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Author Topic: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany  (Read 3976 times)

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TallerVL

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #62 on: February 09, 2021, 08:28:26 AM »

Hello! Hope u r doing well so far, I’m so happy for your progress. Lengthening phase is def hard :(
I live in Germany too, and I’m planning to do LL surgery by the end of this year. So I have some questions for u.

1. Where did u get your PT during lengthening phase? Beim Köhne? He provided PT training for free or with extra cost?
2. After the lengthening phase, do u plan on getting PT with private clinic, or your are just gonna train by yourself? If it’s the first one, did u contact with the insurance? Did they cover the cost of PT training?

Thank you in advance!
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #63 on: February 09, 2021, 09:31:48 AM »

Hello! Hope u r doing well so far, I’m so happy for your progress. Lengthening phase is def hard :(
I live in Germany too, and I’m planning to do LL surgery by the end of this year. So I have some questions for u.

1. Where did u get your PT during lengthening phase? Beim Köhne? He provided PT training for free or with extra cost?
2. After the lengthening phase, do u plan on getting PT with private clinic, or your are just gonna train by yourself? If it’s the first one, did u contact with the insurance? Did they cover the cost of PT training?

Thank you in advance!

Hey hey,

Its getting better every day. Im now 12 days post Surgery and +7mm. the pain from the operation is slowly disappearing and now only the pain from stretching remains. However, it is not that bad if you stretch enough. You get PT at the hospital for the length of your stay. After getting home, you have to find a PT where you live and pay it yourself.

2. I will follow the instructions of Dr Köhne and PT. But as I see it now, I do think it will be necessary:p Im now in contact with the insurance and hope to get some money back!
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TallerVL

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #64 on: February 09, 2021, 03:08:34 PM »

Hey hey,

Its getting better every day. Im now 12 days post Surgery and +7mm. the pain from the operation is slowly disappearing and now only the pain from stretching remains. However, it is not that bad if you stretch enough. You get PT at the hospital for the length of your stay. After getting home, you have to find a PT where you live and pay it yourself.

2. I will follow the instructions of Dr Köhne and PT. But as I see it now, I do think it will be necessary:p Im now in contact with the insurance and hope to get some money back!

Cool! Thank you for ur relply. Please do tell us about how it goes with the insurance, it would be a big help.
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #65 on: February 11, 2021, 03:49:10 PM »

14 days post surgery
yesterday the seams were pulled and today i can take a shower again! this is how the legs look 14 days post surgery.
https://imgur.com/a/NvLhk70
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Limbfan2020

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #66 on: February 11, 2021, 04:59:26 PM »

Great progress, dude! I envy you! How is your gait? Can youu walk without crutches?
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #67 on: February 11, 2021, 06:48:18 PM »

Great progress, dude! I envy you! How is your gait? Can youu walk without crutches?

Thank you!
My gait with crutches got better. I still use them about 90% of the time.
I can walk unassisted but only if I have to get something a few steps away from me. My gait without crutches is weird and slow. Very penguin style. It gets also little painful sometimes.
Thats the reason I avoid it till I feel my legs are strong enough!
Best regards
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #68 on: February 17, 2021, 02:54:59 PM »

X Ray 19 days post surgery (16mm distraction)
Everything is fine. Bone grow is good but Ive decided to slow down the distraction from 1,00mm to 0,75mm / day for the next two weeks because the pain got to annoying.
https://imgur.com/a/uN04rdt
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Jamesy998

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #69 on: February 17, 2021, 03:13:26 PM »

X Ray 19 days post surgery (16mm distraction)
Everything is fine. Bone grow is good but Ive decided to slow down the distraction from 1,00mm to 0,75mm / day for the next two weeks because the pain got to annoying.
https://imgur.com/a/uN04rdt

Looks good. Pain for me went away around day 25 so maybe you could continue with 1mm but if you are in no rush then its grand to keep it at 0.75
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LON method | Dr. Halil Buldu | 2021
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Jamesy998

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #70 on: February 17, 2021, 03:15:25 PM »

How often are you advised to get an x ray taken?
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #71 on: February 17, 2021, 03:19:42 PM »

Looks good. Pain for me went away around day 25 so maybe you could continue with 1mm but if you are in no rush then its grand to keep it at 0.75

Thats good to hear!
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #72 on: February 17, 2021, 03:21:28 PM »

How often are you advised to get an x ray taken?

In the beginning once a week, now its once every two weeks.
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Jamesy998

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #73 on: February 17, 2021, 03:27:11 PM »

In the beginning once a week, now its once every two weeks.
Small intervals. I assume you will need them less and less as time goes by
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #74 on: February 17, 2021, 03:38:57 PM »

Small intervals. I assume you will need them less and less as time goes by

Yes
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #75 on: February 18, 2021, 08:10:55 AM »

Great progress.

Have you got any supplements or physio plans to optimise tissue growth and recovery?

