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[SirStretchAlot]

Hi LL veterans,

It has been 2 years since surgery day. Daily stretching has allowed me to recover most of my flexibility and gait. My legs are still skinner than pre-op, but that is expected given the leg has been stretched to lengthen.
However, for the past 6 months, I have been experiencing chronic knee pain. It is not accute, but worsens significantly after bending (stairs/squat).
This started happening after I began squatting my body weight around 8 months ago. After 2 months of squatting, the pain set in.
I have always had some popping when I fully bent my left knee after the surgery and ITB release. However, I have never had any knee problems pre-surgery.

Is it due to the lengthening surgery, ITB release, leg ratio, bad squatting or something else?

Would appreciate any advice on how to recover. Regular physiotherapies didn't seem to help.

Thank you all!

[tallmen]

Hi LL veterans,

It has been 2 years since surgery day. Daily stretching has allowed me to recover most of my flexibility and gait. My legs are still skinner than pre-op, but that is expected given the leg has been stretched to lengthen.
However, for the past 6 months, I have been experiencing chronic knee pain. It is not accute, but worsens significantly after bending (stairs/squat).
This started happening after I began squatting my body weight around 8 months ago. After 2 months of squatting, the pain set in.
I have always had some popping when I fully bent my left knee after the surgery and ITB release. However, I have never had any knee problems pre-surgery.

Is it due to the lengthening surgery, ITB release, leg ratio, bad squatting or something else?

Would appreciate any advice on how to recover. Regular physiotherapies didn't seem to help.

Thank you all!

This might be because of the changed femur to tibia ratio. Just guessing though, there's no way to tell tbh. What did your doc say about this?

[TheDream]

Do you still have nails and rods inside?

[lessthanavg8300]

Hi LL veterans,

It has been 2 years since surgery day. Daily stretching has allowed me to recover most of my flexibility and gait. My legs are still skinner than pre-op, but that is expected given the leg has been stretched to lengthen.
However, for the past 6 months, I have been experiencing chronic knee pain. It is not accute, but worsens significantly after bending (stairs/squat).
This started happening after I began squatting my body weight around 8 months ago. After 2 months of squatting, the pain set in.
I have always had some popping when I fully bent my left knee after the surgery and ITB release. However, I have never had any knee problems pre-surgery.

Is it due to the lengthening surgery, ITB release, leg ratio, bad squatting or something else?

Would appreciate any advice on how to recover. Regular physiotherapies didn't seem to help.

Thank you all!

LL might have stretched tendons in the knee.

[Medium Drink Of Water]

Lifting extremely heavy weights is very hard on your joints.  Nobody should do it, especially not orthpedic surgery patients.

[Njsiulee]

Can u describe your pain? Mine is like vrry sore after standing for so long. When i sit down then it will have like 10 seconds of soreness in my left knee too. I have done quadilateral lengthening. You?

[SirStretchAlot]

@overandover
Doc hasn't replied yet. Don't know if they will. I might just get sports therapists.

@TheDream
Yes. I plan to get them out later in the year

@lessthanvg8300
I think it could be a tear somewhere. The tracking in my left knees has degraded resulting in more popping. Stretching it is supposed to help I believe.

@Medium Drink Of Water
Hi again. I've really only squated body weight. However, with my knees like this, I may have to give up squatting forever.

@Njsiulee
There is usually no pain for me during standing, but I can sometimes feel uncomfortable when my feet land on the floor. When sitting still, I have the same soreness, but for 10 minutes instead of seconds.
I did 10cm femur-only on both legs. The only relief I get is when sitting, and my tibia is mostly off the floor. There's absolutely no weight-bearing and muscle flexion in this angle.

[Medium Drink Of Water]

Oh I thought you were lifting weights that weighed the same as you.

[Body Builder]

Stop squating and generally heavy exercises for legs. 2 years after LL aren't that much either and your body still adapts to the new lengths, although it will never fully adapt. So don't push it even more by doing heavy exercises, knees are not to mess around with.

[TheDream]

I think I read some guy on here saying his knee pain went away after having nails and rods taken out. It could be that.

[lessthanavg8300]

"In many cases, injuries to tendon and ligaments such as common sprains and strains heal without surgical intervention. However, the process is often slow and results in the formation of inferior scar tissue, which can take years to remodel into more functional tissue"

It can take years for damaged tissue to heal even with just a common sprain/strain.  Take it easy but keep active.  Dont push things to a pain point.  You will probably gradually get better to a full recovery over a 1-5 year period.

[SirStretchAlot]

Yeah thanks guys. I hear from older folks that I should respect my knees as well. They always give away but early 30s may be too soon.

Will give up squatting, and focus on therapies.

[hippo60]

Yeah thanks guys. I hear from older folks that I should respect my knees as well. They always give away but early 30s may be too soon.

Will give up squatting, and focus on therapies.

How experienced are you with squatting? It could very well be that your form is off, leading to more pressure on your knees etc.

[jerrytheman]

what are you still doing with the nails in 2 years post surgery

[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.

[tallmen]

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.

Thanks for sharing. Good to know.

[hippo60]

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.

What's your t/f ratio? Sounds quite strange. There are ways to deal with longer femurs, like wider stance and weightlifting shoes.

[Njsiulee]

Thanks for the info

[AnotherLLer]

Do you think it would not be the case if you distracted within the acceptable safe limits? For example, up to 6.5 cm. You did 10 cm without ITB release during the process, so maybe that's the culprit of your issues now?