Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Patients Experiences => Topic started by: short2tall on March 04, 2018, 11:07:39 PM
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Hi everyone, I'm starting my own LL diary. I had bilateral femurs done with Dr. M on March 1st. I have been planning this experience for about a year now, and am glad I was finally able to take the plunge. I am currently on day 4 post surgery, and I will go back and recount my experience from the beginning. First, here are my stats:
Age: 30
Starting height (evening): 5'8.5"
Goal height: 5'11"
Pre-surgery weight: 170 (muscular build)
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Day 1
I arrived at the Providence St. Joseph Medical Center at 5 am, and sat in the waiting area until the general admission office opened at 5:30. I was feeling a little nervous, but more so about the loss of independence for several months rather than the surgery itself. Like others have said, I knew that I would regret not taking this chance later on in life, knowing that I had the opportunity to achieve the height that I've always wanted. I was quickly admitted and shown the way to the pre-op staging area. After being assigned a room, I had to undress and out on a hospital gown. Next, several different nurses came in to ask me a few questions, put my IV in, etc. Before I knew it, I was being wheeled down the hall to the operating room. The anesthesiologist told me what she was going to do and then it was lights out.
I woke up around 1 pm. I was hooked up to a pain pump and a catheter. I felt very little pain, but could not move my legs. Nurses were checking on me every few minutes, and said that I looked like I was doing well. Then Dr. Mahboubian came in and said the surgery went extremely well, my bones were very dense, and he was able to use the largest size precise nail (he didn't specify the actual diameter). He even told me I could fully weight bear as long as i was standing with even pressure on both legs. No walking without a walker of course. Next a hospital worker came in and took my lunch and dinner order. I was pretty hungry, and ate my whole lunch but then threw it right back up due to nausea from the anesthesia. Next, the hospital PT came in and helped me do some simple leg lifts and knee bends. After that she had me stand up with the walker and take a few steps forward, backward, and side to side. I was really nervous right before standing up, because I have read where many vets have felt extreme pain during this part. Surprisingly I felt very little pain and was able to walk ok, mostly using arm strength. After PT, I attempted to eat dinner but threw it up again. The nurses called Dr. M to ask for a nausea medication that I could take. Later that evening, the nausea meds arrived, and I did feel better after that. However, that feeling was short lived, because then the nurse informed me that she was going to have to take the catheter out. Again, from reading other diaries, I was very nervous about this part. First they deflate a balloon that was pressing against your bladder, and then they just yank the tube out. It hurt like a B%$#@!!!! Then the nurse informs you that you have to be able to pee into a plastic urinal in the next few hours or they will have to reinsert the catheter. I was not about to let that happen!! It was difficult, especially with my urethra still in pain from that tube being yanked out, but I forced it, and within an hour or two I had filled that plastic bottle. The rest of the night went ok, but I got very little sleep due to the dull but consistent pain.
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Day 2
I woke up (or rather stopped trying to sleep) pretty early in the morning. Was able to pee into the bottle again and it didn't hurt this time. Breakfast was served and I was able to keep it all down this time. I wasn't actually able to eat a whole lot though, due to my throat still being very dry from the surgery. However it felt good to keep some food down. The nurses still continued to check on me every hour or so. They had been extremely attentive and kind the whole night too. I felt like I was in great hands the whole time I was there. Dr. Dardacrapi, who does the pre-op blood panel tests for Dr. M, even came in to check on me this morning. I thought that was really nice of him. Shortly after that, Dr. M came again and checked my legs for stiffness, and said I looked good. He was impressed with my PT performance from the day before and said that I should do a morning and afternoon session of PT and then I was good to leave the hospital. That was pretty encouraging to hear. Another hospital PT came in and we did more of the same exercises, along with standing and walking with the walker. Then I ate lunch, and was able to get and keep the whole meal down. After that, the Occupational Therapist came in and asked me about my setup at home, if I had a walker, wheelchair, etc. Then she showed me a neat gadget for putting socks on, as well as a grabber tool that was different from the standard type with just the 2 "fingers" or suction cups. After a few hours of rest, the PT came back and we did another session of the same exercises. According to Dr. M, I was good to go after that 2nd PT session, so the head nurse started working on my discharge papers. I texted my caretaker to let her know I was ready for pickup. For the 3rd time that day, I had to get up out of bed so I could get into a wheelchair. This time it was a little painful, especially at the site that the screws were inserted near my right hip. I think part of this was because I had a nurse's aid helping me this time, and she wasn't as knowledgeable as the PT. I tend to get a little nervous anytime someone who isn't totally familiar with the procedure tries to help me. Then I was wheeled downstairs to the main entrance, where I met my caretaker. Getting into the car was the hardest thing I had experienced so far. It's very difficult to do while keeping even pressure on both legs. My caretaker (who is also my PT) tried to make it as easy as she could, but it still hurt my right hip quite a bit. We drove back to my hotel (where I'll be staying for the duration of the process) and getting out of the car into a wheelchair felt about the same as when leaving the hospital. I ate a quick dinner and my caretaker helped me get into bed. I took a Norco and went to sleep pretty quickly. I woke up about three hours later, took another Norco, and went back to sleep. I ended up sleeping pretty good most of the night.
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Day 3
I woke up around 10 am, and my caretaker showed up around 10:30. She emptied my urinals, which I had filled during the night, and cooked breakfast. Then she helped me get out of bed with the walker and transfer to the wheelchair. I was having somewhat of a difficult time deciding where to place my hands when standing up out of bed, as everyone tells me I need to push off of the bed, but for me it feels better to just use my arms and push down on the walker like I am doing a dip. I was very hungry and ate a big breakfast. Then I used my exercise bike for a bit, which is just basically a little stand with pedals that you set on the floor in front of your wheelchair. It felt good. My caretaker left for a few hours, and I just watched TV. She came back to make dinner and help me get back into bed. This night went the same as the previous. I took a pain pill and went to sleep, but woke up about 3 hours later. I used the urinal, took another pain pill, and went back to sleep.
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Awesome start short2tall! That's great that you found a caretaker who can also do your PT. Hope that the pain settles down soon for you.
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Thanks Android, its definitely getting better day by day. Here is my next installment:
Day 4
I woke up around 9am today and felt very little pain. Was just a little uncomfortable from lying in one position all night. I sat up in bed for about an hour until my caretaker arrived. She helped me do some simple stretches before I attempted to get out of bed. Today I was basically able to get out of bed with the walker and transfer to the wheelchair by myself. I ate a hearty breakfast and watched TV for awhile. My caretaker left for a few hours and I was able to use my stationary pedal exerciser on my own. I did practice transferring from the walker to the toilet in case I get a BM urge, but nothing has come yet. I'm getting a little worried because I've been eating a lot. I will continue to take stool softener as advised by the nurses. One of my main worries about this whole process was losing my freedom and being completely bored for several months, but I can already see that every little thing takes so much more time now that the days should fly by.
After eating dinner, my caretaker wanted to make sure I could also transfer from the wheelchair back to the bed on my own, and I was able to do that successfully. She wants to start doing more intensive stretches with me starting this week. I took one Norco this morning, and took one around dinner time since my hip started to hurt from sitting up all day. I will probably take another one when I finish typing this and get ready to go to sleep. That's all I have for now guys, thanks for reading.
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short2tall,
It's good to hear that you are recovering so well and don't feel that much pain. As LAGrowin has previously stated, everyone reacts differently to the surgery. I felt some pain but it was manageable after the surgery. For me, the worst part was not being able to pee. That was the true pain and suffering for me. I hope I don't experience this same problem with my femurs.
How long did you plan on staying in Burbank or within a close proximity to Dr. M? Until your post-of appointment? If you leave before my surgery, would you mind sharing with me your PT nurse's number? I won't need her for the entire time, just a couple of days as my mom will be flying in to take care of me. If you're going to work with her for the entire process, don't worry about it.
Are you feeling more pain when doing PT? For me, I've been pushing myself and I think I overwork. This causes me to have some minor pain in my right knee (before it was my left knee) even with pain meds. I wish you the best and keep us posted.
Optismitic1
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Great start to your journal short2tall. Congratulations on taking this step. It feels surreal at times that I actually took the plunge and did it. I'm sure you've felt the same.
All very familiar and similar to what I experienced but I must say you are doing way better than most at this stage, which is remarkable. I couldn't transfer into the wheelchair alone, or to the toilet for more than 2 weeks, and I have high pain tolerance. God willing it remains like this for you throughout the process.
But again, each body is different, as I didn't have nausea at all, and had no issues at all with the catheter, it was painless, just awkward feeling.
I commend you for riding to the hotel in a car right after surgery. I had to rent a transport van to get me home. It is also impressive that you're mostly on your own!
I am glad to be in touch off the board. You'll see that some will question the validity of recent Mahboubian journals, which is unfortunate. All this first hand info is invaluable for future patients. Past diaries is how I educated myself about this procedure and Dr. M has been great to me.
As you can read above, Optimistic1 recently had surgery with Dr M. but on his tibias. Wish you both well!
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@ Optimistic1
I do plan on staying here for the duration of the process, including lengthening and consolidation. So, unfortunately I will need my caretaker/PT the whole time. The pain during PT hasn't been bad yet, but I probably am not pushing myself 100% yet, I was kind of waiting until after my post-op with Dr. M to start with the heavy duty stretching. Mostly just doing mobility exercises like leg lifts, knee bends, and hip abductors right now. I hope your femurs go as smoothly as mine did. Any other questions feel free to ask.
