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There are several procedures that are used in pain management. The various procedures cover anything from conservative non-invasive treatments to surgery. The type of treatment used is dependent upon the level of pain as well as the cause. Most doctors treat lower back pain with the simple non-medical treatments first, before turning to medication along with other procedures. The patient's specific condition will determine the method that will be most suitable, but doctors will always begin using the treatment plans which might be 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 prolonged duration of time and better doses. It is still unclear for the extent from the risk and exactly how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow didn't take part in the study. Other patients require a laminectomy, , involving removal of the complete lamina. Most doctors usually do not recommend surgery to deal with back pain due to the risks involved. If, however, it is crucial, they must ensure that the sufferer is in a normal enough condition to recover fully. Surgery is often reserved for people who are healthy and relatively younger, because they are more likely to have complete recovery. Other patients require a laminectomy, that involves removal of the complete lamina. Most doctors do not recommend surgery to treat back pain because of the risks involved. If, however, it's important, they have to ensure that the patient is in a wholesome enough condition to recover fully. Surgery is often available people who are healthy and relatively younger, because they are more likely to have complete recovery. One of the first treatment plans utilized on those experiencing back pain is exercise. It is usually used once the patient has mild to moderate back pain. The exercises used are generally non-weight exercises which are recommended by physiotherapists. It is important to not put too much pressure around the back during the exercises. Water exercises or swimming are usually especially beneficial. Those who have went through various pain management procedures without experiencing relief will often have to go through surgery. There are different surgery done depending on the location in the problem and also the condition with the patient. Patients with disk problems are often the discectomy procedure, , involving removing a portion of the disc nucleus to relive the pressure.