It's not burn out. Rather, it's that the natural pliability, springiness and recoil in your tendons and ligaments (Achilles, plantar fascia, etc.) will be shot from all the cumulative usage. You simply lose your bounce. I've got no data to back it up, but that's my hypothesis. Studies have been done on the Achilles tendons of diabetics vs. normal controls and found changes in the molecular structure of the collagen cross-links to explain such changes in diabetics, which is thought to contribute to their high rate of foot morbidity, leading to conditions like "Charcot foot" (a spontaneous collapse of the foot structure), and forefoot plantar ulcers, although the other major contributor in these situations is peripheral neuropathy.