06/12/2026
Why does tendon pain seem to show up during menopause?
As estrogen levels decline, changes occur in muscle, tendon, and connective tissue. Many women notice new tendon pain, slower recovery, and injuries that seem to come out of nowhere.
The newest Achilles tendinopathy clinical practice guideline reinforces what tendon researchers have been telling us for years:
The answer isn’t complete rest.
The answer is progressive loading.
Tendons need the right amount of stress to adapt and become stronger.
Too much load can aggravate symptoms.
Too little load can reduce tendon capacity.
Your tendon is basically princess and the pea.
Finding the right balance is where rehabilitation matters.
Whether you’re dealing with Achilles tendinopathy, plantar fasciitis, tennis elbow, gluteal tendinopathy, or rotator cuff pain, the goal isn’t simply to reduce pain.
The goal is to improve the tendon’s ability to tolerate load.
And that takes time. MONTHS. 9-12 months and sometimes up to 24 months.
If you’re in perimenopause or menopause and suddenly struggling with tendon pain, don’t let someone tell you it’s just aging.
Hormones may be part of the story.
But so is how we load and strengthen our tissues.
Women deserve to understand both.
Want to read more? Check out this article:
Chimenti RL, et al. Achilles Pain, Stiffness, and Muscle Power Deficits: Midportion Achilles Tendinopathy Revision 2024. J Orthop Sports Phys Ther. 2024;54(12).
PMID: 39611662