What is menopause arthralgia?

Written in association with: Dr Wendy Holden
Published: | Updated: 30/07/2024
Edited by: Conor Lynch

Here, Dr Wendy Holden, a highly respected consultant rheumatologist, explains the difference between menopause and menopause arthralgia, whilst also telling us how menopause arthralgia can be effectively managed. 

What is menopause?

Menopause is a significant transitional phase in a woman's life, typically occurring between the ages of 45 and 55. This period marks the end of a woman's reproductive years, characterised by a natural decline in hormone levels, particularly estrogen. Among the various symptoms experienced during menopause, one that is often overlooked but quite prevalent is arthralgia, or joint pain.

 

What is menopause arthralgia?

Menopause arthralgia refers to the onset or exacerbation of joint pain and stiffness during menopause. Oestrogen, a hormone that decreases during menopause, plays a crucial role in maintaining joint and bone health. Its reduction can lead to inflammation, decreased bone density, and deterioration of joint tissues, resulting in pain and discomfort. Women may experience pain in various joints, including the knees, shoulders, neck, hands, and lower back.

 

What are the main symptoms?

The symptoms of menopause arthralgia can range from mild to severe and may include swelling, tenderness, stiffness, and a decreased range of motion in the affected joints. These symptoms can significantly impact daily activities and overall quality of life. It is essential for women experiencing these symptoms to seek medical advice to rule out other potential causes of joint pain, such as arthritis or other musculoskeletal disorders.

 

How can menopause arthralgia be managed?

Managing menopause arthralgia involves a multifaceted approach. Lifestyle modifications play a critical role. Regular physical activity, such as walking, swimming, or yoga, can help maintain joint flexibility and reduce pain. A balanced diet rich in calcium and vitamin D supports bone health, while omega-3 fatty acids, found in fish and flaxseed, have anti-inflammatory properties that can alleviate joint pain.

 

Hormone replacement therapy (HRT) is another option that can be considered under medical supervision. HRT can help replenish estrogen levels, potentially reducing joint pain and other menopausal symptoms. However, it is essential to weigh the benefits against potential risks and side effects.

 

Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can provide temporary relief from joint pain. Additionally, alternative therapies like acupuncture, massage, and herbal supplements may offer benefits for some women.

By Dr Wendy Holden
Rheumatology

Dr Wendy Holden is a highly esteemed consultant rheumatologist based in Basingstoke.

Before training in medicine, Dr Holden completed an Honours degree in Physiology and Biochemistry with Nutrition at Southampton University and then trained as an osteopath at the British School of Osteopathy, graduating with Honours. She later worked as an osteopath and osteopathic tutor for several years. Dr Holden studied medicine at St George’s Hospital Medical School in London and graduated in 1994 with Distinctions. She completed specialist training in rheumatology in the Oxford region and has had additional training in neurorehabilitation and medical pain management, including an MSc in Pain Management with Distinction from the University of Wales. She was appointed as a consultant rheumatologist at Basingstoke and North Hampshire NHS Foundation Trust in 2007 and now has an honorary consultant contract with the Trust. Dr Holden is currently working on her PhD in the Department of Psychology at Reading University, looking at the association between pain and sleep in osteoarthritis.

Dr Holden has notably been awarded a National Healthcare Champion award by the National Rheumatoid Arthritis Society. Since completing medical training, she has extended an interest in complementary therapies with training in medical acupuncture. She has also prescribed medical cannabis to more than 4,000 patients via Curaleaf Clinic, where she works as a consultant rheumatologist and specialist in pain management. She is also a qualified yoga teacher and coach.

Dr Holden is also the Medical Advisor to Arthritis Action, a national charity that promotes self-management for people with arthritis. She has a British Menopause Society certificate in the Principles and Practice of Menopause Care and she has spoken extensively in the media and on webinars about all aspects of arthritis and pain management.

Her specialist areas in rheumatology are bone health, osteoporosis and fracture prevention, osteoarthritis, pain management, especially the mind-body connection and holistic medical care, inflammatory arthritis and women’s health around the menopause and perimenopause including menopausal arthralgia. She is particularly interested in self-management and lifestyle influences on pain and health. She is covered by all medical insurance companies.

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