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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 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 best option, but doctors will usually begin with the treatment plans which might be not invasive. Professor Fonarow states numerous studies had established that many of these medications are related to an increased likelihood of cardiovascular events, particularly if used for a lengthier duration of time and better doses. It is still unclear for the extent of the risk and exactly how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow did not take part in the study. Other patients need a laminectomy, which involves removal of the whole lamina. Most doctors usually do not recommend surgery to take care of back pain due to the risks involved. If, however, it is crucial, they need to ensure that the patient is in a wholesome enough condition to recuperate fully. Surgery is often reserved for people who are healthy and relatively younger, as they are more likely to have complete recovery. Other patients need a laminectomy, that involves removal of the entire lamina. Most doctors do not recommend surgery to deal with back pain due to the risks involved. If, however, it is necessary, they have to ensure that the individual is in a healthy enough condition to recover 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 suited for those struggling with back pain is exercise. It is usually used when 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 excessive pressure around the back in the exercises. Water exercises or swimming usually are especially beneficial. Those who have went through the various pain management procedures without experiencing relief will often have to go through surgery. There are different surgical procedures done with respect to the location from the problem as well as the condition from the patient. Patients with disk problems often get the discectomy procedure, involving removing a portion with the disc nucleus to relive pressure.