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Posted on May 23, 2020, 8:34 am
#21

Thanks! Really appreciate what you are doing! I was particularly interested when he talked about the fact that soft tissues do grow, not just stretch. As you are keeping your eye on the current research being done, do you think developments are more likely to be in either

a.Slowing the rate of bone growth so that soft tissues can grow in unison ie. comparable to puberty, or
b.Helping resistant soft tissues grow and adapt better

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Posted on May 24, 2020, 11:12 am
#22

I am keeping my eye on research and although some ideas are really intriguing on the LL front, I know a lot of projects need funding amidst the economic impact the pandemic has had.

a.) However I don't know of any way to slow bone healing besides age, deficiency in nutrition and introducing harmful risk factors (smoking, too much anti-inflammatory affecting prostaglandins, and various other medicines and diseases). Hence the importance of x-ray check-ups to monitor the patients rate of bone healing and make sure it matches the patient's muscle flexibility.

b.) In my opinion the best way to do this is going to be through conditioning leading up to your procedure. I believe if you get manual therapy such as deep tissue massages, foam rolling for myofascial release, or a percussion massage gun for breaking up scar tissue adhesions which can really affect muscle rigidity during LL

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Posted on Jun 13, 2020, 1:25 pm
#23

Hey everyone, just got done uploading my lengthy interview with the best in the LL business: Dr. Paley. Feel free to check it out. I posted timestamps below if you're interested in a particular topic. Have a great weekend!

Dr. Paley Interview

___________

Timestamps for Dr. Paley Interview

2:00 – Dr. Paley’s Start in Limb Lengthening (LL)

4:30 – Amount of lengthening procedures he does

6:00 – LL is a 4-Dimensional Surgery

8:30 – Fundamentals of LL

9:40 – Limiting factor of LL & compliance of soft tissues

13:45 – How muscle excursion comes into play regarding lengthening

17:15 – Amount of time needed per day for PT

18:00 – Putting in nails is the easy part…knowing how to adapt and improvise is key

19:45 – Physiotherapy at Paley Ortho & Spine Institute are vigilant for problems 24/7

21:45 – Potential Complications & knowing how to prevent them

23:45 – Trade-offs: Losing function over pushing for extra CM in height IS NOT acceptable!

24:35 – Dr. Paley’s Lengthening Ultimatum

25:15 – How long to get back to fitness level (running marathon)

25:45 – Surgical interventions to fix complications

26:55 – Patients coming to him from other LL centers to “fix” complications

27:50 – Fibula fixation is super crucial among many other experienced-based techniques

29:00 – Various Prophylactic measures that should be taken to avoid problems

30:00 – Prospective Patients…Beware! – Surgeon EXPERIENCE IS KEY!

32:30 – How to pick a surgeon properly

34:40 – Potential Long-Term Complications

37:55 – Dr. Paley’s frustration w/ the LL industry becoming a “Mercenary-Business”

40:00 – Dr. Paley’s Warning Message to LL Candidates

42:50 – LL is a Team Sport: Having the right infrastructure of clinicians is important for success

45:30 – Proportions – how LL affects it and what really matters in the overall scheme of things

49:55 – Deep Squats with lengthened femur

51:25 – Doing LL more than once…aka Twice

52:00 – LL starts with Patient Goals

57:00 – Dr. Paley’s Understanding of Body Image Perspective

01:01:25 – “Height Dysphoria/Neurosis” IS REAL!!!

01:04:00 – The investments of LL (financial $, time, risk etc.)

01:05:25 – Dr. Paley’s Number Game with his patient’s goal of desired lengthening goal

01:07:05 – Evolution of LL Devices: Ilizarov Stryde Upcoming Future Tech

01:12:10 – Contact and ways to reach Dr. Paley & Team – paleyinstitute.org

01:12:45 – Exclusive news

01:15:10 – Dr. Paley’s Final Words to the Interested LL Candidate

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Posted on Jun 13, 2020, 4:39 pm
#24

LOL He was definitely talking about dr Debiparsad wasnt he? about doing only CLLs, doing marketing , doing TV shows, about how many surgeries hes done

I should make a detailed post about this LOL

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Posted on Jun 13, 2020, 7:05 pm
#25

yeah he was definitely subbing debiparshad, lmao, the doctors show

and thanks cyborg, this is perhaps the best interview you've done yet. really love how much paley talked about how this surgery is lifechanging and his rant on body image and how he's changed his own view throughout his life and has become humbled.

also world premiere- paley's own stature only limblengthening website- hyped to see that.

also im suprised that he said 1/3 of his stature patients are quadrilateral lengtheners. i thought it was a rarity but apparently it's more common than i thought.

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Posted on Jun 13, 2020, 7:59 pm
#26

@ru - no comment  Videos of Doctors, Specialists, etc. talking about LL (Merged Topic)

@ghkid2019 - thanks yeah I think from his year's of experience he truly understands the patient and their deep-rooted reasons for doing the procedure

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Posted on Jun 13, 2020, 8:18 pm
#27

I had asked my surgeon of he would be down for doing an interview like these, but he declined at the time. I wonder if he's changed his mind since then. A lot of what he said in my consultation mirrored what Dr Paley said in his video interview, particularly about fibula fixation and frustration with the doctors who try to get cosmetic patients in and out like an assembly line.

I think it'd  be cool if you try reaching out to Dr Parihar and link him to the Paley interview to see if he'd be cool with doing one now, especially since India is still a sought after budget-friendly alternative.

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Posted on Jun 13, 2020, 9:25 pm
#28

Very accurate. It took me about 2 years to get to my same 5k running time. Thanks for doing the interview!

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Posted on Jun 14, 2020, 4:22 am
#29

@KiloKahn Yeah I actually reached out to Dr. Parihar about a week or so ago, haven't heard back as of yet as I know there are a lot of requests for him. I linked my previous interviews but perhaps now that I was able to get a sit-down with Dr. Paley it might pique his interest. I'll give it a shot thanks!

@Pushrottam That's what I've heard from most people including myself even though I only had one done. I wasn't back to running all out till about 2-2.5 years after aka a year after device removal.

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Posted on Jun 14, 2020, 4:59 am
#30

Nice. I had thought Paley wouldn't talk much and would just say "go read up on the FAQs" lol.  But he seems to be a very friendly doctor Videos of Doctors, Specialists, etc. talking about LL (Merged Topic)

@Kilokahn maybe you can try to help cyborg4life get in touch with Dr. Parihar? Videos of Doctors, Specialists, etc. talking about LL (Merged Topic) I would love to see his interview but again I think he would be very terse in his responses.

@cyborg you should also email his assistant Dr. Divya who usually handles a lot of the administrative stuff.

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