I'm glad the clicks seem to be getting slightly easier!
Does the nurse visit your hotel twice a day? That seems like a lot of travel for them, but a great deal if that's included in the package!
How many days a week will you attend PT?
I'm glad too although I'm still pretty anxious before a clicking session. Grant you is only the second day.
Yes the nurse came twice yesterday.. and today and I believe for a while. It's a great service and I appreciated that highly. I would procrastinate if they didn't come.
The idea though is that on average people should be able to get the clicks by themselves in about a week or 2 and at that pint they'll stop coming everyday (or at all) and move on to repeat this type of assistance with other newer patients.
From what we spoke yesterday it really varies from person to person. As we read here, some people seem to have absolutely no problems clicking whilst some others find it harder.
At the moment I feel confident that I can go through a session, but not by myself yet. Hopefully that'll change.
Also, this morning (after the first 15 clicks yesterday) I woke up with proper "tightness" on the quads and glutes. Not pain like in the previous days, but tightness. I like this as it is a more bearable discomfort than the sharp pain I used to feel.
Again, fingers 🤞
Quick update at the end of day 7 post op and second day of clicking.
Big achievement. I managed the evening clicks all by myself.
Nurse was with me in the hotel room, but I managed to click both legs by myself in about 5 minutes each. I know that this might change going forward but for the moment I wanna take it one day at a time, so...
I'm celebrating with a couple of beers tonight.
From Friday the "inflammation" week will begin where the regime of clicks will go up to 21 per day and when I'll be taking voltaren to fight it off. Hopefully it'll all go smoothly.
Well done on getting the clicks alone! Have you been able to maintain that since Day 2?
I'm surprised you're having drinks already 
::)Yes, i managed to do them all.
I had a bit of an episode on day 3 at night where after the clicks I got a very swollen quad which was quite painful but with a bit of ice it sort of resolved itself. Although it is still a bit tight.
I am now on clicking day 5 and 10 days after op. I'm officially into the inflammation period so since yesterday I started taking voltaren and upped the number of clicks to 21 per day (11 in the morning and 10 at night).
Today is the very first day where I asked the nurse not to come for the clicks because I felt I could do them.
I did manage to do them this morning and I hope it'll be the same this evening. I'll see if I can manage to take a video of l how I do it. I use 2 different techniques for the pest and the right leg.
Anyway, I'll keep you posted if anything notable happens.
And last the session at PT are so useful. Yesterday I went there with my right leg tight and I got out feeling really good.
Quote from: OzBoy39 on September 03, 2022, 09:04:20 AM ::)Yes, i managed to do them all.
I had a bit of an episode on day 3 at night where after the clicks I got a very swollen quad which was quite painful but with a bit of ice it sort of resolved itself. Although it is still a bit tight.
I am now on clicking day 5 and 10 days after op. I'm officially into the inflammation period so since yesterday I started taking voltaren and upped the number of clicks to 21 per day (11 in the morning and 10 at night).
Today is the very first day where I asked the nurse not to come for the clicks because I felt I could do them.
I did manage to do them this morning and I hope it'll be the same this evening. I'll see if I can manage to take a video of l how I do it. I use 2 different techniques for the pest and the right leg.
Anyway, I'll keep you posted if anything notable happens.
And last the session at PT are so useful. Yesterday I went there with my right leg tight and I got out feeling really good.
Hi OzBoy,
I hope you're doing well!
As far as I understand, the G-Nail is a weight-bearing nail, so why do you need a walker? Where is the weight bearing here?
What is the difference between this method and Precice 2.2 for the process and the recovery?
Are you able to walk without any assistance?
Can you tell me how you feel if you try walking without assistance?
What is your method for conveying the day-to-day?
Are you satisfied with your choice of G-Nail?
Would you choose the G-Nail or Precice 2.2 if I could take you back in time?
Please excuse the number of questions; I'm really interested!
My sincere thanks go out to you for your assistance.
Hi Infinite,
No problems at all. You asked lots of good questions that also I didn't understand before taking the surgery.
I think there's a number of videos online about gnail and stryde that try to portray the picture of patients "walking" unaided from day 0.
That is not the way it is. Or at least it wasn't for me.
Specifically, the G-nail is definitely weight bearing. I have the 11mm one (the small one) implanted and that can withstand up to 75 Kg per leg when fully extended (at it's weakest). I am 62Kgs bodyweight so... Yeah it is fully weight bearing.
What is NOT fully weight bearing (not even partially or even just a little bit) are my leg muscles after the surgery.
