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Confused by persistent back pain after surgery? Specialists weigh in on what to ask

Persistent back pain after surgery typically stems from incomplete nerve decompression, scar tissue formation, or adjacent segment disease, and asking your surgeon targeted questions about these causes is the first step toward finding relief. Understanding why pain lingers after a spinal procedure empowers patients to advocate for the right follow-up care. A report from ResearchGate […]

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Persistent back pain after surgery typically stems from incomplete nerve decompression, scar tissue formation, or adjacent segment disease, and asking your surgeon targeted questions about these causes is the first step toward finding relief. Understanding why pain lingers after a spinal procedure empowers patients to advocate for the right follow-up care.

A report from ResearchGate shows that approximately 900,000 adults in the U.S. undergo spinal surgery each year, yet not all of them experience complete relief. Post-surgical pain, sometimes called failed back surgery syndrome, affects a significant portion of spinal surgery patients and can range from mild discomfort to debilitating chronic pain.

Knowing which questions to bring to your next appointment can help identify the source of unresolved pain and open the door to effective management strategies.

What Causes Back Pain After Surgery?

As per NIH reports, nearly 8-40% of patients who undergo spinal surgery develop leg pain and/or back pain after surgery. Experiencing back pain can negatively impact your post-surgery recovery. Here are some causes:

Instability and Abnormal Motion of Your Spine

You can get relief from back pain through decompression surgery. However, if you get decompression surgery without spinal fusion, you may suffer from spinal instability. As a result, you face a higher risk of experiencing ongoing pain.

Failed Fusion

After a spinal fusion procedure, bone growth should happen to attach the two vertebrae together. However, fusion can fail, leading to severe back pain. Here are some signs of a failed fusion after surgery:

  • Muscle pain
  • Lower back pain
  • Leg and buttock pain  

Failed spinal fusion may happen due to your doctor’s surgical technique or poor recovery time. Your health factors as a patient can lead to poor spinal fusion.

Poor Posture

Unfortunately, if a spinal fusion procedure isn’t done well, you can heal with poor posture. The bad posture often leads to long-term discomfort.

After surgery, your body may experience flatback syndrome. With this syndrome, your body tends to heal in a forward-flexed position. As a result, you may:

  • Chronic lower back pain
  • Have trouble standing up straight
  • Experience advanced back pain throughout your day

If you face these issues, you may need revision spine surgery to correct your posture. Once corrected, you may experience less pain.

Progression of Nerve Pinching and Arthritis

Spine surgery can alleviate pain. However, if your spinal pain isn’t well diagnosed, underlying issues may remain unaddressed even after surgery. Spinal arthritis and nerve compression will still cause pain if not treated.

Painful Spinal Fusion Hardware

Some spinal surgeries involve the use of plates, screws, and rods. Unfortunately, these instruments in your back can lead to ongoing discomfort. You may experience:

  • Pain near the surgical site
  • Issues with titanium rods in the back
  • Muscle spasms after laminectomy surgery

If these instruments bother you after fusion is achieved, you can opt to remove them. It can help boost your comfort and reduce the pain.

What Questions to Ask About Back Pain After Surgery?

You don’t have to be alone when experiencing back pain after surgery. Here are questions for specialists if you’re in this situation:

  • How does the pain after surgery differ from the pain before the surgery?
  • Is this pain a sign that my back surgery was unsuccessful?
  • Will I need to do another surgery?
  • What helps with back pain after surgery?
  • Is there anything I can do to get relief from this pain?

These are some questions you can ask your doctors. It will help you get more information about your condition.

What Helps With Back Pain After Surgery?

Figuring out the main cause of back pain after surgery helps you find the right treatment. Here are some surgical pain management techniques that can help you:

Medication Management

You can take prescription meds if you experience severe pain after surgery. Ensure you follow your doctor’s guidelines to reduce the risk of overdose.

Physical Therapy

After back surgery, you can add physical therapy as part of your recovery plan. These therapy exercises keep your muscles flexible and keep your blood flowing. The benefits offered can help you with healing and pain relief.

Rest and Proper Positioning Techniques

You need to rest well and in proper positions after back surgery. Proper naps will heal your body, making you become stronger after post-surgery recovery.

As you nap, find the right sleep position. Consider the following facts when it comes to sleeping positions:

  • Do not lie on your stomach
  • Lie on your back with a pillow under your knees
  • Lie on your side with a pillow between your knees

Sleeping on your stomach will often cause you to arch your back, putting a lot of strain on your spine. Good sleeping positions can reduce the pressure on your spine.

