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Menopause and Joint Pain As a woman approaches menopause, typically between the ages of 45 and 55, her body goes through drastic hormonal fluctuations that can affect her in many ways. Hormones play a major role in a woman's bone and joint health. When her hormones become imbalanced during menopause she will often experience joint pain. About Joint Pain Joint pain, also known as “Arthralgia”, is defined as pain, stiffness, or swelling in or around a joint. There are 360 joints in the human body. Joint pain often occurs in joints of high impact, such as the knees, hips, and back, but many women notice the joints in their hands become stiffer and more painful with age. Types of joints • There are several types of joints in the human body. Below is a list of the joints most commonly associated with joint pain: • Ball and Socket Joints. Allow for a wide range of rotation and movement. The shoulder and hip are ball and socket joints. • Condyloid Joints. Allow movement but no rotation. There are condyloid joints in the jaw and fingers. • Gliding Joints. Allow bones to glide past each other. There are gliding joints in the ankles, wrists, and spine. • Hinge Joints. Allow for movement much like that of a door hinge. The knee and ulna part of the elbow are hinge joints. • Pivot Joints. Allow bones to spin and twist around other bones. There are pivot joints in the neck and the radius part of the elbow. • Saddle Joints. Allow for back and forth and side to side motion, but limited rotation. There is a saddle joint in the thumb. Because joint pain is common in women approaching menopause, some have even used the term "menopausal arthritis" to describe this symptom. It can be an extremely discomforting ailment and make simple tasks and movements almost unbearable. There are common symptoms to help recognize joint pain. Other causes of joint pain, such as injury or certain types of arthritis, can lead to the following symptoms Symptoms of Joint Pain Fever Redness Swelling of the joint Stiffness of the joint after long periods of rest The symptoms of joint pain will depend on the particular cause of the pain experienced, but the typical symptoms of joint pain related to menopause include: pain, stiffness, swelling, and warmth in the joints. Limited morning stiffness, exacerbation of pain with exercise, and relief from pain with rest are also common symptoms in women who suffer from joint pain. Like most menopausal symptoms, joint pain is typically caused by hormonal imbalance. As menopause approaches, a woman's hormones begin to fluctuate, preparing for a permanent decrease in production of the primary hormones, estrogen, and progesterone. Causes of Joint Pain - Inflammation spots Although doctors are still unclear exactly how hormones, particularly estrogen, affect joints, most are resigned to the fact that estrogen (specifically a diminished level of estrogen) plays a major role in joint pain during menopause. Estrogen affects joints by keeping inflammation down. Inflammation is a leading cause of joint pain. As estrogen levels begin to drop during perimenopause, 5 to10 year time span leading up to menopause, joints get less and less estrogen and pain often is the result. Other Causes - Joint Pain and Osteoporosis Osteoporosis is another symptom of menopause that is related to joint pain. During menopause, the rate of bone loss increases as the amount of estrogen produced by the ovaries drops dramatically. Estrogen levels in postmenopausal women are about one-tenth the levels in premenopausal women. Bone loss is most rapid in the first few years after menopause, but continues into the postmenopausal years. There are other factors not related to hormones. Factors that can cause joint pain Wear and tear Injuries Weight, diet Lack of exercise Muscle loss Stress Heredity Inflammation of the joint Metabolic Disorders Bone Diseases Tumors and Cancer When to See a Doctor Consulting a healthcare professional in early stages of joint pain can go a long way in stopping a problem before it grows into a major health concern. Here are some instances when it would be a good idea to see a doctor for joint pain: • If joint pain lasts for more than three days, moves from the joint the pain started in to other joints, or worsens • If fever accompanies the joint pain • If progressive weight loss accompanies the joint pain Treatments for Joint Pain When exploring treatments for joint pain, it's important to begin with methods that are the least obtrusive, with the least likelihood of side effects and progress from there. This means that lifestyle changes are the best place to begin. For instance, physical therapy can be incorporated into a person's daily life and can ease joint pain. Walking or simple stretches can help. Even muscle-strengthening exercise can alleviate joint pain. Consulting a doctor or physical therapist is recommended before incorporating a new exercise routine. Woman in a garden: lifestyle changes are a good option to treat joint pain 5 Steps to Get Rid of Menopausal Joint Pain and Fatigue Joint pain and fatigue are two common symptoms of the menopausal transition, and they frequently occur together as a result of hormonal imbalance. Though they are rarely serious, they can be frustrating and lead to a wide array of cancelled plans and low moods. Five steps that you can take in order to get rid of menopausal joint pain and fatigue: 5 Foods to Help Alleviate Joint Pain and Menopause Ginger is a powerful anti-inflammatory, and it is easily added to favourite meals or ingested as a tea. Turmeric contains the nutrient curcumin, which prevents the body's production of NF-KB, a protein associated with inflammation Typically, combining lifestyle changes and alternative medicines will produce the best outcome. Alternative medicines can be different herbs and supplements, or even techniques like acupuncture. When seeking out alternative medicines, keep in mind that because joint pain during menopause is associated with hormone deficiency, look for supplements that bring a natural balance to the hormonal levels, for this will go a long way to alleviate joint pain. Finally, if still experiencing joint pain, there are different medications and surgeries that can be explored. Medications are often prescribed simply to cope with joint pain, but do not offer a cure. Surgery is an option for extremely severe joint pain. This final option comes with the most risk and side effects. Sources: •Hutchinson, Susan M.D. "The Stages of a Woman's Life: Menstruation, Pregnancy, Nursing, Perimenopause, Menopause." November 2007. •Love, Susan M.D. Menopause and Hormone Book. New York: Three Rivers Press, 2003. •BMJ Group. Menopause: What is it?" Patient Leaflet. 2007