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Posted on Jun 18, 2026, 8:29 pm
#21
Sorry there was misunderstanding from my side regarding the helper's price. The helper is 20 US dollars per day and not Euros.
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Posted on Jun 18, 2026, 8:29 pm
#22
Day 4 Update:

Nothing really earthshaking.

Dr. Jamal came by today with some water resistance wound plasters. He took all the old plasters off and put the new water proof plasters on. He told me that I can easily go to shower now.

When he left I had a 10 minutes shower under the warm water. That gave me alot of energy. I massaged my leg with the water. It felt really refreshing.

So right now, I am walking quicker inside the apartment. My muscles are getting stronger. I do basically everything by myself without help.

Even when the helper wants to pick up my glass or trash, I prefer to walk to the kitchen by myself to do it. I want to keep my right leg muscles as much lean and strong as possible, before we begin with the left leg.

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Posted on Jun 18, 2026, 8:29 pm
#23
Hi Body Builder

For the price. It is what it is. Nothing to do about it.

Regarding the nails topic. It is a very interesting topic you are bringing up because it was occupying my mind for several months.

I have read alot about Albizzia, Precise II and Bilskunov.

I am no expert, but what I understood is that the Bilsknuov nail is closer to natural healing in a natural way than Albizzia, because with Albizzia you need to do rotation on the bone itself. They cut the bone in the middle and you rotate the bone. As far as I read, cutting the bone in the middle is not recommended among bones professionals. I also understood that it hurts the patient during the clicking.

With the Bilskunov nail they cut the upper part of the bone which is richer in vessels than the middle of the bone. As I read it is preferred by professional bone doctors to work on the ends of the bone and not the middle. The upper bone will be fixed and not rotated like in Albizzia. For the rotation, yes you need to click like in Albizzia. But the difference is you rotate the whole leg and not the bone itself, which shouldn't give any pain during clicking.

One of the things that triggered me regarding the Russian school is Bilsknov was the first to invent the internal lengthening and Dr. Jamal was schooled by him. So he comes from the same Russian internal limb lengthening philosophy.

Regarding Precise II. I am hearing good things about it, and famous doctors like Dr. Paley uses it. It sounds like a very good option. But you can't do full weight bearing and you can lengthen up to 8 cm as a max.

With Bilskunov nail you can lengthen the bone up to 18 cm (not that it is recommended) with full weight bearing and you can also do reverse lengthening if the you regret lengthening too much or wish to have the bone shorter during the treatment due to unbearable muscles pains etc. By reverse lengthening the muscles will be relieved if you exceed your limits too much. As I understand neither Alibizzia or Precise II can do this reverse lengthening.

Again, I am no expert but I have been reading about the different nails before I decided to go with the "old-school Russian path" :)

What I also found interesting talking to Dr. Jamal was the Stem Cell treatment that he can do at the end of the LL. As I understood it will shorten your recovery time by half.

Dr. Jamal took some stem cells from my right leg and told me that he will grow them in the laboratory in case I decided to go with this treatment. It is an option, but I am strongly considering it :)
Precise can do reverse lemgthening. And yes it was not fully weight bearing but its last generation (stryde) is.
And of course it has exceptional precision and easy magnetic lengthening.

So it is easily and by far the best nail out there. But the most expensive too.
However, Bliskunov seems superior to the obsolete albizzia crap that Guichet uses and better than fitbone in terms of reliability and weight bearing capabilities but still the money are too much for an old nail in Kiev.
But I hope that Nemer proves capable and anything goes well for you.

Keep strong!
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Posted on Jun 18, 2026, 8:29 pm
#24
Hello Body Builder

Thank you for the nice wishes.

Yeah, again Precise II is a great nail. It has its strength and weaknesses. I have no idea about the new version of Precise nail, so I can't comment much about something that I don't know. It is most likely out of my budget and I would probably be able to cover both leg segments for the price of that new nail.


Anyhow, I would like to ask you something if you don't mind. You keep mentioning your concern about the cost since it is in Kiev.

Taking into consideration the full amount of treatment (the full package):

1) Internal nail for femur with painless clicking incl. all X Rays, medicines, etc.
2) 8+ cm in length
3) Full weight bearing after 12 hours of operation
4) 3 months apartment expenses incl. food & Helper 24/7 for 1 month then twice a week for 2 months (ca. 1500 dollars for 3 months in total)
5) 1 month physio therapy & Massage which can be extended if needed
6) Stem Cell treatment for shorter recovery
7) All complication treatments or surgeries are included
8 ) Fewer scars than most treatments out there
9) Doctor checking your condition twice a day

Total cost will be less than 50k dollars.

