Looks like you guys have been at it a little back and forth about IT-band and hip flexors, so I'll try to answer generally. A tight It-band will primarily cause wide legs, and tight hip flexors will primarily cause duck ass. And note that I am writing primarily, and that is because it is all connected and people are different. In my case I did have wide legs up until 5-6cm, but stretching helped me get rid of it almost 100% and it hasn't been an issue since. But that does not mean my it-band has not been tight, closing my legs the last 10-15cm has required effort - but closing them has not been an issue since 6-7cm lengthening.
Somebody wrote that duck ass can be reduced by opening your legs, and I have also experienced this. This is why lately I have been focusing on stretching my hip flexors as much as possible with my legs closed. This had resulted in there almost being no difference in my duck ass while standing wide or closing my legs. So it does seem like most of my limitation in ROM and duckass is now in my hip flexors.
The whole time I have been consulting with Dr Becker and he has always said that an it-band release would help a little bit, but that focusing on stretching hip flexors would be a better use of my resources. He has never recommended me doing the it-band release, but when asked he can do it for 7000 Euro. Considering my progress since I stopped using crutches and especially the past few weeks I honestly think that the days in hospital for surgery, the time it takes to travel back and forth, and the recovery time after - at this point in time I would probably get just a good results doing what I have been doing lately. I'm feeling good progress daily and in the past week all tension in my right it-band is almost gone, but there is still a little left in my left leg. In other words, I am probably just a week or two away from having to use zero effort in closing my legs.
Should I have gotten the it-band release earlier? I am frankly not sure how much it would have helped. Do I feel I should get it now? Not at all, because as I've been saying for weeks. My progress lately has been really good.
Stand Taller diary - The first day of the rest of my life (Betz Bone 14.01.2022)
I'm thinking about getting IT-ban release as I feel like my tight it band is a major contributor of my duck ass. Gonna try focusing more on IT.band stretches in the weeks to come, and hopefully I can resolve my tight IT-band with stretching. And before you say "IT-band does not cause duck ass", no.... not alone. I can stand fairly straight with my legs spread a little, but once I close them so my feet are touching my duck ass get much worse. So at least they are interconnected and the tight IT-band makes it worse. Another thing is when I stretch my IT-band I can stand much more upright which in turn allows me to stretch my hip flexors in a whole different way. So there is no doubt in my mind that tight IT-band makes duck ass much worse because it limits how much you can stretch your hip flexors.
If you have personally had these issues and did an IT-band release please share you experience here, and if you didn't do a release - share your story on what worked and how long it took.
Becker can do it for 5000 Euro and two days in hospital. Are there any other alternatives and what would they cost?
Curious what made you change your mind? Few days ago you seemed pretty against that idea, and also quoted a different price as well... 
Quote from: hippo60 on February 19, 2023, 01:17:14 AMCurious what made you change your mind? Few days ago you seemed pretty against that idea, and also quoted a different price as well...
First price I quoted was wrong, I just remembered the wrong amount. I think because I am experiencing such good progress lately, I also feel I haven't had much progress in my IT-band when I started thinking about it. And I actually feel that my IT-band is the one major thing "holding" or will "hold" my further progress back. So instead of hindsight in a few months, I started thinking about maybe doing it now instead of in 3 months.
And also the fact that both people here and my PT have said that duck ass is not because of IT-band I've been like "okay then". But I also see that when I close my legs my duck ass worsens, so obviously they are very much related. So I don't know man... I am not sure why or even what to do....
Quote from: Stand taller on February 19, 2023, 06:53:47 PMFirst price I quoted was wrong, I just remembered the wrong amount. I think because I am experiencing such good progress lately, I also feel I haven't had much progress in my IT-band when I started thinking about it. And I actually feel that my IT-band is the one major thing "holding" or will "hold" my further progress back. So instead of hindsight in a few months, I started thinking about maybe doing it now instead of in 3 months.
And also the fact that both people here and my PT have said that duck ass is not because of IT-band I've been like "okay then". But I also see that when I close my legs my duck ass worsens, so obviously they are very much related. So I don't know man... I am not sure why or even what to do....
I bet it helps. If you're struggling you might as well.
5000€ seems very expensive. IT-Band release is a pretty standard surgery, so I would recommend doing it with a standard orthopedic surgeon somewhere else in Germany. You should be able to do it for half the price.
Quote from: Stand taller on February 19, 2023, 06:53:47 PMFirst price I quoted was wrong, I just remembered the wrong amount. I think because I am experiencing such good progress lately, I also feel I haven't had much progress in my IT-band when I started thinking about it. And I actually feel that my IT-band is the one major thing "holding" or will "hold" my further progress back. So instead of hindsight in a few months, I started thinking about maybe doing it now instead of in 3 months.
