Once the new regenerate bone has completely consolidated, the final step will be removal of the PRECICE nails. Removal of the nails is a minor outpatient procedure and you will be able to return home the following day.

Physical therapy (PT) is required daily (5 days per week) during the lengthening. The Paley Institute has a specialized physical therapy department on-site. All of the therapists have been specifically trained in the rehabilitation of lengthening patients and treat lengthening patients each and every day. This experience is crucial to ensuring a positive outcome, maximizing strength and flexibility, and preventing complications. The Paley Institute is unique among other centers in offering an on-site therapy department specifically catered to the lengthening patient. All physical therapy during lengthening is included in the cost estimate for all of our stature lengthening patients.

All of the nails should be removed. Removal timing is not critical but is most often done one or two years after the original surgery. The reason to remove the nails is that they are made of titanium and since they have moving parts they generate metal ions over the course of many years. While they are inert and there is no urgency to remove them, it is recommended to remove them one or two years after insertion. The PRECICE also has a rare earth magnet inside. This is sealed from the body inside a waterproof chamber. It is possible that after years this seal could leak and the rare earth magnet would be exposed to body fluids. As such, it is preferable to remove the device before this could happen.