Attack the Risk Factors-Tendon

Research has identified major risk factors that make individuals susceptible to chronic tendon injury. 

 Overuse & Underuse Injuries: Tendons are exceedingly sensitive to stress outside a normal physiologic window. Deviation from normal mechanical loading in terms of frequency, magnitude, duration, or direction can lead to a chronic overuse injury. A tendon under constant or abnormal stress becomes fatigued, and its internal machinery breaks down. Ironically, not only can you have too much tendon activity, you can also have too little tendon activation. Chronic under activation and disuse leads to atrophy and weakness. Weak tendons are prone to injury.

 Chronic Inflammation: Chronic low-grade inflammation promotes chronic non healing and abnormal scar formation within the tendon. The inflammation-generated chemical mediators trigger the production of tissue-dissolving enzymes and other factors that sabotage normal tendon architecture and lead to abnormal tendon tissue that is  a weak, stiff, and painful.

 Obesity: The excess load your tendons feel, predisposes them to an overuse type injury. Additionally, fat induces chronic inflammation. Fat is not metabolically inactive. Rather, fat cells continuously release pro-inflammatory chemical signals called adipokines. Adipokines catalyze whole-body inflammation that triggers a destructive state inside the tendon.

 Diabetes: Excessive sugar circulates throughout the body and attaches itself to collagen, a major component of tendons.  The sugar-collagen bond disrupts the normal tendon architecture and renders teh tendon weaker, stiffer, and more prone to injury.

 Gender: Some research suggests women have a higher risk of developing tendon disease with an uptick post menopause. Many factors likely contribute: gender-specific sex hormone profile, postmenopausal tendon changes, muscle weakness, suboptimal lower limb mechanical alignment, and higher rates of obesity.

The 10 Pillars of Tendon Health strategies were designed to attack the risk factors associated with tendon disease and to provide a smart and easy approach to promote tendon vitality.






 Lucas J. Bader MD

Learn more about the doctor here.