Latest / MSKMag OutLoud / Perimenopause and musculoskeletal health: what you need to know
Transcript
- 0:00SPEAKER_00: Three morning paws and Musculoskeletal Health.
- 0:02SPEAKER_00: What you need to know.
- 0:04SPEAKER_00: Written by Claire Callaghan.
- 0:06SPEAKER_00: Sponsored by Physio First.
- 0:08SPEAKER_00: And they have an event called the Business of Private Practice Done Right.
- 0:13SPEAKER_00: And you can find access for that on Substack.
- 0:17SPEAKER_00: If you're a clinician or working with active women,
- 0:19SPEAKER_00: you'll probably recognize this familiar picture.
- 0:22SPEAKER_00: A woman in her mid-forties seeks your help with joint or muscle pains
- 0:25SPEAKER_00: which are taking much longer to resolve than they used to.
- 0:28SPEAKER_00: She's picking up injuries more often and with her busy life and poor sleep patterns,
- 0:32SPEAKER_00: she's struggling to find a way forward.
- 0:34SPEAKER_00: Caring responsibilities are overwhelming her and she doesn't have much time
- 0:38SPEAKER_00: for herself to stay active,
- 0:40SPEAKER_00: which is important to her to maintain her weight and her sanity.
- 0:44SPEAKER_00: We know that there's usually a physiological basis to most injuries and
- 0:47SPEAKER_00: that other factors influence them, particularly when hormones are fluctuating.
- 0:50SPEAKER_00: But what impact does perimenopause really have?
- 0:54SPEAKER_00: Menopause is marked clinically by the day, which is 12 consecutive months without a period.
- 0:59SPEAKER_00: Perimenopause is the phase preceding this,
- 1:02SPEAKER_00: when women experience menstrual cycle irregularities and quite often symptoms due
- 1:06SPEAKER_00: to changing ovarian function and fluctuating hormone levels,
- 1:10SPEAKER_00: estrogen, progesterone and testosterone.
- 1:12SPEAKER_00: While the average age of menopause in the UK is 51,
- 1:16SPEAKER_00: globally 49,
- 1:17SPEAKER_00: the normal range is 45 to 55 years and some women experience premature menopause due
- 1:23SPEAKER_00: to premature ovarian insufficiency,
- 1:25SPEAKER_00: cancer treatments like radiotherapy and chemotherapy,
- 1:28SPEAKER_00: hormone medications or surgery.
- 1:31SPEAKER_00: Screening for this is essential as early menopause carries greater risks for bone
- 1:35SPEAKER_00: and heart health.
- 1:37SPEAKER_00: Time to reframe the conversation and giving everybody what they deserve.
- 1:41SPEAKER_00: Recent media interest and women's health campaigns have prompted healthcare
- 1:45SPEAKER_00: and exercise professionals and researchers to rethink menopause and
- 1:48SPEAKER_00: the potentially significant impact it has on MSK systems alongside
- 1:52SPEAKER_00: the cardiovascular, metabolic and nervous systems.
- 1:56SPEAKER_00: Our patients rightly expect us to be empathetic and well-informed.
- 2:00SPEAKER_00: Women, clinicians and exercise professionals have been underserved.
- 2:04SPEAKER_00: From hushed discussions around the change,
- 2:07SPEAKER_00: limited research and training to mixed messages around what really helps,
- 2:11SPEAKER_00: it's a difficult space.
- 2:12SPEAKER_00: Some women report that valid concerns have been dismissed.
- 2:15SPEAKER_00: Whilst it's great that there's greater awareness of perimenopause,
- 2:18SPEAKER_00: it's no wonder women are scrolling through Instagram,
- 2:21SPEAKER_00: taking cold plunges and scrambling for supplements looking for a magic bullet.
- 2:25SPEAKER_00: We deserve better.
- 2:27SPEAKER_00: We have an enormous opportunity not just to help manage current problems
- 2:31SPEAKER_00: but anticipate and potentially mitigate the effects of future detrimental processes
- 2:35SPEAKER_00: in order to help women manage their own health and well-being.