Menopause brings a variety of changes to a woman’s body, many of which are well-known, such as hot flashes, mood swings, and weight gain. However, one thing that often goes under the radar is the increased risk of tendinopathies, particularly in the hip.

Here, we’ll explore what hip tendinopathies are, why menopause increases the risk, and how to manage and treat these conditions effectively.

What are hip tendinopathies?

Tendinopathies of the hip involve the tendons that connect the hip muscles to the bones. The most common tendinopathies in this region are gluteal tendinopathy and iliopsoas tendinopathy. Gluteal tendinopathy affects the tendons of the gluteus medius and gluteus minimus muscles, which are important for stabilising the hip and pelvis during activities like walking, running, and climbing. Iliopsoas tendinopathy involves the tendon of the iliopsoas muscle, a key component in hip flexion.

Symptoms of hip tendinopathy typically include pain in the outer or front part of the hip, which can worsen with physical activity or prolonged periods of sitting or standing. The pain may be sharp and localised or dull and generalised, and it often radiates down the side of the leg. These symptoms can significantly impact daily life, making it difficult to perform routine tasks or enjoy physical activities.

Why does menopause increase the risk?

Menopause is a significant milestone in a woman’s life, causing a decline in oestrogen levels. Oestrogen plays a vital role in maintaining healthy tendons by influencing collagen production, tendon elasticity, and the overall strength of connective tissues. As oestrogen levels decrease during menopause, tendons can become weaker and more prone to injury.

A review published in Rheumatology Advances in Practice revealed how the hormonal changes during menopause can predispose women to conditions like gluteal tendinopathy. It found that postmenopausal women are more likely to develop tendinopathies due to the diminished protective effects of oestrogen. Factors such as weight gain and reduced physical activity during menopause can also further contribute to the strain on the tendons, increasing the risk.

Tendinopathies during menopause don’t just cause pain and discomfort. If left untreated, they can lead to chronic conditions that severely impact mobility and quality of life. The weakening of tendons can also make them more susceptible to tears, which may require more intensive treatments including surgery.

Managing hip tendinopathies during menopause

Hip tendinopathies during menopause can be managed and treated effectively. The key is early intervention and adopting a comprehensive approach that includes lifestyle changes, physical therapy, and, in some cases, medical treatments.

Lifestyle modifications

One of the first steps in managing hip tendinopathies is to make lifestyle changes that reduce stress on the affected tendons. This may involve modifying your exercise routine to include low-impact activities like swimming or cycling, which can help maintain fitness without exacerbating the condition. Weight management is also important, as excess body weight can place additional strain on the hip tendons.

Physical therapy

A physical therapist can design a personalised exercise program that focuses on strengthening the muscles around the hip, improving flexibility, and promoting better posture. These exercises help to offload the affected tendons and encourage healing.
Techniques such as ultrasound therapy, dry needling, and massage therapy may also be used to relieve pain and improve function.

Medical treatments

In some cases, medical treatments may be required to manage hip tendinopathies. This can include anti-inflammatory medication to reduce pain and inflammation, or steroid injections to provide temporary relief. In more severe cases, where conservative treatments are not effective, surgical intervention may be considered to repair the damaged tendons.

It’s important for women going through menopause to be proactive about their health, particularly when it comes to managing the risk of tendinopathies. Regular check-ups, maintaining an active lifestyle, and seeking early treatment for any signs of tendon pain can help prevent these conditions from becoming more serious.

If you are experiencing hip pain or symptoms of tendinopathy during menopause and would like to discuss treatment options, schedule an appointment with Mr Sulaiman Allazawi.