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Author Topic: Lengthening with Dr Bagirov in Moscow (9th December surgery date)  (Read 130739 times)

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ForcedPuberty

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #217 on: January 03, 2015, 05:23:17 AM »

femur has a greater warmth and blood supply, this makes pre-consolidation far more likely.

as bone consolidation is faster.

in my opinion, and each to his own.......................... 1cm if done during the operation is crazy.

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Nope, 20cm is just nope.

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kakahi

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #218 on: January 04, 2015, 04:51:17 AM »

Has anyone ever done tibias and femurs at the same time using externals? Most people view such a procedure to be a big no-go zone but why?
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ShortyMcShort

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #219 on: January 04, 2015, 05:03:10 AM »

Has anyone ever done tibias and femurs at the same time using externals? Most people view such a procedure to be a big no-go zone but why?

Her name is Disobedient, a bit of a nut... well at the time anyway, not sure about now.
Dont think she's recovered all that well and apparently 'lost' some cms during consolidation

Personally I wouldnt do it, way too risky.
If time is limited then do one surgery instead of forcing yourself

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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #220 on: January 04, 2015, 05:35:33 PM »

I feel so sick after switching to tramadol is this normal?

either that or i'm infected again... sigh...

I have very very bad pin site pain when I move my right leg....

I don't know what's going on but all these pin sites issues just ruin my day.

otherwise I am perfectly fine and mobile and no loss of dorsiflexion.

Im now at airport transit they took away my spanner and put into carry-in.. so today I lengthen 0.25 mm. never mind tomorrow morning I will lengthen first thing I reach back....
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #221 on: January 06, 2015, 02:56:50 AM »

after stepping down on painkillers, my discomfort is quite signifcant...

i realise without painkillers things will be really hell....

i used to take 6-8 katadalon tablets, and 10 excedrin tablets a day, plus ketorolac (an NSAID) about 4-6 pills.

thankfully despite the NSAIDs my bone is healing well (from X-rays)

But doctor said that katadalon was used way too much and ketorolac only take 1-2 pills a day!

so after stepping down (and since my country has no katadalon, i use it only at night to sleep).....

the pain is bad..

i might stop at 7 cm because my body is telling me to stop....

i am 'fraid of the hardcore painkillers like percocet and oxycodone.. are they that addictive?? are there so bad withdrawals?

i cant seem to be able to take tramadol it drives me crazy, ie, it just makes me feel so nauseated and unwell..
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ReadRothbard

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #222 on: January 06, 2015, 05:37:17 AM »

just take it 1 cm at a time, buddy
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“If you're afraid - don't do it, - if you're doing it - don't be afraid!” ― Genghis Khan

172 cm in the morning (67.8"); 170 cm (67”) at night; Sitting Height: 96 cm (37.8”); Goal: 184.5 cm (6'0.7"); Ultimate Goal: 192 cm (6’3.5) morning height, 190 cm (6’3) “night” height
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #223 on: January 07, 2015, 06:07:17 PM »

past few days were like hell as i was probably had food poisoning and/or dyspepsia and/or tramadol withdrawals (tho i taken only 3 pills) and/or infection
i am now feeling better and well enough to post a little...
basically had a 1 day plus flight from russia to singapore and it was so so tiring.. i almost died...
when i cme back home needless to say i was so exhausted.
tomorrow i am going back to work..... and going to emergency to get some medicine
can someone shed some light about what pain meds to get??
im thinking of
* percocet/oxycodone (since tramadol makes me feel so ill)
* paracetamol with codeine
* pregablin (lyrica)
* mydocalm (if they have it)
* ophenadrine
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tx1111

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #224 on: January 08, 2015, 02:59:48 AM »

Youre going to work with frames on? What do you do? What do you tell people?
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #225 on: January 09, 2015, 12:42:14 AM »

^ ski accident in moscow.. doctor suggested.. i researched.. really possibe for exfix for complicated fractres..
but it is really tough to move from place to place...!!

update my pain meds
* paracet with orph
* codeine
* arcoxia (NSAID)
* pregablin

to be honest, i am not so afraid of the pain.. im just afraid cos its painful that my frame might break.. pins or stuff break and fal apart and that is the end of me...
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #226 on: January 09, 2015, 10:34:07 PM »

