Menopause brings about profound changes in the musculoskeletal system, including loss of bone density, muscle mass, and joint integrity. This constellation of symptoms—often referred to as the musculoskeletal syndrome of menopause—can lead to joint pain, stiffness, and reduced mobility, increasing the risk of falls and fractures.
These changes are largely driven by estrogen decline, which accelerates bone resorption, reduces collagen synthesis, and contributes to inflammation within muscles and joints. A comprehensive treatment approach—combining hormone replacement therapy (HRT), targeted nutrition, lifestyle interventions, and regenerative injection therapies—can help restore balance and support long-term function.
HRT and Musculoskeletal Health
Estrogen is essential for maintaining bone strength, muscle tone, and joint health. Research consistently shows that HRT can slow or even reverse some of the musculoskeletal declines associated with menopause. Women receiving estrogen therapy often experience improved bone mineral density, greater muscle strength, and enhanced joint comfort.
In addition, HRT may help reduce inflammation and preserve cartilage integrity, making it a valuable tool for managing early osteoarthritis. When paired with strength training, HRT has a synergistic effect—enhancing muscle growth, coordination, and overall physical performance.
Diet and Lifestyle Strategies
Nutrition and movement form the foundation of musculoskeletal health. Adequate protein intake supports muscle repair and strength, while calcium, magnesium, and vitamin D are critical for bone metabolism. Incorporating omega-3 fatty acids and antioxidant-rich foods can help reduce inflammation and support tissue resilience.
Regular physical activity—including resistance and weight-bearing exercises—helps preserve lean mass and bone density. Complementary practices such as yoga, Pilates, and mobility training improve balance and flexibility, reducing the risk of injury. Maintaining a healthy weight further decreases stress on joints and supports metabolic health during menopause.
Regenerative Injection Therapies at Mint Integrative
At Mint Integrative, we offer a range of regenerative and therapeutic injections to address musculoskeletal pain, joint degeneration, and soft tissue injuries commonly seen during and after menopause. These treatments can be used alone or in conjunction with HRT and lifestyle interventions to promote repair, reduce pain, and improve function.
Platelet-Rich Plasma (PRP) Therapy
PRP uses concentrated platelets from your own blood to stimulate healing and tissue regeneration. It enhances collagen production, improves tendon and ligament integrity, and may slow the progression of osteoarthritis by supporting cartilage health.
Prolotherapy
This technique involves injecting a natural irritant—often dextrose—into weakened ligaments or tendons to trigger the body’s healing response. Over time, prolotherapy can strengthen connective tissue, improve joint stability, and reduce chronic pain.
Cortisone Injections
Cortisone injections can provide effective short-term relief for inflamed or painful joints. They are especially helpful for acute flare-ups of arthritis or tendonitis, allowing patients to engage more comfortably in rehabilitation and strengthening programs.
Hyaluronic Acid Injections
Hyaluronic acid (HA) acts as a joint lubricant and shock absorber. HA injections can improve mobility and reduce pain in osteoarthritic joints, particularly the knees, by restoring the natural cushioning effect of synovial fluid.
Together, these therapies support tissue healing, reduce inflammation, and enhance overall joint function—offering an integrative, regenerative alternative to long-term pain medication or surgery.
Menopause is a major transition, and it’s completely normal to notice changes in your joints, muscles, and overall energy. The goal isn’t just to manage symptoms — it’s to help you feel strong, mobile, and confident in your body again.
At Mint Integrative, I take time to understand your unique experience. Whether you’re dealing with joint pain, muscle stiffness, or hormonal changes, together we create a plan that supports both your comfort and long-term wellness.
As a naturopathic doctor with a focus on women’s health and pain management, I combine hormone therapy, regenerative injections, nutrition, and lifestyle support to help your body heal naturally and move with ease.

