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There are several procedures that are used in pain management. The various procedures cover anything from conservative non-invasive treatments to surgery. The type of treatment used will depend on the level of pain as well as the cause. Most doctors treat low back pain with the simple non-medical treatments first, before resorting to medication and also other procedures. The patient's specific condition will determine the method that will be the most appropriate, but doctors will always begin using the treatment plans which are not invasive. Professor Fonarow states numerous studies had indicated that many of these medications are linked with an increased probability of cardiovascular events, particularly if used for a longer duration of time and higher doses. It is still unclear for the extent with the risk and just how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow did 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 treat back pain as a result of risks involved. If, however, it is necessary, they need to 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 is also more likely to have complete recovery. Other patients demand a laminectomy, which involves removal of the complete lamina. Most doctors tend not to recommend surgery to deal with back pain because of the risks involved. If, however, it is vital, they have to ensure that the individual is in a healthy enough condition to extract fully. Surgery is often available to people who are healthy and relatively younger, as they are more likely to have complete recovery. One of the first treatment plans utilized on those struggling with back pain is exercise. It is usually used when the patient has mild to moderate back pain. The exercises used mostly are non-weight exercises that are recommended by physiotherapists. It is important to not put a lot of pressure around the back during the exercises. Water exercises or swimming are usually especially beneficial. Those who have went through various pain management procedures without experiencing relief normally have to go through surgery. There are different surgery done with respect to the location from the problem and the condition of the patient. Patients with disk problems are often the discectomy procedure, , involving removing a portion with the disc nucleus to relive the pressure.