Hip Pain and Perimenopause – How To Get Rid Of It

Hip Pain and Perimenopause – How To Get Rid Of It

Hip pain is a complaint that many women may associate with aging or physical injury, but did you know that it can be connected to perimenopause? During this transitional phase leading up to menopause, hormonal fluctuations may give rise to a myriad of symptoms, including joint and hip pain. Understanding the link between hip pain and perimenopause is crucial for proper diagnosis and finding the most effective treatments. This comprehensive guide explores the underlying causes, preventive measures, and potential therapies to help you navigate this complex and often misunderstood connection.

Can Perimenopause Cause Hip Pain?

Can Perimenopause Cause Hip Pain?Yes, perimenopause can be associated with hip pain. Although it may not be the direct cause in all cases. The connection between hip pain and perimenopause is complex and can be influenced by various factors. Here’s how it can happen:

  • Hormonal Changes

During perimenopause, estrogen levels fluctuate and eventually decline. Estrogen has an anti-inflammatory effect, and its decline can lead to an increase in inflammation in various parts of the body, including the joints. This can cause or exacerbate hip pain.

  • Osteoporosis and Bone Density Changes

The decline in estrogen levels may also lead to a decrease in bone density, increasing the risk of osteoporosis. This condition can make bones more fragile and susceptible to pain and fractures, including in the hip area.

  • Weight Gain

Perimenopause may be associated with weight gain for some women. That can put additional pressure on the joints, including the hips, leading to pain.

  • Muscle and Tissue Changes

Changes in hormonal levels may affect the muscles and connective tissues around the hip. And making them more susceptible to injury and pain.

  • Other Factors

It’s worth noting that hip pain during perimenopause may also be influenced by other underlying health conditions, lifestyle factors, or unrelated musculoskeletal issues. Identifying the exact cause may require a comprehensive examination by healthcare professionals.

So while perimenopause may not directly cause hip pain, the hormonal and physiological changes that occur during this transition period can create an environment where hip pain is more likely to occur or worsen. Treatment and management strategies should be individualized.

How To Identify If Perimenopause Causing Hip Pain?

Distinguishing hip pain caused by perimenopause from hip pain stemming from other causes can be challenging due to the multifaceted nature of both conditions. Here’s a step-by-step approach to help identify if perimenopause might be contributing to hip pain:

1. Document Symptoms:

  • Duration and Timing: Has the hip pain started around the same time as other perimenopausal symptoms?
  • Nature of the Pain: Is the pain consistent, or does it fluctuate? Does it worsen during certain times of the menstrual cycle?
  • Associated Symptoms: Are there other symptoms commonly linked to perimenopause, such as hot flashes, mood swings, sleep disturbances, or irregular periods?

2. Medical History Evaluation:

Have you experienced any injuries or have other health conditions that could be causing hip pain? Consider age as a factor. Most women enter perimenopause in their 40s or late 30s, but it can start earlier for some.

3. Physical Examination:

  • A physician may evaluate the hip’s range of motion, and strength, and look for points of tenderness.
  • They might also assess the alignment and structure of the pelvic and hip region.

4. Rule Out Other Causes:

  • Conditions such as hip osteoarthritis, tendinitis, bursitis, or injuries can cause hip pain. It’s essential to differentiate between these and potential perimenopausal symptoms.
  • Consider consulting specialists, such as a rheumatologist or orthopedic physician, for a comprehensive evaluation.

5. Consult with a Gynecologist or Endocrinologist:

These specialists can provide insights into whether the symptoms align with perimenopause and advise on potential treatments or management strategies.

Remember, even if perimenopause is contributing to hip pain, it might not be the sole cause. It’s essential to have a holistic approach to diagnosis and treatment, considering all potential factors.

How To Diagnose Hip Pain In Perimenopause?

How To Diagnose Hip Pain In Perimenopause?Diagnosing hip pain in perimenopause requires a comprehensive approach, combining the evaluation of both hip pain and perimenopausal symptoms. Here’s a step-by-step guide to diagnosing hip pain in perimenopause:

1. Detailed Medical History:

  • Understanding the onset, duration, nature, and intensity of hip pain.
  • Assessing other symptoms related to perimenopause.
  • Identifying any previous injuries or conditions that might contribute to hip pain.

2. Blood Tests:

  • Measuring hormone levels, especially estrogen and follicle-stimulating hormone (FSH), to confirm the perimenopausal stage.
  • Checking for other factors like vitamin D deficiency, which could contribute to bone health issues.

3. Imaging Studies:

  • X-rays: To check for structural abnormalities or degenerative changes in the hip joint.
  • MRI: To provide a detailed view of soft tissues, identifying problems like tendon or ligament injuries.
  • Bone Density Test (DEXA scan): To assess bone density and the risk of osteoporosis, which can be linked to estrogen decline in perimenopause.

4. Other Specialist Consultations:

Depending on the findings, referrals to specialists such as rheumatologists, orthopedic physicians, or physical therapists might be necessary for a thorough evaluation.

