Nailing of the Tibia - Chronic Knee Pain?

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Quote from: crimsontide on April 29, 2015, 10:22:41 PMi dont think so... the discomfort for me is right in the front, right below the top bony part.

I definitely    am not the same when i kneel now... i can  kneel on a bed with no issues, but on a hard floor, its very uncomfortable. i also never experienced it before the surgery... i didnt pay much attention to it until another guy  told me how it was really uncomfortable  when he kneels  on a hard surface..

no issues walking, squatting,etc... i think its pretty much the same situation youre in now

i think that it could be due to the big tensión in the muscles for  your lengthening

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yes, might be... its not a huge issue... i just dont get on my knees much anyway

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Some mornings are hell in the knees. I feel them every time when I stand up from sitting down.

It takes a while for the knees to "wake up". They're stiff for an hour or so. Blood needs to flow down to them.
I've noticed that coffee help a little.

I can now run for an hour. Jump like 50% high as before. Jump down from 1 meter or more. I'm fast as a lightning when doing quick steps on the ground.

I do sports almost every day. I ride my bicycle, inlines and jog almost everywhere I go just bc I'm able to and enjoy it. I hated the time I was immobile. Got very depressed from it.

Yes, things are more difficult now than it was before but I can run faster than some of my students and I tried to sprint last week. It worked, it was fast and I had more to give but was afraid to push that hard.

I always feel much better after a run. It only needs to be for 15minutes at 70-80% of maximum. My record right now is around 14 minutes and 26 seconds on 3 kilometers.

It is impossible not to feel anything after having your tibia dried and then shoving a nail inside of it. Fixating it with screws all around the knee and splitting the patellar.

If you never do anything in your life maybe you feel fine and okay with the ache and after 2 years you're really used to it so you know how to behave for it to be a absolute minimum. You stand up in a certain way and sit down in a certain way. You adapt.

I wouldn't listen to lazy boring people who claim they don't feel anything.

I would rather be interested in the patient who can run fast, kick hard, move as one should and then tell you there will be aches for the rest of your life.

My feet hurts too every day. Just a little but it's there.
I still don't have full range of motion in them and wonder if any ever gotten that back fully as before?
Somehow I kind of doubt that.....

Tomorrow is running time, then hitting it hard in the gym, washing my cars, eating good food, second gym time in the evening and then 1 hour of Taekwondo.

My coach says I'm ready for competitions. My ultimate goal was to be able to compete one more time and I'm thinking of doing in after the summer.

I don't feel any pain when I'm warmed up - and blood flows everywhere.

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Quote from: Sweden on April 30, 2015, 10:05:17 PMSome mornings are hell in the knees. I feel them every time when I stand up from sitting down.

It takes a while for the knees to "wake up". They're stiff for an hour or so. Blood needs to flow down to them.
I've noticed that coffee help a little.

I can now run for an hour. Jump like 50% high as before. Jump down from 1 meter or more. I'm fast as a lightning when doing quick steps on the ground.

I do sports almost every day. I ride my bicycle, inlines and jog almost everywhere I go just bc I'm able to and enjoy it. I hated the time I was immobile. Got very depressed from it.

Yes, things are more difficult now than it was before but I can run faster than some of my students and I tried to sprint last week. It worked, it was fast and I had more to give but was afraid to push that hard.

I always feel much better after a run. It only needs to be for 15minutes at 70-80% of maximum. My record right now is around 14 minutes and 26 seconds on 3 kilometers.

It is impossible not to feel anything after having your tibia dried and then shoving a nail inside of it. Fixating it with screws all around the knee and splitting the patellar.

If you never do anything in your life maybe you feel fine and okay with the ache and after 2 years you're really used to it so you know how to behave for it to be a absolute minimum. You stand up in a certain way and sit down in a certain way. You adapt.

I wouldn't listen to lazy boring people who claim they don't feel anything.

I would rather be interested in the patient who can run fast, kick hard, move as one should and then tell you there will be aches for the rest of your life.

