Thoracic Fusion — Complete Exercise Program

Walking Program

Short, frequent walks build endurance and confidence.

What it helps: Comfortable, frequent walking keeps the joints loose, builds your stamina, and rebuilds confidence on your feet. Little and often beats long and tiring.

1. Take short walks at a comfortable pace.
2. Increase your distance gradually as you feel able.

Tips:

• Use your assistive device as directed.

Commonly done throughout the day.

Diaphragmatic Breathing

Calms the nervous system and gently wakes up your deep core without straining the back.

What it helps: Calms the nervous system and gently engages your deep core — a relaxed, supported way to start any session.

1. Lie on your back, knees bent, one hand on your chest and one on your belly.
2. Breathe in slowly through your nose so your belly rises while your chest stays still.
3. Breathe out slowly through pursed lips, letting your belly fall.

Tips:

• Keep it relaxed — never force the breath.
• Useful any time you feel tense or sore.

Commonly done as 5–10 breaths repetitions, several times a day.

Posture Training

Trains a neutral spine for sitting, standing, and lifting safely.

What it helps: Trains a neutral, balanced spine for sitting, standing, and lifting — good posture takes strain off the back all day long.

1. Sit or stand tall, stacking ears over shoulders over hips.
2. Gently draw your shoulder blades down and back.
3. Hold a tall, relaxed neutral position; reset whenever you slouch.

Tips:

• Set reminders to check your posture during the day.
• A small lumbar roll helps when sitting.

Commonly done throughout the day.

Shoulder Blade Squeezes

Strengthens the muscles between the shoulder blades to support upright posture.

What it helps: Strengthens the muscles between the shoulder blades that hold you upright and support good posture.

1. Sit or stand tall with arms relaxed.
2. Gently squeeze your shoulder blades together and slightly down.
3. Hold briefly, then release.

Tips:

• Do not shrug your shoulders up toward your ears.
• Keep it gentle and controlled.

Commonly done as hold 3–5s sets of 10–15, a few times a day.

Gentle Shoulder Rolls

Eases stiffness around the neck and shoulders.

What it helps: Eases stiffness around the neck and shoulders, keeping the area loose and comfortable.

1. Sit or stand tall.
2. Slowly roll your shoulders up, back, and down in a smooth circle.
3. Repeat, then reverse direction.

Tips:

• Keep the motion slow and relaxed.
• Breathe as you move.

Commonly done as 10 each direction repetitions, several times a day.

Ankle Pumps

Improves circulation and helps reduce swelling.

What it helps: Keeps blood moving to reduce swelling and the risk of clots while you're less active — small, frequent, and important early on.

1. Flex your foot up, pointing your toes toward the ceiling.
2. Point your toes down, away from your body.

Tips:

• Move slowly and with control.

Commonly done as 20 repetitions, several times a day.

Glute Squeezes

Gently re-engages the buttock muscles.

What it helps: Wakes up the glutes — the big muscles that steady and support your hip. Getting them firing again is the first step toward a hip that feels stronger and carries you with less strain on the joint.

1. Lie or sit comfortably.
2. Squeeze your buttock muscles together.
3. Hold a few seconds, then relax.

Commonly done as 2-3 sets of 10, a few times a day.

Sit-to-Stand

Builds the strength and confidence to rise from a chair.

What it helps: Trains the exact strength you use to rise from a chair, a toilet, or a car. Stronger here means more independence and less of a struggle on tough days.

1. Sit at the edge of a sturdy chair.
2. Lean slightly forward and stand up.
3. Lower yourself back down with control.

Tips:

• Use your arms for support as needed.

Commonly done as 2-3 sets of 8-10, once or twice a day.

Balance Training

Ongoing balance work for steady movement.

What it helps: Sharpens your steadiness and reactions so you move with confidence and lower your risk of a fall — protecting the progress you've made.

Commonly done a few times a week.

Walking Program

Short, frequent walks build endurance and confidence.

What it helps: Comfortable, frequent walking keeps the joints loose, builds your stamina, and rebuilds confidence on your feet. Little and often beats long and tiring.

1. Take short walks at a comfortable pace.
2. Increase your distance gradually as you feel able.

Tips:

• Use your assistive device as directed.

Commonly done throughout the day.

Diaphragmatic Breathing

Calms the nervous system and gently wakes up your deep core without straining the back.

