Growing Pains at 17: Late Development in Teens - Orthopedics

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Growing pains at the age of 17?


Hello, doctor.
I will be turning 18 this October.
My family members are generally not very tall, and I haven't grown much during my three years in middle school; my height is currently only 164 cm.
Recently, I've noticed that sometimes when I sleep, I feel a pulling sensation around my knees (commonly referred to as growing pains).
I would like to ask if my development period is later than others, even though I experienced voice changes during middle school.

Henry, 10~19 year old female. Ask Date: 2018/02/09

Dr. Shi Guozheng reply Orthopedics


At 17 years old, the growth plates should typically have closed, so growth pain is unlikely.
The knee joint pain may be due to other reasons, and your development is not considered late.

Reply Date: 2018/02/09

More Info


Growing pains are a common experience for many adolescents, particularly during periods of rapid growth. However, your situation raises some important questions regarding growth patterns and development. At 17 years old, you are nearing the end of your growth phase, as most males complete their height growth by the age of 18. The fact that you are experiencing growing pains at this age could suggest a few things, but it does not necessarily indicate that your development is significantly delayed.

First, it’s essential to understand that growing pains are typically associated with the growth of bones and muscles. They often manifest as discomfort in the legs, knees, or other areas, particularly during the night. These pains are usually benign and do not indicate any underlying health issues. They can occur even in individuals who are not currently experiencing a growth spurt.
In your case, the fact that you have not seen significant height changes during your middle school years could be attributed to several factors, including genetics, nutrition, and overall health. Since you mentioned that your family members are not particularly tall, it’s possible that your genetic predisposition plays a significant role in your height. Height is largely determined by the combination of genes inherited from your parents, and while you may have hoped to exceed the heights of your family members, it’s important to recognize that genetic factors can limit growth potential.

Regarding your concern about late development, it’s worth noting that the onset of secondary sexual characteristics, such as voice changes, can occur at different times for different individuals. The fact that you experienced voice changes during middle school indicates that you were undergoing puberty, albeit possibly at a different pace than your peers. Puberty can vary widely among individuals, and some may experience growth spurts later than others.

If you are worried about your growth potential, one of the most reliable methods to assess your growth status is through a bone age assessment. This involves taking an X-ray of your left hand and wrist to evaluate the maturity of your bones. If your growth plates are still open, there may be potential for further growth. However, if they are closed, it is unlikely that you will grow significantly taller.

In terms of managing your current situation, there are several steps you can take to support your overall health and well-being:
1. Nutrition: Ensure you are consuming a balanced diet rich in essential nutrients, including calcium, vitamin D, protein, and other vitamins and minerals that support bone health. Foods like dairy products, leafy greens, lean meats, and nuts can be beneficial.

2. Exercise: Regular physical activity is crucial for overall health and can help strengthen your bones and muscles. Activities that promote flexibility and strength, such as swimming, basketball, or even stretching exercises, can be particularly beneficial.

3. Consult a Healthcare Professional: If you have ongoing concerns about your growth or experience persistent pain, it may be helpful to consult with a healthcare provider or an endocrinologist. They can provide personalized advice and conduct necessary evaluations to determine if there are any underlying issues affecting your growth.

4. Mental Health: It’s also important to consider the psychological aspects of growth and body image. Feeling self-conscious about your height is common, but focusing on your strengths and abilities can help build confidence.

In conclusion, while experiencing growing pains at 17 may seem concerning, it does not necessarily indicate delayed development. Understanding the factors that influence growth, maintaining a healthy lifestyle, and seeking professional guidance can help you navigate this stage of life more effectively. Remember, everyone grows at their own pace, and embracing your unique journey is essential.

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