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There are several procedures which are used in pain management. The various procedures range between conservative non-invasive treatments to surgery. The type of treatment used depends on the level of pain and also the cause. Most doctors treat lumbar pain with the simple non-medical treatments first, before relying on medication along with other procedures. The patient's specific condition will determine the task that will be most suitable, but doctors will forever begin with all the treatment plans which can be not invasive. Professor Fonarow states numerous studies had demonstrated that many of these medications are related to an increased risk of cardiovascular events, in particular when used for an extended duration of time and higher doses. It is still unclear as to the extent in 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, , involving removal of the whole lamina. Most doctors usually do not recommend surgery to help remedy 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 extract fully. Surgery is often restricted 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 whole lamina. Most doctors do not recommend surgery to help remedy back pain due to risks involved. If, however, it is vital, they have to ensure that the patient 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 suited for those struggling with back pain is exercise. It is usually used if the patient has mild to moderate lower back pain. The exercises used mostly are non-weight exercises which might be recommended by physiotherapists. It is important to not put a lot of pressure on the back throughout the exercises. Water exercises or swimming usually are especially beneficial. Those who have went through the various pain management procedures without experiencing relief routinely have to go through surgery. There are different surgical treatments done with respect to the location with the problem along with the condition from the patient. Patients with disk problems are often the discectomy procedure, which involves removing a portion with the disc nucleus to relive pressure.