@ LAGrowin
I have seen some of what you're talking about, which doesn't make sense to me. If it weren't for having Dr. M as an option, I probably wouldn't have been able to afford the surgery right now. Going out of the country was not something I wanted to do. But as others have said, I'm not here to debate that. If someone chooses not to believe or trust us, they can look elsewhere for advice.
Thanks again to both of you for your support. Happy lengthening.
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Day 5
Today was great. I was able to transfer from the wheelchair to the walker to the toilet by myself, and then went #2! I was so relieved that it was not painful like I had been expecting. I have been taking stool softener so I'm sure that helped. I also got in and out of bed several times by myself for practice. It definitely takes some concentration as you plan out every step, but it is doable. Fingers crossed that things keep going well.
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It always reminds me how humbling it is at first, in which going to the bathroom is an accomplishment. It's like you're a newborn again!
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Hey thanks Android. It is amazing how humbling it is, and the fact that you have to rely on a lot of people for help at first. The one positive part about that is that it does make the day go by much faster.
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Day 6
Today was the best day yet. Was able to get out of bed and transfer to wheelchair by myself again. After breakfast, with my caretaker keeping an eye on me, I was able to take about 20 steps with the walker in the hallway. Later I was able to transfer to the toilet and go #2 again. I'm starting to get into somewhat of a routine. Still very little pain. Took one Norco around 3 am this morning to help me fall back asleep. I may take one more when I'm ready to go to sleep tonight. My legs are aching just a little bit, probably from the fair amount of walking I did today. Only a few more days until my follow up.
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Day 7
It's hard to believe that tomorrow morning will make 7 days since my surgery! Then only one more day til my post-op with Dr. M. Nothing really exciting to report today. I did feel a bit of pain in my left leg near the osteotomy site while walking down the hall with my walker today. I'm thinking i may have been compensating for the slight pain I was having in my right hip (basically gone now) by putting more pressure on my left leg. It doesn't seem like anything serious is wrong, just a little ache. I am trying not to take any more pain pills for right now, unless something really starts to hurt.
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Day 8
Today went well. I woke up to a little stiffness and swelling in my left knee and ankle. I guess this was the result of the little bit of pain that I was feeling the day before. After icing it during breakfast, it felt much better and the swelling went down. When I was done with breakfast, I went out in the hallway to take some steps with my walker. I was anticipating a little bit of pain, but felt none. I walked 15 or 20 steps and it felt great to get moving for a while. I haven't taken a Norco in over 48 hrs. I've just been taking ZQuil to help sleep, and it's been working ok so far. I'm excited for my post-op appointment tomorrow, although I'm going to have to figure out a better way to get into the car. I hope everything goes smoothly and I'm allowed to start lengthening. I will also post X-rays if I receive any.
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short2tall,
It's great how you don't feel any pain and can go for that long without a Norco. I'm still taking 1 Norco plus 1/2 Ibuprofen every 4-6 hours. I hope I'll feel the same or similar when I do my femurs next week. Good luck with your post-op appointment with Dr. M and keep us posted.
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Thanks Optimistic1! I just got back from me post-op and it went well. The Precise rep showed me how to use the machine. Then Dr. M took off my bandages and marked my thighs so I know where to put the ERC when lengthening. I have to return a week from today to get my sutures removed. Then another week after that for my next visit with Dr. M. I'm assuming that's when they take the first X-rays? As soon as I got home from the appointment I took a shower for the first time since surgery. It felt so good! It was a little difficult because I only have the standard bath bench/chair and not an actual transfer bench, but all in all not bad. I do have some pictures I would like to post, but I'm having trouble at the moment.
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short2tall,
You can go to Imgur, create an account then post your pictures on there. Copy the link and paste it on here. That's the best way to post your images as the attachment option here is very limited in terms of capacity.
I know how it feels when you can finally shower, lol. I'm a clean freak and I have OCD too so it was amazing when I could finally shower. Make sure to get your sutures removed on time and don't wait for too long. I waited for too long so the it healed over my stitches. The doctor had to dig down and take the dried scrapes out so there's a small hole on my leg. It's healing but I think I might have a big scar. Dr. M had to cancel my post-op appointment so I had to fly back to my hometown to have the sutures removed. It's painful when it heals over the stitches.
I'm still using my shower chair in the shower. It's not the same as standing up but it gets the job done. What's your pain level. How well do you tolerate pain in general. For me, it depends but I think I am average. I'm not a cry baby but I also hate dealing with pain, lol. Hang in there and keep us posted.
Optimistic1
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Thanks for explaining that Optimistic1. Guys, let me know if these links work. The first pic is my ERC machine:
https://imgur.com/yZ4FNvU
This next one shows some of my sutures, and where Dr. M marked my thigh so I know where to put the ERC:
https://imgur.com/XCYUYOW
Finally, here is a pic showing the only real bruising that I have from the surgery, underneath my thigh:
https://imgur.com/dDuos3h
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Day 10
Today was the first day that my PT started really pushing me. WOW. Much tougher than I expected. I believe that I have a high pain threshold, but this was intense. She advised me to take a Norco before the session, which was smart. I hadn't taken one in about 3 days prior to this, but I'm glad I listened to her. Certain stretches, like trying to touch heel to butt, were excruciating. You just have to keep reminding yourself that it is for your own good. Intense PT really is the only way to reach your lengthening goals, as well as making for a faster recovery. My PT is very knowledgeable and I feel like I'm in good hands. She accompanied me to my post-op yesterday and asked Dr. M some specific questions about what she could and couldn't do with me. I'm definitely going to work on the stretches that I had a difficult time with on my own as often as possible. Right now my plan is to have formal PT sessions M-W-F, so 3 times a week. I'm aware that it may be necessary to increase to 4-5 sessions per week later in the lengthening phase. We will see how it goes.
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Day 11
As I suspected, I was quite sore today from the rigorous PT yesterday. It wasn't too bad when I first woke up, but around lunch time I started to feel a lot of pain in my right leg. It developed into a sharp pain in my knee, and no longer felt like soreness from a workout or stretching. I don't have any swelling or bruising, so I'm hoping everything is ok. I eventually had to cave in and take a Norco. The pain remained persistent throughout the day and I've had to take a Norco every 4 hours to keep it under control. I'll ask my PT about it tomorrow, and see what she thinks is causing it. Hopefully it subsides somewhat by then.
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You're average, not short, but good luck with your journey.
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Hi Short2tall, thanks for your writing down your experience and I wish you a fast and healthy recovery! My surgery with Dr. M is in less than 4 weeks from now and I'm wondering if you can refer your PT via private msg?
Thank you and wish you the best!
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You're average, not short, but good luck with your journey.
Thanks for the encouragement myloginacct. I know I'm not super short, but average height for my demographic is 5'10, and I definitely feel short most of the time. I just want to remove that "handicap". Not trying to sound full of myself but I believe that I have better than average looks, better than average build, but below average height. That's my reason for doing this surgery. I just want to eliminate that weak link.
Hi Short2tall, thanks for your writing down your experience and I wish you a fast and healthy recovery! My surgery with Dr. M is in less than 4 weeks from now and I'm wondering if you can refer your PT via private msg?
Thank you and wish you the best!
Thanks fallen774. That's great that you've decided to take the leap as well. I'm sure you will do fine. I'm not sure if my PT can take on another client, but I'll pm you, maybe we can meet up before your surgery or something.
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Thanks for the encouragement myloginacct. I know I'm not super short, but average height for my demographic is 5'10, and I definitely feel short most of the time. I just want to remove that "handicap". Not trying to sound full of myself but I believe that I have better than average looks, better than average build, but below average height. That's my reason for doing this surgery. I just want to eliminate that weak link.
Thanks fallen774. That's great that you've decided to take the leap as well. I'm sure you will do fine. I'm not sure if my PT can take on another client, but I'll pm you, maybe we can meet up before your surgery or something.
I understand the feeling of wanting to eliminate that weak link. Since 5'8.5 is your evening height, during the mornings you're probably like 5'9. You'll easily get your 5'11. Would be fun seeing some before and after pics when it's all said and done, but I know people almost never share these here.
I wish the best for you during this whole process.
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I understand the feeling of wanting to eliminate that weak link. Since 5'8.5 is your evening height, during the mornings you're probably like 5'9. You'll easily get your 5'11. Would be fun seeing some before and after pics when it's all said and done, but I know people almost never share these here.
I wish the best for you during this whole process.
Exactly. Actually, Dr. M had me take a before pic with him, and will have me take one after as well. If I can get a hold of these at the end I will gladly post them.
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Day 12
Much to my relief, the soreness in my legs had subsided by this morning. I didn't have to take anything for pain until this evening, when I had another PT session. I took one Norco before PT because I knew it would be painful otherwise. It was actually still pretty painful after taking the pill, but not as bad as it could've been. As I write this, my legs are still quite sore from the PT, but it's bearable. definitely not as bad as the pain I felt after the first session. I also forgot to mention yesterday that I worked out my chest and triceps with dumbbells to the best of my ability. It felt good to get a little bit of a pump going. I just took one more Norco to help me go to sleep, otherwise the dull ache from PT would make sleeping very difficult.
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Day 13
I was in a lot of pain last night from PT. I had to take a Norco every 4 hours and still got almost zero sleep. When I finally got up, the pain subsided a bit. It seems sitting is more comfortable than lying down. By the afternoon, I felt good enough to get a little bit of a bicep workout in. Then I was able to take a shower completely by myself. This evening I connected with some other local LLers. It was great to hear their stories and advice and answer a few questions for them. We are going to try to meet up in person in the near future. Just did my 4th lengthening session of the day. I'm 7mm taller already! Still don't feel any pain or sensation when actually lengthening. As I lay back down in bed, I'm starting to feel the soreness come back again. At the suggestion of one of the other LL patients, I'm going to see if Dr. M can prescribe me a muscle relaxer so I don't have to rely on the pain killers as much.
