Menopause, Tendons & Osteopathy: What’s the Connection?
- Dr Jessica Sammut
- May 22
- 2 min read
Let’s talk tendons, hormones, and that nagging Achilles pain that won’t go away!
As women enter perimenopause and menopause, one major hormonal shift is the drop in oestrogen, and it doesn’t just affect hot flushes or mood. It can also impact the health of your tendons.
📉 Research shows that low oestrogen levels can reduce tendon collagen synthesis and increase the risk of tendinopathy (think glute, rotator cuff, or Achilles issues). This makes injury more likely and your recovery slower.

Your body is changing, and that means your care should too!
As an osteopath, I support menopausal women by:
✅ Identifying and treating biomechanical imbalances
✅ Supporting tendon loading and recovery with evidence-based rehab
✅ Helping you stay strong, mobile and confident in your body
✅ Educating you about the hormonal shifts affecting your musculoskeletal health
You are NOT “just getting old” — real changes are happening, and there’s help.
Movement, support, and targeted care can make this next chapter feel strong, not scary.
🔍 Want to nerd out on the research? Check out:
Hansen M. et al. (2013). "Effects of estrogen on tendon collagen synthesis." https://pubmed.ncbi.nlm.nih.gov/23729599/
Finni T. et al. (2020). "Women’s tendon properties and the potential influence of hormonal fluctuations." https://pubmed.ncbi.nlm.nih.gov/31986901/
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If you’re dealing with stubborn pain or feeling like your body's changing in ways you don’t understand, you’re not alone. Osteopathy can help. Let’s chat. The blog "Menopause, Tendons & Osteopathy: What’s the Connection?" was written by Dr Liz Iovannella (osteopath), who works from Whole Health Osteopathy, on Monday, Wednesday, and Thursday!
More information about Liz can be found at her website https://www.womensperformanceosteopathy.com/
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