How to Manage Perimenopause for Women over 50 and Below (1)

Perimenopause or Menopausal Transition

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Perimenopause - Symptoms and causes - Mayo Clinic

What is interesting is that when an opioid-using group was compared to the group not using opioids, it turned out that the former tended to have worse pain scores mean 41 vs. There are disagreements in the literature about the relationship between BMI and low back pain. A study of Australian community-dwelling women from reported a direct association between high BMI and both high low back pain intensity and disability [ 16 ].

On the other hand, a study by Park et al. The results showed no association between BMI and the incidence of back pain. This could be due to a small number of studied cases with BMI higher than 30 3 women out of All these studies seem to unanimously suggest an increased incidence of low back pain in perimenopausal women comparing to other age groups. Table I shows all of the discussed studies. None of them contained any information about the treatment of pain which would take into consideration perimenopause-related factors the risk of osteoporosis, hormonal imbalance.

These topics are legitimate topics for further research. On the other hand, Holte [ 18 ] concludes that the menopausal period of life is not always associated with negative symptoms. Norwegian women he studied reported a lower incidence of headaches during menopause. Moreover, sleep disorders could be a factor in spine pain.

Resting can influence muscle tension and tiredness, as a result reducing the pain [ 19 ]. We have not found any studies which would examine this issue in depth. Physiotherapeutic procedures used to treat low back pain include exercises, manual therapy, massage and physical measures. Pharmacology is also used e.

According to Mishra et al. Out of these, aerobics, weight bearing, and resistance exercises are effective at increasing the bone mineral density of the spine in postmenopausal women [ 23 ]. This is an extremely desirable effect considering the fact that bone mineral density tends to diminish at this stage of woman's life [ 24 ].

A meta-analysis by Hayden et al. This suggests a non-specific character of exercises in the treatment of lumbar spine pain. Nevertheless, recommending general physical exercises is beneficial because they undoubtedly promote weight loss, which is important in perimenopausal women who tend to be less physically active [ 24 ]. Moreover, Hayden et al. The American Pain Society and American College of Physicians stated that there is good evidence that specific physical exercises recommended by a physiotherapist have a moderate positive effect in low back pain. These organizations also pointed out that there is no good evidence for physical therapies transcutaneous electrical nerve stimulation, ultrasounds for low back pain and so they do not recommend their use [ 27 ].

Study by Cherkin et al. It concluded that physical therapy and chiropractic manipulation were similarly effective in terms of symptoms, functioning, satisfaction with care, disability, recurrences of back pain, and subsequent visits for back pain.

There was no significant difference between a chiropractor or a physical therapist with regard to the length of the therapy, which lasted for about 2. A report by Bronfort et al. It was also noted that as an alternative technique, massage is effective in adults for chronic low back [ 30 ]. Suggested specific physiotherapeutic procedures for low back pain for perimenopausal women:. The perimenopausal stage of life is associated with an increased incidence of low back pain. Suggested forms of treatment include physiotherapeutic procedures such as physical exercises, massage, and manual therapy.

Further studies are necessary in the area of treatment of pain and association between insomnia and low back pain. National Center for Biotechnology Information , U. Journal List Prz Menopauzalny v. Published online Sep Author information Article notes Copyright and License information Disclaimer. This article has been cited by other articles in PMC.

11 Natural Ways to Reduce Symptoms of Menopause

Abstract Low back pain is a massive problem in modern population, both in social and economic terms. Introduction As their life expectancy increases, contemporary women live a third of their life in menopause [ 1 ]. Back pain in women in the perimenopausal period PubMed databases were investigated. Most studies [ 1 , 10 — 12 ] divided women into five groups: Premenopausal women who had had a regular period in the past three months. Late perimenopausal women who had menstruated irregularly in the last 12 months but not in the last 3 months.

I Summary of reviewed literature.

Introduction

Premenopausal women Group 2: Early perimenopausal women Group 3: Late perimenopausal women Group 4: Postmenopausal women Premenopausal women were least affected by symptoms. The biggest increase in pain symptoms was observed in early perimenopausal women. Aches and pain are significantly and independently related with the postmenopausal status. Late reproductive stage women Group 2: Early transition stage women Group 3: Late transition stage women Group 4: Early postmenopause 67 women The most severe pain symptoms in the low back were observed in groups 3 and 1. Back pain increased in severity as women progressed through the menopausal transition stages.

A positive association between increased BMI and increased spine pain was observed. In menopause transition women Group 2: Early post menopause women Group 3: Late post menopause women The highest incidence of low back pain was observed in the menopause transition group. The smallest incidence rate, on the other hand, was observed in the early postmenopausal group. The menopause-related symptoms have a negative effect on the quality of life of the perimenopausal and postmenopausal women.

