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 is determined by the level of pain and the cause. Most doctors treat back pain with the simple non-medical treatments first, before resorting to medication and also other procedures. The patient's specific condition will determine the task that will be most suitable, but doctors will forever begin while using treatment plans which are not invasive. Professor Fonarow states numerous studies had established that many of these medications are associated with an increased chance of cardiovascular events, especially if used for a lengthier duration of time and higher doses. It is still unclear as to the extent in the risk and how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow would not take part in the study. Other patients have to have a laminectomy, which involves removal of the whole lamina. Most doctors tend not to recommend surgery to treat back pain due to risks involved. If, however, it is vital, they need to ensure that the sufferer is in a proper enough condition to recoup fully. Surgery is often available 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 complete lamina. Most doctors usually do not recommend surgery to help remedy back pain as a result of risks involved. If, however, it's important, they need to ensure that the person is in a normal 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. One of the first treatment plans applied to those struggling with back pain is exercise. It is usually used when the patient has mild to moderate back pain. The exercises used are generally non-weight exercises which might be recommended by physiotherapists. It is important to not put too much pressure about the back through the exercises. Water exercises or swimming are usually especially beneficial. Those who have went through the various pain management procedures without experiencing relief routinely have to go through surgery. There are different surgery done with regards to the location of the problem along with the condition with the patient. Patients with disk problems are often the discectomy procedure, that involves removing a portion of the disc nucleus to relive pressure to succeed.