Many women are surprised to experience new aches and pains as they approach or go through menopause. Among the most common complaints are tendon-related issues—particularly in the shoulders, hips, elbows, and Achilles tendons. If you're noticing stubborn pain that worsens with activity and doesn’t seem to go away with rest, you’re not alone—and physiotherapy can help.
Why Do Tendon Problems Occur During Menopause?
Menopause brings a significant drop in estrogen levels, which affects many tissues in the body, including tendons. Estrogen plays a role in maintaining tendon health by supporting collagen production and keeping connective tissues supple and strong.
As estrogen declines, tendons can become:
Less elastic and more prone to small tears
Slower to heal after activity or injury
More sensitive to load or strain
These changes can lead to common conditions like:
Rotator cuff tendinopathy (shoulder pain)
Gluteal tendinopathy (hip pain, often felt when lying on your side or climbing stairs)
Tennis or golfer’s elbow (forearm/elbow pain)
Achilles tendinopathy (pain at the back of the ankle)
How Can Physiotherapy Help?
While hormonal changes can’t be reversed, tendon pain during menopause is highly treatable—and physiotherapy is one of the most effective ways to manage it.
1. Accurate Diagnosis
A physiotherapist will assess your symptoms and movement patterns to confirm the source of your pain and rule out other causes, such as joint issues or nerve irritation.
2. Targeted Loading Programs
Unlike general stretching or rest, tendons respond best to structured strengthening programs. A physio will guide you through progressive exercises that load the tendon safely, stimulating collagen repair and improving function over time.
3. Hands-On Therapy and Pain Relief
Depending on the area affected, treatment may include soft tissue release, dry needling, taping, or gentle joint mobilisations to support healing and reduce discomfort.
4. Education and Lifestyle Advice
Your physio will also help you manage contributing factors such as biomechanics, posture, footwear, sleep positions, and physical activity levels. Together, these can reduce strain on irritated tendons and prevent flare-ups.
If you’re in or approaching menopause and experiencing lingering tendon pain, don’t wait for it to go away on its own. A physiotherapist can provide the tools, knowledge, and support you need to move comfortably and confidently through this phase of life.