Frequently Asked Questions

How Long Does It Take for Back Pain to Go Away After Surgery?

Soon after surgery, you’ll experience some pain in and around the surgical area. Your doctor will give you pain relief medications to ensure your comfort.  

The general pain can stay with you for up to 6 weeks. However, if the pain is persistent, you will have to go back to your doctor.

Why Does Surgery Drain Your Energy?

Surgery places significant stress on the body. During recovery, energy is redirected toward repairing tissue, managing inflammation, and restoring balance, which often causes persistent fatigue.

Anesthesia can also disrupt sleep patterns, while pain medications may contribute to mental fog and tiredness. Blood loss during the procedure can temporarily reduce oxygen delivery to organs and muscles, leading to weakness.  

What Is the Best Diet After Surgery?

Eating foods with the right nutrients can help you get your strength back and recover quickly. Your diet can lessen inflammation, making recovery easy.

Having servings of protein after surgery can help your wound heal. If you take it consistently, you can use it to boost your immunity. Don’t forget your vegetables and fruits if you want to rebuild soft tissue and collagen after surgery.

Alleviate Back Pain After Surgery

Not all back pain after surgery means you have a complication. Some pain can go away in a few days after surgery. However, if the pain persists, you may need to talk to specialists to find the cause and manage it before it affects your quality of life.

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Black Artists in America, Installation Three Wraps at the Dixon Gallery and Gardens

TRI-STATE DEFENDER — With 50+ paintings, sculptures and assemblages, the exhibit features artists like Varnette Honeywood from Los Angeles, whose pieces appeared in Bill Coby’s private collection (before they were auctioned off) and on “The Cosby Show.” Also included are works by Alonzo Davis, another Los Angeles artist who opened one of the first galleries there where Black Artists could exhibit. 

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By Candace A. Gray | Tri-State Defender

The tulips gleefully greet those who enter the gates at the Dixon Gallery & Gardens on an almost spring day. More than 650,000 bulbs of various hues are currently on display. And they are truly breathtaking.

Inside the gallery, and equally as breathtaking, is the “Black Artists in America, From the Bicentennial to September 11” exhibit, which runs through Sunday, March 29. This is the third installment of a three-part series that started years ago and illustrates part of the Black experience through visual arts in the 20th century.

“This story picks up where part two left off,’’ said Kevin Sharp, the Linda W. and S. Herbert Rhea director for the Dixon. “This era is when we really start to see the emergence of these important Black artists’ agency and freedom shine through. They start to say and express what they want to, and it was a really beautiful time.”

With 50+ paintings, sculptures and assemblages, the exhibit features artists like Varnette Honeywood from Los Angeles, whose pieces appeared in Bill Coby’s private collection (before they were auctioned off) and on “The Cosby Show.” Also included are works by Alonzo Davis, another Los Angeles artist who opened one of the first galleries there where Black Artists could exhibit.

“Though [Davis] was from LA, he actually lived in Memphis for a decade,” said Sharp. “He was a dean at Memphis College of Art, and later opened the first gallery in New York owned and operated by black curators.”

Another featured artist is former NFL player, Ernie Barnes. His work is distinctive. Where have you seen one of his most popular paintings, Sugar Shack? On the end scene and credits of the hit show “Good Times.” His piece Saturday Night, Durham, North Carolina, 1974 is in this collection.

Memphis native James Little’s “The War Baby: The Triptych” is among more than 50 works featured in “Black Artists in America, From the Bicentennial to September 11” at the Dixon Gallery & Gardens, the final installment of a three-part series highlighting the impact and evolution of Black artists through 2011.

Memphis native James Little’s “The War Baby: The Triptych” is among more than 50 works featured in “Black Artists in America, From the Bicentennial to September 11” at the Dixon Gallery & Gardens, the final installment of a three-part series highlighting the impact and evolution of Black artists through 2011.

The exhibit features other artists with Memphis ties, including abstract painter James Little, who was raised in a segregated Memphis and attended Memphis Academy of Art (before it was Memphis College of Art). He later moved to New York, became a teacher and an internationally acclaimed fixture in the art world in 2022 when he was named a Whitney Biennial selected artist at the Whitney Museum of American Art in New York.

Other artists like Romare Bearden, who had a Southern experience but lived up North, were featured in all three installments.

“During this period of time, he was a major figure,” said Sharp. “He wrote one of the first books on the history of African American art during a time when there were more Black academics, art teachers, more Black everything!”

