In April of this year, I went through a 4 level ACDF for C3-C7 (2 neck incisions) coupled with removal of many osteophytes (4.5” incision at back of neck) in a 7 hr surgery. Although I never had previous pain or decline in ROM, my surgeon indicated I was at an extremely high risk of paralysis should any type of trauma occur (car accident or fall). I was in a brace for 6 weeks 24/7, which was frankly, awful. Once the brace came off, I wished I could keep wearing it…due to extremely rigid muscles. PT started immediately and I began to loosen up and gain more ROM. The biggest issues are with my nerves and their fight to figure out how to respond to all this new space…by the way I am an inch taller now! Every day is a different story with different areas of pain, numbness and pins and needles. PT is no joke and must be taken seriously. I am off pain meds for 8 weeks now, but still taking a gentle muscle relaxer for restless legs at night. If I had the choice, I would have never gone through this fusion. I had no choice. Wheelchair bound was not an option! Patience has been very challenging, but I keep my head clear of the negativity. Also, my surgeon recommended an Orthofix Cervical STIM collar, worn 4 hrs/day for 6 mos. for spinal fusion therapy. This increases the fusion success rate for anyone at a higher risk of failure. Best wishes and get many opinions. I obtained six.