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Author Topic: Femurs with Dr. Betz in 2019  (Read 3046 times)

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rwadlow

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Femurs with Dr. Betz in 2019
« on: August 21, 2019, 10:11:54 PM »

Hey folks,

First off: this will not be a patient diary, but rather a collection of my experiences with the LL process as well as the personal learnings I gathered before and after the surgery. I’m writing this in order to give something back to the LL community, which has helped me preparing for the surgery, deciding which doctor to choose and what to expect during and after the lengthening process.

About me

Gender: Male
Age: 25-30
Height: 171,5 cm
Wingspan: 172 cm

New final height: 179,5 cm (8 cm lengthened)
Initial gap after surgery: 6 mm

One word of advice before reading my experiences (although I think this should go without saying): Everything that I write worked quite well for me personally, but should never be blindly followed without checking with your doctor. Only she or he knows your case and knows what’s best for your situation.

With that out of the way, I’ll shed some light on the whole process from start to finish. Hopefully, some future LLers will find this information useful and encouraging.

Why did I choose Dr. Betz?

After finally taking the next step and committing to doing the surgery, I wanted to make sure to only consider highly distinctive doctors in the field of LL with a lot of experience and a proven track record – no matter the cost. This is your body after all, and you’ll have to live with it for the rest of your life. Long story short: After reading a lot of positive diaries in this and the old forum, I found Dr. Betz to be the best choice. The surgery costs were about 52K€, which is really not „that expensive“, considering what you get in terms of expertise, service, hospitality, etc. – oh yeah, you also get a new life. Between you and me, I think Dr. Betz could easily charge more than that, however, after talking to him for the first time in the pre-surgery consultation, he doesn’t strike you as the kind of guy who cares about that kind of stuff and is rather interested in serving his patients and developing his field of expertise, This is the second reason why I chose Dr. Betz: Besides being highly experienced and competent, he is really empathetic, which I found to be an incredibly rare combination among doctors (not just in LL). There are certainly other great LL doctors out there, but for me Dr. Betz checked all the boxes and that’s why I went with him.

Preparation before surgery

I started stretching about 4 months prior to surgery for 20 minutes each day, stretching each muscle group (hamstrings, quads, hip flexors, adductors, abductors, ITBs, buttocks). Personally, I thought this was kind of a weak workout, but the PT during my stay in the hospital told me that he only knew one other patient that was in better stretching-wise.

Surgery and 2-week-stay at hospital

Not much to say here. You arrive one to two days earlier to have a second consultation. I don’t really remember my surgery, only going in and out. All the nurses and PTs at the hospital are really nice and helpful. The food is good too. The only thing that was problematic for me was limited choice because I tried to shift to a vegetarian (and even vegan) diet. I will not go into to much detail here because the experiences during the hospital stay have been covered in other diaries at length.

LL process

I returned home two weeks after surgery and continued going to PT sessions in my hometown.

For the next three months, this would become my daily routine:

- Breakfast + taking meds
- Taking a hot bath to loosen muscles (20 minutes)
- 1 hour of stretching (all muscle groups 3x 30 seconds)
- Massaging legs with massage stick (10 minutes)
- Clicking (first took like an hour, then it was done in under 10 minutes)
- Lunch + taking meds
- Work (1 hour)
- 1 hour of stretching (all muscle groups 3x 30 seconds)
- Walking (I tried to get at least to 3000-4000 steps per day, measured by Apple health app)
- Work (2-3 hours)
- Dinner + taking meds
- 1 hour of stretching (all muscle groups 3x 30 seconds)

Now there seem to be also patients who could go directly back to 8 hours of work, but I was satisfied with my routine, since I almost never felt any pain and my sleep was 90%-100% normal. Like said, this worked for me personally. It might very well be that I did my stretching not efficiently enough and that I could have carved out a few more hours of leisure time, but I did not care since I did not want to experiment with a system that worked for me and would be over anyways after three months. So I stuck with it until the end and do not regret it. By the way, during the whole process, Dr. Betz was always only one WhatsApp-message away, which was really reassuring.