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You're really popping those Norco, hopefully the muscle relaxer suggestion pans out for you.
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You're really popping those Norco, hopefully the muscle relaxer suggestion pans out for you.
Yeah, I was really trying to avoid that but PT has been really painful so far. Today I started taking regular Tylenol when I felt pain and so far it seems to be working. My goal is to be able to take just one Norco before each PT session.
Day 14
Had another PT session this morning and certain stretches were still very painful. Immediately after it is done though I feel nice and relaxed for awhile. I'm really starting to dread the heel to butt stretch, that is the one that hurts the most. My knee doesn't really go past 90 degrees right now.
One interesting thing I noticed today was something I read in the manual that came with the ERC device. In the manual the only weight restriction that it gives for the 2 larger sizes of the femoral nails (10.3 and 11.5mm) is that the patient should not weigh more than 250 lbs. I'm certainly not going to do anything risky, but I think these Precise nails are sturdier than we think.
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Day 15
I can't believe it's already been 2 weeks since my surgery! Nothing unusual to report today. However, it was my first day lengthening only 3 times instead of 4. At the post op appointment, Dr. M told me to lengthen 4 times a day for the first 5 days and then reduce it to 3 times a day. I think this is standard practice for everyone. I felt the usual tightness/stiffness today but it was very manageable. I can't tell if it is from the additional length already, or just soreness from doing PT. Also got in a shoulder workout with dumbbells and another shower today. Tomorrow I will have my stitches removed, so I'm looking forward to that.
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One interesting thing I noticed today was something I read in the manual that came with the ERC device. In the manual the only weight restriction that it gives for the 2 larger sizes of the femoral nails (10.3 and 11.5mm) is that the patient should not weigh more than 250 lbs. I'm certainly not going to do anything risky, but I think these Precise nails are sturdier than we think.
Hi short2tall. That's good to hear. I tend to be very cautious about putting too much weight of my legs. I also have the larger nails.
I hope your post-op today goes well. Let us know how it went.
The tightness you're feeling might be from the PT, although that typically loosens you up. Tightness from stretching seems to typically start near the 5CM mark.
I remember hitting 2 weeks, time will fly by!
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Thanks LAGrowin! I look forward to meeting you at Dr. M's office next Friday.
Day 16
Today I had my sutures removed. It was relatively painless. I saw one other patient in Dr. M's office that looked like she was there for her 1 week post-op, the Precise rep was there with an ERC machine for her. On my way home from the appointment, I started to notice some pain in my left leg near where the bone is broken. I'm not sure what caused it. It may have been entering or exiting the car, as the parking lot was pretty uneven. I really had a tough time even lifting it during PT. I iced it for the rest of the day but I can still feel some pain there. We will see what tomorrow brings.
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Day 17
I still felt some sharp pain in my left leg when I got out of bed this morning. I iced it again and after a while the pain seemed to go away, but I still feel a popping/cracking sensation every time I move my leg. It's very minor but it definitely wasn't there before. If it is not gone by Monday morning, I'm going to call Dr. M's office. I'm really hoping its not a fracture. The Precice rod still seems to be working ok, I can feel a very small sensation on either side after lengthening.
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Day 18
I still felt that clicking sensation in my left leg all day today, but the pain is mostly gone. I was able to do some PT today but took it easy just in case there is some underlying issue. I'm going to call Dr. M's office tomorrow just to ask his opinion on it. I hit 1.3 cm today, which is half an inch! I consider that my first milestone. I can definitely start to see my thighs look a little longer and thinner. I can't imagine what another 2 inches will look like!
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Day 19
I called Dr. M's office today and he said it is normal to experience a slight clicking sensation. That made me feel a little better. I guess I will ultimately find out if anything is wrong when I get X-rays taken at my 3 week post op this Friday. Other than that, nothing too special to report today.
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That's good news about the clicking. Keep on truckin'!
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That's good news about the clicking. Keep on truckin'!
Thanks Android!
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That's good news about the clicking. Keep on truckin'!
Good to hear that short2tall. Are you still hearing the click now? How is the pain now overall? You're almost done with 3 weeks !
Hope all is well.
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Good to hear that short2tall. Are you still hearing the click now? How is the pain now overall? You're almost done with 3 weeks !
Hope all is well.
Hey LAGrowin, yes I can still hear/feel that clicking sensation, but there isn't any more pain associated with it. Overall pain level is very low. I'm back to taking only one Norco before PT. At night I'm taking one Flexeril/cyclobenzaprine. It looks like he prescribed me a 10mg dose as opposed to the 5mg. It works ok, but not as good as the Norco.
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Day 24
I haven't updated for a few days since nothing worth mentioning happened. Today I had my 3 week follow up. It went very well. Dr. M said I had very good bone growth. I could see the bone callus in the X-ray as a cloudy area between the 2 broken sections of the bone. He told me go back to lengthening 4x per day for 5 days, and then return to 3x a day.
I also met LAGrowin today at Dr. M's office. It was great to chat in person with someone going through the same ordeal. We saw about 2 or 3 other LL patients in there as well.
I did not receive any copies of my X-rays. Maybe some of you other patients or vets can tell me how you got pictures of your X-rays? are you asking the Dr's office to email you the image or are you just taking a picture with your phone?
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Day 24
I haven't updated for a few days since nothing worth mentioning happened. Today I had my 3 week follow up. It went very well. Dr. M said I had very good bone growth. I could see the bone callus in the X-ray as a cloudy area between the 2 broken sections of the bone. He told me go back to lengthening 4x per day for 5 days, and then return to 3x a day.
I also met LAGrowin today at Dr. M's office. It was great to chat in person with someone going through the same ordeal. We saw about 2 or 3 other LL patients in there as well.
I did not receive any copies of my X-rays. Maybe some of you other patients or vets can tell me how you got pictures of your X-rays? are you asking the Dr's office to email you the image or are you just taking a picture with your phone?
That feeling you get when seeing new bone forming is really nice knowing everything is going good and your growing! Keep it going.
Whenever i went to get xrays i simply asked the radiologist to make me a cd of the xrays. I had to wait a day and come back to get the cd and then i would come home put it in my labtop and upload it to imgur. Then you just copy the link and paste it on here.
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Day 24
I also met LAGrowin today at Dr. M's office. It was great to chat in person with someone going through the same ordeal. We saw about 2 or 3 other LL patients in there as well.
It was great to meet you short2tall, share experiences as well. Very happy to hear that everything went well with your visit.
If you weren't in a wheelchair, I would have never guessed you did something so tough as LL. I still look the part of someone who is going through 'something'! Glad you've handled it so well.
I think I also caught a glimpse of Optimistic1 leaving the office, but wasn't able to say hello in person. There was also another younger girl who looks to have just done tibias. She looked like a recent surgery patient.
Continued success with your journey short2tall.
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That feeling you get when seeing new bone forming is really nice knowing everything is going good and your growing! Keep it going.
Whenever i went to get xrays i simply asked the radiologist to make me a cd of the xrays. I had to wait a day and come back to get the cd and then i would come home put it in my labtop and upload it to imgur. Then you just copy the link and paste it on here.
Thanks Jim! I'll try that next time.
It was great to meet you short2tall, share experiences as well. Very happy to hear that everything went well with your visit.
If you weren't in a wheelchair, I would have never guessed you did something so tough as LL. I still look the part of someone who is going through 'something'! Glad you've handled it so well.
I think I also caught a glimpse of Optimistic1 leaving the office, but wasn't able to say hello in person. There was also another younger girl who looks to have just done tibias. She looked like a recent surgery patient.
Continued success with your journey short2tall.
Haha thanks for the compliment LAGrowin. You didn't look that rough, lol, you seem to be doing really well also. Hopefully things continue to go smoothly for us, and all of the other patients currently undergoing LL.
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Hi Short2tall and LAGrowin,
I was there for my femurs first post-op appointment yesterday in the morning (March 23, 2018) and I was actually the first one there but waited until around 10:00 or 10:30 am before being called in for my x-ray. When I came out after meeting with Dr. M, I saw the room was filled with patients. If any of you stopped me to say hi I'd have started a conversation as I know it's quite difficult for us to meet each other in person. I don't think I was able to recognize Short2fall but LAGrowin is one handsome man.
I was rushing out after the appointment as I didn't want anyone to see my face after many sleepless nights dealing with pain and suffering while going through this process. I take pride in my hair but I cut it real short and stopped combing it since my first surgery about 5 weeks ago. You guys are tough. You make going through this process easier than it really is. Good luck and continue to keep us posted.
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Hi Short2tall and LAGrowin,
I was there for my femurs first post-op appointment yesterday in the morning (March 23, 2018) and I was actually the first one there but waited until around 10:00 or 10:30 am before being called in for my x-ray. When I came out after meeting with Dr. M, I saw the room was filled with patients. If any of you stopped me to say hi I'd have started a conversation as I know it's quite difficult for us to meet each other in person. I don't think I was able to recognize Short2fall but LAGrowin is one handsome man.
I was rushing out after the appointment as I didn't want anyone to see my face after many sleepless nights dealing with pain and suffering while going through this process. I take pride in my hair but I cut it real short and stopped combing it since my first surgery about 5 weeks ago. You guys are tough. You make going through this process easier than it really is. Good luck and continue to keep us posted.
