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[SirStretchAlot]

@thankscience
I still have the nails inside as I'm still doing hard stretching. Looking to remove them in the next 12 months, perhaps with another ITB release on my right.

@throwaway123456
Ah, it must be due to our T/F ratio then. My right leg is actually OK, but my left has completely given in. I'm around 68kg and active as well. I guess not all parts of us recover post a major surgery, sigh.

[sixfootandhalf]

Your journey was one of the journeys that inspired me to go on this myself

and i have surgery in 3 months time.

Betz has now retired, and Becker has taken over.

He is offering a 'soft' ITB release, where they poke holes to create a mesh type elasticity/stretch, as opposed the the kind of ITB release that is more aggressive that you had with Goitikas that gives you a proper, rather than soft release.

It is absolutely amazing to have you post on here. Legitimately, what is life like ten centimeters taller? How does it feel?

And with regards to your iTB release with Goitikas - did you get this done while still lengthening, and do you know what sort of iTB release it was? I.E. Z cut?

[informationispower]

and i have surgery in 3 months time.

I thought your surgery was in July? Why 3 months?

[SirStretchAlot]

Your journey was one of the journeys that inspired me to go on this myself

and i have surgery in 3 months time.

Betz has now retired, and Becker has taken over.

He is offering a 'soft' ITB release, where they poke holes to create a mesh type elasticity/stretch, as opposed the the kind of ITB release that is more aggressive that you had with Goitikas that gives you a proper, rather than soft release.

It is absolutely amazing to have you post on here. Legitimately, what is life like ten centimeters taller? How does it feel?

And with regards to your iTB release with Goitikas - did you get this done while still lengthening, and do you know what sort of iTB release it was? I.E. Z cut?

Very glad my diary was useful. And it may be better that Betz retired, he was quite old and already prone to error.

Besides the knee pain, lengthening 10cm has completely cured my height neurosis. Dating has become significantly easier, which was my main motivation.

Pieracing the ITB with holes is what they perform on athletes with runner's knee. It provides "relief" rather than "release".

Giotikas explained that poking holes was inadequate for purposes of limb lengthening. He performed a diagnal cut near on the ITB near the knee, where it's thickest.

The reason why Betz did not like ITB release is because it is what keeps your legs laterally stable. It is unclear to me if the full ITB release caused my knee problems as the ITB provides lateral protection to the knee.

The main drawback to mechanical nails is the clicking which damages your knee over time, not that there's an alternative right now.

I would still recommend a full release nonetheless, as it was still inadequate for my right leg which is still tight all along the ITB, from hip to knee.

[thankscience]

I have never read that the clicking damages the knee over time. Why would this be the case?

[hippo60]

@throwaway123456
Ah, it must be due to our T/F ratio then. My right leg is actually OK, but my left has completely given in. I'm around 68kg and active as well. I guess not all parts of us recover post a major surgery, sigh.

My starting T/F ratio was around 0.72, so I don't think that ratio in and of itself is problematic.

[throwaway123456]

No disrespect intended , but 0.72 T?F ratio is rare in the natural population, the measurement is hard to make via palpitation, was this verified with long leg standing XRay or CT ?

[hippo60]

No disrespect intended , but 0.72 T?F ratio is rare in the natural population, the measurement is hard to make via palpitation, was this verified with long leg standing XRay or CT ?

Do you know what is the distribution of T/F ratio?

[throwaway123456]

from this study "Normative Values for Femoral Length, Tibial Length, and
the Femorotibial Ratio in Adults Using Standing
Full-Length Radiography"
Radiographed adults " . Lower limb length, femoral length, tibial length,
and the femorotibial ratio were measured in 1077 limbs"
They found F/T ratio mean was 1/1.28 = 0.78 (T/F), from the graph in the study ~ 1% had a F/T ratio of 1.39 (0.72 T/F))
"The overall ratio of femoral length to tibial length was 1.28:1 (2SD ± 0.08) with a
normal distribution. The calculated ratio for patients with shorter-than-average tibiae
(length < 39 cm) was 1.29 (2SD ± 0.07), which was the same for men and women. This
differed significantly from the ratio of 1.27 (2SD ± 0.08)"

[hippo60]

Thanks for sharing! I looked up that paper, looks like they only had 753 patients. I wonder whether it's enough or not.
Anyhow, my doctor (Rozbruch) measured the ratio using a full leg x-ray during my consultation, so I think it's pretty accurate. I believe the actual ratio was 0.74, but I think my point still stands.