In terms of clicks, I started with 20 clicks per day until I hit 3 cm and from there on I went down to 15 clicks until I hit 8 cm. I highly encourage anyone to not go faster than his or her body can recover. Lengthening is not about speed, but to find a pace at which your body feels more „comfortable“ adjusting.

Last but not least, at about 3 cm I developed moderate wide legs (which is quite early according to an experienced PT) even though I and my PT felt I stretched enough. As fast as the wide legs came they vanished at about 5 cm and instead I got a slight duckass. That’s not a big issue though, I simply follow these exercises to get rid of it: https://backintelligence.com/anterior-pelvic-tilt-fix/

And that’s it for now. I might revisit this post in the future to update it with the exact exercises I did (in case you want to know). However, I must tell you that I will probably not have time to tend to any questions that you might have, as, you know.. I want to get on with my life ;)

Hope some of this information was helpful!
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Tomhard

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Re: Femurs with Dr. Betz in 2019
« Reply #1 on: August 21, 2019, 10:37:57 PM »

Hey Which Nail Diameter did you have?
How long did it take to get rid of your duckass?
How long are u post clicking now?
And can you show some more stretching exercises for fighting duck ass and which are easy to do, cause still on crutches.
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tom paul 24

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Re: Femurs with Dr. Betz in 2019
« Reply #2 on: August 22, 2019, 03:55:11 AM »

Hey folks,

First off: this will not be a patient diary, but rather a collection of my experiences with the LL process as well as the personal learnings I gathered before and after the surgery. I’m writing this in order to give something back to the LL community, which has helped me preparing for the surgery, deciding which doctor to choose and what to expect during and after the lengthening process.

About me

Gender: Male
Age: 25-30
Height: 171,5 cm
Wingspan: 172 cm

New final height: 179,5 cm (8 cm lengthened)
Initial gap after surgery: 6 mm

One word of advice before reading my experiences (although I think this should go without saying): Everything that I write worked quite well for me personally, but should never be blindly followed without checking with your doctor. Only she or he knows your case and knows what’s best for your situation.

With that out of the way, I’ll shed some light on the whole process from start to finish. Hopefully, some future LLers will find this information useful and encouraging.

Why did I choose Dr. Betz?

After finally taking the next step and committing to doing the surgery, I wanted to make sure to only consider highly distinctive doctors in the field of LL with a lot of experience and a proven track record – no matter the cost. This is your body after all, and you’ll have to live with it for the rest of your life. Long story short: After reading a lot of positive diaries in this and the old forum, I found Dr. Betz to be the best choice. The surgery costs were about 52K€, which is really not „that expensive“, considering what you get in terms of expertise, service, hospitality, etc. – oh yeah, you also get a new life. Between you and me, I think Dr. Betz could easily charge more than that, however, after talking to him for the first time in the pre-surgery consultation, he doesn’t strike you as the kind of guy who cares about that kind of stuff and is rather interested in serving his patients and developing his field of expertise, This is the second reason why I chose Dr. Betz: Besides being highly experienced and competent, he is really empathetic, which I found to be an incredibly rare combination among doctors (not just in LL). There are certainly other great LL doctors out there, but for me Dr. Betz checked all the boxes and that’s why I went with him.

Preparation before surgery

I started stretching about 4 months prior to surgery for 20 minutes each day, stretching each muscle group (hamstrings, quads, hip flexors, adductors, abductors, ITBs, buttocks). Personally, I thought this was kind of a weak workout, but the PT during my stay in the hospital told me that he only knew one other patient that was in better stretching-wise.

Surgery and 2-week-stay at hospital

Not much to say here. You arrive one to two days earlier to have a second consultation. I don’t really remember my surgery, only going in and out. All the nurses and PTs at the hospital are really nice and helpful. The food is good too. The only thing that was problematic for me was limited choice because I tried to shift to a vegetarian (and even vegan) diet. I will not go into to much detail here because the experiences during the hospital stay have been covered in other diaries at length.

LL process

I returned home two weeks after surgery and continued going to PT sessions in my hometown.

