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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 is determined by the level of pain and the cause. Most doctors treat back pain with the simple non-medical treatments first, before relying on medication as well as other procedures. The patient's specific condition will determine the task that will be the most suitable, but doctors will forever begin with all the treatment plans which might be not invasive. Professor Fonarow states numerous studies had established that many of these medications are associated with an increased likelihood of cardiovascular events, particularly when used for an extended duration of time and doses. It is still unclear regarding extent from the risk and exactly how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow didn't take part in the study. Other patients require a laminectomy, involving removal of the complete lamina. Most doctors tend not to recommend surgery to take care of back pain because of the risks involved. If, however, it is crucial, they should ensure that the individual is in a normal enough condition to recoup fully. Surgery is often available to people who are healthy and relatively younger, since they are more likely to have complete recovery. Other patients require a laminectomy, which involves removal of the whole lamina. Most doctors don't recommend surgery to deal with back pain as a result of risks involved. If, however, it is crucial, they need to ensure that the patient is in a healthy enough condition to extract fully. Surgery is often restricted to people who are healthy and relatively younger, as is also more likely to have complete recovery. One of the first treatment plans used on those being affected by back pain is exercise. It is usually used in the event the patient has mild to moderate lumbar pain. The exercises used mostly are non-weight exercises which can be recommended by physiotherapists. It is important to not put an excessive amount of pressure for the back in the exercises. Water exercises or swimming are usually especially beneficial. Those who have gone through the various pain management procedures without experiencing relief normally have to go through surgery. There are different surgery done with regards to the location in 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.