What it helps: Calms the nervous system and gently engages your deep core — a relaxed, supported way to start any session.

1. Lie on your back, knees bent, one hand on your chest and one on your belly.
2. Breathe in slowly through your nose so your belly rises while your chest stays still.
3. Breathe out slowly through pursed lips, letting your belly fall.

Tips:

• Keep it relaxed — never force the breath.
• Useful any time you feel tense or sore.

Commonly done as 5–10 breaths repetitions, several times a day.

Shoulder Blade Squeezes

Strengthens the muscles between the shoulder blades to support upright posture.

What it helps: Strengthens the muscles between the shoulder blades that hold you upright and support good posture.

1. Sit or stand tall with arms relaxed.
2. Gently squeeze your shoulder blades together and slightly down.
3. Hold briefly, then release.

Tips:

• Do not shrug your shoulders up toward your ears.
• Keep it gentle and controlled.

Commonly done as hold 3–5s sets of 10–15, a few times a day.

Posture Training

Trains a neutral spine for sitting, standing, and lifting safely.

What it helps: Trains a neutral, balanced spine for sitting, standing, and lifting — good posture takes strain off the back all day long.

1. Sit or stand tall, stacking ears over shoulders over hips.
2. Gently draw your shoulder blades down and back.
3. Hold a tall, relaxed neutral position; reset whenever you slouch.

Tips:

• Set reminders to check your posture during the day.
• A small lumbar roll helps when sitting.

Commonly done throughout the day.

Doorway Chest Stretch

Opens the chest to counter a rounded, forward posture.

What it helps: Tight chest muscles round the shoulders and push the head forward, loading the neck. Opening them up helps you sit and stand tall, taking strain off the neck.

1. Stand in a doorway with your forearms resting on the frame, elbows about shoulder height.
2. Step one foot through and let your chest ease gently forward until you feel a comfortable stretch across the front of the chest and shoulders.
3. Hold, breathing easily, then step back.

Tips:

• Keep it comfortable — you should feel a stretch, not a strain.
• Stand tall; don't let the low back arch to chase the stretch.

Commonly done as 2–3 times sets of Hold 20–30 seconds, daily.

Gentle Shoulder Rolls

Eases stiffness around the neck and shoulders.

What it helps: Eases stiffness around the neck and shoulders, keeping the area loose and comfortable.

1. Sit or stand tall.
2. Slowly roll your shoulders up, back, and down in a smooth circle.
3. Repeat, then reverse direction.

Tips:

• Keep the motion slow and relaxed.
• Breathe as you move.

Commonly done as 10 each direction repetitions, several times a day.

Core Activation

Gentle core engagement to support posture and balance while you recover.

What it helps: Switches on the deep core muscles that stabilize your pelvis and spine, giving your hips a solid platform to move from.

1. Lie or sit comfortably.
2. Gently draw your belly button toward your spine.
3. Hold a few seconds while breathing normally, then relax.

Tips:

• Avoid holding your breath.

Commonly done as 2-3 sets of 10, daily.

Glute Squeezes

Gently re-engages the buttock muscles.

What it helps: Wakes up the glutes — the big muscles that steady and support your hip. Getting them firing again is the first step toward a hip that feels stronger and carries you with less strain on the joint.

1. Lie or sit comfortably.
2. Squeeze your buttock muscles together.
3. Hold a few seconds, then relax.

Commonly done as 2-3 sets of 10, a few times a day.

Balance Training

Ongoing balance work for steady movement.

What it helps: Sharpens your steadiness and reactions so you move with confidence and lower your risk of a fall — protecting the progress you've made.

Commonly done a few times a week.

Progressive Walking Program

Keep building your walking distance and pace.

What it helps: Keep building your walking distance and pace — steady gains in endurance and confidence on your feet.

Commonly done daily.

Abdominal Bracing

Builds gentle deep-core support that protects your spine during daily movement.

What it helps: Switches on the deep core muscles that stabilize and protect your spine through everyday movement — lifting, bending, twisting.

1. Lie on your back with knees bent.
2. Gently tighten your stomach as if bracing for a light poke — do not suck in or hold your breath.
3. Hold the light tension while breathing normally, then relax.

Tips:

• Aim for about 20% effort, not a maximal squeeze.
• Brace before you roll, stand, or reach.