What I didn't realise before the surgery is that your legs are pretty much immobile (or very close to) after you wake up from Anesthesia.
And from what I have heard from other patients and from the nurses (I'm still at 11 days post surgery), it takes around 3 weeks for enough strength and flex to come back to your legs and allow them to "step" properly and somewhat safely. (And for the swelling to go down).
So, the only thing I was able to do at day 0 or day 1 after surgery was to hold my legs straight.
(Even today at day 11 post op, even though now I can help stand up by pushing a little bit of weight through my legs, there is no way I would be able to hold my body weight if I flex the knee by more than 15 or 20degrees... Meaning from fully extended, if I bend them little bit, I would collapse right away).
With a device like the Walker, you can "hop" with both legs straight and move around like that. Easily? Well, it depends on your upper body strength. I find it easy, but slow. Other patient (especially females who don't hold much strength with their arms, find it harder).
I do not understand even now how people (if any), manage to use crutches from day 1. I wouldn't be able to. Not because the G-nail, but because crutches require you to do steps, do a little knee bending, and have balance. I had NONE of those during the first days.
Was that a problem? Not really for me because I even had less general energy after surgery so once I did 5 or 6 trips to the toilette, get out of the room to say hello to other people and a few back and forth within the room, i was pretty much exhausted.
Said that though, I was independent and mobile from day 1. Yes with the Walker (and wheelchair for longer distances) but I was.
Precise patients do not get to this level of mobility until their consolidation period.
Then, from what I understood from the doctor and nurses, at week 3 post op, I should have regained enough strength and control of my legs that we can safely re introduce steps and therefore walking with crutches.
I honestly feel I could do it even now, and in fact I do take little steps to maneuver around the room and also tried the crutches myself, but I'll be patient.
I can also tell you that, in the last few days l, I've gone to PT by myself (no nurse or assistance at all). So, with the Walker I went downstairs, hopped in and out of a taxi, reached the PT place and walked in myself.
Once in there, I could independently move in and out of the various stations without any assistance at all, whilst my friends with precice they all need to be either lifted into place or they can just stand still and stationary until someone bring them a wheelchair.
For them (especially for the bigger dudes) this will be the case for the next 3 or 4 months. Let that sink in. Wheelchair bound for that much time with the risk of bending the nail at each "missteps" you take.. I wouldn't be able to do that. Kudos to the ones that go through it, but also think about the consequences to your muscles and time to recovery.
Again, in this regard, yesterday afternoon I grabbed the Walker and went to the gym, did a good one hour between cycling and weights and felt really good. All by myself, indipendent. I chatted with people and felt good overall. And it'll hopefully go downhill from here.
And so, with the G-nail, in another 10 days or so, I should reach the next milestone which is making steps and using crutches and at that point life goes almost back to normal .... will start visiting Athens, will plan trips to the Greek islands and more.
So, is G-nail all good and great?NO, hell no. I hate the clicking. The thought of having to do this twice a day makes me cringe. Why?
Because the process and the movement required is awful.
In details, it doesn't hurt. The clicks don't hurt (unless you consolidate prematurely), but the process of having to warm up on the bike, stretch, find your position each leg, find the "first" click and repeat twice a day for months is tiring.
What makes it so (especially now) is that I am also sore on top of that... My legs are sore. Every day I do something more than usual, a little more exercise or movement in general, I get sore and twisting your leg while sore isn't the most pleasurable sensation. Not painful again, but definitely annoying.
In conclusion, me personally Im happy with the G-nail so far and would never go precice and be wheelchair bound for months. Hopefully some company brings back some sort of Stryde derivative in the future so to remove the clicking aspect from the nail and that would be bingo.
Feel free to DM me of you want. We might do a video call or something along those lines to show you how it is.
Quote from: OzBoy39 on September 04, 2022, 03:45:41 AMHi Infinite,
No problems at all. You asked lots of good questions that also I didn't understand before taking the surgery.
I think there's a number of videos online about gnail and stryde that try to portray the picture of patients "walking" unaided from day 0.
That is not the way it is. Or at least it wasn't for me.
Specifically, the G-nail is definitely weight bearing. I have the 11mm one (the small one) implanted and that can withstand up to 75 Kg per leg when fully extended (at it's weakest). I am 62Kgs bodyweight so... Yeah it is fully weight bearing.
What is NOT fully weight bearing (not even partially or even just a little bit) are my leg muscles after the surgery.
What I didn't realise before the surgery is that your legs are pretty much immobile (or very close to) after you wake up from Anesthesia.
