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[Roger1300]

Hello,

What are your thoughts on the following:

lengthening 7 mm in one shot once a week, every week

VS

lengthening 1mm daily, every day

of course, lengthening daily is more comfortable for the body and for healing.
But do you have examples of people who did lengthen like this (punctually of for their whole lengthening phase)?
Do you think it could be done ? Can muscles take it? Would bone healing catch up?

Thanks,
Roger

[Roger1300]

I'd particularly appreciate answers about this from surgeons, and from people with knowledge of muscle physiology and bone healing limits

[Dexter5729]

Hello,

What are your thoughts on the following:

lengthening 7 mm in one shot once a week, every week

VS

lengthening 1mm daily, every day


Why not 1mm every 2 days or even 0.5mm or 0.25mm per day for less pain. Case closed
of course, lengthening daily is more comfortable for the body and for healing.
But do you have examples of people who did lengthen like this (punctually of for their whole lengthening phase)?
Do you think it could be done ? Can muscles take it? Would bone healing catch up?

Thanks,
Roger

[Dexter5729]

Hello,

What are your thoughts on the following:

lengthening 7 mm in one shot once a week, every week

VS

lengthening 1mm daily, every day

of course, lengthening daily is more comfortable for the body and for healing.
But do you have examples of people who did lengthen like this (punctually of for their whole lengthening phase)?
Do you think it could be done ? Can muscles take it? Would bone healing catch up?

Thanks,
Roger

Why not 0.25mm, 0.5mm per day for less pain and case closed

[Roger1300]

Trying to understand if it's possible to group click as much as possible. From what I've heard the first click is always the most painful but then the following are fine. So it makes sense to group them all together and do all weekly clicks in one session.

I'm not trying to understand whether it's something you recommend, I 'm just looking to hear from experts their thoughts on the possibility of muscle and bone healing when doing so

[zaozari]

Hello,

What are your thoughts on the following:

lengthening 7 mm in one shot once a week, every week

VS

lengthening 1mm daily, every day

of course, lengthening daily is more comfortable for the body and for healing.
But do you have examples of people who did lengthen like this (punctually of for their whole lengthening phase)?
Do you think it could be done ? Can muscles take it? Would bone healing catch up?

Thanks,
Roger

Don't play with fire! We are not doctors!! In fact  one of the criteria for a successful LL that Ilizarov himself took from 40 years of both human real cases and also testing in animals was that the GREATER the FREQUENCY of each "click" and the LESSER its EXTENT, the best (bone consolidation, soft tissue stress and stretching, nerve safety, etc.).
Ideally this can be achieved by "coupling" a precision engine to external frames that doesn't even lenghtens in noticeable fractions, but CONTINUOUSLY.

However this is not a mathematical law. Each case may be different. If an individual presents poor consolidation, the speed of lengthening must be diminuished.

This was an observation not taking into consideration pain, only final general outcome success, but apparently has the "secondary" advantage of less pain.
And this is not only a good thing by itself, but it also favours patient compliance and allows more frequent and active physiotherapy (another key factor for LL success).

[Roger1300]

I have heard a guy lengthened by 7mm in one shot when clicking under anesthesia ...
He only did it once though.
I'm not sure that would be sustainable to do, again and again, week after week, but who knows unless you try ?
The risks are nerve/muscle damage and bad bone healing/non-union.

[Medium Drink Of Water]

What's the benefit to this?

[Roger1300]

Apparently, the very first click of each day is super painful, then the following clicks are fine.

So instead of having to suffer one difficult click each and every day, you group them aall in one long clicking session every 7 days so that you only have one first click per week, instead of one per day.

[zaozari]

I have heard a guy lengthened by 7mm in one shot when clicking under anesthesia ...
He only did it once though.
I'm not sure that would be sustainable to do, again and again, week after week, but who knows unless you try ?
The risks are nerve/muscle damage and bad bone healing/non-union.

Please use your reasoning to avoid misinformation. Look at what 7 mm is in a ruler. It would tear apart tissues and totally disrupt nerves. That amount of lengthening at once can only be done cirurgically.