It can be assumed that there are some differences in the primary factors causing LBP between the middle and the upper age groups, with changes in the condition of the lumbar spine occurring gradually. Brennan Braden et al. No association between BMI and the incidence of back pain. Open in a separate window. Treating low back pain in perimenopausal women Physiotherapeutic procedures used to treat low back pain include exercises, manual therapy, massage and physical measures.

Suggested specific physiotherapeutic procedures for low back pain for perimenopausal women: Conclusions The perimenopausal stage of life is associated with an increased incidence of low back pain. Disclosure Authors report no conflict of interest. Poomalar GK, Bupathy A. The quality of life during and after menopause among rural women.

Information

J Clin Diagn Res. Mental health service use by older adults: Am J Geriatr Psych. Mental and physical comorbid conditions and days in role among person with arthritis. Chronic spinal pain and physical-mental comorbidity in the United States: Several nights of disrupted sleep can result in foggy thinking, irritability, and other characteristics associated with menopausal mood swings. Two of the most important risk factors for difficult menopausal mood swings are a history of severe premenstrual syndrome PMS and prior episodes of depression or other significant mental health problems.

Women may also have a greater risk of emotional problems during menopause if they have any of the following situations:. Women going through menopause may find themselves reacting with unexpected emotion to everyday events, moved to tears by pop songs, or enraged by rude drivers. Others may find it hard to hold onto a train of thought, recall someone's name, or wonder what they were looking for when they went into a room.

To cope with the changing landscape of their lives and menopausal mood swings, some women may decide to "self-medicate" with alcohol or other drugs. Unfortunately, these choices make it more difficult to face and work through their concerns. It may also add substance abuse to the issues they need to address.

Forgetfulness and difficulty concentrating are problems reported by some menopausal women. One study found a measurable decline in cognitive ability of others. However, these problems usually reverse when women are post-menopausal.

Emotional problems may not be as easy to see as a broken leg, or as directly diagnosed as heart disease , but they are no less painful, limiting, and potentially devastating. If menopause mood swings or emotional upheavals are interfering with a person's enjoyment of life, they should see a mental health counselor, or seek a referral from a general practitioner.

Hormone therapy was once a widely recommended treatment for the symptoms of menopause, but it was later found to increase some health risks. While it is still prescribed today, it is used cautiously, and doctors are exploring other treatment options, including lifestyle changes. Bioidentical hormones are also used to address menopausal mood swings and symptoms.

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They are made from plants by pharmacists based on instructions from a doctor and are not regulated by the United States Food and Drug Administration FDA for quality, purity, or dosage. They appear to have the same risks and benefits as conventional hormone therapy. Some types of antidepressants may be helpful for women who have trouble with hot flashes, in addition to depression. Many women find that counseling helps them deal with the changes of menopause as well, along with other underlying problems that come to the surface at this time. Experts have found that exercise, diet, getting enough sleep, and pursuing supportive friendships can all help women with the emotional aspects of the transition into menopause.

Regular exercise is a great way to promote both mental and physical health. Being active helps relieve stress, improves mood, and makes it easier to put problems in perspective.

Diet can also help individuals reduce menopausal mood swings, especially one rich in protein and omega-3 fatty acids. Some people have also found that practices such as tai chi, yoga , and meditation can help them feel more grounded and make it easier to manage stress, irritability, and other symptoms of menopause.

Low back pain in women before and after menopause

Article last reviewed by Mon 22 May Visit our Menopause category page for the latest news on this subject, or sign up to our newsletter to receive the latest updates on Menopause. All references are available in the References tab. A new, female-specific irritability rating scale. Indian Journal of Psychiatry , 57 2 , SS Depression, mood swings, anxiety.

How much physical activity do adults need? Menopause and menopause treatments [Fact sheet].

Obesity treatment

A major life transition. Greater monoamine oxidase A binding in perimenopausal age as measured with carbon labeled harmine positron emission tomography.

JAMA Psychiatry , 71 8 , MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Privacy Terms Ad policy Careers. This page was printed from: Get the most out of Medical News Today. Subscribe to our Newsletter to recieve: Professionally-verified articles Daily or weekly updates Content custom-tailored to your needs Create an account.

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Register for a free account Sign up for a free Medical News Today account to customize your medical and health news experiences. Register take the tour. Table of contents Overview Symptoms Treatment and lifestyle changes. Nearly a quarter of women experience mood swings before, during, or after menopause. The drop in estrogen can cause fatigue, irritability, and difficulty concentrating. Late menopause may protect women's memory.

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