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There are several procedures that are 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 as well as the cause. Most doctors treat lumbar pain with the simple non-medical treatments first, before relying on medication and also other procedures. The patient's specific condition will determine the procedure that will be the most suitable, but doctors will invariably begin using the treatment plans that are not invasive. Professor Fonarow states numerous studies had demonstrated that many of these medications are associated with an increased risk of cardiovascular events, particularly if used for a longer duration of time and better doses. It is still unclear for the extent in the risk and how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow didn't take part in the study. Other patients have to have a laminectomy, , involving removal of the entire lamina. Most doctors do not recommend surgery to deal with back pain due to risks involved. If, however, it is vital, they have to ensure that the person is in a wholesome enough condition to recoup fully. Surgery is often available people who are healthy and relatively younger, since they are more likely to have complete recovery. Other patients require a laminectomy, involving removal of the complete lamina. Most doctors tend not to recommend surgery to take care of back pain due to the risks involved. If, however, it's important, they must ensure that the sufferer is in a proper enough condition to recover fully. Surgery is often reserved for people who are healthy and relatively younger, since they are more likely to have complete recovery. One of the first treatment plans suited for those experiencing 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 are recommended by physiotherapists. It is important to not put excessive pressure on the back through the exercises. Water exercises or swimming tend to be especially beneficial. Those who have went through the various pain management procedures without experiencing relief routinely have to go through surgery. There are different surgeries done with regards to the location from the problem along with the condition from the patient. Patients with disk problems frequently get the discectomy procedure, involving removing a portion from the disc nucleus to relive the pressure.