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Posted on Jun 18, 2026, 8:34 pm
#1
ITB bands are notoriously difficult to "stretch" and anyone undergoing femur lengthening needs to consider a proper ITB release.  Medical research firmly supports this, and will be presented here. If you are spending tens of thousands of dollars lengthening your Femur, move mountains to convince your surgeon to give you a proper ITB release. This is not medical advice, but purely informational/entertainment you should verify with your own doctor.

Read this: https://uesca.com/it-band-syndrome-myths-and-facts/

"Let’s first address stretching. The ITB is a very tough structure. In fact, in a 2010 study by Falvey et al., a strain gauge was used to test various stretches on the ITB and the result was that the ITB was unaffected.
Therefore, it is highly unlikely that stretching will have any effect on the ‘tightness’ of the ITB."

I highly recommend reading this: https://www.painscience.com/articles/iliotibial-band-syndrome-stretch.php

"Even if you do everything right, even if you perform the ideal stretch and manage to pull firmly on your IT band for a couple minutes — which is longer than most people ever bother — how much would you actually change the length of your IT band? How far would it move?

Roughly 2 millimeters — an overall change in length of less than half a percent.

You still won’t actually change its length, any more than you can make a leather belt longer by pulling on it. This is the most important thing IT band stretchers need to understand."


And also this: https://thedoctorsofpt.com/it-band-pain-myth-v-reality/#:~:text=Myth%202%3A%20The%20ITB%20can,to%20actually%20induce%20a%20stretch.

"Myth 2: The ITB can and should be stretched
Since the ITB is made up of fascia, which is different from a muscle, it’s nearly impossible to stretch it. It would take way more force than we’re capable of producing on our own, to actually induce a stretch. This is a good thing – since the roles of the ITB are to stabilize the side of the knee and provide energy storage and release during running, we don’t really want it to be stretchy anyway. "
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Posted on Jun 18, 2026, 8:34 pm
#2
So what consequences can this have by doing LL?
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Posted on Jun 18, 2026, 8:34 pm
#3
So what consequences can this have by doing LL?

This is why it band release is a must
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Posted on Jun 18, 2026, 8:34 pm
#4
Any information on why one of my IT band (that was released) seems to be popping a lot recently? It started happening 4 nights ago when I turned to my side to sleep. I heard a huge crack throughout my femur (like popping a joint but 5x as intense). I thought my femurs cracked. Ostetomy are around my femur were a bit sore for the day. But fastforward now, every like 1 hour or so when im moving around and twist that leg a bit i hear a smaller pop which doesnt hurt. It's like cracking a knuckle, but im conviced it's my IT band. It's around where my ostetomy is thats cracking.
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Posted on Jun 18, 2026, 8:34 pm
#5
since the roles of the ITB are to stabilize the side of the knee and provide energy storage and release during running, we don’t really want it to be stretchy anyway.

I assume when you release the ITB then you lose this stability of the knee and energy storage for when running? Just to try and understand the drawbacks of doing femur lengthening which as you argue well for would require ITB release.
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Posted on Jun 18, 2026, 8:34 pm
#6
I assume when you release the ITB then you lose this stability of the knee and energy storage for when running? Just to try and understand the drawbacks of doing femur lengthening which as you argue well for would require ITB release.

"You assume" and you assume wrong. ITB will regrow back. In fact my doctor says some patients regrows back so fast he has to do another ITB release for them. Pretty much all US doctors requires an ITB release on femur lengthening over 5cm for a reason.
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Posted on Jun 18, 2026, 8:34 pm
#7
"You assume" and you assume wrong. ITB will regrow back. In fact my doctor says some patients regrows back so fast he has to do another ITB release for them. Pretty much all US doctors requires an ITB release on femur lengthening over 5cm for a reason.
Very interesting thank you for the correction.
So the ITB release actually results in the ITB growing, and then being adapted to the new femur length? While if the ITB is not released it will just be stuck in very high tension state?
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Posted on Jun 18, 2026, 8:34 pm
#8
yes ITB is the hardest one to stretch out. Thats why people who dont have it released walk with wide legs. It'll eventually stretch out, it's just harder and takes a lot longer. If you release it, it will grow back as your body is healing, just like how your bone done as well.