For the next three months, this would become my daily routine:

- Breakfast + taking meds
- Taking a hot bath to loosen muscles (20 minutes)
- 1 hour of stretching (all muscle groups 3x 30 seconds)
- Massaging legs with massage stick (10 minutes)
- Clicking (first took like an hour, then it was done in under 10 minutes)
- Lunch + taking meds
- Work (1 hour)
- 1 hour of stretching (all muscle groups 3x 30 seconds)
- Walking (I tried to get at least to 3000-4000 steps per day, measured by Apple health app)
- Work (2-3 hours)
- Dinner + taking meds
- 1 hour of stretching (all muscle groups 3x 30 seconds)

Now there seem to be also patients who could go directly back to 8 hours of work, but I was satisfied with my routine, since I almost never felt any pain and my sleep was 90%-100% normal. Like said, this worked for me personally. It might very well be that I did my stretching not efficiently enough and that I could have carved out a few more hours of leisure time, but I did not care since I did not want to experiment with a system that worked for me and would be over anyways after three months. So I stuck with it until the end and do not regret it. By the way, during the whole process, Dr. Betz was always only one WhatsApp-message away, which was really reassuring.

In terms of clicks, I started with 20 clicks per day until I hit 3 cm and from there on I went down to 15 clicks until I hit 8 cm. I highly encourage anyone to not go faster than his or her body can recover. Lengthening is not about speed, but to find a pace at which your body feels more „comfortable“ adjusting.

Last but not least, at about 3 cm I developed moderate wide legs (which is quite early according to an experienced PT) even though I and my PT felt I stretched enough. As fast as the wide legs came they vanished at about 5 cm and instead I got a slight duckass. That’s not a big issue though, I simply follow these exercises to get rid of it: https://backintelligence.com/anterior-pelvic-tilt-fix/

And that’s it for now. I might revisit this post in the future to update it with the exact exercises I did (in case you want to know). However, I must tell you that I will probably not have time to tend to any questions that you might have, as, you know.. I want to get on with my life ;)

Hope some of this information was helpful!

Great advertising Dr Betz!
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rwadlow

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Re: Femurs with Dr. Betz in 2019
« Reply #3 on: August 22, 2019, 05:07:58 AM »

@tom paul 24
Sorry but I do need to interrupt you right there: After taking the time to write this up in order to help out fellow LLers, this is not the reaction I hoped for from the community. What reasons do you have for such an accusation? That's kinda hurtful and disrespectful for me as someone who just went through the most challenging phase of his life. If you are not willing to contribute anything valuable to this discussion or are just out to be trolling, please just stop.

@wanttaller
Hey Which Nail Diameter did you have?

I have the 12mm nail.

How long did it take to get rid of your duckass?

My duckass is still visible, but it already improved shortly after I stopped clicking and followed the exercises from Back Intelligence.

How long are u post clicking now?

Today is my fourth day without clicking.

And can you show some more stretching exercises for fighting duck ass and which are easy to do, cause still on crutches.

I'm following the exercises here: https://backintelligence.com/anterior-pelvic-tilt-fix/

However, I'm not yet able to do the warrior pose or bend the knees to such a degree that I could do a full squat (and I feel I'm still lacking the strength to do one). Also I can't do the child's pose like it is depicted in the post, but each day I'm getting better and that's kind of motivating. By the way, I'm also still on crutches for longer walks because I want to get my walking to 100% first.

I'll make sure to post an update with the stretching exercises I did on a daily basis in a bit. (However, these did not prevent me from getting a duckass, but each body just reacts differently I guess)
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Tomhard

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Re: Femurs with Dr. Betz in 2019
« Reply #4 on: August 22, 2019, 03:48:22 PM »

Hey, Thanks for you reply.
Do you still work with a PT or do stretching by yourself?
How‘s your routine now? The same as during lengthening?
Can you maybe guess the amount of time that you walk during a day?
Can you still feel that you legs still rotate because of the clickmechanism. ( Do you still feel clicking mechanism?)
When do you plan on taking your next X-Rays?
And when do you want to ditch the crutches ?
How long can you walk with crutches at once until you get tired ( lower back pain)
Can you maybe post videos or pictures of your posture, walking, duckass?
« Last Edit: August 22, 2019, 04:45:52 PM by wanttaller »
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Tomhard

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Re: Femurs with Dr. Betz in 2019
« Reply #5 on: August 22, 2019, 07:45:23 PM »

.
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rwadlow

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Re: Femurs with Dr. Betz in 2019
« Reply #6 on: August 22, 2019, 07:52:50 PM »

Do you still work with a PT or do stretching by yourself?

