What to Do If Your Growth Plates Are Closed? - Orthopedics

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What should be done if the growth plates have fused?


I am currently in my second year of high school (almost 17 years old), but I am still 2 centimeters short of 170 centimeters.
I recently had an X-ray, and the doctor said that my growth plates have fused, but he mentioned that there is still a chance for some growth, although it may not be significant.
What should I do? I hope to reach at least 170 centimeters! Otherwise, I feel really short, and my confidence is diminishing...
Please help me!

ku nao de ren, 10~19 year old female. Ask Date: 2009/12/26

Dr. Shi Qiming reply Orthopedics


We recommend that you engage in regular exercise and maintain a balanced diet, as there is still a chance for growth.
Please do not lose hope.

Reply Date: 2009/12/26

More Info


When it comes to growth plates and height, understanding the biological processes involved is crucial. 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 in late adolescence to early adulthood, further height increase becomes unlikely.

In your case, at 16 years old and nearing 17, if your doctor has confirmed that your growth plates are closed, it indicates that your bones have likely reached their maximum length. However, it’s important to note that while the closure of growth plates generally signifies the end of vertical growth, there can be slight variations in height due to factors such as posture, spinal decompression during sleep, and overall body mechanics.

Here are some key points to consider regarding your situation:
1. Understanding Growth Plate Closure: Growth plates typically close around the ages of 18 to 25, depending on various factors including genetics and sex. In males, the growth plates in the long bones usually close around 18-20 years of age. If your doctor indicated that your growth plates are "almost closed," it suggests that you may have a very limited window for additional growth, but it is not entirely impossible.

2. Height Variability: It's common for individuals to experience slight fluctuations in height throughout the day. In the morning, after lying down for several hours, you may measure slightly taller due to the decompression of the spine. This is temporary and does not indicate actual growth.

3. Posture and Spinal Health: Maintaining good posture can help you maximize your height potential. Slouching can make you appear shorter than you are. Engaging in exercises that strengthen your core and back muscles can improve your posture and may help you stand taller.

4. Nutrition and Exercise: While you may not be able to significantly increase your height at this stage, focusing on a balanced diet rich in essential nutrients can support your overall health. Ensure you are getting adequate protein, calcium, vitamin D, and other vitamins and minerals that are vital for bone health. Regular physical activity, including strength training and flexibility exercises, can also contribute to better posture and overall well-being.

5. Psychological Impact: It’s understandable to feel self-conscious about height, especially during teenage years when peer comparisons are common. However, it’s important to remember that height does not define your worth or capabilities. Building confidence through skills, hobbies, and social interactions can be far more impactful than physical attributes.

6. Consulting a Specialist: If you have concerns about your growth or overall health, consider consulting an endocrinologist or a specialist in adolescent medicine. They can provide more personalized insights based on your growth history and current health status.

In summary, while the closure of growth plates generally indicates that significant height increase is unlikely, focusing on posture, nutrition, and overall health can help you feel more confident and comfortable in your body. Remember that many factors contribute to a person's overall presence and confidence, and height is just one of them. Embrace your unique qualities and work on developing your strengths in other areas.

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