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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 depends on the level of pain and the cause. Most doctors treat lower back pain with the simple non-medical treatments first, before turning to medication and also other procedures. The patient's specific condition will determine the process that will be the most appropriate, but doctors will invariably begin while using treatment plans that are not invasive. Professor Fonarow states numerous studies had indicated that many of these medications are related to an increased probability of cardiovascular events, particularly if used for a longer duration of time and doses. It is still unclear regarding extent of the risk and how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow failed to take part in the study. Other patients need a laminectomy, which involves removal of the complete lamina. Most doctors don't recommend surgery to take care of back pain because of the risks involved. If, however, it is necessary, they should ensure that the sufferer is in a normal enough condition to recoup 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, which involves removal of the whole lamina. Most doctors don't recommend surgery to help remedy back pain due to the risks involved. If, however, it is necessary, they have to ensure that the sufferer is in a normal enough condition to recoup fully. Surgery is often available to people who are healthy and relatively younger, since they are more likely to have complete recovery. One of the first treatment plans used on those experiencing back pain is exercise. It is usually used once the patient has mild to moderate lower back pain. The exercises used are generally non-weight exercises that are recommended by physiotherapists. It is important to not put a lot of pressure around the back in the exercises. Water exercises or swimming are generally especially beneficial. Those who have went through various pain management procedures without experiencing relief will often have to go through surgery. There are different surgical procedures done according to the location with the problem and also the condition from the patient. Patients with disk problems frequently get the discectomy procedure, , involving removing a portion from the disc nucleus to relive the pressure.