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hi im dr david green with preferpanecenter.com where we bring you anything and everything education for pain management today im out at peak which is a gorgeous mountain area in here in central phoenix a lot of hiking a lot of picnics come out here not so much today though its 110 degrees so its pretty uh im probably the only one dumb enough to come out here on a day so hot the topic today is residual pain after back surgery why does it occur well lets give a scenario lets pretend youre somebody who has had back surgery and this may be actually you and it went well and then six months later you start to have more pain in your back and also pain that shoots down one of your legs maybe both of your legs okay why does that occur and what can be done about it or lets say youve had a successful back surgery and then three years later your back starts to kill you whats it all about there are three main reasons that people have an initially successful back surgery and then it kind