Dude just ask your surgeon, this is common knowledge at this point. Every US surgeon requires it if you're gonna do 5-8cm.
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Posted on Jun 18, 2026, 8:34 pm
#9
I needed IT Band release twice on my right femur, IT Band release was performed during my initial Fitbone implantation , the first lengthening was "only" 5.5 cm before my Fitbone failed , then 3 years later (thanks COVID) I had a Precice 2.2 rod inserted (without ITB release) but after ~ 1.5 cm it was so tight it was like a guitar string and I could barely move my knee or take a medium size step (on crutches ofc), the ITB was released again, and I completed the total 2.4cm without great issue, but I must say my knee TFL is still quite achy and stiff , it takes ~ 30 body squats to get mobile in the mornings.
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Posted on Jun 18, 2026, 8:34 pm
#10
If you don't push hard for the sort of ITB release done by Paley/Goitikas, you're going to have wide legs, severe stifness and you might not even  hit your goal.

The entire experience is harrowing enough, but the suffering is going to multiply without a proper release done by current qualified surgeons.

The ITB grows back well according to every well known surgeon.
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Posted on Jun 18, 2026, 8:34 pm
#11
I needed IT Band release twice on my right femur, IT Band release was performed during my initial Fitbone implantation , the first lengthening was "only" 5.5 cm before my Fitbone failed , then 3 years later (thanks COVID) I had a Precice 2.2 rod inserted (without ITB release) but after ~ 1.5 cm it was so tight it was like a guitar string and I could barely move my knee or take a medium size step (on crutches ofc), the ITB was released again, and I completed the total 2.4cm without great issue, but I must say my knee TFL is still quite achy and stiff , it takes ~ 30 body squats to get mobile in the mornings.

Hey, i hope you're doing well now.

Can you remember what sort of ITB release it was and who did it? Was it a proper Z cut etc?

What would you reply to those people who tried to tell you, oh , well maybe you didn't stretch enough.
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Posted on Jun 18, 2026, 8:34 pm
#12
Agree 100%

When you say release, how can we define it, with some doctors offering a 'soft' release also.
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Posted on Jun 18, 2026, 8:34 pm
#13
it band "unstretchable" because only 15% of its length is muscle
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Posted on Jun 18, 2026, 8:34 pm
#14
Tell it to Betz, who some people here considered as a very great doctor, who let his patients lengthen more than 10cm without doing itb release.
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Posted on Jun 18, 2026, 8:34 pm
#15
ITB band proper release are critical.
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Posted on Jun 18, 2026, 8:34 pm
#16
https://journals.sagepub.com/doi/full/10.1177/2635025421997139
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Posted on Jun 18, 2026, 8:34 pm
#17
Tell it to Betz, who some people here considered as a very great doctor, who let his patients lengthen more than 10cm without doing itb release.

Sure walk with 45 degree legs for 6 months after you consolidate lol. The release is to make the patient experience more practical, there's no health concern with not releasing it.
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Posted on Jun 18, 2026, 8:34 pm
#18
They offer ITB release and imo.are one of the safest out therr
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Posted on Jun 18, 2026, 8:34 pm
#19
My surgeon is a professor and was trained by one of the top CLL surgeons in Baltimore so I assume he knew what he was doing, He was typically cryptic/elusive when i asked about the release (I had asked him to perform it during the CLL but he didn't consider it necessary), he often became defensive when I asked such questions, i think he was used to adoration from the Sheeple not pointed questions.
I recall the final ITB release was tough, I spent 3-4 long days in hospital with puss/fluid draining from a tube in my knee before they removed the drain and let me go.

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Posted on Jun 18, 2026, 8:34 pm
#20
You had a soft iTB release, as opposed to a proper Z cut? How did you know you were only getting a soft release, was it before or after?

How is your walk currently by the way?
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