Does Late Sleep Affect Bone Growth and Healing Time? - Orthopedics

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Bone growth


Does staying up late affect bone growth or healing time? Also, sometimes I experience sharp pain at the site of my open fracture of the radius where the two bones are fixed with a plate; is this normal? Additionally, I occasionally feel sharp pain below my thumb where I couldn't use a plate and had to use screws; is this normal?

Pei Ying, 10~19 year old female. Ask Date: 2015/09/01

Dr. Shi Guozheng reply Orthopedics


Staying up late should not affect bone growth, and occasional growing pains are also normal.

Reply Date: 2015/09/01

More Info


Late sleep can indeed have implications for bone growth and healing, particularly in adolescents and young adults. Sleep is a critical period for the body, during which various physiological processes occur, including the release of growth hormone. This hormone plays a significant role in bone growth and repair. The peak secretion of growth hormone typically occurs during deep sleep, particularly in the early part of the night. Therefore, if an individual consistently goes to bed late, they may miss out on this crucial window of hormone release, potentially impacting their growth and healing processes.

In your case, as a young person recovering from an open fracture of the radius (the bone in the forearm), adequate sleep is essential for optimal healing. Sleep deprivation can lead to a decrease in the body's ability to repair itself, which may prolong the healing time of fractures. Studies have shown that individuals who do not get enough restorative sleep may experience slower recovery rates from injuries, including bone fractures. Therefore, it is advisable to establish a regular sleep schedule that allows for sufficient rest, ideally going to bed earlier to maximize the benefits of growth hormone secretion.

Regarding the pain you are experiencing in your forearm and thumb, it is not uncommon to experience intermittent pain or discomfort after a fracture, especially during the healing process. This can be attributed to several factors, including the presence of hardware (like plates and screws) used to stabilize the fracture, the healing of soft tissues around the fracture site, and the reinnervation of nerves that may have been affected during the injury. Pain can also arise from muscle tension or overuse as you begin to regain function in your arm.

It is important to differentiate between normal healing discomfort and pain that may indicate complications. If the pain is mild and occasional, it may be part of the normal healing process. However, if you experience severe pain, swelling, or any signs of infection (such as redness, warmth, or fever), it is crucial to seek medical attention promptly. Your healthcare provider may want to assess the healing progress through imaging studies or a physical examination to ensure that everything is healing as expected.

In summary, late sleep can negatively affect bone growth and healing, particularly in young individuals. Establishing a regular sleep schedule that allows for adequate rest is essential for optimal recovery from fractures. As for the pain you are experiencing, while some discomfort is normal during the healing process, it is important to monitor the severity and frequency of the pain and consult with your healthcare provider if you have any concerns.

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