Hi,I have currently been seeing a client who is 16 months post compression fracture of T11,T12,L1. She is 19yrs old, former sprint champion wanting to return to physical activity as she is de-conditioned. She fractured her spine after jumping off a 16m high cliff into water and landed awkwardly on her side. Her # was treated conservatively however no brace was used. She has been to see numerous physios before and I think she may be a little non-compliant with her exercises as she feels they do not do anything. She is still currently experiencing some back pain. I am hoping it is not a chronic type pain but still caused due to structural issues. Do you think this is possible? Should I refer for an X-ray or MRI to check healing and structure?I have done numerous amounts of research but cannot find anything specific with regards to treating someone with compression fracture let alone someone who is 16 months post. I am thinking I will focus on building TA/mult strength and progress to bird-dog, pilates exercises and sling strengthening (post-long, post oblique, ant oblique slings), followed by gym type exercises (following the principles of Paul Wrights Better Back Program. Also I will include some cardiovascular exercise, I'm thinking Bike or cross-trainer. Then if she handles that well I will let her gradually introduce jogging into her exercise program. Do you think this is a suitable rehab program, am I missing something critical?Any guidance or suggestion on what the best method of treatment is for someone like this would be very much appreciated. She is motivated to return to full function and get back into shape.Thank you

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