By Dr. Kevin Debiparshad, Board-Certified Orthopedic & Limb Lengthening Surgeon
LimbplastX Institute
Cosmetic limb/leg lengthening is a revolutionary procedure that has provided countless individuals with the opportunity to achieve their desired height. Pain following any surgical procedure is inevitable - but understanding how to prepare both physically and mentally helps to set expectations. Therefore, the LimbplastX Institute team is committed to providing clinically-proven education and remaining as transparent as possible, allowing our prospective patients to make the most informed decisions possible.
1. The Procedure
Most importantly, it is essential to understand the procedure itself. Cosmetic leg lengthening involves cutting the bone (typically the tibia or femur) and allowing it to gradually heal in a lengthened position through a process called distraction osteogenesis. This is achieved using internal devices, known as intramedullary nails, that are adjusted daily to slowly separate the broken bone ends, allowing new bone to form in the gap. Read more about the PRECICE internal nails used by the LimbplastX Institute, as well as the lengthening procedure itself, here.
2. Immediate Post-Surgical Pain (Days 0 - 5)
Immediately following the surgery, it's common to experience moderate pain and discomfort. This is a combination of bone osteotomy (a minimally invasive surgical bone cut) and the placement of the lengthening device. Pain management is a priority, and patients are provided with pain medication to alleviate discomfort. Patients will remain in a medically-monitored hospital setting for a majority of this period and medications managed via intravenous injection (IV).
3. Pain During the Lengthening Phase (Days 6 up to 90, depending on the target height)
As the bone segments are slowly separated, patients might experience varying levels of discomfort. The feeling is often described as a stretching sensation, similar to growing pains. Regular physical therapy (PT) supported by a licensed Doctor of Physical Therapy, combined with stretching at home, will help alleviate most of this discomfort. In fact, PT is a critical component to limb lengthening and the more time invested into this process will yield stronger outcomes. Visit the LimbplastX PT Directory to find a verified PT provider in your home region and proactively plan your recovery process.
Oral pain medications will also be prescribed to manage pain as needed throughout the lengthening phase.
4. Associated Muscle and Soft Tissue Pain
As the bone lengthens, the surrounding muscles, nerves, and soft tissues are also stretched. This can lead to muscle spasms or cramping, especially if patients don't adhere to their prescribed PT routines. Check out tips and best practices for PT success from our partnered PT provider, Mike, here.
5. Pain During the Consolidation Phase (Days 90-150+)
Once the desired length is achieved, the lengthening device remains in place to allow the new bone to harden or consolidate. During this phase, pain typically decreases significantly but can occasionally flare up with activity. In a typical case of a 3.15-inch (8-cm) lengthening, it will take approximately three months to achieve the length, with an additional two to three months for the new bone to regenerate and solidify.
6. Managing Pain
Effective pain management is crucial for a comfortable recovery:
Medication: Patients are often prescribed painkillers, anti-inflammatory, and blood-thinner medications.
Physical Therapy: Regular PT sessions are vital to maintain joint mobility and muscle strength, which will help reduce pain and improve the body’s ability to withstand change.
Cold and Hot Compresses: Applying cold and hot - in the form of ice packs, baths, heating pads and hot clay packs - to the surgical area will help with inflammation and pain relief.
Rest and Elevation: Especially in the initial weeks post-surgery, resting and elevating the legs can reduce pain and swelling.
Healthy Diet: Maintaining a diet rich in whole foods, protein, and healthy fats, combined with proper hydration and electrolyte balance, will contribute toward a sustainable recovery, all while minimizing inflammatory responses in the body.
7. Individual Variation
It's essential to note that pain is subjective, and each individual's experience will vary. Factors such as age, overall health, pain tolerance, prior medical history, and adherence to post-operative guidelines can influence the level of discomfort experienced.
Conclusion
Cosmetic leg lengthening is truly a life-changing procedure and becoming more accessible every year. It does, however, come with its set of challenges - pain being a primary concern for many. With a clear understanding of what to expect and a comprehensive pain management strategy, patients can navigate their lengthening journey with confidence. Always discuss your concerns and expectations with the team at the LimbplastX Institute - and myself, Dr. Debiparshad - to ensure you're well-prepared for the procedure and the recovery process. We look forward to serving you and enabling you to achieve your desired height!