A professional training to properly prepare the body

Tailor-made training

To gain 6 cm on the femurs during the adolescence needs 5 years of growth, while with the surgical operation or same result is reached in approximately two months (30 times more quickly). Post-operative functional recovery may take up to one year when the patient has been well trained, up to 2 to 3 years without preparation. Much less with intensive and targeted preparation. Good preparation considerably shortens recovery time. You will need to spend a lot of time to train and accept mandatory difficulties during lengthening, and risks of temporary complications (transitional stiffness, etc.). Accepting all this is a basis for success.

The pre operative muscle and tendon training allows to optimize the functional recovery post-operative and minimize the risks. He will be perfected in the gym, with a professional personal trainer, at his residence or in one of the Centres of Doctor Guichet with his team. Depending on the personal characteristics of the body (rigidity, agility, muscular strength, etc.) will be provided a 'training' tailor-made.

Isokinetic machines (Cybex®, Biodex®, Con-Trex®, etc.) are used regularly to carry out muscle tests in certain diseases, but also to train professional athletes in intensive training.
Isokinetic testing is performed before and after preparation. Generally, patients are prepared a lot when they have acquired a 30% increase in muscle strength.
These tools allow to obtain precise values of the forces and energy developed through the different muscle groups. In this way, you can know the muscular deficits before or after the operation, and then orient the pre-operative preparation and modulate the post-operative rehabilitation according to the results. In limb lengthening, electronic muscle tests have shown that endurance muscles (as opposed to instantaneous force muscles) lose more strength, especially those struggling with Earth’s gravity (quadriceps, buttocks, etc.). Specific reinforcement protocols of these muscles can be established, optimizing functional recovery and even allowing an increase in strength.

Psychological evaluation is critical. The reconstruction of a limb (stretching, etc.), in fact, will change the body image both at the level of self-perception and perception of others. The patient will have to accept himself with the new image of himself, which is not obvious in case the desire, for example lengthening, is the reflection of other problems, for example relational.
Especially in bilateral stretches, we will try to distinguish those for whom the demand is related to the objectives and the "centimeters" that will gain, and those for whom the demand is unclear and concentrates too many objectives, for example, a remedy for difficult professional and family relationships. In these cases, gaining a few centimetres will not solve the problems and the patient can be oriented towards a psychotherapeutic treatment appropriate to his case.
An elongation will necessarily lead to the modification of one’s own body image. In patients with a strongly narcissistic connotation, this change will create tensions within the individual who may manifest aggressive behavior towards the treatment team. Sometimes, during the lengthening, it is necessary to manage these problems through a psychological control and support linked to the experience in the present.
On the other hand, an elongation or a greater correction is a trying experience, long and painful. The patient will have to "hold on" until the end of the program. You need to have a strong motivation to withstand any transient joint stiffness for a few months before you regain normal function. Some patients may abandon therapy during lengthening. It is therefore necessary that the patient understands that a femoral elongation of 6 cm takes 2 years, during the growth, to be accepted by the organism, although it is realized in 2 months by means of the surgical action. Not accepting and assimilating this process and the implications, even transitional ones, that derive from it for the organism represents a risk of conflicts and psychological failure.
A fragile and unstable personality will face more problems in order to reach a successful and successful elongation.
It is necessary to understand and accept the transition through a long program that involves a decrease in professional or normal activities and any temporary complications to achieve a positive outcome at the end of the program.
The psychological evaluation will be carried out through personality tests and a specific interview. It will concern only the aspects connected to the extension project, respecting in any case the most complete privacy.

A biological balance and a MOC will allow you to know the quality of the bone and better adapt the treatment and deliveries in the post-operative.

It allows to verify the presence of problems that may limit the techniques for anesthesia, and to treat them if necessary. The type of anesthesia and anti-pain treatment will be discussed during the visit.


  • Special radiography of the lower limbs
  • Visit of cardiology
  • Specific blood test
  • Dental examination
  • Letter of motivation

test isocinetico-provvisoria


Weymouth Street Hospital
42-46 Weymouth St.
London W1G 6DR


Princess Grace Hospital
30 Devonshire Street
WYG6PX Londra, UK
+39 0236758514


Harley Street Specialist Hospital
18-22 Queen Anne St.
London W1G 8HU


Studio Dr. Guichet
Corso Magenta, 44
20123 Milano, IT
+39 0236758514