Perimenopause & Hip Pain: What’s Really Going On (and What You Can Do at Home)
Apr 11, 2025If you're a woman in your 30s, 40s, or early 50s and you're suddenly noticing hip pain when you walk, sit, sleep—or even just stand too long—you're not imagining things. And you’re definitely not alone.
Hip pain is a very real and common symptom during perimenopause, and yet, it’s rarely talked about. The good news? There are solutions. You don’t have to just “deal with it.”
Let’s talk about why it happens, what’s going on in your body, and how to find relief—starting right now.
What Causes Hip Pain in Perimenopause?
Perimenopause is a transitional phase leading up to menopause where hormone levels (particularly estrogen and progesterone) start to shift—and often fluctuate like a roller coaster.
These hormonal changes can contribute to hip pain in a few key ways:
1. Loss of Estrogen = Loss of Cushion
Estrogen plays a big role in keeping joints lubricated and tissues elastic. As levels drop, you might experience more stiffness, inflammation, and discomfort—especially in the pelvis, hips, and lower back.
2. Sleep Disruption = Less Recovery
If perimenopause is stealing your sleep (thanks, night sweats), your body has fewer opportunities to recover and repair soft tissues, which leads to tightness and increased pain.
3. Changes in Muscle + Bone Density
Your body starts losing muscle mass and bone density more rapidly in perimenopause—particularly around the hips, which can lead to instability, weakness, and pain during everyday movements.
4. Pelvic Alignment + Posture
Sitting more, moving less, or compensating for hormone-related fatigue can shift your pelvic alignment, creating tension in the hip flexors, glutes, and surrounding tissues.
At-Home Hip Pain Relief: What You Can Do Now
Here are five simple, effective things you can start doing today to reduce hip pain and support your body through this season:
1. Gentle Hip Mobility Work (Daily)
Try this 5-minute sequence:
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Seated figure-4 stretch (hold 30 seconds each side)
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Cat-cow on hands and knees (10 slow rounds)
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Standing hip circles (10 each direction)
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Kneeling hip flexor stretch (30 seconds each side)
This helps lubricate the joint, reduce stiffness, and reset posture.
2. Use Heat or Magnesium Soaks
A warm compress or heating pad over your hips for 15–20 minutes can help relax the fascia and muscle tissues.
Bonus: add 2 cups of Epsom salt (magnesium sulfate) to a warm bath and soak for 20 minutes to reduce inflammation and ease muscle tension.
3. Strengthen (Don’t Just Stretch)
Weak glutes and hip stabilizers often cause pain just as much as tightness. Add simple glute bridges, side-lying leg lifts, or banded clamshells to your weekly routine (2–3 times/week) to support hip alignment and function.
4. Support Your Hormones Naturally
An anti-inflammatory, blood-sugar-balancing diet can do wonders. Focus on:
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Omega-3 rich fats (salmon, flax, walnuts)
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Cruciferous veggies (broccoli, kale, cauliflower)
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Quality protein at every meal
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Hydration + gentle movement daily
This creates an internal environment that allows your joints and muscles to heal.
5. Adjust Your Sleep Setup
Hip pain can flare during sleep if your mattress is too firm (or too soft). Try:
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A pillow between your knees if you sleep on your side
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A rolled towel under your knees if you sleep on your back
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Checking your mattress support and rotating it if needed
💛 Final Thoughts
Perimenopause might feel like your body is working against you—but it’s not. It’s asking you to pay attention, shift your habits, and give yourself more support.
If hip pain is keeping you from moving, sleeping, or simply enjoying your day, try the tools above—and don’t hesitate to reach out. We specialize in movement, mobility, and musculoskeletal support specifically for women in this phase of life.
You deserve to feel strong, steady, and pain-free in your body—at every age.
Coming Soon: HIP HARMONY
We’re getting ready to launch our brand new mini-series:
Hip Harmony: Mobility, Strength & Resilience – a focused program designed to help you move freely, build stability, and feel strong in your hips at every stage of life.
💛 Stay tuned—and be sure to check back soon for updates!