There are several procedures that are used in pain management. The various procedures range between 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 back pain with the simple non-medical treatments first, before resorting to medication and other procedures. The patient's specific condition will determine the task that will be the best option, but doctors will always begin with the treatment plans that are not invasive. Professor Fonarow states numerous studies had indicated that many of these medications are associated with an increased probability of cardiovascular events, especially if used for a prolonged duration of time and better doses. It is still unclear regarding extent with the risk and exactly how the cardiovascular risk can deviate between different NSAIDs. Dr. Fonarow would not take part in the study. Other patients need a laminectomy, , involving removal of the complete lamina. Most doctors do not recommend surgery to take care of back pain because of the risks involved. If, however, it's important, they should ensure that the sufferer is in a proper enough condition to recuperate 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, , involving removal of the complete lamina. Most doctors do not recommend surgery to take care of back pain because of the risks involved. If, however, it is vital, they must ensure that the patient is in a normal enough condition to recuperate 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 utilized on those experiencing back pain is exercise. It is usually used if the patient has mild to moderate lumbar pain. The exercises used mostly are non-weight exercises that are recommended by physiotherapists. It is important to not put too much pressure about the back in the exercises. Water exercises or swimming are usually especially beneficial. Those who have went through various pain management procedures without experiencing relief typically have to go through surgery. There are different surgical procedures done with regards to the location with the problem and the condition of the patient. Patients with disk problems frequently get the discectomy procedure, that involves removing a portion with the disc nucleus to relive the stress.