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Running Joint Damage After 60: Why 8 Miles a Day May Be Wearing Out Your Joints — Orthobiologic Solutions

  • cassis101
  • 3 minutes ago
  • 3 min read

And every morning: 8 miles.

But here’s the problem no one is telling her — and no one is telling him, either (and many of our gentlemen patients deeply care about their wife’s vitality, even if they don’t know what to say):

Running that far, that often, may be silently accelerating joint wear and aging the very tissues that give you the graceful, youthful movement you want to preserve.


The Problem: Running Joint Damage After 60 — What’s Happening on the Inside?

At Pain Experts, we see it all the time — lean, high-achieving women who look fantastic, but whose hips, knees, and soft tissues are quietly breaking down under the load of excessive endurance training.

8 miles a day. 5 days a week. Often 40+ miles per week.


Here’s what that does physiologically, even in an athletic, hormone-optimized 63-year-old woman

This pattern of running joint damage after 60 is something we see more and more — especially in women who remain lean and highly active but are unknowingly placing repetitive overload on hips, knees, tendons, and fascia.


Hip joint cartilage thinning → The repetitive impact of high-mileage running can accelerate acetabular cartilage loss and increase the risk of labral tears, especially in women with narrower joint spacing or subtle dysplasia.

 Knee joint wear → Every stride sends ~5–7x body weight through the knee — over tens of thousands of cycles per week. Result? Meniscus damage, subchondral bone stress, cartilage fissures.

 Tendinopathy risk → Achilles, gluteal tendons, hamstrings, iliotibial band — all subjected to repetitive microtrauma that cumulative loading can exacerbate.

 Fascial stiffening and tearing → The fascia lata and fascial layers around hips, thighs, and calves become less supple and more prone to microtears — which can distort movement and promote injury.

 Loss of lean muscle → Ironically, excessive endurance training can shrink type II muscle fibers and weaken the very strength needed to maintain joint protection and balance.

 Overuse injury risk → Cortisol elevation and oxidative stress worsen tissue recovery, increasing susceptibility to injury — even if the athlete "feels good" for now.

Clinically, here’s what we see next:→ 63-year-old women who look 43… but start showing progressive hip or knee pain, meniscus tears, labral injuries, patellofemoral syndrome, Achilles pain, gluteal tendinosis — sometimes after a minor event that should not have caused damage.→ MRIs reveal wear patterns they were unaware of, creeping in over years of beautiful but excessive running.


The Solution: Run Smart — and Know What Orthobiologics Can Do for You

If you (or your wife) are that elegant, high-performing woman — or that strong couple — here is what the science of aging well tells us:

3–4 miles/day is the optimal sweet spot → Enough for cardiovascular benefit, fat burning, myokine release — without accelerating joint damage.

 Strength training 2–3x/week is mandatory → Builds type II muscle fibers and stabilizes joints.

Mobility and fascia work → Protects smooth movement and joint glide, reduces cumulative impact.

Active recovery → Underpins true resilience, not just aesthetic appearance.

And here’s the critical insight: Even beautiful, lean, athletic 63-year-old women may already have early joint wear.

That’s where orthobiologic medicine comes in: We can use precision-guided platelet-rich plasma (PRP) or bone marrow concentrate to:

  • Support cartilage matrix preservation

  • Promote tissue healing

  • Calm down tendon overload

  • Repair fascial glide planes

  • Slow or even reverse some degenerative patterns


 Focused shockwave therapy can non-invasively help restore tendon and fascia quality.

Targeted joint injections can prevent the cascade from minor wear to surgical injury.

The key: It is always easier to intervene early, when the tissues are still biologically active, and before frank mechanical failure (labral tears, meniscus collapse, joint space narrowing).


The Quiet Compulsion: Why This Message Matters

In truth, many women running this much at this age are driven by perfectionism patterns.

Men like Alexander often see it but hesitate to say anything. They may notice joint pain, declining recovery, subtle gait changes — but they don’t want to discourage their spouse’s admirable discipline.

Here is what they should know: You can stay active, beautiful, and lean — but smarter, not harder. And if early tissue wear is present, orthobiologics offer a way to proactively protect and restore joints and fascia, not merely wait for surgical failure.


For the beautiful disciplined ladies: If you’ve been running 10 miles a day because it works for your body image or discipline — know that you have better options now. Orthobiologics can help you stay active and lean, while protecting your beautiful movement for the decades ahead. Let’s create a precision plan.

For those wonderful gentlemen: If your wife is that stunning, athletic, driven woman — help her step into a smarter model of care. We can evaluate early tissue wear and use regenerative interventions that preserve her vitality and elegance — before it’s too late.


                                                                                             Or


                                 Stay strong. Stay elegant. Stay powerful — but stay smart.





 
 
 

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               Deborah Westergaard, MD

Pain Experts

9301 N Central EXPY STE 115 Dallas TX 75231

1400 Preston Road STE 120 Plano, TX 75093

Phone 214 750-6200

Fax 214 750-6203

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