
Q I am a 50-year-old soccer player in Incheon. I am worried about whether I should give up exercising completely due to patellar tendinitis.
A In many cases, even in your 50s, you can continue your hobby sport if you actively treat patellar tendinitis and complete rehabilitation. However, since the rate of tendon regeneration is slower than in youth, a longer treatment period is required, and managing exercise intensity is more important than for younger people. Rather than giving up, a strategy of returning gradually after a sufficient recovery is more realistic.
Detailed Answer
As you age, the rate of regeneration slows due to changes in collagen cross-linking within the tendons, reduced blood flow, and decreased secretion of recovery factors (IGF-1 and TGF-β). However, with regular eccentric exercise, protein intake, and proper load management, you can maintain a functional tendon condition even in your 50s. You can reduce accumulated stress on tendons by adjusting the load, such as by reducing exercise frequency to once or twice a week or by incorporating low-impact activities (like swimming or cycling). The 50s are a period when the body's fundamental energy naturally declines; as a result, the elasticity of bones and tendons decreases, and recovery takes longer. In Korean medicine, exercise-related injuries during this stage are often attributed to a deficiency in fundamental energy and blood. At Dongjedang, we promote tendon regeneration using needle acupuncture and thread embedding, while simultaneously utilizing constitution-specific herbal medicine to replenish fundamental energy and blood, thereby boosting recovery capabilities appropriate for each age group. Our goal is to facilitate a transition to a sustainable exercise routine after recovery, rather than giving up on exercise altogether.
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