What is menopause arthralgia?

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.