12/06/2025
Have you or a family member had these words used to explain normal age-related changes to joints or your body?
Here are some thoughts around why viewing osteoarthritis as “wear and tear” probably does more damage than good.
While osteoarthritic changes do occur over time, as you age and you can see where the terminology “wear and tear” comes from… it just misses the mark a bit.
What is Osteoarthritis?
As we get older (which we all do) the cartilage layer in your joint can change shape or get thinner, it will also become less hydrated and also your bones tend to change shape a little bit. Small structures,shapes called osteophytes occur.
It’s a completely natural process that can happen even as early as 30 in some people but evidence of these changes is not well linked to symptoms. So some people get pain even without many of these changes showing on a scan. And many people have clear changes with no symptoms.
Symptoms of arthritis seem to have other causes that don’t simply involve these normal changes.
To me… wear and tear says that I shouldn’t work hard, I shouldn’t run, I shouldn’t lift heavy… because the more intense my exercise is then the more damage I am doing to my body.
The evidence is increasingly showing us that this isn’t really the case.
Yes, if you have a big knee injury from a skiing accident, then you may be more likely to develop arthritis in that joint when you are older. However, activities like running and especially strength training can be exercises that make your cartilage more resilient and your joints more stable.
The bottom line and my reason for making the post is this:
I feel that some people out there think that hard work and tough training wears down your body and you pay for it when you’re old in a sort of “live fast, get pain young” sort of trade off.
But this isn’t the case.
Working hard to build a strong body and especially strength training is one of the best first lines of defence against having a more pain-free body as you age.
Obviously… genetics also has a few things to say, as it always does. But having a strong body still improves your chances even if you don’t have a good ticket in the dna lottery.