Hey Optimistic1, I'm glad to hear your femur surgery went well. Hopefully you will have good bone growth from the start this time.
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Day 25
Yesterday I started lengthening 4x per day again. I can definitely feel an increase in muscle tightness already. I had a tough time sleeping last night because of it. The discomfort goes away once I take a Norco, but I'm trying to take as few as possible. The Flexeril (cyclobenzaprine, 10mg) doesn't seem to do much for me. Once I get out of bed and move around I feel completely fine again.
However, I did make some good progress in PT today. My therapist has me doing more and more strength exercises with resistance bands, and it's really helping. I also improved quite a bit in my knee bends, or heel to butt stretch, which was my worst area before. I achieved about 120 degrees today.
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Day 28
Today is my last day of lengthening 4x a day, and I'll go back to 3x a day tomorrow. I'm pretty happy about this, because my IT bands have started to get tight. Dr. M did release them, I believe he does this on about 99% of his patients, so I didn't expect them to be getting tight already. Hopefully going back to 3x per day will give them a break. I'm doing PT every other day and it certainly helps, but there really isn't a whole lot you can do to stretch your IT bands, they are quite rigid and don't stretch like muscles do. Anyway, we will see what happens.
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Day 30
I thought I would give an update for those of you that are concerned about working out and maintaining your upper body strength while lengthening. This was one of my main concerns going into this process, but I've actually been able to work out since about 2 weeks post-op. Of course my workouts are pretty limited, due to lack of serious equipment, but I think I've been able to keep maybe 80-90% percent of my strength thus far. If I can maintain this throughout the rest of the lengthening phase I'll be very happy.
If you have access to a hotel or apartment gym, or can even wheel yourself over to an actual gym, you will be able to use pin-loaded machines and cable machines and get a really good workout in. However, I am limited to a weight bench with a variety of dumbbells, resistance bands, and a door frame pull-up bar. Today for example, I did chest and triceps. I started with dumbbell flies on a flat bench. Then I did dumbbell presses on the flat bench. One of the most difficult parts is picking up heavier dumbbells from the floor without using your legs to stabilize yourself. That being said, I only feel comfortable lifting 55 or 60 lb dumbbells without losing my balance. That isn't enough for me to do chest presses, so I will also wrap a resistance band under the bench and hold it in each hand while I grip the dumbbells, and then swing them up one at a time before laying down. This allows me to get a pretty good pump. Then I did both of these exercises with the bench in an incline position. After that I transferred myself onto the floor and did push ups for the first time since the surgery. It didn't hurt at all. Then I did dips on my walker. They look flimsy but they can support 350 lbs (also mine doesn't have wheels). Just be very careful you don't lose your grip, or expend too much energy to where you can't stand up after the last rep. Lastly, I laid back down on the bench and did tricep extensions with a dumbbell.
I have PT every other day, which is quite a workout for the lower body in itself, so I work my upper body on all of the days that I don't have PT. I have 3 different upper body workout routines that I do. Chest and triceps (described above), back and biceps, and shoulders. For back and biceps, I start with seated curls. Then I set the bench to about a 45 degree incline, and do curls in which I rotate the dumbbells about halfway up. I am also still trying to find a comfortable way to do concentration curls without resting my elbow on my broken femurs. Then I switch to back, and my go-to exercise here is pull-ups on my perfect pull-up bar. I do wide, narrow, and hammer grip. I think I am going to attempt some dumbbell rows if I can get myself to lay face forward on the incline bench.
My third muscle group that I work out is shoulders. This is probably the easiest workout to do solely with dumbbells, but I also consider it the most important to look proportional after LL. I think wide shoulders are the best way to not look too skinny after gaining 2 or 3 inches. I start with side raises to hit the medial delts. Then I do front raises, which can be a little difficult because of the natural tendency to try and support yourself with your legs. Next I do Arnold presses, which is where you start with the dumbbells down by your chest, palms facing inward and then you rotate as you press upward. Then I typically do more front and side raises, and I finish up with regular shoulder presses. I normally would start the workout with the heavy shoulder presses, but since I can't go really heavy I like to be slightly tired out before this exercise.
That sums up my workout routine for now, just thought I would share it in case anyone had the same concerns that I did.
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Dips on the walker... Nice!
Sounds like you're getting a good workout considering the circumstances. Thanks for the tips.
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Dips on the walker... Nice!
Sounds like you're getting a good workout considering the circumstances. Thanks for the tips.
Thanks Android, I hope you get your turn soon!
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Day 31
Hit 1 inch today! That's a pretty big milestone. Its hard to say if I can notice the height difference yet, because I am not around familiar people or surroundings. I definitely do notice a steady increase in tightness though. I try to stretch by straightening my knees as often as possible.
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Day 35
I reached 3 cm today. Over the past few days I started feeling what I thought was a nerve pain behind my left knee. My PT determined that it was actually a ligament that was resisting against being stretched, and she was able to massage it into submission. Mind you this is not a relaxing massage, but a deep tissue kneading massage that leaves you sore for days. I'm doing PT about 4 times a week now, and I can tell the strengthening exercises are really helping. My legs don't look quite as emaciated as I thought they would at this stage.
It's hard to believe that it's been over a month since my surgery already. Time really flies by even though I'm not doing much throughout the day. I am managing to sleep a fair amount which makes the days go by even faster.
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hey short2tall, can you please upload x rays?
thnx
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hey short2tall, can you please upload x rays?
thnx
Yes, I'm going to try to get some at my next appointment on 4/13. At my first post-op I thought they just emailed the images to each patient, but another member pointed out that you had to ask the nurse to put the images on a CD for you.
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If anyone is following this I apologize that it's been a while since I updated. I still haven't been able to get any pictures of the X-rays so I haven't bothered updating. Anyway I had an appointment last Friday, and Dr. M confirmed that I was at exactly 4 cm, which was right where I was supposed to be according to my tally. I also had good bone growth which was visible on the X-ray. I did get a copy of the X-rays on a CD, but was unable to open the files.
Dr. M was very impressed by my range of motion, and said that my therapist was doing a great job. If anyone is going to be having surgery with Dr. M and is looking for a therapist or caregiver, you can PM me and I'll give you her info.
This weekend I was fortunate enough to meet up with 3 other current patients. It was great to be able to share experiences and answer each other's questions since we were all at different stages. This was really the first time I had gone anywhere other than the Dr.'s office since the surgery. I highly recommend meeting up with other patients or veterans before and/or during the process.
So far I am very happy with the results, and I don't think that I look out of proportion at all right now. We will see what happens as I get closer to 7 cm. I know that I'm going to start to get tight soon.
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It was great to meet you guys short2tall ! Had a great time. All awesome people. Your recovery is impressive! I hope it continues to go that way for you.
All he the best!
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I reached 5 cm today! This feels like a big milestone. I am now 5'10.5", which is the average height of the Caucasian male. I view any additional height I gain from here as a bonus. I would like to get some opinions as to how much further I should go. I am attaching an image of how I look right now. My original intent was to stop at 6.5 cm, or 2.5 inches. Now, I'm thinking about going to 7 or even 7.6 cm. What do you guys think? Could I pull it off without looking too skinny? I have definitely lost some size in my shoulders and chest, which I hope to regain as soon as I'm done consolidating.
https://i.imgur.com/pSBTRUC.jpg
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Congrats!
Can't safely say what you should aim for, just listen to your body and doctor. Proportion-wise, I think you look fine. Any doubts about looking skinny you can fix with bulking later in the gym.
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I would like to get some opinions as to how much further I should go.
It looks like you are yet to even do CLL. There is a very slight chicken leg situation going on because you've worked up your upper body so much but I think that's pretty common these days because everyone skips leg day.
If I didn't know your height I would have said you look 6'2 or 6'3.
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Congrats!
Can't safely say what you should aim for, just listen to your body and doctor. Proportion-wise, I think you look fine. Any doubts about looking skinny you can fix with bulking later in the gym.
Thank you Android, and yes I was referring to proportions only. The Dr. said I can definitely go to 8cm based on my current progress.
It looks like you are yet to even do CLL. There is a very slight chicken leg situation going on because you've worked up your upper body so much but I think that's pretty common these days because everyone skips leg day.
If I didn't know your height I would have said you look 6'2 or 6'3.
Thanks W, I'll take that as a complement! I've definitely lost a lot of muscle in my legs at this point, i promise they weren't that skinny when I started.
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Hi short2tall,
youre going well and i wish you the best for your LL journey!
I have a question. Are you all the time during your lengthening in a wheel chair? As i know walking and weight bearing stimulates the bone to heal or grow and close the gap. And as your write your bone healing is good already. So what is in your case stimulating your bone healing?
best wishes
C
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Hi short2tall,
youre going well and i wish you the best for your LL journey!
I have a question. Are you all the time during your lengthening in a wheel chair? As i know walking and weight bearing stimulates the bone to heal or grow and close the gap. And as your write your bone healing is good already. So what is in your case stimulating your bone healing?
best wishes
C
Hey Constantine, thanks for the well wishes. Yes I am in the wheelchair most of the time. I do try to walk around with the walker a little bit each day. I think the fact that I'm eating healthy (try to limit sodium, caffeine, etc.) and taking calcium and vitamin D supplements are probably helping the most with bone growth right now. A fellow lengthener reinforced the importance of going outside and getting vitamin D from sunlight. I'm going to try to do that more as I enter my consolidation phase. If you do all of these things you shouldn't have a problem with getting good bone growth.
