At a recent panel, I was asked what the best approach is to protect joints and reduce pain in menopausal women. As women transition through menopause, hormonal changes can lead to joint discomfort, muscle loss, reduced bone density, and increased injury risk. But there’s good news—smart strength and movement training can protect joints, minimize pain, and help women thrive through midlife and beyond. The mantra is simple but powerful: Muscle is medicine.
Effectively Building Muscle and Bones – Protect Joints and Reduce Pain for Menopausal Women:
Warmup & Cooldown
Begin each workout with a thorough warm-up to increase blood flow to your muscles and fascia and lubricate your joints. Dynamic, low-impact, low-intensity movements, such as leg swings and arm circles, help prepare your body for exercise. Likewise, always cool down with stretching and recovery—essential acts of self-care that pay dividends for decades.
Technique
Proper form is crucial for preventing joint and connective tissue injuries. Whether you’re lifting weights or performing bodyweight exercises, prioritize technique over the amount of weight or number of repetitions. Consider working with a trainer to ensure your form is correct.
Modify Movements as Needed
Stay within a pain-free range of motion. As you develop more strength and stability, you can increase your range of motion. Avoiding pain should always be your guide. For example, when squatting or lunging, choose minimal depth of movement and gradually progress. If you are experiencing pain in specific joints, choose low-impact exercises like walking, swimming, cycling, and elliptical training to reduce stress on your joints.
Sequence Exercises Smartly
Avoid excessively overloading vulnerable areas like the knees, shoulders, or lower back. For example, a workout routine that starts with pushups, then transitions to high planks, then to Burpees, then to mountain climbers is loading the shoulders and wrists too much back-to-back. But if you place a lower body exercise in between each of those exercises, it would allow a rest period for the wrists and shoulders and be gentler on the body. Try alternating lower body and upper body exercises or opposing muscle groups to allow recovery. Balance out your program so you feel great after a workout and not beat up!
Gradual Progression
Avoid sudden increases in workout intensity or volume. Gradually progressing in your workouts allows your muscles, tendons, and ligaments to adapt and grow stronger without becoming overstrained.
Rest and Recover
Schedule an active recovery day each week to give your body time to repair and recover. Overtraining can lead to inflammation and chronic injuries. Listen to your body and take breaks when needed.
Cross-Training
Vary your workout routine to prevent overuse injuries. Cross-training with different types of exercise, such as strength training, cardio, and flexibility workouts, ensures that no single muscle group is overworked. If you do a high-impact workout one day, do a low-impact workout the next day.
Monitor Exercise Intensity
Use a combination of high, moderate, and low-intensity workouts throughout the week. High-intensity interval training (HIIT) should be balanced with moderate and low-intensity sessions to prevent burnout and injuries. If you go hard all the time, that’s a recipe for inflammation, overuse injuries and pain.
Nutrition & Hydation
Dehydration and poor nutrition can increase the risk of cramps, strains, and inflammation. A diet that is rich in nutrients including a variety of anti-inflammatory foods such as fruits and vegetables, healthy fats, good quality protein, and items like tummeric, ginger and green tea supports recovery, reduces inflammation, and is critical for overall health and strength of your muscles, connective tissue, bones and joints.
Staying injury-free is the key to sustaining a successful workout routine for menopausal women. Pay attention to signs of fatigue, discomfort, and pain. Ignoring these signals can result in injuries. Remember that you know your body better than anyone. By protecting your joints and connective tissue, preventing strains and inflammation, and balancing your workout types and intensity, you can keep moving toward your fitness goals without setbacks. Remember, the best workout routine is one that you can maintain consistently and safely. Prioritize your health and listen to your body, and you’ll reap the benefits of a long-term, injury-free fitness journey.
Yours in health & fitness,
Sherri McMilla

Technique