The Science of Foot Growth: Growth Plates
Foot growth is a complex process driven by genetics and hormones during childhood and adolescence. This growth occurs in specialized areas of cartilage called growth plates, or physes, located near the ends of long bones. During a growth spurt, these plates produce new bone tissue, causing the bone to lengthen. As a person reaches skeletal maturity, typically coinciding with the end of puberty, these growth plates begin to harden and close in a process called epiphyseal fusion. Once a growth plate is fully fused, the bone can no longer increase in length.
When Do Growth Plates Typically Close?
For most people, the timing of growth plate closure is determined by a combination of genetics and the individual's pubertal timeline. On average, girls' growth plates close earlier than boys', typically around age 14-16, while boys' often close between 16 and 18. Since puberty onset and completion can vary significantly, the exact age for final foot growth differs for everyone. Some individuals, particularly those who experience late-onset puberty, may find that their growth plates remain open and active slightly longer, occasionally into their early twenties. Therefore, while new growth at 19 is rare, it is not entirely outside the realm of possibility for everyone.
Other Factors Influencing Adult Foot Size
Even after skeletal growth has concluded, many adults notice their shoe size changing over time. This is not due to continued bone growth but rather a variety of other physiological and lifestyle factors. It is a common misconception that feet never stop growing, but these adult changes are a result of soft tissue adjustments, not bony development.
Weight Gain and Its Effects
Increased body weight places greater pressure on the ligaments and tendons of the feet. This sustained stress can cause the foot's arch to flatten and spread, leading to a noticeable increase in both foot width and length. This flattening effect can mean that shoes that once fit perfectly become uncomfortably tight, prompting a need for a larger size.
Ligament Laxity and Fallen Arches
Over a lifetime, the ligaments and tendons in the feet can lose their elasticity and become looser due to years of weight-bearing activity. This natural aging process can cause the arch of the foot to fall, resulting in a flatter, longer, and wider foot. This change is a structural shift, not a growth, and is a key reason why many people require a larger shoe size as they age.
Hormonal Changes
Pregnancy is a classic example of hormonal changes affecting foot size. The hormone relaxin, produced during pregnancy, relaxes the ligaments throughout the body, including the feet. Combined with increased body weight, this can cause the feet to flatten and lengthen. For some, this change is temporary, while for others, the foot may not return to its pre-pregnancy size.
Footwear Choices
Improper footwear can also alter foot shape over time. Regularly wearing unsupportive shoes or going barefoot for extended periods can cause ligaments and arches to stretch and flatten. In contrast, consistently wearing overly tight or narrow shoes, especially those with pointed toes, can lead to deformities like bunions and hammertoes, which change the foot's shape and necessitate a different shoe size. For more information on the structure of the foot, consider a resource from a reputable source like the Kids Health on Growth Plates.
Comparing Foot Changes by Life Stage
| Characteristic | Childhood Growth | Teenage Growth | Adult Changes |
|---|---|---|---|
| Cause | Rapid bone growth at growth plates | Puberty hormones, final growth spurts | Ligament laxity, weight, aging |
| Bone Growth | Rapidly increasing length and width | Concludes as growth plates close | Ceases completely |
| Timing | Infancy to early teens | Mid-to-late teens (varies) | Any time after skeletal maturity |
| Skeletal Effect | Lengthening of bones | Finalizes bone length | No bone growth; structural changes |
Conclusion: The Bottom Line on Foot Growth at 19
At 19, the most significant bone growth, which determines foot length, has likely already passed for most people due to the closure of growth plates. However, some minor length or width adjustments can still occur into the early twenties, particularly for those with a later pubertal timeline. It is far more common, however, for perceived changes in foot size to be related to other factors, such as weight fluctuations, age-related ligament changes, or hormonal shifts, rather than true bony growth. If you are experiencing foot discomfort or have concerns about a change in size, consulting a podiatrist can provide clarity and ensure proper foot health.