I need Tizanidine (sirdalud) but singapore does not have it... nor do we have mydocalm..
But yes i was prescribed the pain meds as written above..
they stupidly gave me 90 mg of arcoxia instead of 120mg, so i wonder if it is safe to take 90 mg x 2, researching on that.
codeine really helps u to sleep...so i only use it at night.. u sleep like a baby..
i use it only at night because i do not want tolerance to develop
im given 30 mg codeine (pure) which is equivalent to 5 mg of oxycodone.
its a 20 days supply if i take it only at night.
going to see an orthopedic specialist on 12th of this month... i hope he can prescribe similar pills, because i am really afraid of tolerance..
i have already calculated, if i turn 0.5/0.75 alternately, i just have ANOTHER TWO MONTHS of lengthening!
i am doing absolutely fine now, at 2.5 cm (one inch), no ballerina, nothing. just some pains here and there.. but praise the Lord I am mostly in a pain-free state for most of the day :)
emergency room confirmed i have two pin-site infections currently... the airport doctor and the emerjgency room docs both hold the opinion that, they are superficial currently.
it puzzles me why i still have pin-site infections when i have taken 10 days of augmentin, self-injected myself 5-6 days with ceftriaxone, and then switched to ciprofloxacin.
probably its a resistant bacteria, i dont know..........
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Yemef

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #227 on: January 10, 2015, 11:53:59 AM »

Hey@itsmylife u said u wanna watch ad free movies..... Best is u download adblocker to that particular browser(recommend google chrome) then watch tht movies. Also yes there are lot of free movie sites like movie2k and movies 4k,but i mainly use viooz for watching movies.......


........ Also my height and wingspan are pretty much same n by getting my desired height my wingspan wud be 11cm shorter tHan my height...... And its d same wid u, so im eagerly waiting how ud look once you reach ur final height.... Also all d best for d journey mahn!!!
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #228 on: January 10, 2015, 06:54:12 PM »

Hey@itsmylife u said u wanna watch ad free movies..... Best is u download adblocker to that particular browser(recommend google chrome) then watch tht movies. Also yes there are lot of free movie sites like movie2k and movies 4k,but i mainly use viooz for watching movies.......


........ Also my height and wingspan are pretty much same n by getting my desired height my wingspan wud be 11cm shorter tHan my height...... And its d same wid u, so im eagerly waiting how ud look once you reach ur final height.... Also all d best for d journey mahn!!!

thanks bro.... we will be about 180 and wingspan of 169 cm or so..
i have long arms tho (75 cm)
it is so painful today when i extend 0.75 consecutively for two days..
so so painful...
i will go back to alternating between 0.75/0,5 :(
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Uppland

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #229 on: January 10, 2015, 07:02:26 PM »

thanks bro.... we will be about 180 and wingspan of 169 cm or so..
i have long arms tho (75 cm)
it is so painful today when i extend 0.75 consecutively for two days..
so so painful...
i will go back to alternating between 0.75/0,5 :(

My arms are 75CM as well and I'm just under 180 also my dad has 78CM arms+hands and he is 187CM.
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #230 on: January 11, 2015, 03:39:27 AM »

^ yes I know, cos I saw ur comment about arm span..

is arm span really more important than wingspan??

I finally reached 1 inch (2.5+ cm)

I wonder when I will get ballerina; doctor says I wont get ballerina if I follow instructions.
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Uppland

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #231 on: January 11, 2015, 03:24:15 PM »

^ yes I know, cos I saw ur comment about arm span..

is arm span really more important than wingspan??

I finally reached 1 inch (2.5+ cm)

I wonder when I will get ballerina; doctor says I wont get ballerina if I follow instructions.

Yes it is mate, your arms might be short even if you have a wingspan equal to your height and they may look normal even if your wingspan is shorter. My wingspan is only 174CM but like I said my arms are only 3CM shorter than dads -but I'm still worried about how my arms are gonna look, it's my main concern proportion-wise actually.
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joax

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #232 on: January 11, 2015, 03:41:11 PM »

Quote
Yes it is mate, your arms might be short even if you have a wingspan equal to your height and they may look normal even if your wingspan is shorter. My wingspan is only 174CM but like I said my arms are only 3CM shorter than dads -but I'm still worried about how my arms are gonna look, it's my main concern proportion-wise actually.

