As limb lengthening progresses, the muscles, especially the IT Band, become tighter and more difficult to stretch, hindering further lengthening. Failure to perform this technique may lead to the development of a duck-ass. However, when IT Band release is discussed, little attention is given to its negative impacts, such as one runner tearing his meniscus twice. It remains unclear whether this incident was a direct result of the surgery or simply an unfortunate coincidence. Nonetheless, most limb lengthening patients prioritize the procedure over concerns about their athletic performance.