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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 depends on 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 as well as other procedures. The patient's specific condition will determine the method that will be the best option, but doctors will always begin with all the treatment plans which might be not invasive. Professor Fonarow states numerous studies had established that many of these medications are associated with an increased risk of cardiovascular events, particularly if used for a lengthier duration of time and doses. It is still unclear as to the extent of the risk and the way the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow didn't take part in the study. Other patients require a laminectomy, that involves removal of the whole lamina. Most doctors don't recommend surgery to deal with back pain because of the risks involved. If, however, it's important, they have to ensure that the individual is in a normal enough condition to recuperate fully. Surgery is often available people who are healthy and relatively younger, since they are more likely to have complete recovery. Other patients need a laminectomy, which involves removal of the entire lamina. Most doctors usually do not recommend surgery to help remedy back pain because of the risks involved. If, however, it is crucial, they must ensure that the individual is in a wholesome enough condition to recoup fully. Surgery is often restricted to 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 in the event the patient has mild to moderate lower back pain. The exercises used are mostly non-weight exercises which might be recommended by physiotherapists. It is important to not put too much pressure around the back during the exercises. Water exercises or swimming are generally especially beneficial. Those who have gone through the various pain management procedures without experiencing relief normally have to go through surgery. There are different surgical procedures done according to the location from the problem as well as the condition from the patient. Patients with disk problems are often the discectomy procedure, , involving removing a portion in the disc nucleus to relive the pressure.