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There are several procedures that are 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 as well as 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 most suitable, but doctors will usually begin with all the treatment plans that are not invasive. Professor Fonarow states numerous studies had demonstrated that many of these medications are associated with an increased risk of cardiovascular events, particularly when used for a longer duration of time and doses. It is still unclear as to the extent from the risk and just how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow did not take part in the study. Other patients require a laminectomy, that involves removal of the entire lamina. Most doctors tend not to recommend surgery to treat back pain due to risks involved. If, however, it is necessary, they should ensure that the person is in a wholesome enough condition to extract fully. Surgery is often available to people who are healthy and relatively younger, as is also more likely to have complete recovery. Other patients require a laminectomy, , involving removal of the entire lamina. Most doctors usually do not recommend surgery to treat back pain as a result of risks involved. If, however, it is necessary, they have to ensure that the sufferer is in a proper 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 used on those suffering from back pain is exercise. It is usually used when the patient has mild to moderate low back pain. The exercises used are mainly non-weight exercises that are recommended by physiotherapists. It is important to not put too much pressure on the back through the exercises. Water exercises or swimming tend to be especially beneficial. Those who have went through the various pain management procedures without experiencing relief will often have to go through surgery. There are different surgical treatments done with respect to the location of the problem along with 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 pressure to succeed.