rising... I'm not sure.... i like dr franz,.. actually, he's the ONLY dr that consistently answers emails....if i just get a release, i think yes,ill be in sa... but the price for plating,etc is too much for me i think... so depends now on what I decide
TIBIA LENGTHENING IN MOSCOW WITH DR BAGIROV
after a few months of lengthening... how long does it take to consolidate??? what i mean is, if i went a few days of not lengthening at this stage, would i then need to rebreak bone agai to lengthen say 1 cm more?
It would take way more than a few days for the bone to consolidate to the point it would have to be re-broken. Don't worry about taking breaks; it was a common practice in Beijing for people to take breaks from lengthening if they were having complications.
ty medium
dr franz said 2 weeks, probably more of no lengthening
ok, here is the latest update... i need advice
the person that was supposed to help finally came this week.... was supposed to go drop off visa application today, but of course is not here, and didn't do it... the visa section of the embassy is now closed... this guy just can get get thongs done
i have 2 options, and only 2,as far as i can see
1- contact my embassy today, explain my situation, see if they can help me get visa for india, though i don't know if they help in these matters
2-go to south africa, but could only get a release there, not anything else, such as plating, removal,etc
these are my only 2 options,... i think.... i don't think ill be treated in the united states by insurance, as this was an elective procedure, so thats out
Quote from: crimsontide on August 02, 2014, 08:51:55 PMwannabe... i did not state he does them on every patient...
read what i wrote,. "if its not beneficial... why do the top drs do it routinely even for prevention... before any issues arise?
The proper treatment would to be test beforehand to determine if tendon, etc is too tight, and perform the surgery beforehand... again, drs like paley do exactly this
again... patients determined to have a tight tendon, get a release.... before any issues arise... everything quoted supports what i said... again, tell me what is wrong with what i said?
You do not even attempt to reply to that fact....that they are tested, and if found to have a tight tendon, get a release surgery before any ballerina, not after major ballerina, not after a little, but even before any ballerina... why??? as a preventive measure... that is simply a fact
you made this statement
"Every patient that does 8 cm needs it according to them, but we know even that isnt true since Rgkey managed 9 cm with pt instead. However just because releases help if you do very high ammounts of lengthening does not mean they are beneficial, it means they are necessary because you already damaged the legs by lengthening over the safe limit, and the preemtive release will damage the tendon further but allow you to get movement back faster, and it also means you will avoid having to do more complex and expensive surgery to fix it afterwards if you already got ballerina."
again, you are avoiding what paley actually says.... that if he determines their tendon to be tight, he will do a release.... he specifically says this... if the achilles is too tight, he will do a release... .. he says it is required if the test determines the tendon is tight
you also are not properly reading what he says.., the numbers,etc, he gives that you quote are for femur lengthening, not tibia
if you want to reply, you can reply in my thread if you like, as i don't wanna take over this thread
replying here since it got off topic.
Wrong again crimson, I did read what you wrote and it was inaccurate. Specificially when you say tendon release is beneficial, but its not. Tendon release is best avoided but some patients require it. You might not have had required it though if you lengthened slower or used footholders. Most cases of ballerina can be solved through PT.
I dont see how anybody reading that faq can get the idea that tendon releases are something good. Its only for some patients that they are needed but that simply means those specific patients are not able to lengthen as much without damaging their body more, and thus not recovering as well as those who dont need it.
Since they mention that the surgery required afterwards if you already got ballerina feet is worse and more complex, that is the only reason they do it preemtively if they suspect the patients, but its still not a good thing for the body.
and while those specific numbers was for femur, it irrelevant, as mentioned, if the achilles tendon is to tight before the surgery, that simply means your body is not able to lengthen as much without weakening it more with a release.
"If these structures are tight before surgery and not prophylactically lengthened then muscle/joint contractures that require later more expensive surgery are required (in the lay literature these are referred to as duck ass deformity for tight iliotibial band and fascia lata, and ballerina feet for tight Achilles tendon). Prophylactic anterior compartment release is often done at the time of tibial lengthening. There is no additional charge for this procedure. This is done to prevent compartment syndrome."
This quote from Paley is basically saying that the only reason they do it from the beginning with some patients is to prevent them from having to do an even worse surgery afterwards if you develop severe ballerina. Again nothing here suggests it being a beneficial thing, at least not for your case as you already have ballerina.
Quote from: crimsontide on July 27, 2014, 04:18:31 PMif i got nail inserted this week, ill be walking fine by oct.... instead of being in agony with frames..... though my primary concern is getting the release
I'm about 90 kilo now or so, maybe a little less
i like sweden, but we know dr sarin is a hack..... and sweden is now talking about getting femurs done.... how bad can his issues be if he is thinking about doing this again
i'm not a dr, but i can say with some confidence, that rgkey's severely bent leg is harming his walking ability.....
if lath decreases recovery time to around.8 months per cm, that sounds ok to me, to be honest.... though I'm still hesitant because of knee pain
medium, sweden,.. anyone that has gotten lon or lath... please post here how your knees fail, and if you do have psi, how bad is it, and if you regret doing it instead of external
Holy mother of god! You are 90kg?
Just stand up as many hours as you can every day. Then when you can walk you just need to walk as much as possible.
The incision in the patellar tendons are the worse I can tell you. If you sit for a while you can really feel how painful it will be to stand up. It looks like an old man rising from the chair.
Then blood flows to the knees and it's all fine after 4-5 strides.
Some days are better, other are worse.
When you(me) get older it will be much worse - guaranteed!!
LL is bad, really bad for your legs. I want to do femurs bc I want to be taller. Period!
I wanted this when I was in the middle of my professional athlete career, but waited until I was done with it.
Now I will never be able to get back to that level but I'm satisfied with the level I know I'll be at. I can already take out lots of our members and I've knocked out one guy really bad. That gives me a special kind of satisfactory which I can not describe.
Everyone's case is individual for them selves.
My athletic level was probably one of the highest ever to do LL so my current 50% today could be someone else's 100%.
That doesn't mean it's that persons 100% healthy lifestyle.
I mean how fun is a life when you NEVER run except you need to catch the train or something like that?
Some people are satisfied with that - but I'm not!!
I'm already stronger than many in my class at the gym, but I was very much ultra stronger than them before LL as well so it doesn't mean I'm at 90% just bc I can leg press 250kg(in the machine)
If you fight ballerina you will win, the body can adapt.
I have t really read and fully understood your situation being in marocco and all that but it seems worrying considering your current condition. How did it even happen?
Crimson, your either option sounds better than your currently situation, which is waiting around, getting depressed, and nothing is going anywhere.
To be honest, once you get a release, even without taking off your frame, thing will drastically change, and your mood will drastically change as well.
One thing you shouldn't do is debating what to do for too long, and main while still stay in this rotted situation without help. Act quickly, and leave!
crimsontide have you been standing or are you just waiting for the release surgery as your only form of PT?
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crimsontide, Dr. Bagirov says you don't need the release surgery. It weakens the tendons permanently. I think you should listen to your doctor and not get any more surgeries.
IM nailing might cause permanent knee discomfort like I have. I think you made the right choice going external-only. It led you to a dark place but things will start to get better and life will get more bright if you work hard.
You need to stand until it hurts, then take a short break, and then stand some more. And then keep repeating. Not being able to turn doesn't matter if you're just standing. With your 90kg weight, standing will work wonders to stretch out that Achilles.
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