• Michael, have you any experience of working with people who have spinal fusions? I have a fusion from T1-L4 so only have one vertebra left to move with, and I really need to take good care of the remaining discs I have left.

    I thought I miss-read your levels for a moment. Spinal fusions are fairly rare due to the longer-term changes which occur at surrounding levels. If you are still cycling then you are doing well. You are correct in wishing to protect your L45, L5S1 levels and Physiotherapy would be useful to mobilise these levels if stiff but also to imrove your core stability to obtimise dynamic support of the non-fused levels. Hydrotherapy is another useful intervention if pain levels are high.

    Feel free to PM if you have personal or specific queries.

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