Menopause and Your Musculoskeletal Health: The Missing Conversation
More than 47 million women worldwide enter menopause each year. Most women associate menopause with hot flashes, anxiety, and sleep disturbances; however, a lesser-known side—the musculoskeletal syndrome of menopause (MSM)—affects 70% of midlife women. MSM can have lasting effects on bone, muscle, and joint health, yet it’s rarely discussed. This widespread issue deserves a conversation.
What Are the Symptoms of MSM?
The symptoms of MSM include but are not limited to:
Musculoskeletal pain – Aching or soreness in muscles and bones.
Arthralgia (joint pain) – Stiff, achy, or painful joints.
Loss of lean muscle mass or “sarcopenia” – Muscles shrink and weaken.
Loss of bone mass and increased risk of osteoporosis – Bones become thinner and weaker.
Increased risk of fracture – Bones break more easily.
Increased tendon and ligament injury – Tissues that connect muscles and bones tear more easily.
Adhesive capsulitis (frozen shoulder) – Shoulder becomes stiff and painful, making movement hard.
Progression of osteoarthritis – Joint damage worsens, causing more pain and stiffness.
Cartilage matrix fragility – The cushioning in joints wears down, leading to pain and stiffness.
Why Does It Matter?
Although MSM symptoms aren’t as widely recognized as other menopausal changes, they can have a lasting impact on mobility, independence, and overall well-being. For example, joint issues, muscle loss (or sarcopenia), and fractures from osteoporosis don’t just cause discomfort—they can reduce your independence by making daily activities difficult and have lifelong consequences. Additionally, cartilage loss and osteoarthritis progression are irreversible. They can only be managed, not cured.
What Can You Do?
There are proactive steps you can take to protect your health. Every woman’s experience is different, so start by talking to your OB-GYN about MSM early to explore prevention strategies that may work for you.
There are steps you can take today to keep your bones and muscles strong:
Stay active. Weight-bearing exercises like walking, strength training, and tai chi help maintain bone density and muscle mass.
Nourish your body. A diet rich in calcium, vitamin D, and protein supports musculoskeletal health.
Protect your joints. Staying mobile, maintaining a healthy weight, and practicing good posture reduce strain on joints.
Consider physical therapy. Targeted exercises can help manage pain, improve mobility, and prevent further damage.
The Takeaway
Menopause brings changes, but MSM doesn’t have to define your future. By taking the right steps now, you can stay strong, mobile, and independent for years to come. Start the conversation with your doctor and take charge of your musculoskeletal health today!