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Day 58 post-op
Hey everyone, things are still going well and I am at 5.5 cm currently. My hamstrings are slowly getting tighter and tighter, and now my groin is starting to get a little tight as well. Still very bearable though, I mainly only notice during PT. I also get some nerve pains in and around my left knee from time to time. My next Dr. appointment is on Tuesday May 8th, and I will be at 6.4 cm, which is exactly 2.5 inches. At that point we will decide together if I should continue. I think I want to shoot for at least 7 cm now. The standard consolidation period seems to be 5 weeks, so that would allow me to be home by the end of June.
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The standard consolidation period seems to be 5 weeks, so that would allow me to be home by the end of June.
That's what Dr. Mahboubian said? For what cm range?
At the Paley Institute, everybody BUT Dr. Paley seemed to suggest two to three months was more common for consolidation.
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That's what Dr. Mahboubian said? For what cm range?
At the Paley Institute, everybody BUT Dr. Paley seemed to suggest two to three months was more common for consolidation.
Glad you're doing well short2tall. Amazing you're already there! Good for you.
@FormerKidd - I believe the 5 weeks quoted by Dr. M is not full consolidation, which takes much longer, but consolidated enough to walk unassisted. I was a little confused about this before as well. I believe Paley patients are also cleared to earl unassisted between 4-7 weeks roughly.
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Thanks LAGrowin! It seems like you were just at 5cm and I was thinking "wow I can't wait until I get to that point!"
That's what Dr. Mahboubian said? For what cm range?
At the Paley Institute, everybody BUT Dr. Paley seemed to suggest two to three months was more common for consolidation.
Yes, what LAGrowin said is correct. We may not be fully consolidated but we will be cleared to walk unassisted. This is because the Precice rod itself is lending some support to the bone as well. We are not allowed weightlifting or sports for another month or so after that.
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Day 64 post op
I reached 6 cm yesterday! It feels like the end is almost in sight. Today I drove my car for the first time since the surgery. It felt so good to get out of my room and drive around. I had been putting this off for a long time because I knew I wouldn't be able to put my wheelchair into my car by myself, so I had to wait until I was really comfortable travelling long distances with just the walker. I went to the Walgreen's drive-thru to pick up a prescription, and then went to McDonald's for a cheat meal lol. When I got back to the hotel and hobbled up to the entrance that I usually use, I discovered that the key reader on that door was broken! So I had to walk all the way around to the main entrance of the hotel with my walker, and then back to my room. It was quite a workout!
I'm looking forward to my appointment on Tuesday 5/8, at which time I will be at 6.5 cm. Still trying to decide if I want to stop at 7 cm or go all the way to 8. I just really want a quick consolidation.
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So you're 180cm/5'11 already?
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Day 64 post op
I reached 6 cm yesterday! It feels like the end is almost in sight. Today I drove my car for the first time since the surgery. It felt so good to get out of my room and drive around. I had been putting this off for a long time because I knew I wouldn't be able to put my wheelchair into my car by myself, so I had to wait until I was really comfortable travelling long distances with just the walker. I went to the Walgreen's drive-thru to pick up a prescription, and then went to McDonald's for a cheat meal lol. When I got back to the hotel and hobbled up to the entrance that I usually use, I discovered that the key reader on that door was broken! So I had to walk all the way around to the main entrance of the hotel with my walker, and then back to my room. It was quite a workout!
I'm looking forward to my appointment on Tuesday 5/8, at which time I will be at 6.5 cm. Still trying to decide if I want to stop at 7 cm or go all the way to 8. I just really want a quick consolidation.
Happy for you bro. I hope you get as tall as possible while staying as safe as possible.
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So you're 180cm/5'11 already?
Yes, I should be exactly 5'11 on Tuesday. It feels great, and doesn't look unproportional at all right now. If I max out the rod at 8 cm, I will be 5'11.5"
Happy for you bro. I hope you get as tall as possible while staying as safe as possible.
Thanks Johnson, I'm hoping to balance those 2 factors as best I can.
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Day 68 post op
I had an appointment with Dr. M today and received some really encouraging news. I have lengthened 6'5cm (2.5") so far, although he measured 6.8cm on the X-ray. The usual X-ray tech was on vacation and there was a new intern there today. I basically had to show her how to take the X-rays lol. So unfortunately I was still not able to get a copy of the X-rays. However, Dr. M said I had excellent bone growth and was even going to speed up my lengthening to 4x per day. But since I am so close to the end, and nerves really start to become stretched at this point, we agreed I would lengthen 10 more days and then stop. That will give me a total increase of 7.5cm! Even more exciting than that, he wants to see me 5 weeks from today to check if I am consolidated enough to walk! That will only be about 3 weeks of consolidation time post-lengthening. Dr. M told me that consolidation time varies from 3 to 5 weeks depending on bone growth. I am just so happy and grateful that my bone growth is good. As soon as I am done lengthening next Friday I am going to start taking silica, and make sure I get at least 30 mins of sun every day. I want to do everything possible to maximize my chances of walking by June 12th. Dr. M was also extremely impressed by my flexibility and range of motion after so much lengthening. The only discomfort I am experiencing at this point is some numbness in my lower left leg. I mainly feel it right after I use the machine.
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7.5 cm... How exciting! Hope that the next 10 days go smoothly for you.
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Hey brave girl i appriciate your courage ....what is the level of pain after surgery....and what about weight bearing...and please forgive me for my english
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7.5 cm... How exciting! Hope that the next 10 days go smoothly for you.
Thanks Android, I don't anticipate any problems, maybe just a little nerve pain.
Hey brave girl i appriciate your courage ....what is the level of pain after surgery....and what about weight bearing...and please forgive me for my english
Lol, I think you may have posted this in the wrong diary . . .
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Yeah i did....nd what is the cost of surgery??
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Yeah i did....nd what is the cost of surgery??
$75,000
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Day 78 post-op
Today was my last day of lengthening!!! I have reached 7.5 cm and couldn't be happier that this portion of the journey is over. I decided to stop at 7.5 instead of 8 because I want to consolidate a little faster, and was starting to get some pretty serious nerve pain in my left shin area. I'm going to post a few different pictures so you guys can see my new proportions. My new height should be right around 5'11.5"
Here I am standing with shorts on. I think I look very normal here, although I'm probably wearing my shorts a tad lower on my hips than I used to:
https://i.imgur.com/yi348eb.jpg
In this picture I am wearing just boxers, and you can sort of see the additional length:
https://i.imgur.com/jrSLUxh.jpg
Finally here I am seated. Unfortunately I didn't have anything I could sit on where my legs would be at 90 degrees:
https://i.imgur.com/qJBvqfp.jpg
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Today was my last day of lengthening!!! I have reached 7.5 cm and couldn't be happier that this portion of the journey is over.
Wow, congrats! Thanks for sharing photos too, they really are worth a thousand words. I honestly couldn't tell that you did any lengthening until the last one, and I'm looking for it. I'd be clueless with pants, shoes, and a proper chair.
Ready to take a break from hotel life?
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You look veey good my friend.
Congrats, now everything will be easier.
Keep strong!
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Congrats mate!!
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Congrants. Now get jacked again and fk some bit*hes :D
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Congrats. Glad it's finally over for you and you can move on with your life now.
You're looking good. As Android said, I wouldn't suspect a thing from your standing pictures.
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Wow, congrats! Thanks for sharing photos too, they really are worth a thousand words. I honestly couldn't tell that you did any lengthening until the last one, and I'm looking for it. I'd be clueless with pants, shoes, and a proper chair.
Ready to take a break from hotel life?
Thanks for the compliments Android, I couldn't be more ready to be done with hotel life!!! Also, it was great meeting you and I wish you a successful journey of your own.
You look veey good my friend.
Congrats, now everything will be easier.
Keep strong!
Thanks Bodybuilder, I feel like I'm so close to the end!
Congrats mate!!
Thank you Shadow!
Congrants. Now get jacked again and fk some bit*hes :D
Lol, that's exactly what I plan on doing.
Congrats. Glad it's finally over for you and you can move on with your life now.
You're looking good. As Android said, I wouldn't suspect a thing from your standing pictures.
Thanks myloginacct, I am very happy with the outcome.
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Thanks for the compliments Android, I couldn't be more ready to be done with hotel life!!! Also, it was great meeting you and I wish you a successful journey of your own.
Likewise! It was great meeting you and LAGrowin. Best of luck on your next steps (ha!), wishing you a speedy consolidation.
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Day 82 post-op/ Day 4 post-lengthening
Hey everyone, just wanted to give you an update on my post-lengthening condition. My flexibility is finally gradually improving rather than slowly getting worse as it does during lengthening. I've had 2 PT sessions since I stopped lengthening and the stretches are not as painful as they used to be. I just feel more loose overall and my nerve pains are almost gone. I'm going to start focusing even more on strength exercises with the resistance bands so I will be ready to walk when I'm cleared.
I also finally got a chance to weigh myself for the first time since the surgery and I was pleasantly surprised. The scale showed 168 lbs, so I've only lost about 2 lbs over the course of the whole procedure! However now that I'm basically 3 inches taller, my ideal weight is going to be a lot higher. Once I'm back in the gym full time I am going to try to bulk up to 190 or 200.
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I have been cleared to weight bear!!! I has been 3 months and 12 days since my initial surgery, and I am now cleared to walk after lengthening 7.5 inches. I feel incredibly fortunate that I was basically a "textbook" case with no complications. Here are my X-rays from today's appointment:
https://i.imgur.com/125mWoU.jpg
https://i.imgur.com/dlDdeBF.jpg
https://i.imgur.com/AE4Wn9D.jpg
https://i.imgur.com/Qs6PliS.jpg
The bones don't look quite as consolidated as I thought they might be, but Dr. M said they look very good and that I am free to get rid of the walker as soon as I feel comfortable. I am going to try to skip using crutches completely (he did not even mention using crutches either). I have tried to walk around a little and its basically just a shuffle right now. It feels so strange having to concentrate so hard just to walk. My muscles have already started to fill back in from doing PT, but all of the stabilizer muscles etc. need to be re-educated.