[zaozari]

If your number one concern is pain, honestly, you should just give up LL.
But ultimately you can do whatever clicking you want, specially if you do it like that supposed guy, under anesthesia.

[Masteryourlife]

No offens but this is a totally a non-sense !
If you understood the BASICS of this surgery this question is already out of my imagination and before posting here a question you should at least take a look at the forum few days according to me , in order to have a forum with daily intresting and new topics .
I see over and over the same questions of people not willing to put the effort to research for their own health a thing and they come up with pointless topics .
Running over and over the same things makes also harder for new members to get usefull infos and those questions might confuse someone who just came in this forum .

I am not trynna come at you or something , but please get more infos before posting such things because this topic has no reason to be on .

Soft tissues are basicly the only problem and people are having sometimes problems with 1 mm or less a day because muscles can't catch up and you asking to make 1 lenghetning of 7mm in a day because of fear of pain .
It's a recipe for a disaster !
You prioritize pain to safety and that is a concerning mindset for your well being firstly .
If you are scared of pain of clicking go for PRECICE and if you don't want to be on wheelchair wait for the next weight bearing nail .

[Dexter5729]

No offens but this is a totally a non-sense !
If you understood the BASICS of this surgery this question is already out of my imagination and before posting here a question you should at least take a look at the forum few days according to me , in order to have a forum with daily intresting and new topics .
I see over and over the same questions of people not willing to put the effort to research for their own health a thing and they come up with pointless topics .
Running over and over the same things makes also harder for new members to get usefull infos and those questions might confuse someone who just came in this forum .

I am not trynna come at you or something , but please get more infos before posting such things because this topic has no reason to be on .

Soft tissues are basicly the only problem and people are having sometimes problems with 1 mm or less a day because muscles can't catch up and you asking to make 1 lenghetning of 7mm in a day because of fear of pain .
It's a recipe for a disaster !
You prioritize pain to safety and that is a concerning mindset for your well being firstly .
If you are scared of pain of clicking go for PRECICE and if you don't want to be on wheelchair wait for the next weight bearing nail .

Right, only people who's done this know this simple fact. Nvm, just ignore this dude

[Roger1300]

Thanks for letting me know your thoughts.

But you are no experts, so I'm more interested in getting the opinion of experts in physiology than yours.

[pandemic_exploiter]

Maybe could work, but with great cost lol. Much slower recovery of bone. Say hello to permanent nerve damage. I recall hearing that nerve and other tissues can grow 0.6 mm per day, so the standard 1 mm per day is already questionable. 7mm will rip your nerves and other tissues. I presume good bruising

[Roger1300]

Maybe could work, but with great cost lol. Much slower recovery of bone. Say hello to permanent nerve damage. I recall hearing that nerve and other tissues can grow 0.6 mm per day, so the standard 1 mm per day is already questionable. 7mm will rip your nerves and other tissues. I presume good bruising

Interesting fact, thank you.

[zaozari]

Thanks for letting me know your thoughts.

But you are no experts, so I'm more interested in getting the opinion of experts in physiology than yours.

Thanks for letting me know your thoughts.

But you are no experts, so I'm more interested in getting the opinion of experts in physiology than yours.

So you want expert sources, I understood.
I gave you the opinion (not only that, it was one of the scientific findings) of Ilizarov, who discovered the biological basis of osteotomy and osteogenesis and developed the method during 40 years both in real clinic practice and scientific experiments,  for example with dogs.
He is the undisputed inventor and father of limb lengthening. I could quote the scientific article here, which was probably his last one, like a testament or scientific farewell to the scientific community.
But, I am sorry, after this answer of yours, I don't give a s***.
What do you expect from this forum?. The only doctor active here seems to be Dr. Assayag. So maybe you can message him, or even better, ask for private consultations with some doctors like Paley or Guichet (and pay either around a thousand or 300 euros online). Or move your ass and make your own scientific search if you know how to.
In my country we have an expression for those who react like you: "poor and ungrateful".
I will maybe post in the forum for everybody else the links to the last 3 articles of Ilizarov, altough this is soooo easy to find.
Again, the best "alternative answer" to your question (and apparently what you wish for) is: go on and play with clicks, try maybe 10 cm at once, in your logic you will feel pain only once (but for the rest of your life).
I don't know how old you are but I really will think twice now before losing my time with obvious infantile questions that furthermore are already answered an hundred times in the forum. Just, again, move your ass and use the "search" function.

