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There are several procedures which can be used in pain management. The various procedures vary from conservative non-invasive treatments to surgery. The type of treatment used is determined by the level of pain and also the cause. Most doctors treat lower back pain with the simple non-medical treatments first, before relying on medication and other procedures. The patient's specific condition will determine the method that will be the best option, but doctors will always begin with the treatment plans which can be not invasive. Professor Fonarow states numerous studies had demonstrated that many of these medications are associated with an increased chance of cardiovascular events, especially if used for a lengthier duration of time and better doses. It is still unclear as to the extent with the risk and how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow would not take part in the study. Other patients demand a laminectomy, involving removal of the entire lamina. Most doctors do not recommend surgery to take care of back pain because of the risks involved. If, however, it's important, they need to ensure that the patient is in a normal enough condition to extract fully. Surgery is often available to people who are healthy and relatively younger, as is also more likely to have complete recovery. Other patients demand a laminectomy, involving removal of the complete lamina. Most doctors do not recommend surgery to help remedy back pain due to the risks involved. If, however, it is necessary, they should ensure that the patient is in a normal enough condition to extract fully. Surgery is often restricted to people who are healthy and relatively younger, as they are more likely to have complete recovery. One of the first treatment plans used on those suffering from back pain is exercise. It is usually used once the patient has mild to moderate low back pain. The exercises used are generally non-weight exercises which might be recommended by physiotherapists. It is important to not put too much pressure around the back through the exercises. Water exercises or swimming are generally especially beneficial. Those who have went through the various pain management procedures without experiencing relief routinely have to go through surgery. There are different surgical procedures done according to the location in the problem and also the condition in the patient. Patients with disk problems frequently get the discectomy procedure, involving removing a portion with the disc nucleus to relive the pressure.