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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 is dependent upon the level of pain and also the cause. Most doctors treat low 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 procedure that will be the most suitable, but doctors will invariably begin with the treatment plans that are not invasive. Professor Fonarow states numerous studies had demonstrated that many of these medications are linked with an increased likelihood of cardiovascular events, in particular when used for a longer duration of time and higher doses. It is still unclear regarding the extent with the risk and the way the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow failed to take part in the study. Other patients demand a laminectomy, , involving removal of the entire lamina. Most doctors tend not to recommend surgery to help remedy back pain because of the risks involved. If, however, it is necessary, they should ensure that the patient is in a proper enough condition to extract fully. Surgery is often restricted to people who are healthy and relatively younger, because they are more likely to have complete recovery. Other patients demand a laminectomy, , involving removal of the entire lamina. Most doctors usually do not recommend surgery to deal with back pain due to risks involved. If, however, it is vital, they need to ensure that the person is in a healthy enough condition to extract fully. Surgery is often available people who are healthy and relatively younger, as is also 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 once the patient has mild to moderate back pain. The exercises used are mainly non-weight exercises which are recommended by physiotherapists. It is important to not put too much pressure for the back throughout 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 depending on the location in the problem and also the condition of the patient. Patients with disk problems are often the discectomy procedure, that involves removing a portion with the disc nucleus to relive the stress.