After 70 years of clinical practice experience and multiple tests, the AVERAGE biological optimal response after osteotomy in a healthy person keeps being:
1 mm / day divided in 4 clicks ( the more the better but one needs to sleep) or continously 1 mm / day lenghtening using a motorised engine. Period.
Then, of course, patients individual biological response must be observed. But lenghtening allmost never is more than 1,5 mm / day or less than 0,5 mm/day. Each doctor may also try other protocols based on their personal experience and opinion as well as on other variables like age and weight bearing or not. But this doesn't come out from the sky. You have an osteodensitometry exam and other evaluations probably done before.

[Masteryourlife]

So you want expert sources, I understood.
I gave you the opinion (not only that, it was one of the scientific findings) of Ilizarov, who discovered the biological basis of osteotomy and osteogenesis and developed the method during 40 years both in real clinic practice and scientific experiments,  for example with dogs.
He is the undisputed inventor and father of limb lengthening. I could quote the scientific article here, which was probably his last one, like a testament or scientific farewell to the scientific community.
But, I am sorry, after this answer of yours, I don't give a s***.
What do you expect from this forum?. The only doctor active here seems to be Dr. Assayag. So maybe you can message him, or even better, ask for private consultations with some doctors like Paley or Guichet (and pay either around a thousand or 300 euros online). Or move your ass and make your own scientific search if you know how to.
In my country we have an expression for those who react like you: "poor and ungrateful".
I will maybe post in the forum for everybody else the links to the last 3 articles of Ilizarov, altough this is soooo easy to find.
Again, the best "alternative answer" to your question (and apparently what you wish for) is: go on and play with clicks, try maybe 10 cm at once, in your logic you will feel pain only once (but for the rest of your life).
I don't know how old you are but I really will think twice now before losing my time with obvious infantile questions that furthermore are already answered an hundred times in the forum. Just, again, move your ass and use the "search" function.

After 70 years of clinical practice experience and multiple tests, the AVERAGE biological optimal response after osteotomy in a healthy person keeps being:
1 mm / day divided in 4 clicks ( the more the better but one needs to sleep) or continously 1 mm / day lenghtening using a motorised engine. Period.
Then, of course, patients individual biological response must be observed. But lenghtening allmost never is more than 1,5 mm / day or less than 0,5 mm/day. Each doctor may also try other protocols based on their personal experience and opinion as well as on other variables like age and weight bearing or not. But this doesn't come out from the sky. You have an osteodensitometry exam and other evaluations probably done before.

Just let him do/be .
This arrogance is what brings in this forum awful outcomes and then they lie and blame doctors .
Let him do 28 mm a day and then rest for a month ,that would cover the first click pain for even longer .

[Dexter5729]

Just let him do/be .
This arrogance is what brings in this forum awful outcomes and then they lie and blame doctors .
Let him do 28 mm a day and then rest for a month ,that would cover the first click pain for even longer .

This idiot go to a forum with 99% users are just normal people acting like a retard asking dumb question and looking for an "expert answer" wtf does that even mean. I don't even bother try to explain why this is a suicidal question, but hey wtf do I know lol

[Roger1300]

Guys, I'm not contradicting what you say. I appreciate your answers and information.
I'm simply trying to gather as many opinions as possible.
Thanks,
Roger.

[ReadRothbard]

Hello,

What are your thoughts on the following:

lengthening 7 mm in one shot once a week, every week

VS

lengthening 1mm daily, every day


Lengthening 1mm a day is going to be a better choice, because you'll be able to better gauge the rates your body can take.
of course, lengthening daily is more comfortable for the body and for healing.
But do you have examples of people who did lengthen like this (punctually of for their whole lengthening phase)?
Do you think it could be done ? Can muscles take it? Would bone healing catch up?

Thanks,
Roger