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Lower back pain after operation - please help

Hi, I had cauda equine in 2000, I had an operation on my l5 s1 and I recovered pretty well, apart from muscle wastage in my right foot. However from time to time I get excruciating pain in the bottom of my back, right where I was operated on. It usually last for a couple of days, the doctor doesn’t seem concerned and just gives me more painkillers.
Does this pain in the lower back happen to anyone else?
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My sister has severe spinal stenosis. She`s had 2 operations on her lower back. A metal cage and screws were inserted to protect the degenerative vertebrae, with the first operation. The second was to lengthen the metal work upwards.
She is currently in a lot of pain again and has had another MRI. She is awaiting the results. She is reluctant to have a 3rd surgery, as it is extremely painful.
She says she is prepared for life in a wheelchair, as long as they find some painkillers that work. She can only take a few steps now due to pain.