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There are several procedures which are used in pain management. The various procedures range between conservative non-invasive treatments to surgery. The type of treatment used is determined by the level of pain along with the cause. Most doctors treat back pain with the simple non-medical treatments first, before turning to medication along with other procedures. The patient's specific condition will determine the task that will be the most suitable, but doctors will forever begin using the treatment plans which are not invasive. Professor Fonarow states numerous studies had demonstrated that many of these medications are associated with an increased probability of cardiovascular events, especially if used for a prolonged duration of time and doses. It is still unclear for the extent of the risk and how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow would not take part in the study. Other patients require a laminectomy, which involves removal of the complete lamina. Most doctors do not recommend surgery to deal with back pain due to the risks involved. If, however, it is necessary, they need to ensure that the person is in a wholesome enough condition to extract fully. Surgery is often reserved for people who are healthy and relatively younger, as they are more likely to have complete recovery. Other patients require a laminectomy, , involving removal of the complete lamina. Most doctors don't recommend surgery to deal with back pain because of the risks involved. If, however, it is necessary, they have to ensure that the patient is in a healthy 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. One of the first treatment plans applied to those struggling with back pain is exercise. It is usually used in the event the patient has mild to moderate low back pain. The exercises used are generally non-weight exercises which can be recommended by physiotherapists. It is important to not put too much pressure on the back during the exercises. Water exercises or swimming are generally especially beneficial. Those who have went through the various pain management procedures without experiencing relief normally have to go through surgery. There are different surgeries done with regards to the location of the problem and the condition of the patient. Patients with disk problems are often the discectomy procedure, which involves removing a portion in the disc nucleus to relive pressure.