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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 as well as the cause. Most doctors treat lower back pain with the simple non-medical treatments first, before relying on medication as well as other procedures. The patient's specific condition will determine the procedure that will be most suitable, but doctors will forever begin using 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 risk of cardiovascular events, in particular when used for a longer duration of time and better doses. It is still unclear for the extent in the risk and just how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow didn't take part in the study. Other patients have to have a laminectomy, which involves removal of the complete lamina. Most doctors usually do not recommend surgery to treat back pain as a result of risks involved. If, however, it's important, they must ensure that the person is in a proper enough condition to recuperate fully. Surgery is often reserved for people who are healthy and relatively younger, since they are more likely to have complete recovery. Other patients need a laminectomy, , involving removal of the whole lamina. Most doctors do not recommend surgery to deal with back pain because of the risks involved. If, however, it is vital, they must ensure that the individual is in a wholesome enough condition to extract fully. Surgery is often reserved for people who are healthy and relatively younger, as is also more likely to have complete recovery. One of the first treatment plans used on those being affected by back pain is exercise. It is usually used when the patient has mild to moderate lower back pain. The exercises used are mostly non-weight exercises which are recommended by physiotherapists. It is important to not put excessive pressure around the back throughout the exercises. Water exercises or swimming are usually especially beneficial. Those who have went through the various pain management procedures without experiencing relief typically have to go through surgery. There are different surgeries done with respect to the location of the problem along with the condition from the patient. Patients with disk problems are often the discectomy procedure, , involving removing a portion from the disc nucleus to relive the stress.