I also had Dr. M's staff measure my new height and they came up with 6' on the dot! Dr. M gave me a fist bump when his assistant read the number off, since I reached the "magic number" lol. I don't know if there is a discrepancy there since I should be 5'11.5 but I will measure myself again at home to verify.
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I have been cleared to weight bear!!! I has been 3 months and 12 days since my initial surgery, and I am now cleared to walk after lengthening 7.5 inches.
Just four weeks after finishing lengthening? That's impressive!
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If I was guaranteed a process like yours I wouldn't even bother with STRYDE. That's a great outcome nearly perfect although you're right it doesn't look as consolidated as I would have originally thought based on clearing someone to walk but he knows more than us. Although RGKEY was cleared despite the formation looking a little off and he screwed himself up. From my understanding he went to a doc though
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Just four weeks after finishing lengthening? That's impressive!
Thanks! Dr. Mahboubian said anywhere between 3 to 5 weeks is typical. But keep in mind walking is very tough at this point, and the bone isn't actually consolidated, the rod is still supporting a lot of the weight.
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If I was guaranteed a process like yours I wouldn't even bother with STRYDE. That's a great outcome nearly perfect although you're right it doesn't look as consolidated as I would have originally thought based on clearing someone to walk but he knows more than us. Although RGKEY was cleared despite the formation looking a little off and he screwed himself up. From my understanding he went to a doc though
My initial thought when I heard about Stryde was that it is a complete game changer, and It very well may be. However, at this point my advice to anyone that is ready to book their surgery would be to just go with Precice 2.2 if you can't afford Stryde with Paley right now. It is proven and has a great track record as far as safety goes. I asked Dr. M today if he would be getting access to the Stryde nail (I posted this in the Stryde thread as well) and he said he will but he doesn't know when it will be available outside of Paley's clinic yet. He also indicated he would be a little hesitant to let his patients completely forgo the walker during lengthening. Although if Paley's patients prove it can be done he may change his mind.
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Thanks! Dr. Mahboubian said anywhere between 3 to 5 weeks is typical. But keep in mind walking is very tough at this point, and the bone isn't actually consolidated, the rod is still supporting a lot of the weight.
Does he have the same criteria as Paley, that two or so sides have callused? Paley's assistant seems to tell people to expect 2 months before they can walk.
My initial thought when I heard about Stryde was that it is a complete game changer, and It very well may be.
My concern about Stryde is that I think a lot of people may be overestimating it. Yes, you'll hopefully be able to walk far sooner and maybe go back to your normal routine after lengthening rather than waiting several weeks, but during lengthening? Given the multiple daily lengthening, PT, and pain that's involved in the process, I don't think it's going to let people work full time jobs while lengthening as they seem to hope.
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Does he have the same criteria as Paley, that two or so sides have callused? Paley's assistant seems to tell people to expect 2 months before they can walk.
Yes he seems to have the same criteria, he didn't specifically say that 2 sides of the bone needed to have callus formation but that is more or less what he was looking for. Paley's staff might just be trying to under-promise and over-deliver so patients don't get disappointed if they can't walk as soon as they hope. 2 months seems a bit long to wait.
My concern about Stryde is that I think a lot of people may be overestimating it. Yes, you'll hopefully be able to walk far sooner and maybe go back to your normal routine after lengthening rather than waiting several weeks, but during lengthening? Given the multiple daily lengthening, PT, and pain that's involved in the process, I don't think it's going to let people work full time jobs while lengthening as they seem to hope.
Yes, I think you hit the nail on the head with your assessment here.
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Looking good! That's a nice bonus half an inch, you got so excited that you said you lengthened 7.5 inches instead of cm 😉
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Haha thanks for correcting me Android. You're right, I couldn't even contain my excitement that I was able to walk again. As far as the extra half inch, I think I'll have to get a stadiometer and measure for myself.
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Its been 3 days since I've been cleared to weight bear. I stopped using the walker after I got home from seeing Dr. M on the 12th. I have been walking without crutches since then. My walk definitely looks like more of a hobble at times, but I am walking unaided nonetheless. The most difficult part for me now is shifting my weight from one leg to the other when walking. It just doesn't feel natural to stand on one leg at a time after not being able to do so for such a long time. I can keep an almost natural looking gait for about 20 steps and then I start to get tired and hobble again. However I did go get a haircut yesterday and I don't think anyone in the salon noticed my walk. I am still doing PT 3 times per week, and I'm becoming more and more active each day. I think I'm even going to go grocery shopping in the next few days, because I can use the shopping cart for support if I get tired.
I want to reiterate how lucky I feel that I was able to get through this process with no complications so far, and seem to be making a quick recovery. I am definitely not taking this fact for granted after reading about fallen's experience, and there are many others who have faced serious complications. The only things I can really attribute to my success are being in very good shape prior to LL, and vigorous PT throughout lengthening.
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Its been 3 days since I've been cleared to weight bear. I stopped using the walker after I got home from seeing Dr. M on the 12th. I have been walking without crutches since then. My walk definitely looks like more of a hobble at times, but I am walking unaided nonetheless. The most difficult part for me now is shifting my weight from one leg to the other when walking. It just doesn't feel natural to stand on one leg at a time after not being able to do so for such a long time. I can keep an almost natural looking gait for about 20 steps and then I start to get tired and hobble again. However I did go get a haircut yesterday and I don't think anyone in the salon noticed my walk. I am still doing PT 3 times per week, and I'm becoming more and more active each day. I think I'm even going to go grocery shopping in the next few days, because I can use the shopping cart for support if I get tired.
I want to reiterate how lucky I feel that I was able to get through this process with no complications so far, and seem to be making a quick recovery. I am definitely not taking this fact for granted after reading about fallen's experience, and there are many others who have faced serious complications. The only things I can really attribute to my success are being in very good shape prior to LL, and vigorous PT throughout lengthening.
Hey! Good to hear that everything is going well for you. But are you walking now without crutches 4 weeks after you stopped clicking ???
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Hey! Good to hear that everything is going well for you. But are you walking now without crutches 4 weeks after you stopped clicking ???
Yes that is correct, it has only been 4 weeks since I stopped lengthening. The bones are not fully consolidated but it is considered safe to walk at this point because the Precice rod still supports much of your weight. Once you are cleared to walk, crutches are optional. Most people use them for a while but I chose not to, because I want to get back to normal as fast as possible.
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It has been 2 weeks now since I was cleared to weight bear. My walk is still improving, but my legs feel very strong. My main issue right now is some pain in my ankles and feet. I think I may have jumped the gun a little bit and thought my walk was almost normal right when I was allowed to weight bear. I soon realized I was not stepping high enough when walking, which was causing me to sort of walk on my toes. I think this is what is causing the pain in my feet right now. I'm currently working on correcting this, but it's not as easy as it seems. I find I really have to concentrate on each step.
Here are my before and after pics with Dr. Mahboubian. The angle in the after pic isn't great, but you can get the idea. Also, I'm not wearing shoes in the before pic, but the ones I have on in the after pic have very thin soles, I would say less than 1 cm. I felt noticeably taller than him at my last visit.
https://i.imgur.com/5tzlFga.jpg?1
https://i.imgur.com/nDfpfbc.jpg?1
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in the first pic you are not wearning shoes in the second you are. plus second photo is taken with close focus than first one which would show even minor difference in an exaggerated manner (in this case the difference in your height vis-a-vis the Dr's). Even then I dont think the difference is too much to notice. You were so frustrated with your height in the past but now you are much happy ....I again think height is more of mental than physical issue.
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in the first pic you are not wearning shoes in the second you are. plus second photo is taken with close focus than first one which would show even minor difference in an exaggerated manner (in this case the difference in your height vis-a-vis the Dr's). Even then I dont think the difference is too much to notice. You were so frustrated with your height in the past but now you are much happy ....I again think height is more of mental than physical issue.
A lot of it is mental I agree but he statistically just leapfrogged millions of the population in the US by those 7.5cm added to his height. So it's definitely noticeable in every sense of the word.
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A lot of it is mental I agree but he statistically just leapfrogged millions of the population in the US by those 7.5cm added to his height. So it's definitely noticeable in every sense of the word.
ha ha and yes now he is more prone to permanent knee and spinal issues than millions of them:
how ITB surgery is a bad idea which surgeons would not tell you: https://www.regenexx.com/iliotibial-band-itb-release-surgery/
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ha ha and yes now he is more prone to permanent knee and spinal issues than millions of them:
how ITB surgery is a bad idea which surgeons would not tell you: https://www.regenexx.com/iliotibial-band-itb-release-surgery/
Twas live. He more than knew what he was risking going into it. If you don't think the risks are worth it you shouldn't do LL. He's had a very successful diary and almost picture perfect lengthening. No need to be pessimistic about the future when nothing negative has happened yet.
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Twas live. He more than knew what he was risking going into it. If you don't think the risks are worth it you shouldn't do LL. He's had a very successful diary and almost picture perfect lengthening. No need to be pessimistic about the future when nothing negative has happened yet.
Risk is an understatement, Risk should be called when probability of something bad happening is there. When bad is certain, it should be called as accident...
