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There are several procedures that are used in pain management. The various procedures vary from 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 resorting to medication along with other procedures. The patient's specific condition will determine the process that will be the best option, but doctors will always begin while using treatment plans which can be not invasive. Professor Fonarow states numerous studies had established that many of these medications are related to an increased risk of cardiovascular events, in particular when used for a longer duration of time and better doses. It is still unclear regarding extent of the risk and the way 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 don't recommend surgery to deal with back pain as a result of risks involved. If, however, it is crucial, they need to ensure that the sufferer is in a normal enough condition to recuperate fully. Surgery is often reserved for people who are healthy and relatively younger, as they are more likely to have complete recovery. Other patients need a laminectomy, which involves removal of your entire lamina. Most doctors tend not to recommend surgery to treat back pain due to the risks involved. If, however, it is crucial, they should ensure that the person is in a proper enough condition to recoup fully. Surgery is often available people who are healthy and relatively younger, because they are 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 once the patient has mild to moderate lower back pain. The exercises used are generally non-weight exercises which can be recommended by physiotherapists. It is important to not put excessive pressure about the back in the exercises. Water exercises or swimming usually are especially beneficial. Those who have gone through the various pain management procedures without experiencing relief typically have to go through surgery. There are different surgical treatments done according to 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 from the disc nucleus to relive pressure.