After maturation tendons undergo many biochemical, cellular, mechanica
l and pathological changes that bring about a general decline in the s
tructure and function of the tendon. This decline in the aging tendon
is characterized by a reduced ability to adapt to environmental stress
and loss of tissue homeostasis. The tendon's adaptability to these ch
anges will decide the rate and the success of treatment of a tendon in
jury. This review examines these changes and also looks at how we can
curtail their progression through exercise and lifestyle modification.