My feet hurts too every day. Just a little but it's there.
I still don't have full range of motion in them and wonder if any ever gotten that back fully as before?
Somehow I kind of doubt that.....

Tomorrow is running time, then hitting it hard in the gym, washing my cars, eating good food, second gym time in the evening and then 1 hour of Taekwondo.

My coach says I'm ready for competitions. My ultimate goal was to be able to compete one more time and I'm thinking of doing in after the summer.

I don't feel any pain when I'm warmed up - and blood flows everywhere.

sweden im sorry that you have all those problems.
have you think about have x legs corrected? maybe that is the origin of some problems

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It's not a problem, it's just way of life. Nobody does this and gets away unaffected.

I don't need any surgeries more than the femur lengthening I want just because.

I'm confident I can do much more than you regarding motion in my legs. Not sure I'm faster than you but I'm absolutely not slow.

But I'm just curious: How in gods name does one get the last range of motion back in the ankles? Being able to lift the feet up to 90 degrees is far from what one should be able to.

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Quote from: Sweden on April 30, 2015, 11:03:35 PMIt's not a problem, it's just way of life. Nobody does this and gets away unaffected.

I don't need any surgeries more than the femur lengthening I want just because.

I'm confident I can do much more than you regarding motion in my legs. Not sure I'm faster than you but I'm absolutely not slow.

But I'm just curious: How in gods name does one get the last range of motion back in the ankles? Being able to lift the feet up to 90 degrees is far from what one should be able to.

haha are you sure that you could ? im a profesional  MMA fighter , and im very fast ...
just kidding , i did karate for some years when i was a child but nothing more about martial arts . yeah im sure you got more motion in your legs for what i saw in your videos but as i told you time ago your kicks were like slow motion , did this improve?

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Quote from: Sweden on April 30, 2015, 11:03:35 PMBut I'm just curious: How in gods name does one get the last range of motion back in the ankles? Being able to lift the feet up to 90 degrees is far from what one should be able to.

I have 7.5 cm lengthened in my tibia. My ankle ROM is also limited, dorsiflexion is peaked at about 5 degrees, while on the other tibia it's 15-20 degrees. I've been doing some stretches like standing against the wall, but so far I can't tell I've made any progress. I'll be increaing my PT time to 8-10 hours a day to see should that be effective. And if that doesn't do it, achilles tendon release will be the only choice.

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both of you , especially sweden havent gotten back rom iun the ankles because a release is needed


ive also said this for a while about ankle movement...  pt will not work for some people.
and yes, i have my ankle motion back, and have had it back for a while

its obvious sweden has needed a surgical release for a while, but at this point, might be best to just accept it.. it'll never be normal without surgical intervention..

 hard to   tell what's the source of the  knee problems when there are a few possibilities... x legs will wreak havoc on the knees, and he's had them years

don't think every dr splits the patellar. i would not want mine split

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Quote from: KrP1 on April 29, 2015, 04:07:54 PMHowever, one of the most common problems associated with tibial primarily, and retrograde femoral nailing secondarily, is chronic anterior knee pain.15,43,45–51 This can be an important handicap for the patient, affecting his employment and daily or leisure activities. Its incidence has been reported to be as high as 86%.52 It may be present even in patients who have an intact knee as with antegrade femoral nailing.7,15,30,43,44,51,53,54 Its aetiology is unclear, but a multifactorial origin has been suggested.

so even if you do LON or LATN in femurs , you could have knee pain?

Quote from: crimsontide on April 29, 2015, 07:59:42 PMi cant think of 1 person thats been affected by knee pain so much that it  alters their daily routine

frst off,  every single patient that went to china   had/has nailing done... if you do internals, you have nailing done, a large number of those that went to india, etc

there's people on this board that had nailing done.... doesnt seem to really affect them...

rozbruch and paley both said it happens rarely or never with them

 i doubt everyone is lying

Knee pain affects my daily routine. When I have knee pain, I limpg. Pain is sometimes unbearable.