Rescued is back with the story of some poor bugger who, after a misplaced step and fall, completely ruptured both quadriceps tendons. There are a few errors in the podcast, the first being that Ross reports camping at Saltwater Creek on the second night of the three day walk (three day is used loosely as the entire walk is only 32 kilometres long) but this is obviously not correct as Saltwater Creek is only a few kilometres south of Mowarry campsite, where they spent their first night. Additionally, Ross mentions continuing past Heggarty Bay campsite which is a few kilometres south of Saltwater Bay on their second day to make their last walking day shorter. Thus, Ross and his group were obviously camped at Bittangabee Bay, the last campsite on that stretch of coast.
Unrelated to the story, Ross says that Disaster Bay is “full of reefs” which have historically resulted in shipwrecks – hence the name, Disaster Bay. In fact, Disaster Bay is deep (50 metres shallowing to 16 metres) and sandy bottomed. There have been shipwrecks but these have not been in the middle of Disaster Bay. Prior to construction of the lighthouse, ships did founder off the coast, but this was predominantly on the rocky cliffs either side of Green Cape. There are reefs and a couple of rocky islets immediately off Green Cape – home to a colony of seals – and the sea off Green Cape is often a lively place where the swell rises and steepens suddenly and currents give rough seas but Disaster Bay itself is not overly dangerous.
The other error in the podcast is Ross’ assertion that they were “about five hours” from Green Cape (the end of the walk) when the accident occurred. This is possible only if you are a really slow walker but unlikely given the distance from Bittangabee Bay to Green Cape is somewhere between 7 and 8 kilometres. Finally, I think the word “isolated” needs to be either removed from the vocabulary of the host or, at a minimum, redefined. The roughly 20 kilometre stretch of coast from Boyd Tower in the north to Green Cape in the south is crisscrossed by dirt roads, has four campsites, and any number of stairs, trails, and viewing platforms. The bush is thick in parts, but it is still virtually impossible to get any more than four kilometres from a good 2WD gravel road at any point along the coast. That’s not isolated unless you live in a high rise tower in the middle of New York City.
Personally, I would rather break a bone than rip both my tendons off the bone. Tendon injuries are hard to heal as the blood supply is limited and tendon does not regenerate nearly as well other tissues. The new collagen that is laid down during tendon repair is generally disorganised and chaotic rather than being parallel and aligned to the direction of force. Tendons require loading to heal in healthily aligned parallel bands and this takes a long, long time and much patient and progressive loading.
The best thing, of course, is prevention, but how can you prevent tendon injuries? Tendons do become more prone to injury with age but it’s not clear that this is simply the ageing process not a side effect of the poor metabolic health that frequently accompanies ageing. Unfortunately, with sedentary living and high carbohydrate and fat diets (processed food is the real culprit), poor metabolic health is seen in younger and younger individuals. A simple tape measure gives clues to metabolic health. A waist to height ratio over 0.5 is far more diagnostic than a BMI measure. The classic image that should come to mind and which afflicts a large proportion of Australians, young and old, is the skinny arms and legs along with the protuberant belly. Metabolic dysfunction makes tendons fragile, prone to injury, and significantly impairs healing.
Beyond metabolic health, stronger muscles protect joints and tendons so strength training with real weight is a must. Agility training which can be as simple as hopping on one leg or engaging in some easy parkour, and the always avoided explosive impact activities like squat jumps help older people maintain the agility and proprioception to recover from off-balance moves that would otherwise result in falls. Dr Howard Luks does a brilliant job of explaining all these things and providing exercise protocols specifically for older adults to promote healthy ageing.
It’s easy to drift into older age with gradually declining function. Everyone around you is doing it and flowing downhill along the tidal drift of age is so much easier than attempting, like Moses, to hold back the waters. It takes time, effort and you have to prioritise your training and nutrition over just about everything else. There are myriad reasons why we allow ourselves to gradually decline and the only reason to dissect and understand these is if they will actually change your behaviour. You could navel gaze endlessly and fruitlessly, or you could just take action today.
I’ll leave you with a passage from Mark Twight:
Every day I look around me and I’m saddened by examples of people who …. gave up early, or never learned the comfort that derives from self-imposed discomfort, from wanting and working for more.
If there is one lesson I would teach someone half my age it would be that [sic]: work harder than you think you need to, and take care of the mind and body that you are stuck with for the rest of your life. “Take care” doesn’t mean avoid, it means think ahead, weigh the cost of what you want now against what you might want in ten years, or twenty. You will probably live longer than you think. The habits and scars you create now will sink their roots. If you don’t keep enough resilience to combat those roots they will eventually hold you down.
