And also the fact that both people here and my PT have said that duck ass is not because of IT-band I've been like "okay then". But I also see that when I close my legs my duck ass worsens, so obviously they are very much related. So I don't know man... I am not sure why or even what to do....
It's interesting to go back to the first page of your diary. A couple of people mentioned that 10-11cm is a lot and LegendKiller also talked about his IT band which Betz refused to release and he ended up doing it with someone else.
Are you in the US/EU? If you're not sure, I strongly suggest consulting with another doctor. I'm biased but maybe you can consult (even remotely) with Rozbruch? Will probably be a good investment. I don't have the link but there is a Betz diary/post here about someone who had very tight IT band and hip flexors and Betz refused to do anything and Rozbruch released both.
Quote from: hippo60 on February 19, 2023, 08:46:58 PMIt's interesting to go back to the first page of your diary. A couple of people mentioned that 10-11cm is a lot and LegendKiller also talked about his IT band which Betz refused to release and he ended up doing it with someone else.
Are you in the US/EU? If you're not sure, I strongly suggest consulting with another doctor. I'm biased but maybe you can consult (even remotely) with Rozbruch? Will probably be a good investment. I don't have the link but there is a Betz diary/post here about someone who had very tight IT band and hip flexors and Betz refused to do anything and Rozbruch released both.
IT band surgery is very easy most surgeons can do that no need to spent thousands of dollars to travel far away and do it at a place of expensive health care when your local hospital probably has someone do it for you.
Also can you even release hip flexors? I doubt it and my PT told me that‘s one muscle that‘s not operated on. You would need to go through the intestines or from the back to access it right? Both terrible. Maybe endoscopically but even that sounds unrealistic.
Quote from: Stand taller on February 19, 2023, 06:53:47 PMFirst price I quoted was wrong, I just remembered the wrong amount. I think because I am experiencing such good progress lately, I also feel I haven't had much progress in my IT-band when I started thinking about it. And I actually feel that my IT-band is the one major thing "holding" or will "hold" my further progress back. So instead of hindsight in a few months, I started thinking about maybe doing it now instead of in 3 months.
And also the fact that both people here and my PT have said that duck ass is not because of IT-band I've been like "okay then". But I also see that when I close my legs my duck ass worsens, so obviously they are very much related. So I don't know man... I am not sure why or even what to do....
I can only speak from my experience . I had initial IT band release though, if you didn‘t have that you would benefit from it. Maybe try the it band stretch I talked about earlier and holding for 3 minutes per side. 3 reps per side and 3 sessions per day in total. You probably know it anyways but yea.
My duckass is not related to how I have my legs. I close them normally it requires no effort and is like before. Only thing is tight hip flexors but past few days it‘s been getting better. My PT sees progress. I can sleep on my stomach now without pain.
Quote from: RealLostSoul on February 19, 2023, 11:19:19 PMIT band surgery is very easy most surgeons can do that no need to spent thousands of dollars to travel far away and do it at a place of expensive health care when your local hospital probably has someone do it for you.
Also can you even release hip flexors? I doubt it and my PT told me that‘s one muscle that‘s not operated on. You would need to go through the intestines or from the back to access it right? Both terrible. Maybe endoscopically but even that sounds unrealistic.
I can only speak from my experience . I had initial IT band release though, if you didn‘t have that you would benefit from it. Maybe try the it band stretch I talked about earlier and holding for 3 minutes per side. 3 reps per side and 3 sessions per day in total. You probably know it anyways but yea.
My duckass is not related to how I have my legs. I close them normally it requires no effort and is like before. Only thing is tight hip flexors but past few days it‘s been getting better. My PT sees progress. I can sleep on my stomach now without pain.
What's the IT-band stretch you recommend? I've started doing one now, 3min per side, and been really sore the past few days. So seems like I am working the right area, so I'll increase the reps as the days go. As I do more IT-band stretches I am also reaching new parts of my hip flexors while stretching and they seem to be responding well. So we'll see how the next few weeks go, and I'll make a decision then.
And for those wondering, I am in northern Europe. I would love to do it locally, but traveling to Germany or other places in Europe is just an hour or two on a plane, so that's no stress.
Quote from: RealLostSoul on February 19, 2023, 11:19:19 PMIT band surgery is very easy most surgeons can do that no need to spent thousands of dollars to travel far away and do it at a place of expensive health care when your local hospital probably has someone do it for you.
Also can you even release hip flexors? I doubt it and my PT told me that‘s one muscle that‘s not operated on. You would need to go through the intestines or from the back to access it right? Both terrible. Maybe endoscopically but even that sounds unrealistic.
Maybe, personally I'm not interested in just having "someone do it for me" but each to his own.
Honestly I'm not 100% sure it was the hip flexors, I can try to ask him
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