Perimenopause and SEVERE joint pain - any one else??

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Hi

I am 50 and have been in perimenopause for some time. I just wanted to post here to see if anyone else has suffered extreme joint pain as a result of fluctuating estrogen.

Quick history: regular as clockwork from the age of 13 - up to and after the two pregnancies in my thirties.Then aged 47 I started to get very heavy and irregular periods. Then I went for six months with no period at all, then two very scant light periods in quick succession. I have had nothing now for two months but I do feel as if it might happen soon as sore boobs etc.

I have never had a hot flush. I do however have lots of other peri symptoms, including insomnia, heart palpitations and skipped beats, and a strange 'rushing' or whooshing feeling which starts in the abdomen which I think is an 'adrenal' surge. I also have other vague and odd symptoms, dry eyes and inside my nose, and a really vile taste in my mouth sometimes - I mean really vile, like a chemical taste, unrelated to anything I have eaten. I also have odd tingling skin sometimes, which I can only describe as feeling like 'cold' sunburn!

However, about the joint pain. Three months ago I literally woke up one morning with a sore left arm/elbow. Over a few days, the pain then moved into my shoulders, and I got really worried as if was incredibly painful, and showed no signs of going away, it just got worse and worse. It is worse in the morning when I wake up, I am as stiff as a board. It is on my mind 24/7. Doing normal things is almost impossible - I have problems carrying shopping, drying my hair,walking the dog, driving...everything seems to hurt . I have never suffered from arthritic pain, and I went to the doctor thinking I had some awful bone disease, or even polymyalgia. I was told I had nerve pain!! The GP was terrible and made me feel like a hypochondriac and it was all in my mind. I was told I had good range of movement, and no inflammation. But I am in agony, and i am not imagining it.I made the mistake of asking Dr.Google too, which is never a good idea as I scared myself half to death. I never even thought it could be related to hormones or menopause, as the pain was just SO bad and I had never heard of joint pain being a symptom.I mean I have read than meno can be bad for some women, and I expected hot flushes etc, but I didnt realise it meant pain like this.

Anyway - for the last few weeks I have been having worsening pain which has spread from left elbow and both shoulders, into left hip, both elbows and now my knees. All my joints are cracking and popping loudly and even my husband can hear the awful grating in my neck and my knees....I sound like a one man band as I go up and down the stairs!

I went In for my three yearly Cervical smear on Monday, and could hardly get up on the examining couch I was so stiff and sore. Womans health is dealt with by the Nurse Practitioners in our large practice (15 GP's) and when the NP saw my discomfort she asked me what was wrong. It turns out she has a real interest in womens health, and has been involved in HRT trials and research for many years. She informed me that my symptoms all point to fluctuating estrogen, and possible thyroid involvement. She told me a load of stuff about estrogen and cartilage, dry mucosa etc, the details of which I can't remember now but which made so much sense when she explained it - even down to the foul taste and tingling skin I have also experienced on and off for months which are both known side effects of estrogen surge as the ovaries go a bit haywire. Asmall percentage of women are very receptive to estrogen fluctuations which involve cartilage, which mainly manifest as abnormally severe joint pain/menopausal arthritis but it is not an 'obvious' symptom of perimenopause.

I asked why the GP was no help, and she just raised her eyebrows when I told her which male GP it was, and told me to make another appointment as soon as possible with a specific GP (who must be more knowledgeable about womens health.) Going in tomorrow to see her.

I can't do HRT as I have a heart condition, but maybe I can do estrogen cream, or phytoestrogen/soy.) It could last for a long time I guess until I come out the other side !

So i have not yet been diagnosed, but it sounds like it could be caused by estrogen. Sorry this has been so long....but anyone else out there feel the same way I do???

Lesley.

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  • Posted

    This forum is very helpful in reading and relating to other women in the same situation. I'm 53 years old and started experiencing hot flashes when I was about 43. I recently have had some major problems with joint pain to the extent of not getting out of bed for about 3 days. I'm sleeping as if I haven't had any sleep. I went to the doctor but unfortunately I can't go on any kind of HRT due to the fact I have a liver condition. He put me on a drug called Gabapentin and after a month my hot flashs have subsided

    dramatically. I highly recommend this drug for anyone who is suffering major hot flashes. As far as the pain he also put me on a drug called diclofenac/misoprostol for arthritis and it has helped me tremendously but I recently ran out and the pain is back. So back to the doctor again.

    Ladies it's really nice to be able to share such pain and life changing experiences with others that are going through the same thing. It makes you feel like your not alone. I really feel so bad for my husband because he has to go through it as well.

