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There are several procedures that 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 as well as the cause. Most doctors treat low back pain with the simple non-medical treatments first, before relying on medication and also other procedures. The patient's specific condition will determine the task that will be the most appropriate, but doctors will always begin using the treatment plans that are not invasive. Professor Fonarow states numerous studies had established that many of these medications are associated with an increased likelihood of cardiovascular events, particularly if used for a lengthier duration of time and better doses. It is still unclear regarding the extent with the risk and exactly 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, that involves removal of the complete lamina. Most doctors tend not to recommend surgery to take care of back pain as a result of risks involved. If, however, it is vital, they have to ensure that the individual is in a wholesome enough condition to recoup fully. Surgery is often restricted to people who are healthy and relatively younger, as is also more likely to have complete recovery. Other patients demand a laminectomy, that involves removal of the whole lamina. Most doctors tend not to recommend surgery to treat back pain due to risks involved. If, however, it is vital, 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. One of the first treatment plans applied to those being affected by back pain is exercise. It is usually used if the patient has mild to moderate back pain. The exercises used are generally non-weight exercises which might be recommended by physiotherapists. It is important to not put a lot of pressure about the back during the exercises. Water exercises or swimming tend to be especially beneficial. Those who have gone through the various pain management procedures without experiencing relief normally have to go through surgery. There are different surgical procedures done with respect to the location with the problem along with the condition from the patient. Patients with disk problems often get the discectomy procedure, involving removing a portion from the disc nucleus to relive pressure to succeed.