Speaking of Black educators, Sharp said the head curator behind this tri-part series and Dixon’s partner in the arts is Earnestine Jenkins, Ph.D., an art history professor at the University of Memphis, who also earned a Master of Arts degree from Memphis State University (now UofM).  “We began working with Dr. Jenkins in 2018,” he said.

Sharp explained that it takes a team of curators, registrars, counterparts at other museums, and more, about three years to assemble an exhibit like this. It came together quite seamlessly, he added. Each room conjured up more jaw-dropping “wows” than the one before it. Each piece worked with the others to tell the story of Black people and their collective experience during this time period.

One of the last artists about whom Sharp shared information was Bettye Saar, who will turn 100 years old this year. She’s been working in Los Angeles for 80 years and is finally getting her due. Her medium is collages or assemblages, and an incredible work of hers is on display. She’s married to an artist and has two daughters, also artists.

The exhibit catalogue bears some of these artists’ stories, among other scholarly information.

The exhibit, presented by the Joe Orgill Family Fund for Exhibitions, is culturally and colorfully rich. It is a must see and admission to the Dixon is free.

Visit https://www.dixon.org/ to learn more.

Fun Facts: An original James Little design lives in the flooring of the basketball court at Tom Lee Park, and he makes and mixes his own paint colors.

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Grief, Advocacy, and Education: A Counselor Reflects on Black Maternal Health

SAN DIEGO VOICE & VIEWPOINT — Last month healthcare leaders, birth workers, and community members gathered to honor the legacy of Charleston native Dr. Janell Green Smith, a nurse-midwife and doctor of nursing practice who died in January from childbirth complications. She had participated in more than 300 births and specialized in helping Black women give birth safely.  

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By Jennifer Porter Gore | Word-In-Black | San Diego Voice and Viewpoint

In 2024, the number of U.S. mothers who died as a result of pregnancy or childbirth dropped compared to 2023. But while slightly fewer Black mothers died that year, they still had three times the mortality rate of white women.

South Carolina’s rates of maternal deaths outpaced even the national rates. In fact, the state’s overall rate of maternal deaths between 2019 and 2023 was higher than all but eight states and the District of Columbia.

Last month healthcare leaders, birth workers, and community members gathered to honor the legacy of Charleston native Dr. Janell Green Smith, a nurse-midwife and doctor of nursing practice who died in January from childbirth complications. She had participated in more than 300 births and specialized in helping Black women give birth safely.

Her death shocked the community and her colleagues who are determined to address concerns about Black maternal health. The event also covered the importance of protecting mental health during grief and of men’s role in solving the maternal health crisis.

As both a therapist and a father, Lawrence Lovell, a licensed professional counselor and founder of Breakthrough Solutions, discussed ways the event’s attendees could process their grief over Green Smith’s death. He also shared ways male partners can advocate for women’s maternal health during pregnancy and childbirth.

Lovell spoke not just as a therapist but also as a father whose own family had briefly crossed paths with Green Smith. The event, he said, emerged organically from a moment of collective mourning.

Despite the grief, “it was still, like, a really beautiful event, a much-needed event, and it almost felt like we were all giving each other a collective family hug,” says Lovell.

His connection to Green Smith, Lovell says, was brief but meaningful during his wife’s pregnancy with their second child. Green Smith was practicing at the same birthing center where they had their child. She began practicing in Greenville a short time later.Even that short connection carried significance for Lovell, given the small number of Black maternal health professionals.

Lovell did not initially plan to become a mental health practitioner; he chose the career path after graduating from college, when someone suggested he consider psychology. His interest deepened when he noticed how few Black men work in mental health.

“Being Black man and playing football in college, there weren’t a lot of people that look like me talking about mental health,” says Lovell. “[I wanted] to give people that look like me an opportunity to work with someone that looks like them.”

Working with Expectant and New Parents

Lovell often counsels couples preparing for parenthood by, helping partners understand what a successful pregnancy, childbirth, and postpartum recovery look like. That often means helping women manage postpartum depression.

As a man, Lovell says, it’s “humbling” that a woman “just trusts me enough to work with me through their pregnancy or their postpartum recovery.”

In his work, Lovell has noticed how few men understand pregnancy before they experience it with their partner. Because early pregnancy symptoms are often invisible, he says, men may underestimate how much support a mom-to-be actually needs.

“Sometimes they may not realize they don’t know much about pregnancy and what to expect in those three trimesters,” Lovell says. “I tell a lot of the men that just because you can’t see [she’s pregnant] doesn’t mean that she won’t appreciate your intense support in that first trimester.”

Education about pregnancy and postpartum recovery, he says, can change how men support their partners.

