Growth Plates: Nutrition, Surgery, and Height Increase Options - Orthopedics

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Growth plate


Height can be influenced by nutrition, exercise, and stimulation of the growth plates.
Is it possible to overdose on calcium supplements? If the growth plates are still open and one wishes to increase height, is the procedure to stimulate the growth plates considered a minor surgery? If the growth plates have closed, is bone lengthening surgery effective? Is a physician's evaluation necessary? What is the approximate cost of these two procedures? Are they covered by health insurance?

Xiao Lin, 20~29 year old female. Ask Date: 2004/10/28

Dr. Shi Qiming reply Orthopedics


Dear Xiaolin,
Height is primarily determined by genetics, accounting for about 90% of an individual's stature.
Factors such as nutrition and exercise can have a partial impact on height.
Procedures like growth plate stimulation and limb lengthening should not be used on individuals with normal height.
They are not appropriate for normal individuals.

Sincerely,
Dr.
Wang Zikang, Director of Orthopedics, Hsinchu Hospital, Department of Health, Executive Yuan

Reply Date: 2004/10/28

More Info


Understanding growth plates and their role in height increase is a multifaceted topic that encompasses nutrition, exercise, and surgical options. Growth plates, or 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 these plates close, which typically occurs after puberty, further height increase is not possible through natural growth.


Nutrition and Height
Nutrition plays a crucial role in maximizing growth potential during the years when growth plates are still open. A balanced diet rich in essential nutrients, particularly calcium, vitamin D, protein, and other vitamins and minerals, is vital for bone health and growth. Calcium is particularly important as it contributes to bone density and strength. However, it is essential to consume calcium within recommended limits, as excessive intake can lead to health issues such as kidney stones or impaired absorption of other minerals.


Exercise and Growth Stimulation
Regular physical activity, especially weight-bearing exercises, can stimulate growth hormone production, which may positively influence growth plate activity. Activities such as swimming, cycling, and sports can promote overall health and well-being, potentially aiding in maximizing height during growth years.


Surgical Options for Height Increase
1. Growth Plate Stimulation Surgery: This procedure is designed for individuals whose growth plates have not yet closed. It involves techniques to stimulate the growth plates, potentially allowing for further height increase. This is generally considered a minor surgical procedure, but it should only be performed by qualified orthopedic specialists. The effectiveness and safety of such procedures can vary, and they are not universally accepted or practiced.

2. Limb Lengthening Surgery: For individuals whose growth plates have closed, limb lengthening surgery is an option. This procedure involves cutting the bone and gradually pulling it apart using a device, allowing new bone to form in the gap. This is a more complex and invasive procedure compared to growth plate stimulation and requires a longer recovery time. It is essential to have a thorough evaluation by an orthopedic surgeon to determine if you are a suitable candidate for this surgery.


Cost and Insurance Coverage
The costs associated with these surgeries can vary significantly based on the location, the surgeon's expertise, and the complexity of the procedure. Growth plate stimulation surgery may be less expensive than limb lengthening surgery, which can cost tens of thousands of dollars. Insurance coverage for these procedures can also vary; many insurance plans may not cover elective surgeries for height increase, considering them cosmetic rather than medically necessary. It is crucial to consult with your healthcare provider and insurance company to understand the financial implications.


Conclusion
In summary, while nutrition and exercise can significantly influence growth during the years when growth plates are open, surgical options exist for those seeking to increase height after growth plate closure. However, these procedures come with risks, costs, and varying degrees of success. Consulting with a qualified healthcare professional is essential to evaluate the best options based on individual circumstances, including the status of growth plates and overall health.

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