Commonly done as hold 5–10s sets of 10, a few times a day.

Resistance Band Rows

Strengthens the upper back to support posture and the cervical spine.

What it helps: Strengthens the upper back that supports good posture and takes strain off the neck.

1. Anchor a resistance band at chest height and hold an end in each hand.
2. Pull your elbows back, squeezing your shoulder blades together.
3. Return slowly with control.

Tips:

• Keep your neck relaxed and posture tall.
• Lead with the shoulder blades, not the neck.

Commonly done as 2 sets of 10–15, 3–4 times a week.

Upper Back Strengthening

Strengthens the mid- and upper-back muscles that hold you upright.

What it helps: Strengthens the mid- and upper-back muscles that hold you upright and support a strong, comfortable posture.

1. Perform rows, reverse flys, and scapular squeezes with a band or light weights.
2. Squeeze the shoulder blades together on each rep.
3. Control the return.

Tips:

• Avoid shrugging or straining the neck.
• Keep your posture tall throughout.

Commonly done as 2 sets of 12–15, 3 times a week.

Core Stabilization

Trains your deep core to hold a steady, protected spine.

What it helps: Strengthens the core that holds your pelvis and spine steady, so your hips move from a strong, controlled base.

1. Brace your core gently to keep your spine neutral.
2. Add a small challenge — a marching foot, an arm reach, or a dead-bug motion — without letting your back move.
3. Return and repeat.

Tips:

• The goal is a still spine, not a hard crunch.
• Stop if your back starts to move or ache.

Commonly done as 2 sets of 8–10, daily.

Standing Hip Abduction

Strengthens the muscles on the side of the hip.

What it helps: Strengthens the outer-hip muscles that hold you steady whenever you're on one leg — which is every step you take. Stronger here, steadier hip.

1. Stand holding a counter for support.
2. Lift your leg out to the side, keeping it straight.
3. Lower slowly.

Tips:

• Keep your toes pointing forward.

Commonly done as 2-3 sets of 10-15, 1-2x daily.

Balance Training

Ongoing balance work for steady movement.

What it helps: Sharpens your steadiness and reactions so you move with confidence and lower your risk of a fall — protecting the progress you've made.

Commonly done a few times a week.

Stationary Bike

Builds motion and endurance with low impact.

What it helps: Keeps the joints moving and nourished while you build endurance — all with no pounding. One of the gentlest ways to stay active when a joint is sore.

1. Set the seat so pedaling is comfortable.
2. Pedal at an easy pace.
3. Increase your time gradually.

Commonly done as directed.

Posture Training

Trains a neutral spine for sitting, standing, and lifting safely.

What it helps: Trains a neutral, balanced spine for sitting, standing, and lifting — good posture takes strain off the back all day long.

1. Sit or stand tall, stacking ears over shoulders over hips.
2. Gently draw your shoulder blades down and back.
3. Hold a tall, relaxed neutral position; reset whenever you slouch.

Tips:

• Set reminders to check your posture during the day.
• A small lumbar roll helps when sitting.

Commonly done throughout the day.

Walking Program

Short, frequent walks build endurance and confidence.

What it helps: Comfortable, frequent walking keeps the joints loose, builds your stamina, and rebuilds confidence on your feet. Little and often beats long and tiring.

1. Take short walks at a comfortable pace.
2. Increase your distance gradually as you feel able.

Tips:

• Use your assistive device as directed.

Commonly done throughout the day.

Cycling

Low-impact endurance and motion.

What it helps: Low-impact endurance that keeps the joints moving smoothly while you build fitness — easy on the body, good for the long run.

Commonly done as able.

Swimming

Low-impact, full-body conditioning.

What it helps: Full-body conditioning with the water carrying your weight, so your muscles work hard with almost no load on the joints.

Commonly done as able.

Elliptical Trainer

Low-impact cardio that is easy on the joints.

What it helps: Low-impact cardio that builds endurance and keeps the legs moving while staying easy on the joints.

Commonly done as able.

Modified Bird Dog

An early, gentle core-stability drill — one limb at a time.

What it helps: An early, gentle way to build core stability one limb at a time, training your trunk to stay steady as you move.

1. On hands and knees, brace your core to keep your spine still and level.
2. Slowly slide one arm forward OR one leg back, keeping your back from sagging or twisting.
3. Return and switch sides.