Trust me, mate. Very few people care about proportions.
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Taller

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #233 on: January 11, 2015, 03:54:16 PM »

I am 178 or 179 CM with a wingspan of 185-186 CM. Honestly, my arms don't feel long at all. They're not short either, just normal looking for my height. My big armspan is definitely fromy shoulders, which are very broad. From much experimenting with lifts, 188CM is the max I'll be able to pull off while still looking proportionate/normal. My arms are shorter than those of everyone who is naturally 188CM, but, luckily, not by much. It's so little of a difference that I don't think anyone who isn't a member of the forum would notice. Plus, somebody recently posted here about a basketball player of 188CM and a 181CM armspan that included noticably short arms. Nobody seems to care in his case. If I were to go above 188CM, I'd need AL, but I have no plans or aspirations to exceed 188CM. Honestly, these past few months I've come to realize that my height does not hold me back in life at all. I've just always had a complex regarding my height, as I am one of the shortest males in my family, and I've always wanted to change it. Every time I think of my height I feel disappointment. I want LL for the simple fact that a greater height will make me much happier and proud to exist in my own body.
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endomorphisme

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #234 on: January 11, 2015, 04:22:41 PM »

why are you always talking about your complex taller, we don't care you know, everyone has a problem with his height here.
i also remember you SAID have been on ll forums for years, so why are you still here, what are you waiting for?
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Taller

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #235 on: January 11, 2015, 04:49:53 PM »

why are you always talking about your complex taller, we don't care you know, everyone has a problem with his height here.
i also remember you SAID have been on ll forums for years, so why are you still here, what are you waiting for?


LOL, well if it isn't the voice of reason itself?


I'm getting a university degree at the moment and can't financially, academically, or logistically afford to take time off for LL. In a couple of years, I hope I'll be able to, and I'm doing what I can to make that a reality, but, for now, I'm nothing but a dreamer!

ItsMyLife, you are also a student. How did you work of the logistics of your LL journey, if you don't mind my asking?

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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #236 on: January 11, 2015, 11:18:11 PM »


LOL, well if it isn't the voice of reason itself?


I'm getting a university degree at the moment and can't financially, academically, or logistically afford to take time off for LL. In a couple of years, I hope I'll be able to, and I'm doing what I can to make that a reality, but, for now, I'm nothing but a dreamer!

ItsMyLife, you are also a student. How did you work of the logistics of your LL journey, if you don't mind my asking?

i took a gap semester from my university..
when im back i am just gonna say i had a ski accident and thats why ive external fixators..
cos i will attend one semester with these fixators.. but that would be consolidation.. very little pains..
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #237 on: January 12, 2015, 08:09:22 AM »

spoke to my ortho today
hes really good..
prescribed me esperidone for muscle relaxing in addition to tramadol. he told me to use arcoxia as little as possible (once a day only).
repeat XR will be done in 2 weeks..
he says that taking NSAIDs is dangeorus for bone formation.. tho my bone callus now is good, the body can choose to stop growing new bone at any time, due to NSAID use.. quite scary eh..
tramadool is fine for bone growth.......
we discussed about stepping up my pain medicines as we approach 8 cm, and he is OK with it, ie, in the last month, we might use oxycodone, hydrocodone, etc..
we will probably repalce tramadol with the opiates..

is tramadl stronger or oxycodone/hydrocodone?

on a sadder note, based on XR, i lengthen only 2 cm, instead of 2.5+ cm based on my spreadsheet... probably due to pin bending..
superficial infection was also noted at Rt leg, two (medial) sites...
other pins are doing well.. granulation tissue at the iodine burn sites..

i looked at the XR and am not sure about the fibula fixation because it is NOT in line........... :(
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #238 on: January 14, 2015, 12:02:32 AM »

Update. At 2.7 cm. (I will update again maybe much later, as things are pretty constant everyday)

Everything has stabilised...  i must admit i am in a state of complete analgesia (ie, pain 0/10) for most part of the day. As is expected, walking too much will lead to some pains (which is 3/10 to 6/10), but walking short distances is very good. For some days I was experiencing pains (before I saw the ortho) because I was NOT on any muscle relaxant other than ophenadrine, which was not the most perfect relaxant. I needed something strong like the Russian Mydocalm(or tizanidine), but we don't have it here, so they gave me eperisone which works like a charm.

No signs of ballerina yet. I am always on footholders in bed, and stretch my dorsiflexion angle also.

