I have a question for the experts: can you explain this delima?

[youngbull]

Unlike the average question or person I have done substantial research on this topic an believe I have come across ground break interpretation on how we think about the subject of epiphyseal closer or in other words growth plate fusel. I believe the current medical understand is flawed and we are just scratching the surface of understand how the body grows. There is multiple situations in which are current understand of  growth plate closures is contradicted for example, we believe if the growth plates are undetectable by x-ray they are closed I beg to differ there are multiple example of people developing acromegaly in their late 20s or early 30s and due to the excess  growth hormone released they  have grown substantially in stature which under are current understand is impossible I can point you to a specific case Tanya angus she developed acromegaly at  19 and continued to grow at age 31 and still is growing in stature she went from 5'11 to 6'8 and as a female her plate were fused from what we use to determine closer from x rays before the condition. Another example is are hands when you are going through puberty your supposed growth plates are clearly seen in bone age tests on the x ray but once you hit early adult hood they are undetectable under x ray and are still not presumed closed in fact your feet and hands can continue to grow for your whole life in are current medical understand especially if you develop acromegaly at a later age, which contradicts are understand of are growth plates fusing if we still believe are hands and feet continue to grow even with obvious sign of growth plate closure which makes no sense under are current understanding  but yet the growth  still can take place once there are no longer their how is this possible?  It contradict are whole understand on epiphyseal closure due to the plates being undetectable form X rays. My point is this must mean that truly your growth plates may become unremarkable to x ray imaging but they can still function an cause growth even after puberty an might become dormant due to significant drops of GH due to age but if activated by excess level of hg cause by acromegaly can cause growth in stature again and the evidence I presented before prove that case. Even if you do your own minimal research you will see this will be the case in multiple patients. Yet this question is not arising to experts and that is why I am addressing it. Basically showing we do stop growing after a certain age do to genetic design in aging an dropping of hormones but we never lose are capability to growing meaning  just like your head, nose, feet and hands your legs, torso and arms can continue to grow an just because they are not seen on x ray just like your hands which can continue to grow even after closure or in other words no longer detectable by x ray or other examinations, but yet we still believe they can grow, yet when it comes to elongated growth in limbs we believe after they are unremarkable by x ray all growth is impossible but that contradicts as you can clearly see. Therefore I want to know what you experts think who have been institutionally taught on the subject does my questions  provoke thoughts in your head ,as well is are understand currently wrong like so many things in past history or is there a way to explain all these circumstances? So many times in medical history we had to reinterpret are whole understand on a total subject, is this the case here? You tell me.  Also if this maybe the case this can lead to people pursuing statured growth who are abnormally short and are lately diagnosed of GH deficiency an can continue treatment even after ages 19 or growth plates are unremarkable in x ray imaging. This would be a breakthrough in are understand clearly and help those types of patients in those circumstance who are told your plates are fused and there is nothing that can be done for their disorders. This perspective on growth would change that and lead to a complete paradigm shifting understanding of growth capability or has this issue already been address?

[S. Kaul, MD]

Hi again!

Medical science does not believe that growth ‘stops’ after the epiphysis close. As mentioned in the previous post, bone growth is not solely dependent on closure of the epiphysis and may still continue after the closure, though this would be more gradual and slower. Growth can further be enhanced by a number of other external factors, known to science. You may like to read further on these topics.

Take care!

[youngbull]

yes but what I am saying is in are current knowlege we believe that  growth in height stops when growth plates fuse around the age of 20 clearly this is flawd from cases showing other wise.

[S. Kaul, MD]

Hi there!

Let me point out a few things to you.
1. The medical knowledge regarding growth is ‘not flawed’, though it might be inadequate.
2. Bone growth is not solely dependent on closure of the epiphysis and all epiphysis do not close at the same time. This is a gradual process that continues from before birth till ones 20’s.
3. Acromegaly is not normal growth and neither is abnormally increased growth hormone secretion.
5. The reason why GH therapy is not advocated after the age of 18-20 years is to prevent conditions like acromegaly and the associated complications.
You may like to read more on the subject and the complications that could possibly occur in such situations.

Take care!