Quote from: crimsontide on August 02, 2014, 08:51:55 PMwannabe... i did not state he does them on every patient...
read what i wrote,. "if its not beneficial... why do the top drs do it routinely even for prevention... before any issues arise?
The proper treatment would to be test beforehand to determine if tendon, etc is too tight, and perform the surgery beforehand... again, drs like paley do exactly this
again... patients determined to have a tight tendon, get a release.... before any issues arise... everything quoted supports what i said... again, tell me what is wrong with what i said? You do not even attempt to reply to that fact....that they are tested, and if found to have a tight tendon, get a release surgery before any ballerina, not after major ballerina, not after a little, but even before any ballerina... why??? as a preventive measure... that is simply a fact
you made this statement
"Every patient that does 8 cm needs it according to them, but we know even that isnt true since Rgkey managed 9 cm with pt instead. However just because releases help if you do very high ammounts of lengthening does not mean they are beneficial, it means they are necessary because you already damaged the legs by lengthening over the safe limit, and the preemtive release will damage the tendon further but allow you to get movement back faster, and it also means you will avoid having to do more complex and expensive surgery to fix it afterwards if you already got ballerina."
again, you are avoiding what paley actually says.... that if he determines their tendon to be tight, he will do a release.... he specifically says this... if the achilles is too tight, he will do a release... .. he says it is required if the test determines the tendon is tight
you also are not properly reading what he says.., the numbers,etc, he gives that you quote are for femur lengthening, not tibia
if you want to reply, you can reply in my thread if you like, as i don't wanna take over this thread
Replying here since it got off topic
Wrong again crimson, I did read what you wrote and it was inaccurate. Specificially when you say tendon release is beneficial, but its not. Tendon release is best avoided but some patients require it. You might not have had required it though if you lengthened slower or used footholders. Most cases of ballerina can be solved through PT.
I dont see how anybody reading that faq can get the idea that tendon releases are something good. Its only for some patients that they are needed but that simply means those specific patients are not able to lengthen as much without damaging their body more, and thus not recovering as well as those who dont need it.
Since they mention that the surgery required afterwards if you already got ballerina feet is worse and more complex, that is the only reason they do it preemtively if they suspect the patients will develop ballerina, but its still not a good thing for the body.
and while those specific numbers was for femur, it irrelevant, as mentioned, if the achilles tendon is to tight before the surgery, that simply means your body is not able to lengthen as much without weakening it more with a release.
"If these structures are tight before surgery and not prophylactically lengthened then muscle/joint contractures that require later more expensive surgery are required (in the lay literature these are referred to as duck ass deformity for tight iliotibial band and fascia lata, and ballerina feet for tight Achilles tendon). Prophylactic anterior compartment release is often done at the time of tibial lengthening. There is no additional charge for this procedure. This is done to prevent compartment syndrome."
This quote from Paley is basically saying that the only reason they do it from the beginning with some patients is to prevent them from having to do an even worse surgery afterwards if you develop severe ballerina. Again nothing here suggests it being a beneficial thing, at least not for your case as you already have ballerina.
Tendon release is NOT beneficial if you're looking for more in life than just walking.
My problems come mostly from not standing while lengthening and not from either x-legs nor fibula fixation. The physio we had in India sucked so bad that it was totally unnecessary.
I am much better recovered now and run every other day for 4-5km. Mostly it's my poor stamina that's preventing me from going further right now.
My x-legs are improving and also ROM in my ankles.
If I would have done a tendon release surgery I could forget about ever running without aches again - ever.
It would also weaken the tendon permanently.
Don't do this release surgery. At least try hard with physio at least for 2 years until you even consider it.
The body can adapt - I'm the living proof of just that!!
Quote from: Sweden on August 02, 2014, 10:59:45 PMTendon release is NOT beneficial if you're looking for more in life than just walking.
My problems come mostly from not standing while lengthening and not from either x-legs nor fibula fixation. The physio we had in India sucked so bad that it was totally unnecessary.
I am much better recovered now and run every other day for 4-5km. Mostly it's my poor stamina that's preventing me from going further right now.
My x-legs are improving and also ROM in my ankles.
If I would have done a tendon release surgery I could forget about ever running without aches again - ever.
It would also weaken the tendon permanently.
Don't do this release surgery. At least try hard with physio at least for 2 years until you even consider it.
The body can adapt - I'm the living proof of just that!!
thanks for the clarification, also i couldnt agree more with your points here, well said.
Sweden, your residual ballerina foot definitely isn't caused by lack of fibula fixation, but lack of PT and standing while lengthening, as you said.
However, your x-legs and ankle pain are classic symptoms of fibula migration or fibula deformity caused directly by the lack of fibula fixation in your case.
I hate to be harsh, but it genuinely seems to me as though this is the cause of your problems.
Quote from: Tall on August 03, 2014, 04:54:51 AMSweden, your residual ballerina foot definitely isn't caused by lack of fibula fixation, but lack of PT and standing while lengthening, as you said.
However, your x-legs and ankle pain are classic symptoms of fibula migration or fibula deformity caused directly by the lack of fibula fixation in your case.
I hate to be harsh, but it genuinely seems to me as though this is the cause of your problems.
I have asked about this several times to various doctors - they can't see anything wrong with my bones. Including Dr Jamal in Ukraine.
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