definitely enjoy your natural hair colour while you have it. I dyed my hair wild colours for most of my teens and 20s, and went great quite young. I now pay to get my hair looking it's natural colour! Although, currently I am sporting a very dark/almost black colour, goes well with the hair style.
The space between the vertebrae is not too narrow when standing, when bending it is reduced, but pain clinic says that the disc is so degenerated that in time the space will reduce, and likely does to some extent more than the others by the end of the day. It seems that the end plate damage causes the disc to disintegrate, especially if the end plate is no longer attached to the disc, as the disc gets it nutrition from osmosis from the bone marrow/end plates. It does seem that the two go hand in hand, and if there is a problem with the end plates, the disc is more likely to prolapse and to degenerate more quickly, which it seems is what is happening here. However, end plate damage can occur due to trauma, infection, injury or as a result of surgery. I am aware there was some endplate damage before surgery, so it is highly likely that it is linked to the injury to my spine a few years ago. I suspect that started the process of degeneration.
I agree that fusion seems like an option that could work. Which is why I want to go to London for my second opinion. My local hospital, which does have a dedicated neurosurgical 'centre' apparently, has quite strong views against using spinal fusion for anything other than emergency/no choice situations (i.e. serious injury etc) and, as such I am fully aware their funding is limited for fusions that are for anything that may be seen as not completely necessary, and the surgeon considers this to be out of that realm of 'urgent' need as they only have such a small budget. The NHNN in London is a neurosurgical specialist area, and as such I think that their funding will be higher for fusion in cases that are not necessarily clear cut. I think that my best interests as a patient, that the right treatment will be offered, not based on financial limitations, as their hospital is a lead in the best treatment. I think I do understand that there are a few issues leading to my back and leg pain, and I said to the pain clinic I no longer expect a magical cure, I no longer expect to pain free any more, and accept that I will never be as I was, and if spinal fusion was to improve my pain by 50% it would be worth it, but possibly not worth the risks if the improvement is less than that.
RE tramadol I first had the flu feeling before I took tramadol, and before I took codeine regularly, although it was more specific times, specific peaks of it, which would be - flu symptoms, headache/migraine type headache, nausea and vomiting, sudden increased back pain and inability to walk. Now it's more gradual, some flu symptoms, last longer, less intense, with some peaks, but there more of the time. I did wonder if opiates made it worse, but I am unsure that is the case. I may well be wrong.