Many middle-aged women experience persistent back pain, often attributing it to lifestyle or aging. However, hormonal changes, especially during perimenopause and menopause, play a significant role in musculoskeletal health. Fluctuations in estrogen levels can lead to decreased bone density, joint stiffness, and increased inflammation, making women more prone to chronic back pain. This post explores how hormonal imbalances contribute to back pain, the key signs to watch for, and effective strategies—including lifestyle changes, exercise, and medical interventions—to manage and prevent discomfort.