hey guys, havent posted for a while. here is dr guichet's response to my problem
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I understand your concern as it is the problem linked to this period of lengthening with healing reaction and tension over the nail, screws… everywhere! The right side hurts more during clicking because ratchets are lifted on that side by clicking rotation. Pain is increased by strong healing with local inflammation, which is completely normal and happens in all patients. It is the fact of lengthening. IT WILL SOLVE BY ITSELF.
You nail is perfectly inserted and very solid. There is no fracture or other sign at risk, as you suspected at once. We insert the nail through the skin and soft tissues and getting perfect symmetry without opening and identical positioning among patients is impossible, and not needed. The small things that you think are important on x-rays have no real implications, and some patients have far longer screws than you with no pain at all. Your pain is not linked to that but to the healing phase. Other things are far more important: getting good screws and nail to allow full walking, sports, doing bike from the first post-operative day, evaluation we provide on muscles and bone quality, preoperative professional training, following the recommendations, etc.
To make thing clear for your complaint, you have 0 pain out of clics, 0 pain during clic on the left and a pain of 2/10 on the right at clicking and this without any pain killers. It is self explanatory. The rest is a large stress reaction induced by the lengthening. So do not worry.
As I told you, the changes in the body added to the lengthening principle (you get in 2 months what Natural growth provides in the femurs in 60 months; it is like running at 300 miles per hour for a human being!!!), are unknown and destabilize your psychological side, creating psychological stress.
The only concern in the thorough follow-up I offer to my patients is to check there is nothing abnormal, which is confirmed for you, and to accept the fact of lengthening and healing. So you need to control your stress in this life experience, as you would do if you jumping from a bridge with an elastic cord.
I perfectly understand your stress, but it should not deviate you to strictly follow ALL recommandations (10 sessions of full exercices per day, 1.5 hours of bike per day, 1 hour pif walking per day (difficult to perform in other tens with other nails), in order to optimize your recovery and healing. Any deviation (generally due to a high stress level) will slow down the functional recovery.
We are here to coach you and help you closely in your procedure, with a constant and thorough control.
Have a nice day.
Jean-Marc Guichet, MD, PhD, Doct. Sci.
SELARL du Docteur Jean-Marc Guichet
Centre Phocea, 14 Bd Ganay
13009 Marseille - France
Office: +33.491.777.547
Office (mobile): +33.664.163.890
E-Mail: jeanmarcguichet@gmail.com
Web:
www.allongement-os-grandir.comStudio SOMA
Via Nicola Piccinni, 3
20130 Milano (MI)
Italy
Office: +39.328.634.2941
E-Mail: jeanmarcguichet@gmail.com
Web:
www.allongement-os-grandir.com=============================================================================================================
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