13/05/2026
Your shoulder isn't "wear and tear."
It's been three months. Maybe a year. You can't fasten your bra behind your back. You can't reach into the back seat. You wake up at 3am because you rolled onto that side and it screamed.
You've seen a physio. You've iced it. You've been told it's posture, tendinitis, stress, your phone, your pillow, your age.
Here's what no one told you: it has a name. Adhesive capsulitis β frozen shoulder. And women aged 40 to 60 develop it 2 to 4 times more often than men.
Why? Oestrogen. It keeps the connective tissue around your joints elastic. When oestrogen drops in perimenopause, the capsule around the shoulder joint can thicken and stiffen β and the pain comes on slowly, often in one shoulder, often for no obvious reason.
Dr Jocelyn Wittstein at Duke University has been researching this for years β published in the Journal of Shoulder and Elbow Surgery β and HRT may reduce both risk and severity in some cases.
You are not broken. You are not weak. You are not imagining it.
What to ask your GP:
1. "Could this be adhesive capsulitis rather than a soft tissue injury?"
2. "Given my age, could it be hormonally driven?"
3. "Would imaging help rule out other causes?"
4. "Is HRT something we should be discussing?"
Save this for your appointment. Send it to the friend who has been icing her shoulder for a year. She isn't falling apart. She's in perimenopause.