And from what I have heard from other patients and from the nurses (I'm still at 11 days post surgery), it takes around 3 weeks for enough strength and flex to come back to your legs and allow them to "step" properly and somewhat safely. (And for the swelling to go down).
So, the only thing I was able to do at day 0 or day 1 after surgery was to hold my legs straight.
(Even today at day 11 post op, even though now I can help stand up by pushing a little bit of weight through my legs, there is no way I would be able to hold my body weight if I flex the knee by more than 15 or 20degrees... Meaning from fully extended, if I bend them little bit, I would collapse right away).
With a device like the Walker, you can "hop" with both legs straight and move around like that. Easily? Well, it depends on your upper body strength. I find it easy, but slow. Other patient (especially females who don't hold much strength with their arms, find it harder).
I do not understand even now how people (if any), manage to use crutches from day 1. I wouldn't be able to. Not because the G-nail, but because crutches require you to do steps, do a little knee bending, and have balance. I had NONE of those during the first days.
Was that a problem? Not really for me because I even had less general energy after surgery so once I did 5 or 6 trips to the toilette, get out of the room to say hello to other people and a few back and forth within the room, i was pretty much exhausted.
Said that though, I was independent and mobile from day 1. Yes with the Walker (and wheelchair for longer distances) but I was.
Precise patients do not get to this level of mobility until their consolidation period.
Then, from what I understood from the doctor and nurses, at week 3 post op, I should have regained enough strength and control of my legs that we can safely re introduce steps and therefore walking with crutches.
I honestly feel I could do it even now, and in fact I do take little steps to maneuver around the room and also tried the crutches myself, but I'll be patient.
I can also tell you that, in the last few days l, I've gone to PT by myself (no nurse or assistance at all). So, with the Walker I went downstairs, hopped in and out of a taxi, reached the PT place and walked in myself.
Once in there, I could independently move in and out of the various stations without any assistance at all, whilst my friends with precice they all need to be either lifted into place or they can just stand still and stationary until someone bring them a wheelchair.
For them (especially for the bigger dudes) this will be the case for the next 3 or 4 months. Let that sink in. Wheelchair bound for that much time with the risk of bending the nail at each "missteps" you take.. I wouldn't be able to do that. Kudos to the ones that go through it, but also think about the consequences to your muscles and time to recovery.
Again, in this regard, yesterday afternoon I grabbed the Walker and went to the gym, did a good one hour between cycling and weights and felt really good. All by myself, indipendent. I chatted with people and felt good overall. And it'll hopefully go downhill from here.
And so, with the G-nail, in another 10 days or so, I should reach the next milestone which is making steps and using crutches and at that point life goes almost back to normal .... will start visiting Athens, will plan trips to the Greek islands and more.
So, is G-nail all good and great?NO, hell no. I hate the clicking. The thought of having to do this twice a day makes me cringe. Why?
Because the process and the movement required is awful.
In details, it doesn't hurt. The clicks don't hurt (unless you consolidate prematurely), but the process of having to warm up on the bike, stretch, find your position each leg, find the "first" click and repeat twice a day for months is tiring.
What makes it so (especially now) is that I am also sore on top of that... My legs are sore. Every day I do something more than usual, a little more exercise or movement in general, I get sore and twisting your leg while sore isn't the most pleasurable sensation. Not painful again, but definitely annoying.
In conclusion, me personally Im happy with the G-nail so far and would never go precice and be wheelchair bound for months. Hopefully some company brings back some sort of Stryde derivative in the future so to remove the clicking aspect from the nail and that would be bingo.
Feel free to DM me of you want. We might do a video call or something along those lines to show you how it is.
Hi OzBoy,
Thank you very much for your detailed response.
My heartfelt thanks go out to you.
I've sent you a private message.
Stay strong!
Hey OzBoy39, how is your progress going?
Do you go out to do groceries or get them delivered? Also, do you take taxi to the PT place each day? How much does it cost each way?
Thanks again!
Hi Thankscience,
Progress is great I believe. I should have reached around 21 or 22m. Next Monday it will be my first X-ray after the surgery and first follow up with the Doc.
I get groceries delivered through the app Wolt and yes I do take taxis to and from PT.
From Novotel it's about 7 or 8 euro to go and another 7 or 8 to come back. So it's about 15 Euro per day in taxi fees.
From the Montana and Hyatt I heard it is about double so about 30 euro.
In this regard, yesterday with the nurse we spoke with Novotel and I believe they got a very good deal with them so Giotikas will be most likely recommending Novotel too as an option.
I'll upload a few posts now with videos of me clicking
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