Can Teenagers Still Grow Taller? Insights on Height and Treatment Options - Orthopedics

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Adolescent growth spurts?


Hello Doctor: I am a 16-year-old girl in the second year of high school, and I will turn 17 this summer.
My current height is only 151 cm, and the last time I measured my height was in September 2020, when I was 149.5 cm.
My father is 165 cm tall, my mother is 168 cm, and my 14-year-old sister is already 173 cm.
I was a premature baby and have always been shorter than average.
I started my menstrual period during the summer before fifth grade.
I have never had a bone age assessment or received any treatment related to height increase.
My current height is a significant concern for me, and I hope to grow another 8 to 10 cm.
Can I still grow taller? Is it appropriate for me to pursue height-increasing treatments at this time? Thank you.

En, 10~19 year old female. Ask Date: 2022/04/05

Dr. Li Wenhong reply Orthopedics


Hello: If you are experiencing concerns related to short stature, it is recommended that you visit a pediatric metabolism and endocrinology specialist to evaluate the possibility of growth hormone therapy.
Dr.
Li Wen-Hong, Orthopedics, Changhua Hospital.

Reply Date: 2022/04/05

More Info


As a 17-year-old girl standing at 151 cm, it's understandable that you're feeling concerned about your height, especially when comparing yourself to your peers and family members. Height growth during adolescence is influenced by several factors, including genetics, nutrition, physical activity, and hormonal changes. Let's delve into the possibilities of further growth and the treatment options available.


Growth Potential in Teenagers
1. Growth Plates and Bone Maturity: The primary determinant of height is the growth plates (epiphyseal plates) in your long bones. These plates are areas of cartilage that allow for bone growth. In females, these growth plates typically close around the ages of 16 to 18. Since you are nearing 17, it is crucial to assess whether your growth plates have closed. A simple X-ray can determine your bone age, which will provide insight into your growth potential. If the growth plates are still open, there may be a chance for additional height growth.

2. Genetic Factors: Your height is significantly influenced by your parents' heights. With your father at 165 cm and your mother at 168 cm, your genetic potential may be limited compared to your sister, who is already taller. However, genetics is not the sole factor; environmental influences play a crucial role as well.

3. Nutrition and Lifestyle: Proper nutrition is vital for growth. A balanced diet rich in calcium, vitamin D, protein, and other essential nutrients supports bone health and growth. Regular physical activity, especially weight-bearing exercises like basketball, swimming, and jumping rope, can stimulate growth hormone production and promote bone health.


Treatment Options
1. Hormonal Treatments: If you have not undergone any treatments related to height, it may be worth discussing with an endocrinologist. Growth hormone therapy is sometimes prescribed for children and adolescents with growth hormone deficiencies. However, this treatment is only effective if there is a medical indication for it, and it should be closely monitored by a healthcare professional.

2. Surgical Options: Limb lengthening surgery is an option for those who are significantly concerned about their height. However, this is a major surgical procedure with potential risks and complications. It is generally not recommended for individuals who are still growing naturally, as it can lead to complications and does not guarantee the desired results.

3. Psychological Support: Height can significantly impact self-esteem and body image, especially during teenage years. If your height is causing you distress, consider speaking with a counselor or psychologist. They can help you develop coping strategies and improve your self-esteem, focusing on your strengths beyond physical appearance.


Conclusion
In summary, while there may still be a chance for you to grow taller, it largely depends on whether your growth plates are still open. Consulting with a healthcare professional for a bone age assessment is a crucial next step. If your growth plates are closed, further growth is unlikely, and it might be beneficial to focus on aspects of your life that you can control, such as nutrition, exercise, and mental well-being. Remember, height does not define your worth or potential, and many successful individuals come in all shapes and sizes. Embrace your unique qualities and focus on what makes you, you!

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Hello: There should still be a chance for growth. Please maintain good lifestyle habits, be consistent, and do not put too much pressure on yourself. Dr. Li Wen-Hong, Orthopedics, Changhua Hospital.

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