  • Posted

    Hi Ladies,

    As promised I am posting again after returning to the doctor for my blood test results.

    I am pleased to say that he has ruled out any sort of inflamation or arthritic condition and has agreed it is probably my hormone levels. I have now come off the patches and I am on a higher strength tabet (Elleste Duet 1mg). I am only on day 2 but the pains are markedly improved, so we'll see how it goes!

    He has asked me to return if the condition continues and he will look into it further for me.

    I will keep you all updated as the course continues - lets hope this is the answer!

    Thanks to you all for your advice and support with this problem and good luck to you all with this painful problem!

    Kind regards,

    Melanie x

  • Posted

    Hi all, well not added much lately as was waiting for CT scan results, seems this link wasnt my problems in the end. Looks like I have Sarcoidosis, and awaiting a lung biopsy. Hope you all get some final results.
  • Posted

    Hi Linda, thanks for keeping us updated. Sorry to hear your news, but glad that you have a diagnosis for your pain and discomfort, and can now move on to hopefully being able to manage your condition properly.

    All the best. x

  • Posted

    Wow Linda, sorry to hear your news but as Lesley says at least you know now, and there is treatment available. All the very best in the future!

    I can report that I had no hot flush yesterday or in the night: and today, no pain in my hands or feet, amazing! Can it be coincidence??

  • Posted

    Hi - I'm 50, and have recently completed a course of chemo for breast cancer.

    A few weeks after completing the treatment (during which my periods stopped) my hands started to hurt. Now my arms and knees do too, and sometimes my ankles.

    I immediately thought I had arthritis, but blood tests were negative.

    I mentioned the pain to my oncologist and he immediately said 'oh that's because your ovaries have packed in' (he has a way with words!) He said it was 'just menopause', and has ordered more tests to see if in fact I HAVE gone through an 'instant' menopause, as sometimes the ovaries can recover from chemo.

    The way he said it was like it was obvious, and that it was common knowledge that menopause causes joint pain - but it was a complete surprise to me.

  • Posted

    Pegglass, thanks you for commenting.

    I have been speaking to another much younger lady on a forum who was put on estrogen supressant drugs when she developed breast cancer. She soon found that the joint/tendon pain she developed was unbearable, and was told it was directly a result of having no estrogen. I don't think people understand the extent of the pain it can cause. I think it is quite scary - and a disgrace really - that there are women out there who are suffering this joint pain because of estrogen changes in menopause or, like you, have had ovarian changes for whatever reason. GP's are so clueless about the whole thing and rarely make the connection. Instead of having our minds put at rest by our GP's, we trawl the internet looking for help.

    It may be common knowledge to a lot of specialists...but the ordinary GP does not seem to have a clue.

    I wish you the very best in your recovery.

  • Posted

    Hello All! I too, was glad to find this board. I'm in the USA, 51 years old. Have experience joint pain (neck, hands, wrists, elbows, shoulder, feet) for some years, but recently in last year has gone off the charts in time w/ period starting to wane. I had always thought my joint pain was a result of years of athletics, i.e. osteo-arthritis. But that never really made sense, because what's different for me, that I haven't read from anyone yet, in the last 10 yrs or so... I would get migraine headaches in line with estrogen drops (the normal drops in the female cycle) and the prescursor was always joint pain (mostly neck, shoulders, but also in hands/wrists). I was able to chart these 2X/mo estrogen drops and knew a migraine would come on in some months. The remedy that worked for me was to stay on glucosomine/MSM or Chondritin (either one)... migraines would only come on say 10% of the time! Anyway, that worked for yrs, but as said, joint pain now has gotten really bad. My neck froze up so badly, finally went to a Rheumatologist. He prescribed Meloxicam NSAID, which took a lot of the pain away. He didn't really listen when I told him I thought the trigger for me is estrogen dropping. Instead, he told me my trigger is probably exposure to a virus or bacteria that lies latent in my body, so put me on antibiotic (Doxicyline). NOW, having ready your posts, I am convinced it IS ESTROGEN! I went off all my supplements while taking the Meloxicam (as it doesn't seem to do anything for me now after 3 weeks), but will resume gluc/MSM, vit D, fish oil, etc,... the former seemed to 'take the edge off' inflammation and dim the joint pain. Anyway, do NOT expect antibiotic will do a thing. Don't know if I want to take HRT, if it's inevitable that one will have to 'face the pain' sooner or later. KEEP POSTING LADIES, I AM FOLLOWING YOUR STORIES! Cheers from the U.S.A.
  • Posted