Sry for the late answer. I take the following supplements:
- Orthomol tendo https://www.orthomol.com/en/products/locomotor-system/orthomol-tendo
- Glucosamin Chondroitin + MSM https://www.purecaps.net/produkte/glucosamin-chondroitin-msm
- vitamin d + k
- Calcium
- Magnesium
- OPC
- curcuma

I go once a week to PT and doing the exercises every day at home.
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #76 on: February 23, 2021, 08:26:45 AM »

Cool! Thank you for ur relply. Please do tell us about how it goes with the insurance, it would be a big help.

Hey, my insurance pays 80% of the cost of physiotherapy. 10 units have currently been approved. I will certainly need more so I will have to do it again.
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FSchez

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #77 on: February 23, 2021, 12:48:11 PM »

Hi Erkan!
We are almost in the same phase of the process. My surgery was on January 23rd, and I started to lengthen my legs 10 days later at a rate of 0.81 mm per day. According to my calculations I have elongated 2.1 cm, next Friday I have an X-ray. Yesterday at 15:30 was my last lengthening session before stopping ... I had to rest for a day because I had been in a lot of pain for 2 days. The doctor and the physiotherapist recommended that I stop and right now I feel much better. How about you rest at night? Can you sleep a whole night without waking up due to pain?
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #78 on: February 23, 2021, 01:56:33 PM »

Hi Erkan!
We are almost in the same phase of the process. My surgery was on January 23rd, and I started to lengthen my legs 10 days later at a rate of 0.81 mm per day. According to my calculations I have elongated 2.1 cm, next Friday I have an X-ray. Yesterday at 15:30 was my last lengthening session before stopping ... I had to rest for a day because I had been in a lot of pain for 2 days. The doctor and the physiotherapist recommended that I stop and right now I feel much better. How about you rest at night? Can you sleep a whole night without waking up due to pain?

Hey Fschez, Im also at 2,05cm so we are pretty much the same. I was doing 1 mm/day till 15mm or so. But the pain was to much at night so after only sleeping 3 h or so we decided to slow down to 0,75mm/day. This is much better. I do still need my normal painkiller but I can sleep better. I still wake up every night at about 3 o clock am. Then I have to take a Tilidin (opioid) which let me sleep till 7:00 or 8:00 o clock in the morning. Before I ve slowed down from 1,00mm to 0,75mm I ve had to take 2-3 Tilidin to get through the night. I think its a good idea to take one or two days break if pain gets to high!
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FSchez

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #79 on: February 25, 2021, 11:49:47 AM »

Hey Fschez, Im also at 2,05cm so we are pretty much the same. I was doing 1 mm/day till 15mm or so. But the pain was to much at night so after only sleeping 3 h or so we decided to slow down to 0,75mm/day. This is much better. I do still need my normal painkiller but I can sleep better. I still wake up every night at about 3 o clock am. Then I have to take a Tilidin (opioid) which let me sleep till 7:00 or 8:00 o clock in the morning. Before I ve slowed down from 1,00mm to 0,75mm I ve had to take 2-3 Tilidin to get through the night. I think its a good idea to take one or two days break if pain gets to high!
I think we are going through one of the worst phases and we both have almost the same pain that prevents us from resting at night ...
I take 2 pills of pain reliever just before going to bed, at 23:30 or so, and at 3:30 or 4:00 I wake up in pain and have to take tramadol with paracetamol, and I don't usually sleep fast again .. Since I stopped lengthening I feel much better. I spent about 30 hours without lengthening sesions, On Tuesday I just spent my day stretching hard 3 times sesions for a long time and the night from Tuesday to Wednesday. Tuesday afternoon I lengthened my legs again for one session at 8:30 p.m. and I was able to sleep without pain from 1:00 to 8:00.
It has been the best night so far, but today I slept again like the previous days. At the moment the pain during the day is bearable, I hope we could continue like this for a few more days without having to stop soon again.
Good luck friend and take care!! ;)
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #80 on: February 27, 2021, 04:11:32 AM »

Hello everybody!
Its 30 day post surgery and +2,2cm. Today Ive got bad knee pain after my distraction in the evening. I could barely sleep a few hours. Do you have any suggestion what can help? Painkiller dont seem to work well for this kind of pain. Its gettin better when I stand up and move some time but as soon as I try to sleep it keeps coming back. Ill be glad for any suggestions!
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V

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #81 on: February 27, 2021, 09:07:14 AM »

I guess the best thing to do would be to ask Dr. Koehne because he has all the insights about ur current situation and medical record. Good luck abi, kralsin.
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VeteranLL

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #82 on: February 27, 2021, 11:08:55 AM »

Hey Erkan,

Did Dr. Köhne cut your IT-Band?
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Erkan

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #83 on: February 27, 2021, 02:13:53 PM »

Hey Erkan,

Did Dr. Köhne cut your IT-Band?

I will see him in a few days, so I can ask him. Whats the opinion here should it be done?
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VeteranLL

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Re: Femur lengthening - Jan/2021 w Dr. Koehne Strdye, Germany
« Reply #84 on: February 27, 2021, 02:57:34 PM »

I will see him in a few days, so I can ask him. Whats the opinion here should it be done?

If your goal is only max. 6cm then you wont need it. It band release is not really necessary, but many doctors do IT-Band release to have a faster recovery and avoiding side effects like Duckass,Widelegs.
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