Was he told that "ALL IT Band release surgeries would lead to permanent knee pain and would require knee replacement in very near future"
If not, then the poor guy was duped.
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Risk is an understatement, Risk should be called when probability of something bad happening is there. When bad is certain, it should be called as accident...
Was he told that "ALL ATL surgeries would lead to permanent knee pain and would require knee replacement in very near future"
If not, then the poor guy was duped.
He got ATL for internal femurs??
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He got ATL for internal femurs??
please re-read the question again...
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I strongly think CLL is a big trap a person once caught in it would require a sequence of surgeries/tests some in immediate future and some in later future, spanning to whole life. Rather than a one time revenue, it is a cash cow which is used by unscrupulous doctors such as in this case.
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ha ha and yes now he is more prone to permanent knee and spinal issues than millions of them:
how ITB surgery is a bad idea which surgeons would not tell you: https://www.regenexx.com/iliotibial-band-itb-release-surgery/
We are all aware that complications are possible, but for most of us the benefits outweigh the risks. I am more than happy with the results, and I'm sure the pain will subside as I work to improve my gait. The height gain may not seem like a lot, but it is actually a huge difference in real life. The pictures don't do it justice. I already stated that I wasn't wearing shoes in the first pic. The angle in the second pic makes me look smaller than I am. Look at our shoulders in comparison to each other, that is probably the best way to see the difference in these pictures.
To laugh at the possibility that someone may face health issues is rather disrespectful. If that is your outlook on this surgery then you are probably in the wrong forum.
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We are all aware that complications are possible, but for most of us the benefits outweigh the risks. I am more than happy with the results, and I'm sure the pain will subside as I work to improve my gait. The height gain may not seem like a lot, but it is actually a huge difference in real life. The pictures don't do it justice. I already stated that I wasn't wearing shoes in the first pic. The angle in the second pic makes me look smaller than I am. Look at our shoulders in comparison to each other, that is probably the best way to see the difference in these pictures.
To laugh at the possibility that someone may face health issues is rather disrespectful. If that is your outlook on this surgery then you are probably in the wrong forum.
First, laughing was not at you but the absurd logic given above. I wish you all the best and may you never have to face this issue.
Next, I'll write after Johnson1111 replies.
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Ok, I apologize if I misinterpreted. You were correct that I had IT band lengthening, but I don't believe that has caused any problems. I have no issues in my hips or knees. The only pain I have right now is in my feet and I believe it is temporary. I think it may be extensor tendonitis, which is similar to plantar fasciitis.
The other point Johnson was making about the height difference was that I went from 30th percentile to 70th percentile, so that makes it all worth it to me. I just wanted to take my height from being a negative attribute to being a neutral or positive characteristic about me. I know this may seem superficial but its just something I really wanted to do.
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Thanks a lot for sharing the before and after pictures! They'll be very unique here for sure. I'm also so glad everything seems to have gone your way. I hope your life only gets better from now on.
And I have to agree: every centimeter past 170cm (5'7) is when you start making comparatively much bigger "jumps" in terms of percentiles, specially if you consider the world's population, rather than just young white males.
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Thanks a lot for sharing the before and after pictures! They'll be very unique here for sure. I'm also so glad everything seems to have gone your way. I hope your life only gets better from now on.
And I have to agree: every centimeter past 170cm (5'7) is when you start making comparatively much bigger "jumps" in terms of percentiles, specially if you consider the world's population, rather than just young white males.
Thanks mylogin, I appreciate it.
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First, laughing was not at you but the absurd logic given above. I wish you all the best and may you never have to face this issue.
Next, I'll write after Johnson1111 replies.
So you've been told that leapfrogging the population by over 40% in height is not useless by three people now and yet you continue to call it absurd logic? So yes, you ARE laughing at him. You're saying he barely got any taller and it wasn't worth the risks. You're subliminally throwing shots at him, not me. That sums up every comment you've made...Even to the point of calling LL a scam in itself on this same post.
Take your shxt elsewhere.
If you have something to say you feel strongly about, you should just say it directly to him instead of using a non directed comment or a comment directed to me (that's meant for him) as an outlet.
If you don't like the idea of LL, don't try to pitch it to us. We don't need it. We've already done the research and the person in question has already done the surgery already and discussed with his doctor in Length about it beforehand.
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A quick update:
It's been about 7 weeks since I stopped lengthening, and one month since I was cleared to walk. I can definitely still feel the effects of the surgery, but I'm getting better and better every day. I feel almost normal now except when standing up from a seated position, using stairs, or walking for long distances. I had to walk at least a mile on the 4th of July to get to the fireworks display, and I was very sore after that.
I've been home for about 2 weeks now and it feels so good to return to a somewhat normal life. I managed to get a job that I really wanted so I'm very happy about that. I was able to walk around and look normal at the interview, which was something I was really worried about. Hopefully by next week I'll be ready to spend most of the day on my feet!
I've been back to the gym a few times now as well. I either use machines or have a friend assist me with the weight plates and dumbbells.
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A quick update:
It's been about 7 weeks since I stopped lengthening, and one month since I was cleared to walk. I can definitely still feel the effects of the surgery, but I'm getting better and better every day. I feel almost normal now except when standing up from a seated position, using stairs, or walking for long distances. I had to walk at least a mile on the 4th of July to get to the fireworks display, and I was very sore after that.
I've been home for about 2 weeks now and it feels so good to return to a somewhat normal life. I managed to get a job that I really wanted so I'm very happy about that. I was able to walk around and look normal at the interview, which was something I was really worried about. Hopefully by next week I'll be ready to spend most of the day on my feet!
I've been back to the gym a few times now as well. I either use machines or have a friend assist me with the weight plates and dumbbells.
So glad to hear of your speedy recovery! I'm procrastinating a lot going back to the gym, trying to recover that willpower I had for the past year or so which I lost after the surgery. I'm more only into free weights and the thought of mishandling the dumbbells with the current weight bearing limitations scares the s* out of me :P Hopefully by the end of the week I'll give it a try.
Keep up the good work!
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Thanks fallen. There are definitely still a lot of exercises I can't do, but I try to get creative and make sure I'm never putting too much pressure on my legs. If you have a partner to work out with you can have them hand you dumbbells while you are seated on a bench. I feel safe carrying a up to maybe a 35 lb dumbbell myself, and I have been picking up 45 lb plates to load them onto bars or machines. Even while doing this I don't feel like there is too much pressure on my legs.
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Finally here I am seated. Unfortunately I didn't have anything I could sit on where my legs would be at 90 degrees:
https://i.imgur.com/qJBvqfp.jpg
By the way, I just wanted to make a comment on this, regarding femoral patients.
People seem to think the disproportion is most obvious when someone is sat on a short bench/chair. However, I've seen taller people (generally tall women) whose upper legs looked exactly like that when sat down in ways similar to that one.
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Long legs are attractive af. My quads are beautifully sculpted right now but I couldn't give less of a shxt if I can grow 3.25 inches and have some long legs.
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Feels like yesterday that you were hobbling with a walker at 0.5 MPH! Congrats on the job, great to hear that you're getting back into your old routine. Keep it up!
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hey short2tall, I read your diary and your surgery + recovery was amazing, you are really gifted in that. I read earlier the surgery cost was about 75k. is there any way for you to give us an estimate of how much everything costed? (surgery, PT, living area, food, caretaker, etc.)
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Hey everyone, here is a quick update so you can see my current progress. I'm posting the links to 2 pictures below. My legs are starting to fill back out and the additional length is becoming less and less noticeable. I am still not pushing myself too hard when it comes to working out my legs, although I am probably ok to do so at this point. I've been doing light squats while holding dumbbells and just walking a lot. I feel like I have regained my full range of motion, and no longer have any regular pains that would be associated with the procedure. I do get an occasional clicking sound coming from my knees when I get up after a long period of sitting, but it is not painful at all.
Very few people know that I had the procedure and no one that I've seen since I've returned have made any comments about my legs looking odd. I've even been called tall a few times now and it feels pretty good! Again it's all subjective but I am still happy with my decision to go through with this procedure. I can now say from experience that it will not dramatically change or improve your life, but it may give you the confidence boost you are looking for. Check out the pictures and let me know what you think!
https://i.imgur.com/ZATfaaI.jpg
https://i.imgur.com/z0rPc8M.jpg
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If you didn't tell you had LL I would have never guessed. But you need a good inch on those quads ;)
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Hey everyone, here is a quick update so you can see my current progress. I'm posting the links to 2 pictures below. My legs are starting to fill back out and the additional length is becoming less and less noticeable. I am still not pushing myself too hard when it comes to working out my legs, although I am probably ok to do so at this point. I've been doing light squats while holding dumbbells and just walking a lot. I feel like I have regained my full range of motion, and no longer have any regular pains that would be associated with the procedure. I do get an occasional clicking sound coming from my knees when I get up after a long period of sitting, but it is not painful at all.
Very few people know that I had the procedure and no one that I've seen since I've returned have made any comments about my legs looking odd. I've even been called tall a few times now and it feels pretty good! Again it's all subjective but I am still happy with my decision to go through with this procedure. I can now say from experience that it will not dramatically change or improve your life, but it may give you the confidence boost you are looking for. Check out the pictures and let me know what you think!
https://i.imgur.com/ZATfaaI.jpg
https://i.imgur.com/z0rPc8M.jpg
What's your wingspan/sitting height/inseam?
I'm curious because I can't even tell that you've had LL.
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Congrats dude. You look great! Enjoy your new life.
Please post some recovery videos when you can. Cheers!
