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Why surgery was done 20 years ago?
When you had an imaging like X-ray or MRI done most recently?
Thanks for the details
I would suggest that you should have an MRI first of all
After MRI the extent and nature of damage can be ascertained
The decision whether you will benefit from another surgery will depend on the current status of your soft tissues
Please do let me know if you have any other question
Yes I would suggest a referral and specialist opinion