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Menopausal  Pain

Home > Pain Conditions > Menopausal Pain

About Menopausal Pain

When women enter a peri-menopausal period, the chances of getting other forms of pain syndromes such as fibromyalgia, back pain or migraine increase. This is known as Menopausal Pain Syndrome. Apart from physical pain, studies have shown that menopause can also lead to emotional changes such as depressive symptoms and cognitive difficulties such as forgetfulness and declining memory.

What Causes Menopausal Pain

Menopausal pains are thought to be caused by hormonal changes. The relationship between estrogen and other female hormones has complex interactions with pain sensitivity, this can result in chronic pains or a sudden onset of symptoms that were previously non-existent. This hypersensitivity of the nerves will present as a painful state in an uninjured or non-diseased condition. These sensitized nerves can cause the surrounding muscles to go into spasm due to increased muscle tension and muscle tone, causing painful muscles (myalgia and body aches), tendinitis and ligament instability.

Symptoms Of Menopausal Pain

Pain
Pain during menopause is differentiated into a few categories. They are non-specific generalised body pain (e.g headache, neck pain, back pain), musculoskeletal pain (e.g muscle spasm and stiffness), pelvic and abdominal pain, discomforts or other conditions affected by menopause.
Sleep Disruption
Due to the different forms of pain, some might experience sleep disruptions or night sweats. If sleep problems persist over time and you are more prone to feeling lethargic, it may be a symptom of approaching menopause.
Other Symptoms
Associated symptoms such as weight gain, hot flushes, increased sweating, low energy level or mood disturbances can also be the result of hormonal changes.

A Message About Menopausal Pain

Menopausal Pain Syndrome is not easy to identify. Many painful conditions are related to injury or degenerative wear and tear. Doctors approach pain from a reductionistic approach, attempting to identify the root cause of pain and reverse the pain by removal of the pain generator. The pain experienced by a menopausal woman may be due to wear and tear of degenerative spine or knee conditions or conversely it may be due to Menopausal Pain Syndrome.
It needs an experienced medical practitioner to be able to differentiate mechanical degenerative painful conditions from functional nerve hypersensitivity pain syndrome. The treatment considered would be very polarized at opposite ends of the spectrum. In degenerative conditions, one may need to protect and avoid certain precipitating situations or even surgery to remove the cause of pain. This is as opposed to Menopausal Pain Syndrome, where treatment is targeted at the muscles and sensitized nerves. If an inaccurate diagnosis was made, the patient may continue to be plagued by pain and distress.

Diagnosing Menopausal Pain

Here at Singapore Paincare, our team of experienced primary care and specialist pain care doctors will conduct a thorough diagnosis. This includes a physical exam, questions about your symptoms and an evaluation of your medical history. A CT or MRI scan may be needed to evaluate or confirm the cause of the pain and match the results to your pain report.

What Treatments Are Available for Menopausal Pain?

In many instances, non-surgical treatment methods can provide excellent outcomes. At Singapore Paincare, we strive to treat your pain with the least invasive option possible after accurately identifying the cause. Our pain resolution approach focuses on removing pain generators via specialised injection and minimally invasive procedures. Combined with pharmacological treatments, cognitive and physical rehabilitative therapies. We help patients to improve their functions and prevent pain from recurring.

Non-Surgical Treatments for Menopausal Pain

Analgesic or Non-steroidal Anti Inflammatory Drugs drugs
Analgesic drugs or NSAIDS are effective in eliminating the pain caused by Menopause, this includes paracetamol and ibuprofen. Newer NSAIDs such as Celebrex and Arcoxia are more gentle on the stomach, without causing gastric irritation. These painkillers can provide temporary relief while we establish an accurate diagnosis of the cause of pain.
Coreflex Injections
Coreflex injections like cortisone is a mild steroid that is used to treat muscle inflammation, tension, and spasm. It is a form of anti-inflammatory which can be used to relieve pain quickly. This simple intervention provides immediate relief without significant risks. In general, if one should need repeated injections (more than 2 times), further evaluations with MRI investigations may be warranted by our specialists before more injections are administered to the painful area. In Menopausal Pain Syndrome, widespread muscle spasms and myalgia respond well to this treatment. When done correctly, it provides long-lasting relief.
Hormone Therapy
Menopausal pain may require the use of hormone drugs to re-adjust the body to its original functionality. This includes specific drugs that will replenish estrogen levels. Hormone Replacement treatment (HRT) reverses the painful condition of Menopausal Pain Syndrome. However, HRT is not to be taken lightly and should be consulted with the gynecologist on its potential for breast, endometrial and ovarian cancer.
Pharmacotherapy
Apart from NSAIDS, our physicians and specialists offer medications to improve menopausal pain such as antidepressants and anti-convulsant. These drugs help reduce pain sensitivity and the transmission of pain neurotransmitters.
Myospan Platelet Rich Plasma (PRP)
PRP is used to hasten the recovery of muscles and is also used to treat musculoskeletal problems, these healing properties can also be applied to patients with fibromyalgia. In painful muscle injuries conditions, PRP can improve healing by causing scarring and strengthening of the injured muscles.

Surgical Treatment for Menopausal Pain

There is no surgical treatment for menopausal pain.

How Can I Prevent Menopausal Pain?

Many women will experience some type of menopausal pain, but these symptoms can be lessened by:

  • Having a healthy diet and reducing the consumption of spicy foods and caffeine
  • Regular Exercises – a certain threshold of exercise must be achieved before the full benefits can be perceived
  • Quit smoking
  • Avoiding triggers of hot flushes
  • Joining support groups who are also going through menopause

Get Your Pain Resolved

Send your enquiries or consult our pain experts today.

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