Bone Development
Hello, doctor.
May I ask until what age do human bones typically grow? Once development is complete, can we still correct our posture through exercise? Also, does scoliosis and kyphosis lead to varicose veins?
Quan, 10~19 year old female. Ask Date: 2005/10/11
Dr. Wang Shouji reply Orthopedics
Hello,
I apologize for the delayed response due to a busy schedule.
Thank you for your understanding.
Bone growth varies from person to person; generally, boys grow about 1-2 years later than girls, and it rarely continues past the age of 20.
If the growth plates have fused, there is no possibility of further height increase.
Most of a person's height is determined by the growth plates near the knee (the distal femur and proximal tibia).
Development can be completed through corrective exercises, but I'm unsure what you mean by "correction." If you are referring to scoliosis, generally, if the angle is less than 20 degrees and the individual is over 18 years old, the chance of progression is low.
However, if the angle is significant, it is advisable to follow the recommendations of a spine specialist for further treatment.
Scoliosis may lead to a hunchback appearance, but it is mostly unrelated to varicose veins.
Wishing you health and happiness,
Wang Shou-ji, Changhua Hospital, caring for your health.
Reply Date: 2005/10/11
More Info
Understanding bone development is crucial for maintaining overall health and posture throughout life. Human bones typically reach their peak density and strength by the age of 30. After this age, bone mass gradually decreases, particularly in women after menopause due to hormonal changes that accelerate bone loss. This decline can lead to conditions such as osteoporosis, making it essential to focus on bone health early in life.
While bone growth in length ceases after the epiphyseal plates close, which occurs around the late teens to early twenties, bone density can still be influenced by lifestyle choices, including exercise. Engaging in weight-bearing activities, such as walking, running, or resistance training, can help maintain or even increase bone density. These activities stimulate bone remodeling, where old bone is replaced with new bone tissue, thus enhancing overall bone health.
Regarding posture, conditions like scoliosis (curvature of the spine) and kyphosis (hunchback) can indeed have broader health implications. While they do not directly cause varicose veins, poor posture can lead to muscle imbalances and increased pressure on certain areas of the body, potentially affecting circulation. For instance, if the spine is misaligned, it may alter the way blood flows through the veins, particularly in the lower extremities, which could contribute to the development of varicose veins over time.
To address your concerns about correcting posture through exercise, it is indeed possible to improve alignment and posture with targeted physical activity. Exercises that strengthen the core, back, and abdominal muscles can help support the spine and improve overall posture. Activities such as yoga and Pilates are particularly beneficial as they focus on flexibility, strength, and body awareness, which can help correct postural issues.
However, it's important to approach this with caution. If you have existing conditions like scoliosis or kyphosis, it is advisable to consult with a healthcare professional, such as a physical therapist or orthopedic specialist, who can provide personalized guidance and develop an appropriate exercise regimen tailored to your needs.
In summary, while bone growth in length ceases in early adulthood, maintaining bone density and health is achievable through regular exercise and a balanced diet rich in calcium and vitamin D. Additionally, improving posture through targeted exercises can enhance overall health and potentially mitigate some complications associated with poor alignment. Always consult with a healthcare provider before starting any new exercise program, especially if you have pre-existing conditions.
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