>>> I stopped going to PT since about 2.5 weeks, but I will start going to PT again soon and probably 2-3 times per week to get my gait to 100% asap.

How‘s your routine now? The same as during lengthening?

>>> No, still figuring out what the best one is. Will additionally focus on strengthening now.

Can you maybe guess the amount of time that you walk during a day?

>>> Apple Health says ~3000 steps per day on average, though that will probably increase to ~4000 over the following days.

Can you still feel that you legs still rotate because of the clickmechanism. ( Do you still feel clicking mechanism?)

>>> Yes, but I don't really worry about that, since it's only been 4 days.

When do you plan on taking your next X-Rays?

>>> Any time now, since I just stopped clicking. The next one is in 3 months after consolidation

And when do you want to ditch the crutches ?

>>> Asap, but first I want to walk evenly (one leg is more stiff than the other which resulted in a slightly tilted pelvic). My PT will probably be able to give an estimate soon.

How long can you walk with crutches at once until you get tired ( lower back pain)

>>> I'm not sure to be honest. But my guess would be that I can easily go for 3-4 hours (maybe more?) without feeling anything except normal tiredness. At least if I'm going now 1.5 hours in one walk I don't feel anything at all.

Can you maybe post videos or pictures of your posture, walking, duckass?

>>> Sorry, but I'm really concerned about privacy, hope you understand.
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PANDA:BEAR..

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Re: Femurs with Dr. Betz in 2019
« Reply #7 on: August 22, 2019, 08:50:18 PM »

Do you still work with a PT or do stretching by yourself?

>>> I stopped going to PT since about 2.5 weeks, but I will start going to PT again soon and probably 2-3 times per week to get my gait to 100% asap.

How‘s your routine now? The same as during lengthening?

>>> No, still figuring out what the best one is. Will additionally focus on strengthening now.

Can you maybe guess the amount of time that you walk during a day?

>>> Apple Health says ~3000 steps per day on average, though that will probably increase to ~4000 over the following days.

Can you still feel that you legs still rotate because of the clickmechanism. ( Do you still feel clicking mechanism?)

>>> Yes, but I don't really worry about that, since it's only been 4 days.

When do you plan on taking your next X-Rays?

>>> Any time now, since I just stopped clicking. The next one is in 3 months after consolidation

And when do you want to ditch the crutches ?

>>> Asap, but first I want to walk evenly (one leg is more stiff than the other which resulted in a slightly tilted pelvic). My PT will probably be able to give an estimate soon.

How long can you walk with crutches at once until you get tired ( lower back pain)

>>> I'm not sure to be honest. But my guess would be that I can easily go for 3-4 hours (maybe more?) without feeling anything except normal tiredness. At least if I'm going now 1.5 hours in one walk I don't feel anything at all.

Can you maybe post videos or pictures of your posture, walking, duckass?

>>> Sorry, but I'm really concerned about privacy, hope you understand.


Just curious... why didn't lengthen with the Stryde...?
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wangchaoan

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Re: Femurs with Dr. Betz in 2019
« Reply #8 on: August 22, 2019, 10:20:50 PM »

Betz is a reliable specialist in this area. A week ago, Betz told me I can do ANY activities now even SPORTS after he read my 8 months X-rays. My widelegs and duckass has almost gone. I know you can also make it.
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rwadlow

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Re: Femurs with Dr. Betz in 2019
« Reply #9 on: August 23, 2019, 01:50:06 PM »

@Pandabear

The latest Betzbone seemed to have met all the requirements. But to be honest, the simpler reason why I chose it was that I already talked to a couple of patients who had good things to tell about the nail and their lengthening process.