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You sure this wasnt a pre-LL picture? 😂 jk Its great to hear that your legs are getting bigger with minimum effort. Its been 6 weeks since i stopped lengthening and i see very slight improvements in leg size. Are you taking any supplements?
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You sure this wasnt a pre-LL picture? 😂 jk Its great to hear that your legs are getting bigger with minimum effort. Its been 6 weeks since i stopped lengthening and i see very slight improvements in leg size. Are you taking any supplements?
Are you getting in enough macros and protein? Are you squatting/deadlifting?
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Are you getting in enough macros and protein? Are you squatting/deadlifting?
I dont keep up with macros although i do consume about 2500 calories per day. Im not squatting /deadlifting just walking and slight leg exercises as im only allowed to weightbear 140 pounds and i weight 130 pounds just me alone.
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If you didn't tell you had LL I would have never guessed. But you need a good inch on those quads ;)
Haha thanks man, I'm definitely planning on adding some more muscle.
What's your wingspan/sitting height/inseam?
I'm curious because I can't even tell that you've had LL.
My wingspan is about 5'11, so equal to my new height. My shoulders are probably a little wider than your average Joe so that helps too. Not sure on the sitting height (that varies anyway when you gain or lose glute muscles). My inseam is 32".
Congrats dude. You look great! Enjoy your new life.
Please post some recovery videos when you can. Cheers!
Thanks! will do
You sure this wasnt a pre-LL picture? 😂 jk Its great to hear that your legs are getting bigger with minimum effort. Its been 6 weeks since i stopped lengthening and i see very slight improvements in leg size. Are you taking any supplements?
Lol I promise this is post LL. You do see some immediate improvement as your muscles finally catch up with your bones, and then the muscle growth tapers off a little. I could probably be pushing myself harder and have more gains right now but I'm just playing it safe. The only supplement I'm taking right now is protein, along with the calcium and vitamin D still.
Are you getting in enough macros and protein? Are you squatting/deadlifting?
It's too early for Jim to be squatting or deadlifting. 2500 calories is probably a sufficient calorie surplus for someone weighing 130 lbs.
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bro your post ll proportions are prolly the best i have ever seen. you look very good for having lengthened 6.5 cm (a very good amount)
I can guarantee your post ll legs look a lot better than your stubby pre LL legs, regardless of the height change. hope you have a great recovery and keep updating bro!
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bro your post ll proportions are prolly the best i have ever seen. you look very good for having lengthened 6.5 cm (a very good amount)
I can guarantee your post ll legs look a lot better than your stubby pre LL legs, regardless of the height change. hope you have a great recovery and keep updating bro!
Thanks MirinHeight. I actually lengthened 7.5 cm BTW.
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Finally got my next set of X-rays done. I sent them to Dr. M and he said that I am fully consolidated at this point, and that we should remove the rods in 4 to 5 months.
https://i.imgur.com/AlRXcOp.jpg
https://i.imgur.com/DmvxOLU.jpg
https://i.imgur.com/7dloAPJ.jpg
https://i.imgur.com/F4yt9Vo.jpg
https://i.imgur.com/TqdBz4t.jpg
https://i.imgur.com/tVLnmms.jpg
https://i.imgur.com/28UcZsO.jpg
https://i.imgur.com/ccwXkkh.jpg
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Finally got my next set of X-rays done. I sent them to Dr. M and he said that I am fully consolidated at this point, and that we should remove the rods in 4 to 5 months.
https://i.imgur.com/AlRXcOp.jpg
https://i.imgur.com/DmvxOLU.jpg
https://i.imgur.com/7dloAPJ.jpg
https://i.imgur.com/F4yt9Vo.jpg
https://i.imgur.com/TqdBz4t.jpg
https://i.imgur.com/tVLnmms.jpg
https://i.imgur.com/28UcZsO.jpg
https://i.imgur.com/ccwXkkh.jpg
Good to see your recovery.
Just one doubt: does this bulbous structure would have any negative consequences?
Another philosophical observation: don't you think how great we are designed by nature to have so straight bones with sharp edges...again proves that nature is really a super-intelligent creator. Humans have not even fully succeeded in even mimicking the same.
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Finally got my next set of X-rays done. I sent them to Dr. M and he said that I am fully consolidated at this point, and that we should remove the rods in 4 to 5 months.
https://i.imgur.com/AlRXcOp.jpg
https://i.imgur.com/DmvxOLU.jpg
https://i.imgur.com/7dloAPJ.jpg
https://i.imgur.com/F4yt9Vo.jpg
https://i.imgur.com/TqdBz4t.jpg
https://i.imgur.com/tVLnmms.jpg
https://i.imgur.com/28UcZsO.jpg
https://i.imgur.com/ccwXkkh.jpg
load of callous mate. Anyway since youre jacked and dont look like most forum members how can you describe dating interaction when youre taller? Is it a big difference or rather not?
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Good to see your recovery.
Just one doubt: does this bulbous structure would have any negative consequences?
Another philosophical observation: don't you think how great we are designed by nature to have so straight bones with sharp edges...again proves that nature is really a super-intelligent creator. Humans have not even fully succeeded in even mimicking the same.
Surprisingly you don't feel that big "knot" in the bone where the lengthening took place. You would think that the muscles and tendons would rub on it, but I haven't felt anything like that.
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load of callous mate. Anyway since youre jacked and dont look like most forum members how can you describe dating interaction when youre taller? Is it a big difference or rather not?
Thanks. Honestly, I haven't seen a huge difference in dating. Certainly the 5'9 and 5'10 girls are more accepting of me, but its hard to say if it makes a big difference with average height girls.
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I want to add a post script to the entry above. I don't think I'm back in my element 100% yet, so I think that's why I'm still a little behind the curve in the dating game. I still have some muscle/mass to gain before I'm back at my pre-LL physique, so I think subconsciously I still feel like I'm not up to par. But I have been experiencing some positive attention. I don't want to dissuade anyone from going through with this. I would do it again in a heartbeat.
Now for the actual update. I recently saw almost all of my immediate and extended family for a wedding. I haven't seen most of them in at least a year. My 89 year old grandmother was actually the first to say or notice anything. It's funny how sharp older people can be with certain details. My dad also kept saying "It seems like you've grown". I figured he would be the one to notice if anyone did, since we were almost exactly the same height before this procedure. So far, I've been playing it off. I've said things like "oh, I guess its all the protein I'm taking" etc. and he hasn't pressed the issue. My brother, who is an M.D., seemed quite accepting. He found out about it about half way through the procedure and was initially concerned for my health. We talked on the phone a few times throughout my lengthening and recovery phase, and he realized I hadn't made the decision irrationally or spur of the moment. We both struggled with our heights growing up, and I think he is genuinely happy for me at this point. So long story short, yes it is possible to hide the procedure from family/friends, but I would honestly recommend telling those that are close to you. They will understand. I plan on telling my parents in the future.
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Awesome thread bro, if you don't mind me asking how old are you?
I reside in LA so I most likely will be doing internals too with Dr. M at 75K I think is a good bang for your buck here in the US
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I want to add a post script to the entry above. I don't think I'm back in my element 100% yet, so I think that's why I'm still a little behind the curve in the dating game. I still have some muscle/mass to gain before I'm back at my pre-LL physique, so I think subconsciously I still feel like I'm not up to par. But I have been experiencing some positive attention. I don't want to dissuade anyone from going through with this. I would do it again in a heartbeat.
Now for the actual update. I recently saw almost all of my immediate and extended family for a wedding. I haven't seen most of them in at least a year. My 89 year old grandmother was actually the first to say or notice anything. It's funny how sharp older people can be with certain details. My dad also kept saying "It seems like you've grown". I figured he would be the one to notice if anyone did, since we were almost exactly the same height before this procedure. So far, I've been playing it off. I've said things like "oh, I guess its all the protein I'm taking" etc. and he hasn't pressed the issue. My brother, who is an M.D., seemed quite accepting. He found out about it about half way through the procedure and was initially concerned for my health. We talked on the phone a few times throughout my lengthening and recovery phase, and he realized I hadn't made the decision irrationally or spur of the moment. We both struggled with our heights growing up, and I think he is genuinely happy for me at this point. So long story short, yes it is possible to hide the procedure from family/friends, but I would honestly recommend telling those that are close to you. They will understand. I plan on telling my parents in the future.
can they notice any difference in your walk? has anybody asked about that?
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Awesome thread bro, if you don't mind me asking how old are you?
I reside in LA so I most likely will be doing internals too with Dr. M at 75K I think is a good bang for your buck here in the US
I'm 31 now.
can they notice any difference in your walk? has anybody asked about that?
Nope, my walk is completely normal now.
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I have an odd doubt. Since reaming the bones take out a lot of your bone marrow out of biggest bone of your body, so did you face any weakness, anaemia, lack of RBC count, muscle/fat loss from body in general (not in legs only) or general tiredness at any time or are you facing it now?
If you can check your hgb/ RBC count now and compare it with previous values of past. That would be greatly help.
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I have an odd doubt. Since reaming the bones take out a lot of your bone marrow out of biggest bone of your body, so did you face any weakness, anaemia, lack of RBC count, muscle/fat loss from body in general (not in legs only) or general tiredness at any time or are you facing it now?
If you can check your hgb/ RBC count now and compare it with previous values of past. That would be greatly help.
This concerned me at first too. I am very surprised that removing that much bone marrow has little to no affect on your health. I don't have any of the metrics, but I do not feel any different at all. I haven't been sick or had any health problems since the surgery. My endurance seems to be unchanged as well.
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What would happen after nail removal? Bone marrow will be regenerated or not?