Melbourne Physiotherapy Pilates + Fitness Group

Navigating Menopause and Perimenopause: A Physiotherapist’s Perspective

Menopause and perimenopause are significant phases in a woman’s life, often accompanied by a range of physical and emotional changes. As physiotherapists, we have a unique role in supporting women through these transitions, helping them maintain a healthy and active lifestyle. In this blog, we’ll explore what menopause and perimenopause entail, common symptoms, and how physiotherapy can make a positive difference.

Understanding Menopause and Perimenopause

Menopause is the time that marks the end of a woman’s menstrual cycles, diagnosed after 12 months without a menstrual period. It usually occurs in women in their late 40s to early 50s. Perimenopause means “around menopause” and refers to the transitional period leading up to menopause, often starting in a woman’s 40s but can begin in her 30s.

During perimenopause, the body gradually produces less estrogen, leading to various symptoms. Menopause is a natural biological process, but its physical, mental, and emotional symptoms can be challenging.

Common Symptoms

Women may experience a variety of symptoms during perimenopause and menopause, including:

  • Hot flashes and night sweats: Sudden feelings of heat, often accompanied by sweating and a red, flushed face.
  • Sleep disturbances: Insomnia or disrupted sleep patterns.
  • Mood changes: Increased irritability, anxiety, or depression.
  • Weight gain and slowed metabolism: Changes in body composition and fat distribution.
  • Bone density loss: Increased risk of osteoporosis.
  • Muscle and joint pain: Generalized aches and stiffness.

The Role of Physiotherapy

Physiotherapy can be instrumental in managing these symptoms and improving the quality of life during perimenopause and menopause. Here’s how:

  1. Exercise Prescription Regular physical activity is crucial for managing weight, improving mood, and maintaining bone density. A physiotherapist can develop a personalized exercise program focusing on strength training, cardiovascular fitness, and flexibility. Weight-bearing exercises like walking or resistance training are particularly beneficial for bone health.
  2. Pelvic Floor Health Hormonal changes during menopause can weaken pelvic floor muscles, leading to issues like urinary incontinence. Physiotherapists can teach pelvic floor exercises (Kegels) to strengthen these muscles, improve bladder control, and enhance sexual health.
  3. Managing Joint and Muscle Pain Joint and muscle pain can be alleviated through targeted physiotherapy interventions. Manual therapy, stretching exercises, and tailored strengthening routines can help reduce pain and improve mobility.
  4. Balance and Fall Prevention As women age, the risk of falls increases. Physiotherapists can assess balance and coordination, providing exercises to enhance stability and prevent falls, thus promoting independence and confidence.
  5. Education and Lifestyle Modification Physiotherapists provide valuable education on lifestyle modifications, such as nutritional advice, stress management techniques, and sleep hygiene practices. Understanding the importance of a balanced diet rich in calcium and vitamin D, along with maintaining a healthy weight, can mitigate many menopausal symptoms.

Case Study: Maria’s Journey

Maria, a 50-year-old woman, began experiencing perimenopausal symptoms, including hot flashes, joint pain, and urinary incontinence. She felt frustrated and anxious about these changes, impacting her quality of life.

Maria decided to consult a physiotherapist who specialized in women’s health. Through a comprehensive assessment, her physiotherapist developed a personalized plan:

  • Exercise Program: Incorporating weight-bearing exercises, aerobic activities, and yoga to improve overall fitness and mental well-being.
  • Pelvic Floor Exercises: A series of targeted exercises to strengthen her pelvic floor muscles, reducing incontinence issues.
  • Joint Pain Management: Manual therapy and stretching routines to alleviate joint stiffness and pain.
  • Education: Guidance on dietary changes, sleep hygiene, and stress reduction techniques.

After several months, Maria noticed significant improvements in her symptoms. She felt more energetic, her joint pain had diminished, and her bladder control had improved. Most importantly, she regained her confidence and felt empowered to manage her health proactively.


Menopause and perimenopause can be challenging, but they also present an opportunity for women to focus on their health and well-being. Physiotherapy offers a holistic approach to managing the physical changes associated with these transitions, helping women lead active, fulfilling lives. If you’re navigating menopause or perimenopause, consider consulting a physiotherapist to create a personalized plan tailored to your needs.

At MPPFG, we’re dedicated to supporting women through every stage of life. Join us for our upcoming Instagram Live sessions on July 13th and 22nd at 11am, where Maria Carreno, our women’s health physio, will share valuable insights and tips on managing menopause and perimenopause.


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