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There are several procedures which can be used in pain management. The various procedures range between conservative non-invasive treatments to surgery. The type of treatment used will depend on the level of pain and the cause. Most doctors treat 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 procedure that will be most suitable, but doctors will usually begin with all the treatment plans which can be not invasive. Professor Fonarow states numerous studies had demonstrated that many of these medications are linked with an increased likelihood of cardiovascular events, in particular when used for a lengthier duration of time and better doses. It is still unclear for the 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 need a laminectomy, that involves removal of the whole lamina. Most doctors tend not to recommend surgery to treat back pain because of the risks involved. If, however, it is vital, they need to ensure that the sufferer is in a normal enough condition to recuperate fully. Surgery is often restricted to people who are healthy and relatively younger, as they are more likely to have complete recovery. Other patients demand a laminectomy, which involves removal of the entire lamina. Most doctors do not recommend surgery to treat back pain because of the risks involved. If, however, it is vital, they must ensure that the sufferer is in a healthy enough condition to extract 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 utilized on those experiencing back pain is exercise. It is usually used once the patient has mild to moderate lumbar pain. The exercises used are mainly non-weight exercises which are recommended by physiotherapists. It is important to not put a lot of pressure on the back in the exercises. Water exercises or swimming are generally 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 procedures done with respect to the location in the problem and also the condition with the patient. Patients with disk problems are often the discectomy procedure, involving removing a portion in the disc nucleus to relive the pressure.