I might be getting knee contracture... as I was very worried about ballerina instead... but it is not an issue now, because I can still walk properly, and flatten my knees to zero degrees. So I will pay careful attention to this from today onwards.

I am relieved of the burden of taking care of myself, which was pretty dangerous if you ask me, cause if i fell nobody would know for quite a while.. But as my family is not very supportive of my decision, they only help me a little every now and then; but i am fairly independent and can do most tasks with walker.

Sleep wise, I still get my 8 hours at night, but more difficult. Why? its not the pain. I am just getting reliant on sleep medications. Last night was pretty hard to sleep. 30 mg codeine, no sleep. 60 mg codeine (which is 7.5 mg morphine) gave me euphoria for awhile. and when the euphoria went away, i dozed off. woke up, and couldnt get back to sleep. had some discomfort, so popped a tramadol. and there i was, back to sleep, like a baby before i know it (tramadol has weak sedative effects.. very subtle,,. only if you combine with opiates...)

Right, all these drug contortions will possibly not work if you have tolerance... i do not abuse drugs and have never taken opiates before and rarely take benzos, so everything is doing very well for me now. If you have a tolerance, you might wanna speak to your dr to see what can be done...

I am on Arcoxia. This is an NSAID. 90 mg once a day (i stopped 120 mg). Fahri said it was ok, taken once a day. So here I am. We dont have ketoprofen, anotehr NSAID which he prescribes.  My local ortho believes that NSAIDs are a risk factor, in line with what most people think (the russians think it may not be adverse to bone growth, because studies always swinging from left to right to left, like ding dong bell)

Whatever it is, my bone formation is pretty good despite being injected regularly with ketoprofen in the hospital. And being on Arcoxia. But, I do not want to risk things and next week (ie, after a few days),  I will switch to tramadol (and codeine at night to sleep), and stop arcoxia totally. (now I do not use tramadol)

I'm still worried about my fibula being not in line, which is very obvious on the XR, but fahri said we can discuss this in moscow. I am not sure if it matters, as the fibula is not a very important weight-bearing bone.. but if you are talking athletic functions, mmm, it might well matter (think it does)
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #239 on: January 19, 2015, 08:20:25 AM »

Fearful my fibula wont heal well (theres no callus); so i stopped arcoxia.. and started tramadol. Pretty much most of the day is painless.. Must be the muscle relaxants...
Tramadol does give u withdrawals once stop taking.... its addictive potential is indeed high....
I am now lengthening at 0.5/0.75 alternately instead of 0.75 for the past 1 week.
I realised i am lengthening much faster than crimsontide.. Another patient was lengthening pretty fast too at 0.75 with some breaks of 0.5... he developed ballerina..
I am starting to get some difficulties walking.
I have some loss of dorsiflexion, but not too much. probably have 10-15 degeres now of dorsiflexion.
once it reaches 0, i will start to get ballerina.
tramadol makes me so lazy......................but i try to fight it.
pain and symptoms get much better once u go down to 0.5.
anyway, I have severe pain in my right hamstring tendon (or that area) when I bend or straighten my knees (only when motion).. it feels like something is snapping.. an elastic band is sanpping.. does tibia lengthening affect the hamstring tendon??? only tramadol relieves me of the pain but if I move too vigorous I start to get nerve pains (referred, to my feet)
« Last Edit: January 22, 2015, 11:20:28 AM by Admin »
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Joel

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #240 on: January 21, 2015, 08:49:06 AM »

Fearful my fibula wont heal well (theres no callus); so i stopped arcoxia.. and started tramadol. Pretty much most of the day is painless.. Must be the muscle relaxants...
Tramadol does give u withdrawals once stop taking.... its addictive potential is indeed high....
I am now lengthening at 0.5/0.75 alternately instead of 0.75 for the past 1 week.
I realised i am lengthening much faster than crimsontide.. Another patient was lengthening pretty fast too at 0.75 with some breaks of 0.5... he developed ballerina..
I am starting to get some difficulties walking.
I have some loss of dorsiflexion, but not too much. probably have 10-15 degeres now of dorsiflexion.
once it reaches 0, i will start to get ballerina.
tramadol makes me so lazy......................but i try to fight it.
pain and symptoms get much better once u go down to 0.5.
anyway, I have severe pain in my right hamstring tendon (or that area) when I bend or straighten my knees (only when motion).. it feels like something is snapping.. an elastic band is sanpping.. does tibia lengthening affect the hamstring tendon??? only tramadol relieves me of the pain but if I move too vigorous I start to get nerve pains (referred, to my feet)
I am glad your doing well I recently read a post saying you want to do 7-8?  I think it's a bad idea because you said your fibula won't heal try thinking about how you need to play basketball maybe stop at 6?
« Last Edit: January 22, 2015, 11:20:56 AM by Admin »
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #241 on: January 21, 2015, 11:13:22 AM »

