Interview with Dr. Fran Guardo on Limb Lengthening Rehab – Director of Rehabilitation at Paley Orthopedic & Spine Institute - Cyborg-4-Life

Interview with Dr. Fran Guardo on Limb Lengthening Rehab – Director of Rehabilitation at Paley Orthopedic & Spine Institute

By Victor Egonu | Interviews

Aug 30

In this special in-depth and insightful interview with Dr. Fran Guardo, the director of the Rehabilitation Department at the Paley Orthopedic & Spine Institute in West Palm Beach, FL (USA). We discuss a multitude of aspects around the importance of Physical Therapy after Limb Lengthening Surgery due to different conditions including Congenital Femoral Deficiency (CFD), Limb Length Discrepancy (LLD) and Cosmetic Stature Lengthening (CLL).


 Dr. Paley entrusted Dr. Guardo to run the PT department to ensure good patient outcomes and successful rehab processes and she has exceeded expectations with a growing department that puts both child and adult patient care at the forefront of its operation.

With a variety of credentialing qualifications that exude experience, Dr. Guardo and her team of over 30 PT's and OT's are not only helping patients recover after LL procedures but also leading by example as Dr. Guardo teaches a physical therapy course for therapists who are interested in entering the rehab of limb lengthening. 

If you would like to see a particular topic, see the timestamps below…

1:30 – Dr. Guardo’s transition from traditional Physical Therapy to LL Rehab

3:55 – Why Physical Therapy is so important for Limb Lengthening Patients 13:00 – When PT actually starts after LL surgery 

15:45 – Lengthening device differences & how it impacts PT

22:50 – STRYDE vs PRECICE internal lengthening nails

25:00 – Walking after surgery via Stryde Nail

26:05 – Benefit of weight bearing w/ Stryde Nail

27:45 – Discomfort levels of PT when planning to max out at the 8cm of the nail

30:00 – Importance of Progression during PT sessions

33:40 – Waring Dorsiflexion bracing and @ home exercises

35:15 – Stature Lengthening Patients and Athletics/Fitness

37:00 – Good news for athletes! Patience w/ Caution will be best to get back 38:20 – The CAN and CANNOT DO’s after LL surgery

41:20 – Doing upper body exercises at the gym during lengthening

42:40 – Discharging a patient from PT with new rules

49:30 – Benefits of having good flexibility before surgery

53:30 – Supplement & Nutritino advice for PT

57:00 – When a patient regains normal walking gait depending on condition (CFD vs. LLD vs. CLL)

1:01:00 – When stature lengthening patients typically regain a normal walking gait

1:03:20 – Some videos from the Paley Institute PT department

1:10:00– Dr. Guardo stumps Victor with some trivia!

1:26:50 – Why ASTYM is such a gamechanger for Lengthening patients

1:31:30 – The structure of the Paley Rehab Dept.

1:35:00 – Rigid PT training reason for Track record of success

1:36:30 – Annual Conference for Training PT’s on Limb Lengthening and Treatments

1:40:00 – PT team is in close communication with Medical Team

1:43:20 – How to contact Dr. Guardo’s Rehab Department

1:44:40 – Final words of advice to prospective patients

Contact information for Dr. Guardo: you can reach her by inquiry at either of the two following site links…



About the Author

Having undergone Limb Lengthening Surgery himself, Victor Egonu is the Founder of Cyborg 4 Life. With a Masters in Biomedical Sciences as well as expert fitness coach, this Drug-Free Pro Bodybuilder is on a mission to help all those considering Leg Lengthening Surgery to better their lives.