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There are several procedures which can be used in pain management. The various procedures vary from conservative non-invasive treatments to surgery. The type of treatment used depends on the level of pain as well as the cause. Most doctors treat lower back pain with the simple non-medical treatments first, before resorting to medication along with other procedures. The patient's specific condition will determine the procedure that will be the most suitable, but doctors will always begin with all the treatment plans which are not invasive. Professor Fonarow states numerous studies had established that many of these medications are related to an increased chance of cardiovascular events, especially if used for an extended duration of time and higher doses. It is still unclear for the extent in the risk and the way 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 entire lamina. Most doctors tend not to recommend surgery to treat back pain because of the risks involved. If, however, it is vital, they have to ensure that the patient is in a healthy 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, involving removal of your entire lamina. Most doctors tend not to recommend surgery to treat back pain as a result of risks involved. If, however, it's important, they should ensure that the sufferer is in a healthy enough condition to extract fully. Surgery is often available people who are healthy and relatively younger, because they are more likely to have complete recovery. One of the first treatment plans applied to those struggling with back pain is exercise. It is usually used in the event the patient has mild to moderate lumbar pain. The exercises used are mainly non-weight exercises which can be recommended by physiotherapists. It is important to not put too much pressure around the back during the exercises. Water exercises or swimming are usually especially beneficial. Those who have gone through the various pain management procedures without experiencing relief will often have to go through surgery. There are different surgical treatments done with regards to the location in the problem and the condition with the patient. Patients with disk problems often get the discectomy procedure, that involves removing a portion from the disc nucleus to relive the stress.