I understand that it will be a long time before you can train hard - in not speaking in terms of carrying on gaining muscle while doing LL. I'm more looking into minimizing the effects or exploring options - such as walking with a walker/crutches to keep legs active, resistant bands - stretching etc. So if someone said "I noticed that if I walked 20 mins a day assisted this helped slow down muscle loss". Workout is a lose term in this circumstance.
Nutritionally sound diet with excess protein and amino acid supplementation, I wouldn't worry overly with upper body work as you will generally be using it to move. Weight-bearing as soon as humanly possible, walking as soon as humanly possible - do so as much as possible. Resistance bands, light endurance based movements for quadriceps, hamstrings and calves often alongside general PT. Conservative lengthening so less time to lose muscle.
Why would conservative lengthening help? I assumed if you could say lengthening at 2mm a day (just theroy) that you could theoretically finish sooner so lose less? I don't mind if I'm wrong, I just like preparing.
Conservative lengthening means less time before consolidation, less lengthy overall process so less atrophy and quicker to be back on your feet, weight bearing and stopping the process of atrophy earlier meaning it will be much quicker and easier to strengthen the muscles to a satisfactory standard as the atrophy will be less severe. Atrophy isn't linear. 60 days not using a muscle isn't twice as bad as not using it for 30 days, it's probably 10 times worse and so much more difficult and lengthy to get back from and compounds so the less time the better.
If you're wanting to lengthen 2MM a day, be my guest. Enjoy the excruitiating pain and don't be surprised if you never walk without a limp or run again because the damage you have done to your soft tissue which you can't fixed and is permanent (not reversible like muscle gain), gaining back muscle will be the last thing on your mind. I'd rather be conservative and lengthen at a more reasonable rate, you may feel that isn't optimal.
Makes sense, also I wasn't saying I was going to - I was just using it as example for fast lengthening over conservative lengthening.
Quote from: The Kaiser on February 21, 2017, 08:22:25 PMThen don't do this surgery, you will lose more than 40% of muscle, Good luck
That's quite a specific amount. Any source to back that up? Do you mean temporarily through the procedure? If so, I agree. There's nothing to suggest that you can't gain back the same amount of muscle like before - some users here have proven that and some have even said that because of the stress on the muscle it has grown larger than before. Of course muscle size is completely different to athleticism or strength.
Quote from: egocentrical on February 22, 2017, 03:07:38 PMWhy would conservative lengthening help? I assumed if you could say lengthening at 2mm a day (just theroy) that you could theoretically finish sooner so lose less? I don't mind if I'm wrong, I just like preparing.
2 mm per day?! you will finish sooner but have a worse recovery, if we assume you recovered in the first place
Again - I never said that was my goal ... I said I was using it as an example for fast vs slow lengthening and which if supported would help with muscle loss ... I not once suggested or hinted this is what I plan to do?
Quote from: egocentrical on February 19, 2017, 04:49:14 PMPlanning to get LON this year - either tibia or femur (yes i know femur is painful, but proportion wise and money wise would suit me so much better).
I also don't want to stop working out, i know that i'd be able to do a few weight training exercises as it involves laying down however with legs ... i don't want to be the guy that's all upper body strength and no legs although in my mind i know this is likely going to happen.
Has any body here done light training on their legs that isn't stretching so that overall you only lose a little muscle as opposed to a lot?
or do i have to suck it up and accept ill lose all my muscle in my legs.
I asked the same question as you when I started lengthening!
There are dIfferent opinions:
Dr. Rozbruch seems to recommend almost no workout.
Dr. GUichet seems to recommend a lot of workout and early on.
Dr. Monegal recommends:
Bedtime first week, standup only after one week
Wheelchair until you have good bone formation (usually for the first 1-2 months)
Walk in between parallel bars and start cycling after after 2 weeks, but still in wheelchair
Walk in water after wounds are 100% healed after 3- 4 weeks
Any kind of exercise for upper body
Any kind of leg exercise where you are not putting weight on your body
Increase exercise depending on how much bone has formed
I have lengthened 5 cm so far ( will do one more cm) and have good bone formation. Thus I can do most muscle exercises and have almost gone back to original muscle strength.
So I was able to keep the muscle atrophy to a minimum! But I did spend a lot of time one stationary bike, and doing other leg exercises.
I think I will be doing what you are doing, I was wishing to purchase a exercise bike as once I go through with this I will be at home alot and in that time I may aswell try my best to do everything physically to the limit to improve myself - have you been doing upper body training? Does this in anyway translate into hurting below the waist? Eg bench press - you still have to position and balance yourself so there must be some transfer of weight - alongside seated upper body training - does the weighing down on the pelvic bone hurt more due to the tension of the muscle in the legs etc
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