@wangchaoan

Thanks! Would you mind telling me your daily routine? How long and often did you stretch and what exercises did you do for getting rid of duckass?
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atron

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Re: Femurs with Dr. Betz in 2019
« Reply #10 on: August 23, 2019, 06:19:19 PM »

dont think Betz needs to advertising ،he is busy enugh with a good outgoing Results  8)
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atron

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Re: Femurs with Dr. Betz in 2019
« Reply #11 on: August 23, 2019, 06:23:03 PM »

Hey folks,

First off: this will not be a patient diary, but rather a collection of my experiences with the LL process as well as the personal learnings I gathered before and after the surgery. I’m writing this in order to give something back to the LL community, which has helped me preparing for the surgery, deciding which doctor to choose and what to expect during and after the lengthening process.

About me

Gender: Male
Age: 25-30
Height: 171,5 cm
Wingspan: 172 cm

New final height: 179,5 cm (8 cm lengthened)
Initial gap after surgery: 6 mm

One word of advice before reading my experiences (although I think this should go without saying): Everything that I write worked quite well for me personally, but should never be blindly followed without checking with your doctor. Only she or he knows your case and knows what’s best for your situation.

With that out of the way, I’ll shed some light on the whole process from start to finish. Hopefully, some future LLers will find this information useful and encouraging.

Why did I choose Dr. Betz?

After finally taking the next step and committing to doing the surgery, I wanted to make sure to only consider highly distinctive doctors in the field of LL with a lot of experience and a proven track record – no matter the cost. This is your body after all, and you’ll have to live with it for the rest of your life. Long story short: After reading a lot of positive diaries in this and the old forum, I found Dr. Betz to be the best choice. The surgery costs were about 52K€, which is really not „that expensive“, considering what you get in terms of expertise, service, hospitality, etc. – oh yeah, you also get a new life. Between you and me, I think Dr. Betz could easily charge more than that, however, after talking to him for the first time in the pre-surgery consultation, he doesn’t strike you as the kind of guy who cares about that kind of stuff and is rather interested in serving his patients and developing his field of expertise, This is the second reason why I chose Dr. Betz: Besides being highly experienced and competent, he is really empathetic, which I found to be an incredibly rare combination among doctors (not just in LL). There are certainly other great LL doctors out there, but for me Dr. Betz checked all the boxes and that’s why I went with him.

Preparation before surgery

I started stretching about 4 months prior to surgery for 20 minutes each day, stretching each muscle group (hamstrings, quads, hip flexors, adductors, abductors, ITBs, buttocks). Personally, I thought this was kind of a weak workout, but the PT during my stay in the hospital told me that he only knew one other patient that was in better stretching-wise.

Surgery and 2-week-stay at hospital

Not much to say here. You arrive one to two days earlier to have a second consultation. I don’t really remember my surgery, only going in and out. All the nurses and PTs at the hospital are really nice and helpful. The food is good too. The only thing that was problematic for me was limited choice because I tried to shift to a vegetarian (and even vegan) diet. I will not go into to much detail here because the experiences during the hospital stay have been covered in other diaries at length.

LL process

I returned home two weeks after surgery and continued going to PT sessions in my hometown.

For the next three months, this would become my daily routine:

- Breakfast + taking meds
- Taking a hot bath to loosen muscles (20 minutes)
- 1 hour of stretching (all muscle groups 3x 30 seconds)
- Massaging legs with massage stick (10 minutes)
- Clicking (first took like an hour, then it was done in under 10 minutes)
- Lunch + taking meds
- Work (1 hour)
- 1 hour of stretching (all muscle groups 3x 30 seconds)
- Walking (I tried to get at least to 3000-4000 steps per day, measured by Apple health app)
- Work (2-3 hours)
- Dinner + taking meds
- 1 hour of stretching (all muscle groups 3x 30 seconds)

Now there seem to be also patients who could go directly back to 8 hours of work, but I was satisfied with my routine, since I almost never felt any pain and my sleep was 90%-100% normal. Like said, this worked for me personally. It might very well be that I did my stretching not efficiently enough and that I could have carved out a few more hours of leisure time, but I did not care since I did not want to experiment with a system that worked for me and would be over anyways after three months. So I stuck with it until the end and do not regret it. By the way, during the whole process, Dr. Betz was always only one WhatsApp-message away, which was really reassuring.

