Health & Wellness Services

Run to Failure: Rethinking Wear and Tear Arthritis

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The maintenance argument: we service our teeth and our cars on a schedule, screen our athletes for their whole careers — and run the one machine we can’t replace to failure. Why joints wear from tracking, not mileage, and the service schedule that follows. Fully referenced, free to download.

Description

In engineering, “run to failure” is a maintenance strategy you choose on purpose — for parts that are cheap and easy to replace. A light bulb. A fan belt. No engineer would choose it for the chassis. Yet that is precisely the plan your skeleton is on: the one structure you cannot order a spare for, running to failure since the day you learned to walk. Nobody chose it. Nobody ever questions it.

This article makes the maintenance argument in earnest. The two machines you already service without a second thought — your teeth and your car — and the assumptions underneath that habit. The one small group of humans who already get the body check-up: athletes, screened for their whole careers. And the idea that changes how “wear and tear” reads forever: joints, like tyres, rarely wear out from mileage. They wear out from tracking — load delivered through the wrong geometry, over and over, silently. Well-loaded cartilage doesn’t wear; it adapts. The article closes with the service schedule a bipedal body deserves, and an honesty box on exactly what has and hasn’t been proven.

Plain language, fully referenced, free to download. Part of the Patient Reading Room; the mission statement is No. 0, Don’t Wait to Break.

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Dr Jo Abbott Ph.D
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