Joint Health in Perimenopause: From Diagnosis to Treatment

Joint pain is one of the most common yet overlooked symptoms of perimenopause, affecting up to 70% of women. This advanced module explores the complex relationship between hormonal changes and the musculoskeletal system, equipping clinicians with the tools to assess, diagnose, and manage joint-related complaints in midlife women.
You will gain a clear understanding of how declining estrogen, progesterone, and testosterone influence inflammation, cartilage integrity, muscle mass, and pain perception. The course goes beyond theory, covering real-world clinical presentations such as unexplained joint pain with normal imaging, frozen shoulder, tendon disorders, and early-onset arthritis.
With a strong emphasis on clinical decision-making, this session walks through when symptoms can be attributed to perimenopause and when further investigation is required. You will learn how to differentiate between hormonal, mechanical, and inflammatory causes, and how to build effective, individualized treatment strategies.
The module also covers evidence-based interventions including physical therapy, hormone therapy considerations, supplementation, weight management, and emerging treatments such as GLP-1 receptor agonists. Practical guidance is provided on referral pathways, imaging decisions, and interdisciplinary care.
This is about treating patients with precision, avoiding missed diagnoses, and confidently managing one of the most under-recognized drivers of midlife health complaints.
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Instructors
Jocelyn Wittstein, MD -
51min
Video duration -
Presentation Powerpoint File
Included with 62 slides -
1 Self-Assessment Quiz
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1 Patient Talk Sheet
1 Patient Handout
Jocelyn Wittstein, MD
Masterclass Outline
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