete recovery. One of the first treatment plans applied to those struggling with back pain is exercise. It is usually used in the event the patient has mild to moderate lumbar pain. The exercises used are mostly non-weight exercises which might be recommended by physiotherapists. It is important to not put too much pressure around the back in the exercises. Water exercises or swimming are generally especially beneficial. Those who have went through the various pain management procedures without experiencing relief typically have to go through surgery. There are different surgical treatments done with respect to the location in the problem and the condition with the patient. Patients with disk problems often get the discectomy procedure, involving removing a portion in the disc nucleus to relive the stress.