ATL means achilles tendon lenghting, i was reading here on the forum that is not suggested usually but he also does it anyway and ends up criplling their patiences.
Is this true, i tought he was considered really good but i read some stuff here on the forum and i’m kind of scared now, i have a consultation with him in a few months
Is true Dr Pili is bad for Tibia lenghting cause he always does ATL?
Quote from: Rei on April 14, 2019, 07:09:26 PMATL means achilles tendon lenghting, i was reading here on the forum that is not suggested usually but he also does it anyway and ends up criplling their patiences.
Is this true, i tought he was considered really good but i read some stuff here on the forum and i’m kind of scared now, i have a consultation with him in a few months
As a Pili patient and having undergone ATL, It is the most painful part of LL. I couldnt walk for 2-3 weeks while before that I was fairly active. However, after removing the extra screws and strutures they use for ATL, it became super easy. I can walk crutchless for 2-3 hours a day, stand on my toes and have very good mobility. I do not know of any one getting crippled by pili due to ATL. Go for Pili, but if you can avoid ATL, i know a guy who avoided atl, lengthening with me, who did 8.5cm with physio and slow lengthening he avoided atl.
I am yet to report the athletic part(atleast the effect on mild running of ATL). I have no difficulties walking for hours though(yes i do walk 2 hours a day).
however I did develop flat foot/overpronation due to the overall LL, i dont know if it was specifically due to LL. Pili said not to worry. It hurts knee and ankles while walking long if you dont wear insoles(I do).
Quote from: fivetenneeded2016 on April 14, 2019, 08:50:47 PMCut
Thx for the reply, any chance you are italian?
If I could avoid ATL, I would.
Quote from: Rei on April 14, 2019, 09:43:47 PM
not italian bro
If you need ATL for Tibia, you're lengthening way to much and will look disproportionate after.
Quote from: StrangeDays67 on April 15, 2019, 03:42:43 PMIf you need ATL for Tibia, you're lengthening way to much and will look disproportionate after.
I think it was Rozbruch who stated that most people start developing equinus contracture around 4cm, when doing tibias. That's definitely not a big amount.
Quote from: myloginacc on April 15, 2019, 10:06:03 PMI think it was Rozbruch who stated that most people start developing equinus contracture around 4cm, when doing tibias. That's definitely not a big amount.
Wait, if that's the case, why is the commonly claimed tibia limit 5 cm instead of 3.5? (sorry if this is a dumb question)
Quote from: myloginacc on April 15, 2019, 10:06:03 PMI think it was Rozbruch who stated that most people start developing equinus contracture around 4cm, when doing tibias. That's definitely not a big amount.
I think he said the best predictor of eauinous contracture was lengthening amount and that was 13% or 42mm in the study he did. Personally I think approximately 4cm tibia and 5cm femur are ideal for benefit vs risk
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