no more hamstring pains... it just resolved itself..
now I am facing and fighting knee contractures (though I can put my knees to zero degree)
in the morning.. really really stiff..
don't get 8 hours of sleep anymore. more of 4 hours, wake up, and another 4 hours.
Now at 3.2 cm. Another 4-5 cm to go...
I think I can do 7 cm without losing much athletic ability tho I suspect I cant dunk anymore. I fear that, but anyways, its okay. height is more important
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endomorphisme

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #242 on: January 21, 2015, 12:59:52 PM »

7 cm is too much, especially for someone who is 173 cm
I m 182-183 cm and I don t even consider 5 cm
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GeTs

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #243 on: January 21, 2015, 01:32:33 PM »

7 cm is too much, especially for someone who is 173 cm
I m 182-183 cm and I don t even consider 5 cm
186 go with it
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ItsMyLife

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #244 on: January 21, 2015, 02:08:49 PM »

7 cm is too much, especially for someone who is 173 cm
I m 182-183 cm and I don t even consider 5 cm

well u might have short tibia, so u can lengthen less. remember, u can lengthen only 20 percent of ur tibia.
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endomorphisme

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #245 on: January 21, 2015, 02:22:13 PM »

Yeah I m going with 186 cm
hallijah are you considering bagirov ?
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ForcedPuberty

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #246 on: January 21, 2015, 02:38:19 PM »

Quote
no more hamstring pains... it just resolved itself..
now I am facing and fighting knee contractures (though I can put my knees to zero degree)
in the morning.. really really stiff..
don't get 8 hours of sleep anymore. more of 4 hours, wake up, and another 4 hours.
Now at 3.2 cm. Another 4-5 cm to go...
I think I can do 7 cm without losing much athletic ability though I suspect I cant dunk anymore. I fear that, but anyways, its okay. height is more important

the hamstring issue and the knee contracture are 2 heads of the same animal. (metaphor :) )


the problem is that you have soft tissue that runs through the entire leg. when ever a person lengthens either the tibia or femur they are actually lengthening this soft tissue throughout the whole leg, but with emphasis on the segment they are actually lengthening. this is also why it is not advised to lengthen the entire leg(femur and tibia) at 1 time. because of this soft tissue limitation.

its possible that the pain in the hamstring was the forceful stretching of your muscle or soft tissues, and now with to much stretching you have a very very very slight muscle tissue type change which is the definition to contracture. under stress the muscle tissue changes as it over extends its stretching capabilities.

this could be the reason why the pain disappeared and you have contracture. it is completely reversible as you know, however you may never be able to change the actual muscle tissue type as it has probably changed to a very very small degree, this new muscle tissue type is less elastic, which means you will get less pain but more contracture.

try not to lengthen to fast. this is not a race, 0.66 is a good safe amount. I am actually lengthening less than this as 0.71mm was to much for me.

im not sure but I think 0.66 is not the average but the limit for safe lengthening but don't quote me on this.

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if you lengthen 7cm you WILL loose function, your exact levels will be 60-70% your athletic function level returned, and you will receive 100% function for daily life activities.

god luck. I pray you will listen to what I have said.
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Nope, 20cm is just nope.

"because FP's the hero LL Forum deserves, but not the one is needs right now. So we'll hunt him, because he can take it. because hes not the hero. He's a silent gardian, watchfull protector. The Dark Knight."

Taller

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Re: Lengthening with Dr Bagirov in Moscow (9th December surgery date)
« Reply #247 on: January 21, 2015, 02:57:22 PM »

ForcedPuberty, thanks for sharing your wisdom with us. But, out of curiosity, may I ask what makes you more knowledgeable on the matter, and qualified to give medical advice, than Dr. Bagirov?


I have studied medicine to a decent degree in university, but not orthopedics. I am also nowhere near being a doctor, so I refrain from giving medical advice.

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