Growth Plate Closure in Adolescents: What You Need to Know

The growth plates in the legs of a second-year junior high school student are closing rapidly?

Hello Doctor, I am currently in the second year of junior high school, 14 years old, with a height of 163.2 cm and a weight of 73 kg.
Last year, I was diagnosed with acquired bilateral flatfoot.
During my follow-up appointment today, an X-ray of my foot's growth plates was taken, and the doctor informed me that most of my growth plates have closed, but there is still some potential for growth, although the space is limited.
I experienced voice changes when I transitioned from sixth grade to seventh grade.
Could you please advise me on any possible methods to improve my situation? (Regarding my diet, I follow a semi-vegetarian diet.)

Kyle, 10~19 year old female. Ask Date: 2019/06/03

Dr. Li Yongheng reply Orthopedics

Hello, you are 14 years old, male, and entered puberty when transitioning from sixth grade to seventh grade.
X-rays show that most of the growth plates have closed.
Therefore, it is recommended that you drink more milk, go to bed before 11 PM, and engage in activities such as running, jumping rope, and playing basketball, as these can be very helpful for height growth.

Reply Date: 2019/06/03

More Info

Understanding growth plate closure is crucial for adolescents, especially during the critical years of growth and development. The growth plates, also known as epiphyseal plates, are areas of developing cartilage tissue located at the ends of long bones. They are responsible for the lengthening of bones during childhood and adolescence. Once puberty begins, hormonal changes, particularly the increase in sex hormones like estrogen and testosterone, lead to the maturation and eventual closure of these growth plates.

In your case, at 14 years old, it is important to recognize that while you may still have some growth potential, the fact that your doctor indicated that most of your growth plates have closed suggests that your growth spurts may be limited. Generally, growth plates close after the onset of puberty, which can vary significantly among individuals. For boys, this typically occurs between the ages of 16 and 18, while for girls, it usually happens earlier, around 14 to 16 years of age.
The closure of growth plates is influenced by several factors, including genetics, nutrition, and overall health. Since you mentioned that you are following a semi-vegetarian diet, it is essential to ensure that you are receiving adequate nutrients to support your growth. Key nutrients include protein, calcium, vitamin D, and other vitamins and minerals that play a role in bone health. If you have concerns about your diet, consulting with a nutritionist can help you create a balanced meal plan that meets your growth needs.

Regarding your question about "rescue methods" to increase your height, it is important to understand that there are no guaranteed methods to significantly increase height once the growth plates have begun to close. However, maintaining a healthy lifestyle can help you maximize your growth potential. Here are some recommendations:
1. Nutrition: Focus on a balanced diet rich in essential nutrients. Ensure you are consuming enough protein (found in legumes, dairy, eggs, and nuts), calcium (found in dairy products, leafy greens, and fortified foods), and vitamin D (which can be obtained from sunlight and fortified foods).

2. Exercise: Engage in regular physical activity, which can promote overall health and well-being. Activities like swimming, cycling, and stretching exercises can help improve posture and flexibility, which may make you appear taller.

3. Sleep: Ensure you are getting enough sleep, as growth hormone is primarily secreted during deep sleep. Adolescents typically need about 8-10 hours of sleep per night.

4. Posture: Maintaining good posture can help you appear taller and prevent any potential spinal issues. Practice standing and sitting up straight.

5. Consult a Specialist: If you have concerns about your growth or development, consider consulting an endocrinologist or a pediatrician who specializes in growth disorders. They can provide personalized advice and may conduct further assessments if necessary.

In summary, while the closure of growth plates limits the potential for further height increase, focusing on a healthy lifestyle, balanced nutrition, and regular physical activity can help you make the most of your growth potential. Remember, everyone's growth journey is unique, and it is essential to embrace your individual growth pattern.

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