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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 turning to medication along with other procedures. The patient's specific condition will determine the method that will be the most appropriate, but doctors will always begin with the treatment plans which are not invasive. Professor Fonarow states numerous studies had established that many of these medications are linked with an increased likelihood of cardiovascular events, in particular when used for a prolonged duration of time far better doses. It is still unclear as to the extent with the risk and how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow failed to take part in the study. Other patients have to have a laminectomy, which involves removal of the whole lamina. Most doctors usually do not recommend surgery to treat back pain due to the risks involved. If, however, it's important, they need to ensure that the sufferer is in a healthy enough condition to recoup fully. Surgery is often reserved for people who are healthy and relatively younger, as they are more likely to have complete recovery. Other patients have to have a laminectomy, , involving removal of the complete lamina. Most doctors don't recommend surgery to help remedy back pain because of the risks involved. If, however, it is vital, they should ensure that the patient is in a healthy enough condition to recoup fully. Surgery is often restricted to people who are healthy and relatively younger, since they are more likely to have complete recovery. One of the first treatment plans applied to those being affected by back pain is exercise. It is usually used if 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 too much pressure about the back through the exercises. Water exercises or swimming are generally 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 according to the location with the problem along with the condition from the patient. Patients with disk problems frequently get the discectomy procedure, , involving removing a portion with the disc nucleus to relive pressure to succeed.