Introduction
The term Musculoskeletal Syndrome of Menopause (MSM) refers to a constellation of joint, muscle, and bone issues linked to oestrogen loss. These symptoms aren’t “normal ageing” they deserve attention, management, and compassion.
What Is MSM and Why It Matters
MSM includes joint pain (arthralgia), muscle weakness, reduced bone density, osteoarthritis, tendinitis, and even frozen shoulder, all spotlighting how declining oestrogen affects the musculoskeletal system [6][7].
How Common Is It?
An estimated 70% of women in perimenopause experience some musculoskeletal symptoms. About 25% report severe pain or impact on daily activities, even when imaging shows no structural changes [8][9].
Why Oestrogen Loss Drives These Symptoms
Oestrogen supports collagen, cartilage, and bone density. When levels fall, inflammation increases, muscle mass diminishes, and bones weaken making joints, tendons, and ligaments more vulnerable to pain and injury [6][7].
Strategies to Manage MSM
- Exercise: Begin weight-bearing (walking, jogging) and resistance training to support bone and muscle health.
- Diet & Supplements: Ensure adequate calcium, vitamin D, protein, and magnesium.
- Hormone Therapy: Menopausal Hormone Therapy (MHT) may help protect musculoskeletal tissue.
- Pain Relief & Rehab: Physiotherapy and targeted pain management can offer relief.
- Early Screening: Monitor bone density proactively; discuss symptoms even if imaging is clean, as MSM may not always show up on scans [9][8].
Local Support at The Menopause Medic
Dr Fionnuala Barton MBBS BSc MRCGP provides expert musculoskeletal and menopause care across Berkhamsted, St Albans, Hemel Hempstead, Watford, Tring, Harpenden, Welwyn, and beyond.
References
- Healthline – Musculoskeletal Syndrome of Menopause https://www.healthline.com/health/musculoskeletal-syndrome-of-menopause
- Taylor & Francis (2024) – The musculoskeletal syndrome of menopause https://www.tandfonline.com/doi/pdf/10.1080/13697137.2024.2380363
- Pain Spa – Musculoskeletal Syndrome of Menopause Summary https://www.painspa.co.uk/condition/musculoskeletal-syndrome-of-menopause/
- Foundational Concepts – Understanding Musculoskeletal Syndrome… https://www.foundationalconcepts.com/the-pelvic-chronicles-blog/understanding-musculoskeletal-syndrome-of-menopause-causes-symptoms-and-management/