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There are several procedures which can be 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 along with the cause. Most doctors treat back pain with the simple non-medical treatments first, before resorting to medication and other procedures. The patient's specific condition will determine the task that will be the most suitable, but doctors will always begin while using treatment plans that are not invasive. Professor Fonarow states numerous studies had established that many of these medications are linked with an increased probability of cardiovascular events, particularly if used for a prolonged duration of time and higher doses. It is still unclear regarding the extent from 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, , 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 must ensure that the individual is in a healthy 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. Other patients have to have a laminectomy, that involves removal of the whole lamina. Most doctors do not recommend surgery to help remedy back pain because of the risks involved. If, however, it is necessary, they need to ensure that the sufferer 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 suited for those suffering from back pain is exercise. It is usually used in the event the patient has mild to moderate back 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 about the back during the exercises. Water exercises or swimming are usually especially beneficial. Chiropractic restores functioning, aides in injury prevention and immensely decrease pain levels. Chiropractic has been shown valuable also in the areas of carpal tunnel symptoms, headaches, migraines, osteoarthritis, fibromyalgia among numerous conditions.