Installing height- Programdude's Precice 2 Internal femurs with Dr. Paley

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Most people who do femurs will get duckass. I just don't see any way around it. Dr. G told me once you start getting to high lengthening amounts (7cm and up), it can take up to a year to completely go away. I'm almost 8 months post-op, and while I feel great (just came back from gym, did a killer glutes workout), I still have some duckass. Much better than what it was, but it's still there for sure.

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What is duckass? I keep seeing this word on this forum but I don't understand what it means. I've only lengthened 13mm but as far as I can tell there's nothing seriously wrong with my posture.

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Quote from: mb53 on August 03, 2015, 11:54:42 PMWhat is duckass? I keep seeing this word on this forum but I don't understand what it means. I've only lengthened 13mm but as far as I can tell there's nothing seriously wrong with my posture.

Duckass is the layman's term for lordosis. You can google it. Basically, it is caused by a combination of super tight hip flexors (due to the lengthening of femurs), weak glutes (from not using them while lengthening), and to a lesser extent, weak abs.

It basically looks like you're sticking your ass out like a Kartrashian.

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Quote from: programdude on August 03, 2015, 08:28:20 PMHey sweatpants, good seeing you here.

To give you an idea, even though I was told I'd need my crutches, I was able to walk out of recovery, and stand up to get dressed and use the bathroom etc. right away. I even could walk up and down stairs of the house I stayed at, and was able to drive home at around 4 am the morning after my evening surgery. In other words: nothing how you felt after your initial surgery.

You will get some duck ass just right after since you be too sore in the hips to straighten, but this will go away. The days right after pain when walking and moving is around a 5, and when stationary, almost painless. My back did get seriously tight to the point of being painful and is still somewhat tight even after deep massages, but thats probably not overly common and is probably just because I was mostly stationary a few days.

Now, about a week and a half later, there is still soreness but I don't need pain killers and I walked around almost all of saturday normally.

No x rays post op, and in the days after I was using about 4 of the percocets per day.

Thanks PD for the answer, it helps a lot

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This is a part of the email dr Paley sent me:


Finally, if it has any effect on spine it is to lessen lordosis not increase it. The increase you may read about called ‘duckass’ is due to contracture of the TFL (iliotibial band) which we routinely lengthen.


-did he does iliotibial release on you?

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IT band? Yes, but that is by the knees... not the hip area which is where the duck ass seems to radiate from...

I can speak only from personal experience as a patient, Paley is obviously more qualified, though I found him and his team to really underplay the intensity of a lot of this process- Whether it is to drive sales or genuine lack of understanding of what a patient goes through I won't speculate on.

I will keep people posted with how my duckass is once my hips are no longer sore, though its already basically back to where it was before removal.

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Quote from: YellowSpike on August 03, 2015, 11:56:12 PMDuckass is the layman's term for lordosis. You can google it. Basically, it is caused by a combination of super tight hip flexors (due to the lengthening of femurs), weak glutes (from not using them while lengthening), and to a lesser extent, weak abs.

It basically looks like you're sticking your ass out like a Kartrashian.

  Now that I look in a mirror this may be developing...

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It is very normal and I haven't heard of anyone not getting it.

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I stayed up till nearly 3 am to try and read this entire diary but couldn't keep my eyes open. Just finished now in the morning as the last 5-6 pages are a quicker read lol. Thank you PD for doing this. It's given me (and others) a lot more confidence and assurance about doing LL. As a very short man of only 5-2.25 (158-159 cm), I was afraid that only doing 5-6.5 centimeters on both femurs and tibias meant a double surgery would only result in being like 5-6 or 5-7. Meaning I'd still be short. But reading your journal I can see that getting 3 inches/8 cm from the internal nail shouldn't be a problem. Being man who's been into bodybuilding for 17 years (I'm 31, started working out when I was 14), I feel confident that the post-op PT would be a breeze for me, as I also enjoy the challenge of pushing myself to the limit.

So who knows, maybe if I ever get the cash someday, I'll go for 8cm on the femur, and like 7-8 cm on the tibia, and I can result with being like 5-8 or 5-8.5. Sure I'd still be short in many people's eyes, but at least I wouldn't be "technically" short in the most general of terms.

Thanks again!!

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No problem! Between the pain killers and lack of sleep some parts of the diary are definitely embarrassing but I'm glad I did it and like to think its a thorough idea of what to expect from this process.

Still haven't read back over the thread, but I am sure it will be interesting to say the least.

Sometimes I look back and honestly don't know how I did this all. There are so many components to it all, and thats not even accounting for the crazy amount of money or fear one could have, neither of which were an issue for me fortunately(the former was still hard to swallow). To have gone from short, to almost bed ridden, to a gimp, and now just simply tall to the untrained eye is wild. And the funniest thing is that if you do it well and discretely, pretty much no one will know what you've been through. I look forward to being 100% once the trauma from the legs goes away. I've definitely considered writing a book/starting a resource website since I remember how overwhelmed and lost I felt going into this, and know having a friend or guide would have made it all easier.