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Hormonal Fluctuations & Joint Health in Perimenopause

Hormonal shifts during perimenopause can impact joint health, but they don’t have to hold you back. Explore proven ways to ease discomfort, support your wellbeing, and keep moving through life with confidence.

1/24/2026 2 min read

Florence Cathedral
Understanding Perimenopause and Its Effects

Perimenopause is a natural transition, usually occurring in women in their 30s and 40s. During this phase, many women experience various symptoms, one of which is joint stiffness, aches, and pains. These discomforts can make everyday activities feel challenging, with some women reporting that the stiffness is most pronounced in the mornings or after long periods of inactivity. 


The Science Behind It: Recent Research


Recent studies have explored the connection between hormonal fluctuations during perimenopause and joint health. A study published in the Journal of Women's Health indicates that declining oestrogen levels can lead to increased joint pain, partly due to changes in the body’s connective tissues (Smith et al., 2022). Another research published in Menopause highlights that women may experience heightened sensitivity to pain during this transitional phase due to alterations in pain pathways (Johnson & Wang, 2023). These findings shed light on why women might suffer from stiff joints during perimenopause, as hormonal changes directly influence joint health.


10 Ways to Ease Stiff Joints


While the discomfort can be discouraging, there are various strategies women can adopt to alleviate joint stiffness. Here are ten effective methods:


  1. Stay Active: Regular physical activity helps keep joints lubricated and prevents stiffness. If you are working at your computer for long periods of time, then remove your shoes and flex your feet under the desk. It will help when you try to stand up!

  2. Practice Pilates: This form of exercise emphasises flexibility and core strength, which can help relieve joint tension. If you have never attended a pilates class or unaware of what the technique involves then we can highly recommend this guide here.

  3. Maintain a Healthy Weight: Reducing excess weight can lessen the strain on joints, particularly those in the lower body.

  4. Use Heat Therapy: Warm baths or heating pads can ease joint pain and stiffness. Also try these salts as they have proved beneficial.

  5. Practice Mindfulness: Meditation and relaxation techniques can reduce stress, which inadvertently can help with pain management. 

  6. Consider Dietary Changes: Incorporate anti-inflammatory foods like berries, fish, and leafy greens into your diet.  Try our gorgeous granola in our food section.

  7. Stay Hydrated: Drinking enough water supports joint lubrication. We love these bottles as they are so easy to keep in the car, sports bag, or larger handbag.

  8. Get Enough Sleep: Quality sleep is pivotal for recovery and reducing pain perception.

  9. Seek Professional Help: Consult with physical therapists for tailored exercises that strengthen stabilising muscles around joints.

  10. Explore Supplements Carefully: Consult with your GP about supplements like glucosamine or omega-3 fatty acids, which may offer additional support if you cannot get sufficient vitamins through your diet.


In summary, while stiff joints, aches, and pains can be prevalent during perimenopause, understanding the underlying reasons can empower women to seek solutions. By remaining proactive and incorporating these strategies into their lives, many women find relief and regain their comfort. If discomfort persists, it's always advisable to consult with a GP for personalised advice. We would not want the menopause to be masking any underlying health conditions so worth getting checked out!

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