    Hello Ladies again from sunny Australia, I'm happy to say that I've been taking the Vit D supplements as well as Krill Oil capsules and Vit B religiously for the last month, there's a definite reduction in my joint pain. So I'm going to believe that it IS associated with declining estrogen levels. I only had 7 periods last year and only 1 this year so far. So the perimenopause is happening. I haven't been reliant on pain killers for a few weeks now. I also get migraines just before I get a period. All in all, I'm coping better than ever, I've also improved my diet with less sugar intake and lots of vegetables and salmon, I've also cut down on red meat. It's great to be off the pain and painkiller merry go round at last. Best wished to you all

    Leesa

  • Posted

    Hello Ladies again from sunny Australia, I'm happy to say that I've been taking the Vit D supplements as well as Krill Oil capsules and Vit B religiously for the last month, there's a definite reduction in my joint pain. So I'm going to believe that it IS associated with declining estrogen levels. I only had 7 periods last year and only 1 this year so far. So the perimenopause is happening. I haven't been reliant on pain killers for a few weeks now. I also get migraines just before I get a period. All in all, I'm coping better than ever, I've also improved my diet with less sugar intake and lots of vegetables and salmon, I've also cut down on red meat. It's great to be off the pain and painkiller merry go round at last. Best wished to you all

    Leesa

  • Posted

    Hello everyone

    Have never been on a forum before so here goes! Very interested in all your experiences with joint pain. At 48 I was diagnosed with RA. The following year my periods stopped completely; no flooding or flushes and as I've never been particularly heavy, I didn't worry and aimed to have a 'natural' menopause experience haha! Still attributed pain to RA and took methotrexate for 2 years. It was only the onset of mild depression that encouraged me to investigate the whole menopause thing as the doctor wanted to prescribe Amatriptilyn.

    On further investigation it appeared I had very low levels of inflammation (probably due to fluctuating oestrogen levels) and stopped the methotrexate. I found a fab female GP who had just been on a menopause conference and I'm currently on HRT (everol sequi) and have been for about 10months.

    Depression is much improved and although joints still uncomfortable, the pain is more manageable. I'm 52 now and still looking into dietary and more natural remedies. Reading your posts have helped; I really thought I was going mad and blamed moods and pain on other things i.e. kids going off to uni.

    I'll keep reading and best wishes to all.

    Debbie

  • Posted

    Hi Debbie

    Thanks for your interesting post! So glad you are feeling better on HRT.

    Hormonal 'arthritis' and tendonitis does not raise inflammatory markers - you would think GP's would realise when they do blood tests and NO inflammation is found, along with no redness or heat or swelling, that this is not normal' arthritis. Especially in a woman of a certain age! Perhaps the word is getting out that menopause and low estrogen can cause such terrible joint and tendon pain.

    I am only discovering that menopause can cause a range of horrible symptoms including anxiety and depression - it is all to do again with hormones and brain chemicals (way over my head!)

    I have found that following a low carb diet helps to reduce my pain - not cutting out a complete food group, mainly cutting out sugar and bread and potatoes, rice etc. I still eat oats, nuts and veg.

    Thanks for joining 'our club' lol, and all the best

    Lesley

  • Posted

    Hi Debbie, yes it really helps to know others are out there with the same questions and problems.

    My joints are feeling much improved since I increased my excercise. I have always been very fit but this year the terrible weather and family circs has curtailed my cycling and walking considerably. Excercise in, releases endorphins, the feel good guys, so if you can, get out there and have some excercise and fun. Definitely Vit D is an improvement, less carbs as Lesley suggests and weight loss I think have helped. Just my shoulder hurting now and that may be because I have lifted my granddaughter too much. Hot flushes hardly around at the moment but that may be this terrible cold weather I shall never moan about being too hot again!!

    Katie

  • Posted

    Hi Debbie, yes it really helps to know others are out there with the same questions and problems.

    My joints are feeling much improved since I increased my excercise. I have always been very fit but this year the terrible weather and family circs has curtailed my cycling and walking considerably. Excercise in, releases endorphins, the feel good guys, so if you can, get out there and have some excercise and fun. Definitely Vit D is an improvement, less carbs as Lesley suggests and weight loss I think have helped. Just my shoulder hurting now and that may be because I have lifted my granddaughter too much. Hot flushes hardly around at the moment but that may be this terrible cold weather I shall never moan about being too hot again!!

    Katie

  • Posted

    Hi All,

    Is there anything available that deals with the hot flushes? mine are coming fast and strong, it's a weird feeling, comes on in an instant only lasts about 20 seconds but the sweat drips off my head and it's very uncomfortable.

    Thanks

    Leesa

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