Converting pdf to word generates image

I'm using Acrobat XI trial on Windows 7, Office 2010
I converted an old pdf (that looks as if it was scanned from the original book) by using Tools-->Export File to--> Microft Word document (I noticed the Edit-->Preferences-->convert from pdf to word shows "Run OCR if needed: TRUE")
I expected an editable Word document, but the text appears as an image in Word 2010 (page is outlined with dotted blue line; right-clicking shows options for picture formatting; clicking anywhere on the page does not allow editing individual words).
Any ideas on getting the text image into Word for editing?  Some of the words look quite "degraded" so I understand that any OCR process will not be perfect; I'm just looking for a way to get this book in Word without having to OCR each page, one at a time.
Thanks for any help/ideas!

OCR the original using ClearScan. That replaces the images with text. Then save as a DOC file.

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