If you scan the market as of today, where would you get a better alternative economically wise for the same service?
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Posted on Jun 18, 2026, 8:29 pm
#25
I wish you the best too. You deserve a good experience man.
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Posted on Jun 18, 2026, 8:29 pm
#26
Hello life

Thank you very much for the good wishes.  Anyone who takes this route deserves the best of luck.
I sincerely wish everyone in here good health and hopefully all your dreams will become true.
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Posted on Jun 18, 2026, 8:29 pm
#27
Day 5 Update:

I am walking with normal moderate speed using the supporting device now (I was told it is called walker). When I first used the walker I had hard time lifting my right leg. As of today I can lift my right leg up to 90 degrees while I am standing on the left leg.

Dr. Jamal came with his wife today and changed the water proof plasters with new ones. He checked my condition and asked the helper to reduce the pain killer injections to twice a day instead of 5 hours frequency. So one injection in the morning and one in the evening. He feels that my body doesn't really need it that much anymore. So he will wait for 2 more days and might switch to lighter pain killer pills instead if my body is in pain.

I have no pain at all. Maybe because of the pain killer injections I have been taking lately. Lets see how it will go, once we reduce the frequency of the injections.

I have just a bit of stiffness when I wake up from bed in the morning. When I start walking to the bathroom and kitchen, the muscles become leaner very quickly.

Nothing really new. Just took another shower for refreshment and will settle down and watch Netflex :)
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Posted on Jun 18, 2026, 8:29 pm
#28
Hello Body Builder

Thank you for the nice wishes.

Yeah, again Precise II is a great nail. It has its strength and weaknesses. I have no idea about the new version of Precise nail, so I can't comment much about something that I don't know. It is most likely out of my budget and I would probably be able to cover both leg segments for the price of that new nail.


Anyhow, I would like to ask you something if you don't mind. You keep mentioning your concern about the cost since it is in Kiev.

Taking into consideration the full amount of treatment (the full package):

1) Internal nail for femur with painless clicking incl. all X Rays, medicines, etc.
2) 8+ cm in length
3) Full weight bearing after 12 hours of operation
4) 3 months apartment expenses incl. food & Helper 24/7 for 1 month then twice a week for 2 months (ca. 1500 dollars for 3 months in total)
5) 1 month physio therapy & Massage which can be extended if needed
6) Stem Cell treatment for shorter recovery
7) All complication treatments or surgeries are included
8 ) Fewer scars than most treatments out there
9) Doctor checking your condition twice a day

Total cost will be less than 50k dollars.

If you scan the market as of today, where would you get a better alternative economically wise for the same service?
For an internal nail almost nowhere but with a little more money (5-7k dollars about) you could have the same in Italy with precise 2 which is far more expensive than bliskunov or any other so old nail.

I think that the money for a so cheap country and an old nail are too much and I cant compare them with EU or america where prices in everything (salaries etc) are much much more and of course up to date nails like precise which are expensive too.

For instance, 40.000 euros for precise 2 on india is not a good price compared to 50.000 for the same thing in Italy.
Thats my opinion.
But the most important is to have a good result, nothing else matters more.
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Posted on Jun 18, 2026, 8:29 pm
#29
Hey Rocky, when do you start lengthening? Also your nail is similar to albizzia(as in clicking), correct?
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Posted on Jun 18, 2026, 8:29 pm
#30
Hi Body Builder

I respect your opinion.

Regardless the country, I look at the service I'm getting, my budget constrains but most importantly a good result.

What you mentioned at the end is the most important part. A good result is priceless.

Wish me luck buddy :)
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Posted on Jun 18, 2026, 8:29 pm
#31
Hi fivetenneeded2016

I already started lengthening from day 1. What Dr. Jamal did, he separated the bones with a small distance and he let me walk freely for a week before we start the formal clicking. While I was using the Walker, I had to get used to it, so in few times I actually twisted my foot in a certain way (by accident) so I did actually a click.

18 clicks gives 1 mm.

I probably did 5-6 accident clicks till I got used to the Walker during this week. When I asked Dr. Jamal, he said that he is expecting that.

So what will happen next, he will scan my leg next week to see the actual length after those accident clicks and begin the "planned clicking". We will aim for 18 clicks per day.

The week after we will operate my left leg and do the same procedure. So my Right leg will be a bit taller than my left leg. Once we agree to stop lengthening the right leg, Dr. Jamal will lock the clicker on the right leg and let the left leg go to the same distance.

During scanning on the first day, we found out that one of my legs is 3 mm longer than the other. He also takes this into account during the lengthening.

I hope this answered your question.

Did you already start your lengthening or is it too early?

 
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