It Wasn’t Just a Weak Core: What I Understand Now About Back Pain in Perimenopause

At the time, I was thinking about biomechanics, core stability, posture, stress, diet, inflammation, autoimmunity, and movement patterns. Those factors absolutely matter, and they are still part of how I practice today. But I did not yet fully understand how much fluctuating and declining estrogen in perimenopause and menopause can directly affect the musculoskeletal system.