18/03/2026
I commonly have female clients around the perimenopause/menopause age come to me describing chronic hip pain, shoulder pain, and other tendon-related issues — often for no obvious reason.
So what’s going on?
One of the key contributors is the natural decline in oestrogen. This hormone plays an important role in maintaining tendon health.
As levels reduce, several changes can occur within the body:
• Collagen production decreases
• Tendons may become less elastic
• Their ability to tolerate load reduces
• Repair and recovery can take longer
So what can we do?
The most effective approach isn’t rest alone — it’s the right kind of loading.
Tendons respond best to progressive, consistent strength training. Slow, controlled resistance work helps stimulate collagen production and improves the tendon’s capacity to handle load over time.
Pilates can be incredibly powerful in building strength, control, and resilience. The apparatus also allows for tailored modifications, so exercises can be adapted to suit the unique needs of each individual.
With the right approach, these symptoms are manageable — and you can absolutely continue to feel strong, capable, and confident in your body.
