Can I Still Grow Taller? Height Concerns in Adolescents - Orthopedics

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Could you please provide more details about the height issue?


I am a third-year junior high school student, and my height is only 165 cm.
I had a bone age assessment, and the doctor said that my height is almost at its maximum and that I cannot receive growth hormone injections or puberty-delaying shots.
Recently, I learned online that a few years ago, I could have received injections to help with my height.
I see that other parents have taken their young boys for height-increasing injections, and I feel disappointed that I didn't receive any treatment to help with my height, especially since I am so short.
Can I still grow to 170 cm? Last year, I only grew 0.5 cm.
My dad is 172 cm tall, and my mom is 158 cm.
Should I have received height-increasing injections in the past?

Niming, 10~19 year old female. Ask Date: 2019/01/04

Dr. Li Wenhong reply Orthopedics


Hello: Your height is normal, and there is no need for further injection treatment.
Just let it be, thank you! Changhua Hospital Orthopedics Dr.
Li Wen-Hong

Reply Date: 2019/01/04

More Info


The concern about height during adolescence is a common issue, especially among teenagers who are still in the process of growing. At 165 cm, you may feel that you are shorter than your peers, and it’s understandable to want to know if you can still grow taller.
Firstly, it’s important to understand that height is largely determined by genetics, which means that your parents' heights play a significant role in your growth potential. In your case, with a father who is 172 cm and a mother who is 158 cm, your height is within the expected range based on your family background.
You mentioned that your doctor indicated that your growth plates are nearly closed. Growth plates, or epiphyseal plates, are areas of developing cartilage tissue near the ends of long bones. Once these plates close, which typically occurs after puberty, further height increase is unlikely. For most males, growth plates close around the ages of 16 to 18, although this can vary. If your growth plates are indeed close to being fully fused, the likelihood of you reaching 170 cm is low.

Regarding the use of growth hormone injections or puberty-delaying medications, these treatments are typically reserved for specific medical conditions, such as growth hormone deficiency or precocious puberty. They are not generally recommended for individuals who are simply shorter than average but otherwise healthy. It’s also crucial to note that these treatments should only be administered under strict medical supervision due to potential side effects and ethical considerations.

You expressed concern about not having received these treatments in the past, especially when you learned that some of your peers had. It’s essential to remember that each individual’s growth journey is unique, and what works for one person may not be appropriate for another. The decision to pursue any medical intervention should always be made in consultation with a qualified healthcare professional who can assess your specific situation.

In terms of natural ways to support your growth potential, maintaining a healthy lifestyle is crucial. This includes:
1. Nutrition: A balanced diet rich in calcium, vitamin D, protein, and other essential nutrients is vital for bone health and growth. Foods such as dairy products, lean meats, fish, fruits, and vegetables should be included in your diet.

2. Exercise: Regular physical activity, particularly weight-bearing exercises and sports, can help promote healthy bone development. Activities like basketball, swimming, and cycling can be beneficial.

3. Sleep: Adequate sleep is essential for growth and development. During sleep, the body releases growth hormone, which is crucial for growth.

4. Posture: Maintaining good posture can help you appear taller and more confident. Slouching can compress your spine and make you look shorter than you are.

5. Mental Health: Stress and anxiety can negatively impact your overall health, including growth. Engaging in activities that promote relaxation and well-being is essential.

While it may be disappointing to hear that you might not reach your desired height, it’s important to focus on the aspects of yourself that you can control. Building confidence, developing your skills, and nurturing your interests can significantly enhance your self-esteem and overall happiness, regardless of your height.

In conclusion, while the possibility of growing taller may be limited at this stage, embracing a healthy lifestyle and focusing on personal development can help you make the most of your unique attributes. Remember, height does not define your worth or potential.

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