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There are several procedures which can be used in pain management. The various procedures range between 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 resorting to medication as well as other procedures. The patient's specific condition will determine the method that will be the most appropriate, but doctors will forever begin with 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 risk of cardiovascular events, particularly if used for a prolonged duration of time and higher doses. It is still unclear regarding the extent of 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, which involves removal of your entire lamina. Most doctors do not recommend surgery to help remedy back pain due to the risks involved. If, however, it is vital, they should ensure that the sufferer is in a wholesome enough condition to recover fully. Surgery is often available to people who are healthy and relatively younger, as is also more likely to have complete recovery. Other patients need a laminectomy, that involves removal of your entire lamina. Most doctors do not recommend surgery to treat back pain due to the risks involved. If, however, it is necessary, they have to ensure that the person is in a wholesome enough condition to recoup fully. Surgery is often reserved for people who are healthy and relatively younger, because they are more likely to have complete recovery. One of the first treatment plans used on those struggling with back pain is exercise. It is usually used once the patient has mild to moderate lower back pain. The exercises used are mainly non-weight exercises which are recommended by physiotherapists. It is important to not put too much pressure on the back during the exercises. Water exercises or swimming usually are especially beneficial. Those who have went through the various pain management procedures without experiencing relief normally have to go through surgery. There are different surgeries done with regards to the location from the problem along with the condition in the patient. Patients with disk problems often get the discectomy procedure, that involves removing a portion of the disc nucleus to relive the pressure.