[sixfootandhalf]

Thank you so so much.I absolutely love your post.

I had a call with Goitikas and he said the same, this 'soft' ITB release will do next to nothing for people who are basically lengthening their legs - we are not runners, we are literally breaking bone and lengthening our limbs by many inches.

Becker is an amazing surgeon, as was Betz, but Becker seems to think we should not damage a perfectly healthy tendon, that it will  cause severe imbalance and seriously impede recovery and that many, 8, 9, 10 cm lengthen femurs with no ITB release.

[sixfootandhalf]

Very glad my diary was useful. And it may be better that Betz retired, he was quite old and already prone to error.

Besides the knee pain, lengthening 10cm has completely cured my height neurosis. Dating has become significantly easier, which was my main motivation.

Pieracing the ITB with holes is what they perform on athletes with runner's knee. It provides "relief" rather than "release".

Giotikas explained that poking holes was inadequate for purposes of limb lengthening. He performed a diagnal cut near on the ITB near the knee, where it's thickest.

The reason why Betz did not like ITB release is because it is what keeps your legs laterally stable. It is unclear to me if the full ITB release caused my knee problems as the ITB provides lateral protection to the knee.

The main drawback to mechanical nails is the clicking which damages your knee over time, not that there's an alternative right now.

I would still recommend a full release nonetheless, as it was still inadequate for my right leg which is still tight all along the ITB, from hip to knee.

How difficult was it to fly to Greece after having been to Germany , to get the essential ITB release?

[SirStretchAlot]

Hi all, I just saw a sports physiotherapist and my knee pain is almost entirely fixed now.
1) Turns out that my quads were too tight, which made it pull on my knee cap. This impacted knee traction, which ultimately caused the pain when bending. Discomfort while sitting was a dead giveaway. Joints rarely causes pain when they're not being used or inflammed. Muscle tightness was obvious in hindsight. Do stretch your quads until your heel touches your glutes in a lunge.
2) I was informed that given my elongated femur, my center of gravity has shifted forward significantly during squats. This means that my knee will be stressed much more than a regular person when squatting. He recommended that I should never squat beyond my body weight (68kg~). Normal people can usually squat until 1.5x their body weight (100kg in my case) if they had normal t/f ratio.

@sixfootandhalf
1) It was not difficult flying to Greece as I was mobile 3 days after the surgery.
2) I think ITB release has a chance of reducing knee stability but the tissue will heal completely. From past diaries I've never seen anyone get to 10cm without doing an ITB release. Your TFL is only 15cm long. It's simply impossible to stretch a muscle by 65%.

[sixfootandhalf]

Hi all, I just saw a sports physiotherapist and my knee pain is almost entirely fixed now.
1) Turns out that my quads were too tight, which made it pull on my knee cap. This impacted knee traction, which ultimately caused the pain when bending. Discomfort while sitting was a dead giveaway. Joints rarely causes pain when they're not being used or inflammed. Muscle tightness was obvious in hindsight. Do stretch your quads until your heel touches your glutes in a lunge.
2) I was informed that given my elongated femur, my center of gravity has shifted forward significantly during squats. This means that my knee will be stressed much more than a regular person when squatting. He recommended that I should never squat beyond my body weight (68kg~). Normal people can usually squat until 1.5x their body weight (100kg in my case) if they had normal t/f ratio.

@sixfootandhalf
1) It was not difficult flying to Greece as I was mobile 3 days after the surgery.
2) I think ITB release has a chance of reducing knee stability but the tissue will heal completely. From past diaries I've never seen anyone get to 10cm without doing an ITB release. Your TFL is only 15cm long. It's simply impossible to stretch a muscle by 65%.

Hope you are well!

How will this bode for you going forward with regards to squatting?

Becker i believe, does not feel an proper ITB relese is needed and has mentioned maany do 8, 9, 10 cm without a release and slow down the rate to 0.5mm a day.

[Nicose]

Hi may i ask how many cm are you going for and also did the doctor suggested the femurs or was it yourself btw is itb release necessary for people who are going for even 5cm on tibias

[Nicose]

Do u think all the pain and knee problems are due to the 8cm meaning if u did 5,5 u wouldn’t have any complications and also do u have to pay extra for the itb release, I’m thinking of getting 5,5 on my tibias and i really can’t afford a penny more than the initial price and also I’m opting for 5,5 to have no complications, did u meet anyone who did betzbone on tibias for the same amount as mine and if yes did they have any complications ¿