Managing Menopause Muscle Pains and Spasms - Stella
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Managing menopause muscle pain and spasms

byDr. Lucy Wilkinson

Did you know that changing hormone levels could be behind your menopause muscle pain, aches and even spasms? Pain is not as straightforward a phenomenon as you may think. The way you feel pain is influenced by many different factors including your genetic makeup and your mood. Read on to find out how hormones affect your experience of pain and which exercises and tips can prevent painful cramps.

Head to our symptoms library to find out more about aches and pains, restless legs and much more.

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Oestrogen and pain sensitivity

Menopause impacts the way you feel pain as the levels of oestrogen in your body decrease dramatically. One theory is that this has an effect on the parts of your brain and spinal cord which process pain.

Oestrogen helps to regulate release of your body’s ‘natural painkillers’, hormones also known as endorphins and enkephalins. When oestrogen levels dip at the time of menopause, this process becomes less efficient and natural painkillers are released in smaller quantities. This is why you may feel pain differently or more intensely after menopause and why aches and pains of all types can feel worse.

While it may seem that replacing oestrogen would be an obvious solution, it doesn’t appear to be the case. Current research on this topic has found mixed conclusions and the perception of pain is not improved with HRT use.

Read more about why your hormonal changes are making your body ache.

Oestrogen and inflammation

Inflammation has been a hot topic in the health and wellness industry over recent years with anti-inflammatory diets, skincare and lifestyle programmes flooding the market. Inflammation is usually a helpful part of your body’s healing processes, but it can also cause problems with pain, swelling and discomfort in response to injuries or wear and tear. Illnesses which are caused by uncontrolled inflammation include inflammatory bowel disease (like ulcerative colitis and Crohn’s disease), and rheumatoid arthritis.

Oestrogen has anti-inflammatory properties and lower levels of oestrogen after menopause are thought to be linked to increased levels of inflammation. As a result, any inflammation in your body can hang around for longer and be more difficult to control. Medical conditions caused by inflammation can flare up more frequently and more intensely, while injuries can take longer to heal. This is bad news for those niggling menopause muscle aches and pains, whatever the cause. 

Things that can help inflammation

  • Try to avoid any injuries
  • Exercise within your safe limits
  • If you are taking up a new activity, get advice from an instructor on how to get started safely
  • Be sure to warm up and cool down properly
  • Slow it down if you notice pain or injuries 
  • If you have any medical conditions associated with inflammation, speak to your doctor to find out the best treatments for you

Watch out for osteoarthritis

Osteoarthritis is generally thought of as being an age-related wearing of the joints, and is a frequent cause of aches, pains and muscle spasms. This common problem is caused by changes to the bone and cartilage, and decreasing levels of oestrogen at menopause are thought to have an impact. Symptoms include muscle pain, stiffness, swelling and grinding or crunching sensations in the joints.

The combination of osteoarthritis, altered pain perception and increased levels of inflammation can be particularly challenging for those going through menopause and beyond. 

It is not possible to prevent osteoarthritis but you can take steps to improve symptoms and prevent it from getting any worse. Speak to your doctor for advice on the best treatments for you.

Check your activity

If you are doing any strenuous or repetitive activity, think about ways you could ease the strain on your joints. If your job involves repeated heavy lifting, could you ask your occupational health team for lifting equipment? If you run long distances, could you switch to a lower-impact form of exercise?

If you think you may have osteoarthritis, speak to your doctor for advice.

Check your salts, vitamins and other hormones

Menopause and muscle aches or spasms can be caused by many different medical conditions, some of which may be less obviously related to the bones and muscles. 

Don’t be surprised if your doctor asks you to have a blood test. They will be looking for conditions which can cause aches and pains, including:

  • Thyroid problems
  • Abnormal salt levels (including calcium and magnesium)
  • Abnormal vitamin levels (including vitamin D)
  • Anaemia

Improving posture and spinal health

In the age of video calls and desk jobs, most of us could do with improving our posture,especially if you are struggling with back, neck or shoulder pain. You may also notice  the rounding of your shoulders or an unusual curvature of your spine at the neck, both of which can be part of the increasingly common upper crossed syndrome.

