This is for any one that is interested in a post ADR update. I am 4 months post-op from having a Prestige Cervical ADR. A quick update; I had ACDF at 2 levels in 1997 and in Sept. '08 we did the ADR at the level below the previous fusion. Anyway, things are going well. I have done things that I probably shouldn't have such as shovel 10 inches of snow and also lifting 200lb machines at work. The good news is that I have not had 1 bit of pain from doing this. The cons to this is that I have some minor pain, and I mean minor, in the mornings after sleeping and also when I stretch. The initial stretch isn't the problem as much as the relaxation after the stretch. The pain itself lingers for a few seconds and then is gone. I am very happy with my decision to go through with the ADR. I don't know what 10 years will bring me but for now I'm happy.