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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 will depend on the level of pain and 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 task that will be most suitable, but doctors will usually begin with all the treatment plans which might be not invasive. Professor Fonarow states numerous studies had indicated that many of these medications are related to an increased risk of cardiovascular events, in particular when used for a prolonged duration of time and better doses. It is still unclear for the extent from the risk and how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow didn't take part in the study. Other patients demand a laminectomy, , involving removal of the whole lamina. Most doctors don't recommend surgery to deal with back pain because of the risks involved. If, however, it is vital, they must ensure that the individual is in a healthy enough condition to recoup fully. Surgery is often available to people who are healthy and relatively younger, as they are more likely to have complete recovery. Other patients require a laminectomy, that involves removal of the entire lamina. Most doctors don't recommend surgery to deal with back pain due to the risks involved. If, however, it is vital, they need to ensure that the sufferer is in a healthy enough condition to recoup fully. Surgery is often available to people who are healthy and relatively younger, as is also more likely to have complete recovery. One of the first treatment plans suited for those being affected by back pain is exercise. It is usually used if the patient has mild to moderate lower back pain. The exercises used are mostly non-weight exercises that are recommended by physiotherapists. It is important to not put too much pressure for the back through 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 surgery done with respect to the location with the problem and also the condition in the patient. Patients with disk problems are often the discectomy procedure, which involves removing a portion in the disc nucleus to relive the pressure.