While it’s probably the last thing on your to-do list, it is worth paying some serious attention to your posture to keep your spine healthy for decades to come. 

Read more about bone health and menopause.

Tips for spine health and to reduce muscle aches

  • Keep your TV or monitor raised – aim to have them at your eye level by hanging them on the wall or using a stand
  • Choose a chair which provides good support to your lower back 
  • Keep the chair back upright – aim for a near-vertical backrest
  • When seated, aim to have your knees slightly lower than your hips
  • Use a footrest if it helps to ease any muscle aches and pains
  • Take regular breaks to stretch and move around
  • Take some form of exercise to support good posture – yoga and Pilates are good options

Start your free online menopause assessment to see if HRT is right for you

What exercises can help your posture?

Create a workspace that is mindful of your body, give yourself enough space and position your accessories/ tools (such as computers) optimally to reduce the incidence and severity of cramps.

The optimal office set up

It is recommended that you take a break from sitting at your desk every 30-40 minutes.

If you can’t leave your desk, here are some effective stretches and strengthening exercises that can relieve cramps and help you toward your fitness goals. 

1. Prevent cramp

These stretches should be held for 20 seconds for three repetitions (3 x 20 secs). They help to activate and loosen the deep spinal muscles, shoulders, calves and hamstrings which are vulnerable to regular cramps.

2. Build strength 

Medial leg lift – 10 repetitions in 3 sets (10 x 3). For progression, hold your legs for 10 seconds when they are directly out in front of you

Knee to chest raises –  12 repetitions in 2 sets (12 x 2). For progression, on the leg extension, draw a star sign in the air with your toes, attempt this for as many repetitions as you are able.

Best sleeping positions

It’s not just your daytime posture that contributes to aches and pains. Your sleep posture is just as important, especially when it comes to maintaining a healthy spine.

The best sleep position for spinal health is flat on your back, as this allows the spine to stay in an optimal alignment and reduces stress on the individual joints of the backbone. If you are a side sleeper, use pillows to support your head, separate your knees and support your upper shoulder if required.

Be sure to choose a mattress that works for you, and the right type of pillow for your preferred sleeping position.

Menopause muscle pain

Sometimes no underlying cause is found for your aches and pains, and they are simply put down to being part of menopause. If this is the case, your doctor will be able to advise on the best treatments available for you.

Some anecdotally find HRT useful for  general aches and menopause muscle pain, but it isn’t a guaranteed solution. Evidence is still emerging and more research is needed. 

HRT has been proven to help with many other symptoms of menopause. Some of these – including insomnia and low mood – can impact on the way you experience pain. Find out more about HRT risks and benefits.

When to see a doctor

See your doctor urgently if you have:

  • Persistent muscle aches, pains or spasms
  • Any severe or worrying pain
  • Recently started or increased a dose of a statin (cholesterol medication)
  • A history of kidney problems
  • Any swelling or redness in your limbs
  • Any other symptoms or concerns

There are many different potential causes, many of which are treatable. Seeing your doctor is the first step to getting a diagnosis. Sometimes persistent aches and pains can be caused by serious injuries. For example, from perimenopause onwards reduced oestrogen levels mean that our bones become thinner and more prone to fractures. For some, this can cause osteoporosis which is a medical term for severe thinning of the bones. In some cases, bones are so thin that they can be fractured with low-impact injuries or no injury at all (known as fragility fractures).

 Final word

Muscle pain and spasm are common in menopause and yet can be a complex problem to solve. If you are experiencing any pain which does not resolve after a couple of weeks or spasms which keep happening, talk to your doctor. They will be able to help you find out the cause for your symptoms and ensure that you get the treatment you need.

Find out more about the stages of menopause and more on our blog.

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