Teaching Advocacy in the Delivery Room

Another major focus of Lovell’s counseling is preparing men to advocate for mothers during labor.

“Helping men understand what pregnancy looks like: what delivery is going to look like, and what are the realistic expectations that I should have of myself in postpartum,” he says.

Lovell encourages partners to be honest about their expectations for what will happen during delivery. He helps them prepare for the big day by discussing the birth plan and knowing how to quickly recognize problems. Clear communication, he says, prevents misunderstandings.

He regularly trains men to ask their partners detailed questions about their expectations during and after pregnancy. Advocacy in medical settings can be especially important and requires attention to details the mother may not be able to address.

“It’s always important to fine-tune things and truly understand what helps your partner feel most supported,” Lovell says. “Instead of guessing, you should ask.”

Lovell recalls a moment during the birth of his first child when he had to take that role.

During the delivery, “I felt like something wasn’t as sanitary as I’d like it to be,” he says. “I asked, ‘Hey, can you switch those out? Can you change your gloves?’”

Lovell has a succinct but powerful message he regularly shares with clients’ families, and he shared it with attendees at last month’s event.

“Just to believe women,” he says. “I’ve worked with different couples, and sometimes I’m not really sure that there’s enough empathy from the men.”

That includes how women express pain.

“If a woman says, ‘my pain is at a nine,’ just because how you would express yourself at a nine is different than how she’s expressing herself at [that level] doesn’t mean you shouldn’t believe her,” he says.

Empathy, he says, can change outcomes far beyond the delivery room.

“We’ve got to believe women when they’re talking about their experiences and their feelings and their pain,” he says. “I think there’s a lot that we can prevent if we empathize better.”

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Future of Florida’s Black History Museum in Limbo

JACKSONVILLE FREE PRESS — A proposal sponsored by Tom Leek, a Republican from Ormond Beach, has now passed the Senate in back-to-back legislative sessions. But the House version, filed by Kiyan Michael, a Jacksonville Republican, did not receive final approval in either year, effectively stalling the effort.

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Jacksonville Free Press

Plans to establish a long-awaited Black history museum in Florida are once again on hold after legislation needed to advance the project failed to clear the state House for a second consecutive year, despite repeated approval in the Senate.

A proposal sponsored by Tom Leek, a Republican from Ormond Beach, has now passed the Senate in back-to-back legislative sessions. But the House version, filed by Kiyan Michael, a Jacksonville Republican, did not receive final approval in either year, effectively stalling the effort.

Under Florida law, identical or similar bills must pass both chambers before heading to the governor’s desk. Without House approval, the legislation has been unable to move forward, leaving the project in limbo. Long journey, contested location.

The proposed museum, formally known as the Florida Museum of Black History, has been years in the making, with lawmakers and community leaders framing it as a long-overdue institution to preserve and showcase the state’s African American heritage .A central point of contention has been the museum’s location. St. Augustine — widely recognized as the nation’s oldest city and a site deeply tied to both slavery and early Black history — emerged as the leading contender. Supporters argue the city’s historical significance makes it a natural home for the museum. However, competing interests and regional considerations have fueled debate, slowing consensus among lawmakers.

While the Senate-backed measure has consistently advanced, the lack of alignment in the House has underscored ongoing divisions about how and where the project should take shape.

The holdup in the Florida House appears to be less about opposition to the museum itself and more about a combination of procedural bottlenecks, unresolved structural issues, and lingering disagreements over how the project should be formalized and governed.

Despite the legislative setbacks, Republican Gov. Ron DeSantis has publicly voiced support for the museum. Speaking last month during the unveiling of a statue of abolitionist Frederick Douglass in St. Augustine, DeSantis said the project would move forward “one way or another,” signaling an intent to see the museum built regardless of legislative hurdles.

The anticipated museum has already cleared several hurdles. St. Johns County signed an agreement last year with Florida Memorial University to use the land that once housed its campus last year’s legislative session netted $1 million in funding for St. Johns County to work on planning and design for the museum. However, its anticipated that a million $3 million is needed.

Still, without statutory approval to finalize key components — including governance, funding mechanisms and site selection — the project remains largely conceptual.
With the House bill failing again, the timeline for the museum’s development is unclear. Lawmakers could revisit the proposal in the next legislative session, but any further delays risk pushing the project back several more years. Advocates warn that continued inaction could stall momentum for a museum many see as critical to telling a fuller, more accurate story of Florida’s past. For now, the effort remains paused — caught between political support at the top and legislative gridlock within the Capitol.

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