Tips:

• Move only as far as you can keep your spine perfectly still.
• Start with just the arms, or just the legs.

Commonly done as 1–2 sets of 8 each side, daily.

Shoulder Strengthening

Builds shoulder and upper-body strength to offload the neck.

What it helps: Builds the shoulder and upper-body strength that supports the neck and powers reaching, lifting, and carrying.

1. Using light weights or a band, perform shoulder raises, presses, and external rotations.
2. Move slowly with good posture.
3. Progress load gradually.

Tips:

• Keep your neck relaxed throughout.
• Stop if it strains the neck.

Commonly done as 2 sets of 10–12, 2–3 times a week.

Core Strengthening

Supports posture and overall stability.

What it helps: Builds the core that holds your trunk steady, supporting your posture, your back, and everything you do on your feet.

1. Perform gentle core exercises as directed.

Commonly done a few times a week.

Functional Strength Training

Task-based strengthening that rebuilds the movements of daily life and activity.

What it helps: Trains the real movements of daily life — lifting, carrying, squatting — with good mechanics, so everyday tasks feel easier.

1. Work through functional movements — squats, step-ups, lunges, and balance — as cleared.
2. Add resistance gradually.

Tips:

• Quality of movement first, then load.

Commonly done several times a week.

Balance Training

Ongoing balance work for steady movement.

What it helps: Sharpens your steadiness and reactions so you move with confidence and lower your risk of a fall — protecting the progress you've made.

Commonly done a few times a week.

Walking Program

Short, frequent walks build endurance and confidence.

What it helps: Comfortable, frequent walking keeps the joints loose, builds your stamina, and rebuilds confidence on your feet. Little and often beats long and tiring.

1. Take short walks at a comfortable pace.
2. Increase your distance gradually as you feel able.

Tips:

• Use your assistive device as directed.

Commonly done throughout the day.

Cycling

Low-impact endurance and motion.

What it helps: Low-impact endurance that keeps the joints moving smoothly while you build fitness — easy on the body, good for the long run.

Commonly done as able.

Swimming

Low-impact, full-body conditioning.

What it helps: Full-body conditioning with the water carrying your weight, so your muscles work hard with almost no load on the joints.

Commonly done as able.

Strength Training

Maintains and builds long-term strength.

What it helps: Builds and maintains long-term strength to keep you active, resilient, and independent.

Commonly done a few times a week.

Core Strengthening

Supports posture and overall stability.

What it helps: Builds the core that holds your trunk steady, supporting your posture, your back, and everything you do on your feet.

1. Perform gentle core exercises as directed.

Commonly done a few times a week.

Bird Dog

Builds core stability by holding a steady spine while moving opposite arm and leg.

What it helps: Builds core control and balance while your arms and legs move — a steadier trunk means a steadier hip underneath you.

1. On hands and knees, brace your core.
2. Reach one arm forward and the opposite leg back until level with your body.
3. Hold briefly, return with control, then switch sides.

Tips:

• Keep hips and shoulders square — no twisting.
• Quality over speed.

Commonly done as 2 sets of 8–10 each side, daily.

Progressive Planks

Builds whole-core endurance, progressing from easier to harder holds.

What it helps: Builds whole-core endurance from easier to harder holds — a strong core supports your spine and everything you lift and carry.

1. Start with a plank on knees and forearms, body in a straight line, core braced.
2. Hold for a comfortable time, keeping your back from sagging.
3. Progress to a full plank and longer holds as you get stronger.

Tips:

• Never let your low back sag — drop to your knees first.
• Build time gradually.

Commonly done as hold 15–45s sets of 2–3 reps, most days.

Flexibility Exercises

Maintains a comfortable range of motion.

What it helps: Keeps your joints and muscles moving through a comfortable range, so you stay supple and move with ease.

Commonly done most days.

Gradual Return to Sport

A staged return to higher-impact sport, once strength and control are ready.

What it helps: A staged return to higher-impact sport once strength and control are ready — confidence built step by step.

1. With your surgeon's clearance, rebuild sport-specific strength and conditioning first.
2. Reintroduce your sport in stages — skills, then practice, then full play.
3. Progress only as control and comfort allow.

Tips:

• Do not rush impact or twisting sports.
• Confidence and control matter as much as time.

Commonly done per your surgeon's clearance.