Can I Still Grow Taller? Growth Patterns in Adolescents - Orthopedics

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Height increase


Hello, doctor.
I started developing pubic hair in the second semester of sixth grade.
When I entered junior high, I was considered tall, but by the second and third years, many people began to surpass my height.
I took traditional Chinese medicine from first to second year, but it didn’t have much effect.
During this time, I became addicted to video games and stayed up late, sometimes all night, for about a month.
By the end of my third year, my height was around 168 cm, and since preparing for the high school entrance exam, my height has not increased.
My sleep schedule has also changed, and I now go to bed around 11:30 PM to midnight.
My weight did not increase much during junior high, and during one health check, I even lost weight, despite eating healthily and having a large appetite.
After the entrance exam, during that summer, I played basketball or jumped rope almost five days a week, but my height didn’t change much.
Now I’m in my first year of high school, my height is slightly over 168 cm, and I weigh about 53 kg.
I have developed armpit hair, a noticeable Adam's apple, and I experience ejaculation.
I have a slight hunchback, but I am working on correcting it.
My bone age was assessed at 15 years old in the second year.
Doctor, do I still have a chance to grow to 175 cm? My parents are 180 cm and 161 cm tall.

Mingming, 10~19 year old female. Ask Date: 2022/11/26

Dr. Li Wenhong reply Orthopedics


Hello: I cannot accurately predict your height; your rapid growth period may have ended.
However, there is still a chance for some additional growth, although it may not reach 175 cm.
Orthopedic Department, Changhua Hospital, Dr.
Li Wen-Hong.

Reply Date: 2022/11/26

More Info


The question of whether you can still grow taller is a common concern among adolescents, especially during the critical growth periods of puberty. Based on the information you've provided, it seems that you are currently 168 cm tall and are wondering if you can reach your desired height of 175 cm, given your family background and the changes your body has undergone.

Firstly, it's important to understand the biological basis of growth. Growth in height is primarily determined by the growth plates in your bones, known as epiphyseal plates. These plates are areas of cartilage located at the ends of long bones, and they are responsible for bone growth. During puberty, these growth plates are active, allowing for significant increases in height. However, once the growth plates close, which typically occurs in late adolescence (around ages 16-18 for boys), further height increase is unlikely.

From your description, it appears that you have experienced some growth spurts, particularly in the earlier years of middle school. You mentioned that you started developing secondary sexual characteristics, such as pubic hair and a deeper voice, which indicates that you are in or have gone through puberty. The fact that you have a family history of taller parents (your father being 180 cm) suggests that you may have the genetic potential to grow taller, but this potential can be influenced by various factors, including nutrition, physical activity, and overall health.

Your current height of 168 cm is within the average range for your age, but it’s understandable to feel concerned when peers are taller. The growth you experienced from grades 7 to 8 seems to have slowed down, which is not uncommon. Many adolescents experience fluctuations in their growth rates, and it’s possible that you are in a phase where growth is temporarily slower.

Here are some factors to consider that may help you maximize your growth potential:
1. Nutrition: A balanced diet rich in essential nutrients is crucial for growth. Ensure you are consuming adequate amounts of calcium, vitamin D, protein, and other vitamins and minerals. Foods like dairy products, lean meats, fruits, vegetables, and whole grains should be staples in your diet.

2. Sleep: Growth hormone is primarily released during sleep, especially during deep sleep. Aim for 8-10 hours of quality sleep each night to support your growth.

3. Physical Activity: Regular exercise is beneficial for overall health and can stimulate growth. Activities that promote stretching and posture, such as swimming, basketball, and jumping rope, can be particularly effective.

4. Posture: You mentioned having a slight hunchback. Improving your posture can not only make you appear taller but also support your spine's health. Consider exercises that strengthen your back and core muscles.

5. Avoiding Growth Inhibitors: Factors such as smoking, excessive alcohol consumption, and drug use can negatively impact growth. Additionally, chronic stress and lack of sleep can also hinder your growth potential.

6. Medical Consultation: Since you have already had a bone age assessment, it may be beneficial to consult with a healthcare professional or an endocrinologist. They can provide insights into your growth potential based on your bone age and overall health.

In conclusion, while it is difficult to predict exactly how much taller you will grow, focusing on a healthy lifestyle can help you reach your maximum potential. If your growth plates are still open, there is a possibility that you could reach your goal of 175 cm, but it is essential to maintain realistic expectations and prioritize your overall health and well-being.

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