Can Growth Plates Be Delayed for Height Increase in Teens? - Orthopedics

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Growth issues


Doctor, when measuring bone age, you mentioned that there is still a little space left in the wrist before it completely fuses, and that I might grow another 1-2 centimeters.
I am currently 160 centimeters tall and 14 years old, and I would like to grow taller.
Is there any way to extend the time before fusion occurs?

Hua Yan, 10~19 year old female. Ask Date: 2020/07/17

Dr. Shi Guozheng reply Orthopedics


Theoretically, it cannot be extended.

Reply Date: 2020/07/17

More Info


The question of whether growth plates can be delayed to allow for further height increase in teenagers is a complex one, influenced by various biological and environmental factors. At 14 years old, with some remaining space in your wrist growth plates, there is still a possibility for some height increase, but it is essential to understand the underlying mechanisms of growth plate development and closure.

Growth plates, or epiphyseal plates, are areas of developing cartilage tissue located near the ends of long bones. They are responsible for the lengthening of bones during childhood and adolescence. The closure of these plates signifies the end of bone growth, which typically occurs after puberty. In boys, this process usually completes around the age of 18, while in girls, it tends to finish earlier, around 16-17 years of age. The timing of growth plate closure can vary significantly among individuals and is influenced by genetic, nutritional, and hormonal factors.

In your case, since your wrist growth plates still show some space, it indicates that you may have a little more time for growth. However, it is crucial to note that once the growth plates begin to close, there is no scientifically proven method to delay this process. The closure is primarily regulated by hormones, particularly sex hormones like testosterone and estrogen, which increase during puberty. Once these hormones reach a certain level, they signal the growth plates to start closing.

While you cannot directly delay the closure of your growth plates, there are several factors you can optimize to support your growth potential:
1. Nutrition: A balanced diet rich in essential nutrients is vital for growth. Ensure you consume adequate amounts of protein, calcium, vitamin D, and other vitamins and minerals. Foods like dairy products, lean meats, fish, fruits, and vegetables should be staples in your diet.

2. Sleep: Growth hormone, which plays a crucial role in growth, is primarily secreted during deep sleep. Aim for 8-10 hours of quality sleep each night to support your body's growth processes.

3. Exercise: Regular physical activity, particularly weight-bearing exercises and sports, can promote healthy growth. Activities like basketball, swimming, and cycling can be beneficial. However, avoid excessive strain or injury, as this can negatively impact growth.

4. Avoiding Growth Inhibitors: Certain factors, such as smoking, excessive alcohol consumption, and the use of anabolic steroids, can negatively affect growth. It's essential to avoid these substances to maximize your growth potential.

5. Regular Check-ups: Keep in touch with your healthcare provider to monitor your growth and overall health. They can provide personalized advice and guidance based on your growth patterns and development.

In conclusion, while you cannot directly delay the closure of your growth plates, you can take steps to optimize your growth potential through proper nutrition, sleep, and exercise. It's also important to have realistic expectations about your height, as genetics play a significant role in determining your final stature. If you have concerns about your growth or development, consider discussing them with a healthcare professional who can provide tailored advice and support.

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