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There are several procedures which can be used in pain management. The various procedures vary from conservative non-invasive treatments to surgery. The type of treatment used is determined by the level of pain and the cause. Most doctors treat lower back pain with the simple non-medical treatments first, before relying on medication and also other procedures. The patient's specific condition will determine the procedure that will be the most suitable, but doctors will always begin with all the treatment plans which can be not invasive. Professor Fonarow states numerous studies had established that many of these medications are associated with an increased chance of cardiovascular events, in particular when used for a longer duration of time and higher doses. It is still unclear regarding extent in the risk and just how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow would not take part in the study. Other patients require a laminectomy, involving 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's important, they need to ensure that the sufferer is in a wholesome enough condition to recuperate fully. Surgery is often available people who are healthy and relatively younger, as they are more likely to have complete recovery. Other patients require a laminectomy, involving removal of the whole lamina. Most doctors tend not to recommend surgery to treat back pain due to the risks involved. If, however, it is necessary, they must ensure that the individual is in a wholesome enough condition to recover 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 struggling with back pain is exercise. It is usually used when the patient has mild to moderate low back pain. The exercises used are generally non-weight exercises which can be recommended by physiotherapists. It is important to not put too much pressure for the back in the exercises. Water exercises or swimming are usually especially beneficial. Those who have gone through the various pain management procedures without experiencing relief typically have to go through surgery. There are different surgery done depending on the location in the problem and the condition from the patient. Patients with disk problems frequently get the discectomy procedure, that involves removing a portion of the disc nucleus to relive the pressure.