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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 along with the cause. Most doctors treat lumbar pain with the simple non-medical treatments first, before turning to medication and other procedures. The patient's specific condition will determine the procedure that will be the best option, but doctors will usually begin using the treatment plans that are not invasive. Professor Fonarow states numerous studies had indicated that many of these medications are linked with an increased risk of cardiovascular events, in particular when used for a longer duration of time and doses. It is still unclear as to the extent with the risk and the way the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow would not take part in the study. Other patients have to have a laminectomy, involving removal of the complete lamina. Most doctors do not recommend surgery to take care of back pain due to the risks involved. If, however, it is crucial, they must ensure that the individual is in a proper enough condition to recover fully. Surgery is often available to people who are healthy and relatively younger, since 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 necessary, they must 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. One of the first treatment plans suited for those suffering from 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 can be recommended by physiotherapists. It is important to not put an excessive amount of pressure on the back in the exercises. Water exercises or swimming tend to be especially beneficial. Chiropractic restores functioning, aides in injury prevention and immensely decrease pain levels. Chiropractic has been confirmed valuable also inside areas of carpal tunnel, headaches, migraines, osteoarthritis, fibromyalgia among numerous conditions.