Hey! I'm new to this forum and I'm considering limb lengthening surgery in India, I saw about doctor amar sarin and then came to find out about his disasters. I found about doctor Mangal Parihar in this forum, and I'd like to know something.
1.Does he offer cosmetic limb lengthening surgery with LON external fixator (ilizarov apparatus)?
2. Does he have any package like the others, which includes stay, medicines, physiotherapy, food, x ray, walking aids, etc?
3.how can I get in touch with him and get this done?
1) He offers externals, externals with hexapod, and LON. Looking to offer internals again once Fitbone becomes available.
2) He doesn't offer comprehensive packages that include stay, as short term rentals are hard to come by in Mumbai. Best advice would be to work out a deal with a nearby hotel. Many of them have significantly reduced rates for stays of a few months, and I got one that worked out to $50 daily. Medications during the hospital stay are included, but anything additional after that is out of pocket. He works with a guy who is able to provide walkers, wheelchair, etc, but that is an out of pocket expense. There are very budget friendly options and more expensive options depending on your needs.
3) You can email him at
info@bonedocs.in ... He also has a resource page for cosmetic patients here:
https://sites.google.com/site/cllrpatients/faqs/cosmeticlengtheningKilokahn, had something to ask you regarding getting the surgery done by doctor Parihar, I'm aiming for 6 cm on my tibias and for method, I'm considering LON external, I have a few things to ask you about
1.do they provide you with physiotherapy during the lengthening phase or distraction phase?
2.since you increased by 6 cm, how long did your lengthening phase last? and if I recall correctly, you didn't have an intramedullary nail in place, so you had to wear it during the consolidation as well. If I opt for LON external fixator, how long will the lengthening phase last and probably I can return home
3. Can I expect assisted walk after say like 90-100 days of lengthening? Yeah I've got some budget constraints in placed as well distance issues so I'd like to return home and also avoid complications, if any are to arise, and if embolism is something, then I'll probably not return until I get unassisted walking, how long does it take for unassisted walking over LON external fixator?
4. How can I get more information about this from you? Like some more details, I'm considering it getting done sometime in the future, and have you regained most of your athletic abilities now? I'll make up my mind based on that and probably contact doctor Parihar
Kindly help me out, will be very helpful. Thank you
1) Physiotherapy is included as part of what you pay for the surgical fees, while you're in the hospital. After you leave, you have to pay for physiotherapist visits, depending on their individual rate, which is partly based on how far they have to travel to get to you. I think my physiotherapy averaged out to $11 per session at the hotel. Any physiotherapy I received at Dr Parihar's clinic during his biweekly checkups ended up being free.
2) I was there from the end of June until the beginning of October. Lengthening began one week after the initial surgery. If you go the LON route, the fixator is removed once your lengthening is over. You just have to stay in Mumbai during the lengthening phase, and when you return home you just send x-rays to Dr Parihar once a month so he can check on your bone healing.
3) LON allows early removal of the fixator, but you won't be allowed to graduate to crutches/walker until Dr Parihar is satisfied with your level of bone healing to allow it. How early depends on individual genetics and stuff.
4) You can continue to post here.
Oh, one more question to add, I heard from his interview with victor that you were there alone, did they provide you a caretaker during the lengthening phase? And approximately how many days after the surgery can I return home, for LON external fixator? How long was your stay there?
They will appoint someone to take care of your needs while you're in the hospital. That'll include things like giving you your food and emptying your pee jug and all that. Once you're out of the hospital, that's up to you to arrange. It's one of the reasons I recommend a hotel, as the staff will take care of things like bed sheet changes, emptying trash, getting you transportation to the hospital, etc. You can leave after the lengthening phase and the fixator is removed, in case of LON. For 6 cm, probably 3-4 months.
Kilokahn I'm sorry about texting on a thread that is a decade old but I, had something to ask you regarding getting the surgery done by doctor Parihar, I'm aiming for 6 cm on my tibias and for method, I'm considering LON external, I have a few things to ask you about
1.Do they have LON external fixator now? Do they provide you with physiotherapy during the lengthening phase or distraction phase?
2.since you increased by 6 cm, how long did your lengthening phase last? and if I recall correctly, you didn't have an intramedullary nail in place, so you had to wear it during the consolidation as well. If I opt for LON external fixator, how long will the lengthening phase last and probably I can return home
3. Can I expect assisted walk after say like 90-100 days of lengthening? Yeah I've got some budget constraints in placed as well distance issues so I'd like to return home and also avoid complications, if any are to arise, and if embolism is something, then I'll probably not return until I get unassisted walking, how long does it take for unassisted walking over LON external fixator?
4. How can I get more information about this from you? Like some more details, I'm considering it getting done sometime in the future, and have you regained most of your athletic abilities now? I'll make up my mind based on that and probably contact doctor Parihar
5. Where did you accomadate during your stay? And you didn't go with any relatives right? Did they provide you with a helper/caretaker, or were they available when you needed them?
6.About say getting a LON done, where an intramedullary nail is inserted, does it have permanent complications? My purpose is cosmetic as well
Kindly help me out, will be very helpful. Thank you
1) They've always had LON. Physiotherapy is provided at no charge while in the hospital, or when you come in for your checkups. They give you a worksheet of exercises to perform on your own, and if you elect to have more physiotherapy sessions at your place of stay, they can arrange it for you, but it's at your expense. It's cheap though. He will expect you to continue your exercises when you are done lengthening and still in consolidation, and will request follow-up x-rays once a month so he can check on your bone healing.
2) See previous response.
3) See previous response.
4) See previous response.
5) I stayed at Hotel Maharana Inn a few blocks away from Dr Parihar's clinic:
https://www.hotelmaharana.com/ I went to India by myself. Anything I needed while at the hotel was taken care of by the staff that worked there.
6) LON has a risk of chronic knee pain that's referenced in the medical literature. Some doctors say the rate is 20-25%, but so far Dr Parihar hasn't had that come up in any of his patients.