Lenghtening every week VS every day

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Hello,

What are your thoughts on the following:

lengthening 7 mm in one shot once a week, every week

VS

lengthening 1mm daily, every day

of course, lengthening daily is more comfortable for the body and for healing.
But do you have examples of people who did lengthen like this (punctually of for their whole lengthening phase)?
Do you think it could be done ? Can muscles take it? Would bone healing catch up?

Thanks,
Roger

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I'd particularly appreciate answers about this from surgeons, and from people with knowledge of muscle physiology and bone healing limits

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Quote from: Roger1300 on December 19, 2021, 11:14:36 AMHello,

What are your thoughts on the following:

lengthening 7 mm in one shot once a week, every week

VS

lengthening 1mm daily, every day


Why not 1mm every 2 days or even 0.5mm or 0.25mm per day for less pain. Case closed
of course, lengthening daily is more comfortable for the body and for healing.
But do you have examples of people who did lengthen like this (punctually of for their whole lengthening phase)?
Do you think it could be done ? Can muscles take it? Would bone healing catch up?

Thanks,
Roger

Edit Post

Quote from: Roger1300 on December 19, 2021, 11:14:36 AMHello,

What are your thoughts on the following:

lengthening 7 mm in one shot once a week, every week

VS

lengthening 1mm daily, every day

of course, lengthening daily is more comfortable for the body and for healing.
But do you have examples of people who did lengthen like this (punctually of for their whole lengthening phase)?
Do you think it could be done ? Can muscles take it? Would bone healing catch up?

Thanks,
Roger

Why not 0.25mm, 0.5mm per day for less pain and case closed

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Trying to understand if it's possible to group click as much as possible. From what I've heard the first click is always the most painful but then the following are fine. So it makes sense to group them all together and do all weekly clicks in one session.

I'm not trying to understand whether it's something you recommend, I 'm just looking to hear from experts their thoughts on the possibility of muscle and bone healing when doing so

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Quote from: Roger1300 on December 19, 2021, 11:14:36 AMHello,

What are your thoughts on the following:

lengthening 7 mm in one shot once a week, every week

VS

lengthening 1mm daily, every day

of course, lengthening daily is more comfortable for the body and for healing.
But do you have examples of people who did lengthen like this (punctually of for their whole lengthening phase)?
Do you think it could be done ? Can muscles take it? Would bone healing catch up?

Thanks,
Roger

Don't play with fire! We are not doctors!! In fact  one of the criteria for a successful LL that Ilizarov himself took from 40 years of both human real cases and also testing in animals was that the GREATER the FREQUENCY of each "click" and the LESSER its EXTENT, the best (bone consolidation, soft tissue stress and stretching, nerve safety, etc.).
Ideally this can be achieved by "coupling" a precision engine to external frames that doesn't even lenghtens in noticeable fractions, but CONTINUOUSLY.

However this is not a mathematical law. Each case may be different. If an individual presents poor consolidation, the speed of lengthening must be diminuished.

This was an observation not taking into consideration pain, only final general outcome success, but apparently has the "secondary" advantage of less pain.
And this is not only a good thing by itself, but it also favours patient compliance and allows more frequent and active physiotherapy (another key factor for LL success).

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I have heard a guy lengthened by 7mm in one shot when clicking under anesthesia ...
He only did it once though.
I'm not sure that would be sustainable to do, again and again, week after week, but who knows unless you try ?
The risks are nerve/muscle damage and bad bone healing/non-union.

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What's the benefit to this?

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Apparently, the very first click of each day is super painful, then the following clicks are fine.

So instead of having to suffer one difficult click each and every day, you group them aall in one long clicking session every 7 days so that you only have one first click per week, instead of one per day.

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Quote from: Roger1300 on December 19, 2021, 07:58:29 PMI have heard a guy lengthened by 7mm in one shot when clicking under anesthesia ...
He only did it once though.
I'm not sure that would be sustainable to do, again and again, week after week, but who knows unless you try ?
The risks are nerve/muscle damage and bad bone healing/non-union.

Please use your reasoning to avoid misinformation. Look at what 7 mm is in a ruler. It would tear apart tissues and totally disrupt nerves. That amount of lengthening at once can only be done cirurgically.