Age Related Problems

There are three principal processes by which ageing alters the musculoskeletal system—each contributing to pain, stiffness and reduced function as we grow older. These changes give rise to conditions such as osteoarthritis, osteoporosis with compression fractures, and sarcopenia (loss of muscle mass) with tendinopathy (wear and tear affecting the tendon). The three key domains are:

  • Degenerative joint wear occurs when the glass-like hyaline cartilage that cushions and protects our joints breaks down, leading to pain, stiffness and the formation of bony spurs (osteophytes).

  • Bone density loss results from age related metabolic depletion of calcium and vitamin D, making bones weak and brittle and prone to compression or stress fractures—most commonly in the spine, hips and wrists. Post-menopausal women see a sudden hormone reduction leaving them more at risk to bone density loss.

  • Muscle and tendon decline (sarcopenia and tendinopathy) involves a progressive loss of muscle mass, strength and tendon resilience, exacerbated by reduced activity in old-age, which leads to fatigue and lower tolerance for everyday loads.

Age related problems osteopaths see in practice:

  • Osteoarthritis is the gradual breakdown of the smooth, glass-like hyaline cartilage that cushions the joints, combined with bony spur formation and changes in the subchondral bone. As this protective layer thins, the joints stiffen and lose their ability to absorb shock, leading to reduced movement and pain.

    You’ll typically experience a deep, aching discomfort in the affected joints—often hips, knees, hands or spine—that worsens with weight-bearing or use and eases slightly with gentle activity. Morning stiffness lasting under 30 minutes, audible crepitus (grinding) on movement and occasional swelling are common signs, and over time you may notice reduced range and joint deformity.

  • Osteoporosis is a metabolic condition in which bones lose density and strength due to calcium and vitamin D depletion, becoming brittle and prone to cracking. Compression stress fractures occur when weakened vertebrae collapse under normal load, most commonly affecting the spine, hips and wrists in older adults—particularly post-menopausal women.

    Recognition often follows a minor bump or strain that produces a sudden, sharp pain—such as a low back ache from a simple lift or turn—indicating a vertebral wedge fracture. You may also notice gradual height loss, a stooped posture, such as dowager’s hump and tenderness over the fractured vertebrae, while hip or wrist fractures can present with immediate pain, swelling and impaired function after minimal trauma.

  • Sarcopenia is describes loss of muscle mass and strength. Tendinopathy relates to chronic degeneration of tendons. Both can occur as a result of age-related hormonal changes, reduced protein production and underuse in more sedentary lifestyles. Together they diminish power and resilience in muscles and their tendon attachments.

    Sarcopenia in the elderly can be often present with progressive difficulty rising from chairs, climbing stairs or carrying everyday loads, along with early muscle fatigue and a decline in walking speed. Tendinopathy presents as localised tendon pain and stiffness—often in the shoulders, knees or Achilles—worsening with use and tender to touch, as a result of the diminished capacity of ageing tendons to withstand load.

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How to Find us

Bledlow Ridge Osteopaths

Ridgeland
Chinnor Road
Bledlow Ridge
Buckinghamshire
HP14 4AJ

 

Hours

Monday to Friday
7am to 6pm

Phone

01494 481713

Email

info@bledlowridgeosteopaths.co.uk