Diagnosing hip pain in perimenopause is a complex process that requires considering both the musculoskeletal and hormonal aspects of a patient’s health. It may involve a team of healthcare providers working together to understand the full picture and create an effective treatment plan tailored to the individual’s needs.

How To Prevent Hip Pain In Perimenopause?

Preventing hip pain during perimenopause is a multifaceted process. As it involves addressing both the hormonal changes associated with perimenopause and the factors that may specifically contribute to hip pain. Here’s a guide to various strategies that may help prevent or alleviate hip pain during this transitional phase:

Stay Active

  • Exercise Regularly: Engaging in a consistent exercise routine that includes activities like walking, swimming, and cycling can maintain joint flexibility and reduce stiffness.
  • Strength Training: Building muscles around the hip joint can provide better support and lessen strain.
  • Yoga and Pilates: These practices can increase flexibility, improve posture, and promote overall joint health, including in the hips.

Eat a Balanced Diet

  • Calcium and Vitamin D: Foods rich in calcium (such as dairy products, fortified foods, and leafy greens) and vitamin D (such as fish, eggs, and fortified foods) are essential for maintaining bone health.
  • Anti-inflammatory Foods: Including omega-3-rich fish, nuts, berries, and olive oil can help reduce inflammation in the joints.

Wear Supportive Footwear

  • Avoid High Heels and Ill-fitting Shoes: These can misalign the hips and spine, leading to pain.
  • Orthopedic Insoles: Customized insoles can provide additional support and alignment, minimizing strain on the hips.

Avoid Repetitive Strain

  • Workplace Ergonomics: Ensure that workstations are set up to prevent unnecessary strain, taking into consideration chair height, desk layout, etc.
  • Regular Breaks: During activities that stress the hips, take regular breaks to stretch and change position, reducing the chance of injury.
  • Mindfulness and Meditation Practices: These can help in managing overall stress levels, which may indirectly reduce physical discomfort, including in the hips.

Regular Medical Check-ups

  • Early Detection: Regular monitoring can catch early signs of conditions that could lead to hip pain, allowing for preventive interventions.
  • Tailored Health Plans: Ongoing dialogue with healthcare providers ensures that health plans are adapted to changing needs and symptoms.

Avoid Smoking and Excessive Alcohol

  • Bone Health Impact: Both smoking and excessive alcohol consumption can impair bone health, making them more susceptible to fractures and pain.
  • Seek Support if Needed: Consider support groups or professional help to reduce or eliminate these habits.

By focusing on these strategies, individuals going through perimenopause can take active steps to prevent or manage hip pain. Collaborating with healthcare providers and specialists in various fields ensures a personalized approach that is tailored to each person’s unique situation and needs.

What Are Some Therapies To Consider?

What Are Some Therapies To Consider?Therapies to consider for hip pain during perimenopause encompass a wide range of options that can be tailored to an individual’s specific symptoms and underlying causes. Here are some therapies that may be beneficial:

  1. Physical Therapy: Customized exercises and stretches to strengthen muscles, increase flexibility, and improve alignment. And, manual therapy techniques, such as massage or joint mobilization, to reduce stiffness and pain.
  2. Hormone Replacement Therapy (HRT): It can alleviate some perimenopausal symptoms, including joint pain. And, should be discussed thoroughly with a healthcare provider, as it is not suitable for everyone and has potential risks.
  3. Chiropractic Care: This is for spinal adjustments and other manipulative therapies to correct misalignments. And may include additional therapies like ultrasound or cold laser therapy.
  4. Aquatic Therapy: This is a gentle, low-impact exercise performed in water, easing pressure on the hips. Particularly helpful for those with arthritis or severe joint pain.
  5. Acupuncture and Acupressure: It is traditional Chinese Medicine techniques aiming to balance energy flow in the body. This may reduce pain and enhance overall well-being.
  6. Heat and Cold Therapy: Alternating hot and cold treatments can alleviate pain and inflammation. It is usually administered under the guidance of a physical therapist or healthcare provider.
  7. Pharmacological Therapy: Over-the-counter or prescription medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or pain relievers, if needed. And should be used under the supervision of a healthcare provider.
  8. Orthopedic Interventions: For severe cases, surgical interventions or injections like corticosteroids might be considered. It requires consultation with an orthopedic specialist.

These therapies can be used alone or in combination, depending on the specific symptoms, underlying causes, and individual preferences. A multidisciplinary approach ensures a comprehensive and personalized treatment plan.


Hip pain in perimenopause can be a complex and multifaceted issue, but it’s far from insurmountable. Through a combination of proactive lifestyle changes, informed dietary choices, and a tailored therapeutic approach, women can effectively manage or even prevent this discomfort. Collaboration with healthcare providers is key to crafting a personalized strategy that considers the unique circumstances of each individual.

By embracing a holistic approach that integrates both conventional and alternative therapies, those experiencing hip pain in perimenopause can find relief and support. Make sure you choose physical therapy for hip pain at PhysioMantra. Book an online physical therapy session now for a smoother and more empowered transition into this significant life phase.