How to Manage Aching Bones from Menopause
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How to Manage Aching Bones from Menopause

Last updated: 19 May 2025

Aching joints and bones can be an unexpected symptom of menopause, often caused by shifting hormone levels. As oestrogen declines, it can affect bone density, leading to increased stiffness, discomfort and a higher risk of osteoporosis. These changes can make everyday activities feel more challenging as the body adjusts to hormonal fluctuations.

Our Advanced Menopause Profile can offer valuable insight into where you are in the menopause transition, helping you understand how hormonal shifts may be affecting your health.

Why does menopause cause aching bones and joints?

During menopause, hormonal shifts - particularly the decline in oestrogen - can have a direct impact on bone and joint health. Oestrogen plays a key role in maintaining bone density and reducing inflammation in the joints. As levels drop, bones can become weaker and joints may feel stiff or sore.

Other factors, such as reduced collagen production, changing calcium levels and increased inflammation, can also contribute to discomfort. Over time, this can lead to conditions like osteopenia or osteoporosis, making bones more fragile and prone to fractures.

The role of hormones in bone and joint health

Hormones play a crucial role in keeping bones strong and joints flexible. As menopause causes oestrogen levels to drop, bone loss can accelerate. Other key hormones also contribute to bone and joint health:

  • Oestrogen helps maintain bone density by balancing bone breakdown and rebuilding. Its decline can lead to increased bone loss and joint stiffness.
  • Progesterone supports bone-building cells that help maintain strength and structure.
  • Testosterone contributes to bone mass and strength, even in smaller amounts.
  • Cortisol can increase due to higher stress levels, which may contribute to bone thinning and inflammation.

As hormone levels shift, joints may feel stiffer and bones may weaken over time.

Is joint pain worse at certain stages of menopause?

Joint pain can vary throughout different stages of menopause, with some women experiencing more discomfort at certain points. This is largely due to fluctuating hormone levels and their impact on inflammation and bone health.

Here’s how joint pain may change over time:

  • Perimenopause – Oestrogen levels start to fluctuate, which can lead to increased inflammation and early signs of joint stiffness or discomfort. Some women notice aches in their hands, knees and hips.

  • Menopause – As oestrogen drops more significantly, joint pain may become more noticeable. This is when bone density loss can accelerate, increasing the risk of osteoporosis.

  • Postmenopause – With oestrogen at consistently low levels, joint pain may persist and bones may continue to weaken over time. Lifestyle changes and monitoring bone health become even more important at this stage.

Because symptoms can vary, tracking hormone levels with tests like the Advanced Menopause Profile can offer insight into where you are in the menopause transition.

Lifestyle changes to support bone and joint health

While hormonal changes play a big role in bone and joint health during menopause, certain lifestyle adjustments can help support long-term strength and mobility. Small, consistent changes can make a significant difference in reducing discomfort and maintaining bone density.

Some of the lifestyle changes you can make to support bone and joint health during menopause include:

  • Stay active – Weight-bearing exercises like walking, yoga and resistance training help strengthen bones and keep joints flexible.

  • Eat for bone health – A diet rich in calcium (found in dairy, leafy greens and almonds) and vitamin D (from sunlight, fish and fortified foods) supports bone strength.

  • Maintain a healthy weight – Excess weight can put added pressure on joints, while being underweight may increase the risk of osteoporosis.

  • Support joint flexibility – Stretching, mobility exercises and activities like swimming or Pilates can improve flexibility and reduce stiffness.

  • Manage stress – High cortisol levels from chronic stress can contribute to bone thinning and inflammation. Practices like meditation and deep breathing can help.

How to manage and reduce menopausal joint pain

Menopausal joint pain can be frustrating, but there are ways to ease discomfort and support long-term joint health. A combination of movement, nutrition and targeted care can help reduce stiffness and keep you feeling more comfortable.

Here are some tips for managing menopausal joint pain:

  • Stay hydrated – Cartilage in the joints relies on hydration to stay flexible. Drinking enough water helps keep joints lubricated and reduces stiffness.

  • Incorporate anti-inflammatory foods – Omega-3 fatty acids (found in salmon, flaxseeds and walnuts) and antioxidant-rich foods (like berries and leafy greens) can help reduce joint inflammation.

  • Keep moving – Regular, low-impact exercise such as swimming, cycling and yoga helps maintain joint mobility and reduces stiffness.

  • Prioritise rest and recovery – Poor sleep can make joint pain feel worse. Establishing a good sleep routine and managing stress can help the body recover.

  • Consider supplements – Vitamin D, calcium, magnesium and collagen supplements may support bone and joint health. Always check with a healthcare professional before adding new supplements.

Making small adjustments to your daily routine can help reduce joint pain and improve mobility. Finding the right balance of movement, nutrition and rest can go a long way in keeping your joints comfortable through menopause and beyond.

Conclusion: understanding your body through menopause

Menopause can cause unexpected aches and stiffness in bones and joints, with hormonal changes playing a key role. Tracking hormone levels offers valuable insights into where you are in menopause, helping guide your health decisions.

If you’re experiencing symptoms and need clarity, book a private Advanced Menopause Profile blood test. It offers valuable insights into where you are in menopause, which can help guide your health decisions.

Appointments are available across the UK, with fast and accurate results from leading laboratories.

BOOK A PRIVATE ADVANCED MENOPAUSE PROFILE TEST TODAY

Need help? Call free on

0800 652 2183 to speak to one of our team.

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