QuoteUnfortunately, I developed fairly severe APT (duck-ass) during this time period, to the extent that it was highly noticeable to friends and family - this initially lowered my willingness to go out and meet up with friends.
How about your gait now? Did u improve the severe APT(duck-ass)?
Quote from: Yau on April 16, 2023, 01:03:20 AMHow about your gait now? Did u improve the severe APT(duck-ass)?
Duck ass is probably 60% better, this will take time to resolve but I’m not worried. Gait is still pretty unnatural, related to hip flexor and IT band tightness, but stamina and muscle strength getting much better.
Quote from: user1396 on April 16, 2023, 02:33:12 PMDuck ass is probably 60% better, this will take time to resolve but I’m not worried. Gait is still pretty unnatural, related to hip flexor and IT band tightness, but stamina and muscle strength getting much better.
Did u have IT band release? Do u keep PT sessions or do it yourself at home?
Dr Assayag is my first choice, so I concern all cases in the forum😆. (I am also considering Dr Paley and Dr Donghoon Lee).
Quote from: Yau on April 17, 2023, 12:13:37 AMDid u have IT band release? Do u keep PT sessions or do it yourself at home?
Dr Assayag is my first choice, so I concern all cases in the forum😆. (I am also considering Dr Paley and Dr Donghoon Lee).
Yes, ITB release is standard for Dr. A. I have done PT with a pro consistently throughout the process - 3x per week during lengthening, 2x per week for two months of consolidation, 1x now. I plan to continue until my gait normalizes. Unless you are incredibly self motivated I’d highly recommend finding a good PT.
I know less about Dr. Lee but you’ll be in good hands with Dr. A and obviously Dr. Paley has a stellar reputation as well.
Quote from: user1396 on April 17, 2023, 11:56:03 AMYes, ITB release is standard for Dr. A. I have done PT with a pro consistently throughout the process - 3x per week during lengthening, 2x per week for two months of consolidation, 1x now. I plan to continue until my gait normalizes. Unless you are incredibly self motivated I’d highly recommend finding a good PT.
I know less about Dr. Lee but you’ll be in good hands with Dr. A and obviously Dr. Paley has a stellar reputation as well.
U have done PT with Dr A’s team in hospital, or u found one rehabilitation center near your home?
Quote from: Yau on April 18, 2023, 04:51:10 AMU have done PT with Dr A’s team in hospital, or u found one rehabilitation center near your home?
I already mentioned this in my earlier posts - I worked with Moshe Roth (https://mrothpt.com) while staying at Sinai and now I am working with a PT who comes to my apartment in the city I live in.
Quick update - I drove down to Baltimore Sunday night and met with Dr. A and team yesterday at his facility in Owings Mills. This is in the suburbs of Baltimore in a fairly nice neighborhood in a higher end and newer strip mall (yay America!) and I highly prefer this location to Sinai Hospital because it feels like less of a "medical" setting and more like an office.
While it would be much cheaper to simply do X-rays where I live and send them over to Dr. A for review, the experience is so much better in person, particularly at Owings Mills. For any Dr. A patients, I highly recommend you visit in person once every few months during the consolidation phase, particularly early in the process. The staff is friendly, the standing X-ray machine is seamless (no weird contortions while laying down on a table as with normal machine), and the stadiometer is highly accurate. Moreover, being in person gives Dr. A and team the ability to thoroughly evaluate the patient's gait and movements and offer suggestions on where to focus.
Everything looks ok but not spectacular. Bone growth is better than before (although not fantastic), but muscles - IT band, hip flexor, glutes, - are pretty tight for this stage in the process. My major takeaway is that I've probably hit a point of diminishing returns on things just automatically getting better - going forward, I will need to work harder at PT to maintain my rate of recovery. Dr. A estimated that my gait will likely normalize with three months of dedicated work of 1+ hour per day of PT.
Dr. A showed me some new stretches and recommended I purchase one of these (https://www.amazon.com/dp/B00T4JFQKM?psc=1&ref=ppx_yo2ov_dt_b_product_details) to really work on my hip / IT band tightness.
One of the happier outcomes from the visit is that, although I am still "unraveling" and not at my full height because of the lingering duck ass, I have reached nearly 173cm or 5'8 even. Since I started at around 164cm and expected to hit 172cm at best, I am beyond delighted with this outcome. How did this happen? Dr. A explained that due to the way the osteotomy is performed, the bone is straightened / aligned, which can account for up to 7mm of additional height. Thus, I must have started at around 164.3, and with 8.7cm of total lengthening ended up at around 173 (and counting!). I can not put in words how psychologically gratifying it is for me to hit 5'8, and the feelings of "normalcy" which that engenders.
As always, let me know any questions or feel free to DM me!
Heightwise, how do you feel walkig around? Do you feel like you cured your height neurosis?
Quote from: informationispower on April 18, 2023, 03:21:03 PMHeightwise, how do you feel walkig around? Do you feel like you cured your height neurosis?
In most situations I feel great - I live in a diverse city with people of all backgrounds so I don’t feel unusually small like I used to. If I lived in the middle of America I might feel different but in my particular circumstances I feel like I’m at a great height and no longer neurotic or embarrassed about it.
how quickly after consolidation started did most of your pain start to go away? I'm 30mm in and facing some lower calf nerve issues (sensation loss and inner ankle nerve pain). I heard it's normal but I'm still quite early on and know this will prob be with me until I start consolidation. Just wanted to know how quickly things started to turn 180 better for you once consolidation started.
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