In terms of clicks, I started with 20 clicks per day until I hit 3 cm and from there on I went down to 15 clicks until I hit 8 cm. I highly encourage anyone to not go faster than his or her body can recover. Lengthening is not about speed, but to find a pace at which your body feels more „comfortable“ adjusting.

Last but not least, at about 3 cm I developed moderate wide legs (which is quite early according to an experienced PT) even though I and my PT felt I stretched enough. As fast as the wide legs came they vanished at about 5 cm and instead I got a slight duckass. That’s not a big issue though, I simply follow these exercises to get rid of it: https://backintelligence.com/anterior-pelvic-tilt-fix/

And that’s it for now. I might revisit this post in the future to update it with the exact exercises I did (in case you want to know). However, I must tell you that I will probably not have time to tend to any questions that you might have, as, you know.. I want to get on with my life ;)

Hope some of this information was helpful!
thanks for sharing ur experience
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wangchaoan

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Re: Femurs with Dr. Betz in 2019
« Reply #12 on: August 23, 2019, 07:33:47 PM »

You just need to do some regular walking or biking everyday. No need to push yourself too hard. Give it time and be patient. And gradually it turns out that your ITband is being stretched by itself months after months, which results in the disappearance of the duckass and wideleg.
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Tomhard

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Re: Femurs with Dr. Betz in 2019
« Reply #13 on: August 23, 2019, 08:35:12 PM »

You just need to do some regular walking or biking everyday. No need to push yourself too hard. Give it time and be patient. And gradually it turns out that your ITband is being stretched by itself months after months, which results in the disappearance of the duckass and wideleg.

So it means, that walking is actually the most important thing to recover faster right?
At the moment I can walk like 20 minutes at once , and my lower back gets a little tired. Will it improve in the next months?
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wangchaoan

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Re: Femurs with Dr. Betz in 2019
« Reply #14 on: August 24, 2019, 12:16:12 AM »

1. Tight ITBand causes duckass and widelegs.
2. Especially duckass makes your spine more curved than usual, and that makes your lower back become the only supporting point of your upper body, instead of sharing your body weight by your entire spine. This is why you have lower back pain or tiredness.
3. I think walking works well for me. A former Betz's patient OBG, who has a diary in this forum, also said so. Actually I almost follow his recovery method and schedule.
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Tomhard

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Re: Femurs with Dr. Betz in 2019
« Reply #15 on: August 24, 2019, 01:11:05 AM »

1. Tight ITBand causes duckass and widelegs.
2. Especially duckass makes your spine more curved than usual, and that makes your lower back become the only supporting point of your upper body, instead of sharing your body weight by your entire spine. This is why you have lower back pain or tiredness.
3. I think walking works well for me. A former Betz's patient OBG, who has a diary in this forum, also said so. Actually I almost follow his recovery method and schedule.

Thanks for a reply.
So my routine is very simple right now.
Waking up , walk as much as possible with crutches, then intense stretching at night.
You got any more tipps?
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Tomhard

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Re: Femurs with Dr. Betz in 2019
« Reply #16 on: August 24, 2019, 09:12:23 PM »

.
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SirStretchAlot

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Re: Femurs with Dr. Betz in 2019
« Reply #17 on: June 05, 2021, 08:53:43 AM »

A note to potential viewers here. Wide legs and duck ass are inter-related. You can close your legs better if you bend forward and your hip back (duck ass). Wide legs resolving itself is an illusion. Once you stand up straight, the legs widen again.
« Last Edit: June 05, 2021, 11:43:39 AM by SirStretchAlot »
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May 2021: 171cm (evening) > September 2021: 181cm
Wingspan: 170cm | Male: 29 | 65kg | Based in UK
Femurs: Betzbone with Dr. Betz | ITB Release: Dr. Giotikas
Dairy: http://www.limblengtheningforum.com/index.php?topic=66558.0
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