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There are several procedures which might be used in pain management. The various procedures range from conservative non-invasive treatments to surgery. The type of treatment used will depend on the level of pain along with 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 procedure that will be the most suitable, but doctors will usually begin with the treatment plans which can be not invasive. Professor Fonarow states numerous studies had established that many of these medications are associated with an increased likelihood of cardiovascular events, especially if used for a prolonged duration of time and better doses. It is still unclear regarding the extent from the risk and exactly how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow failed to take part in the study. Other patients demand a laminectomy, that involves removal of the whole lamina. Most doctors usually do not recommend surgery to treat back pain due to risks involved. If, however, it is necessary, they should ensure that the sufferer is in a proper enough condition to recover fully. Surgery is often available to people who are healthy and relatively younger, since they are more likely to have complete recovery. Other patients have to have a laminectomy, involving removal of the whole lamina. Most doctors do not recommend surgery to treat back pain due to the risks involved. If, however, it is necessary, they have to ensure that the patient is in a wholesome enough condition to recover fully. Surgery is often reserved for people who are healthy and relatively younger, as is also more likely to have complete recovery. One of the first treatment plans used on those suffering from back pain is exercise. It is usually used when the patient has mild to moderate lower back pain. The exercises used are generally non-weight exercises which might be recommended by physiotherapists. It is important to not put an excessive amount of pressure on the back in the exercises. Water exercises or swimming tend to be especially beneficial. Those who have gone through the various pain management procedures without experiencing relief normally have to go through surgery. There are different surgical treatments done with regards to the location in the problem as well as the condition with the patient. Patients with disk problems frequently get the discectomy procedure, , involving removing a portion of the disc nucleus to relive the pressure.