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There are several procedures which are used in pain management. The various procedures vary from conservative non-invasive treatments to surgery. The type of treatment used depends on the level of pain along with the cause. Most doctors treat back pain with the simple non-medical treatments first, before turning to medication and also other procedures. The patient's specific condition will determine the process that will be the most suitable, but doctors will usually begin with the treatment plans which might be not invasive. Professor Fonarow states numerous studies had established that many of these medications are related to an increased probability of cardiovascular events, especially if used for a longer duration of time and better 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 require a laminectomy, involving removal of the whole lamina. Most doctors usually do not recommend surgery to help remedy back pain as a result of risks involved. If, however, it is crucial, they have to ensure that the individual is in a healthy enough condition to recuperate fully. Surgery is often available people who are healthy and relatively younger, as is also more likely to have complete recovery. Other patients require a laminectomy, which involves removal of the entire lamina. Most doctors usually do not recommend surgery to treat back pain due to the risks involved. If, however, it is necessary, they need to ensure that the patient is in a proper enough condition to recoup fully. Surgery is often reserved for people who are healthy and relatively younger, since they are more likely to have complete recovery. One of the first treatment plans suited for those being affected by back pain is exercise. It is usually used in the event the patient has mild to moderate lower back pain. The exercises used are mostly non-weight exercises which can be recommended by physiotherapists. It is important to not put excessive 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 routinely have to go through surgery. There are different surgeries done according to the location with the problem and the condition with the patient. Patients with disk problems often get the discectomy procedure, , involving removing a portion from the disc nucleus to relive the pressure.