Menopause can cause joint pain, it can even make old joint injuries begin to ache. As time goes on, you may start to notice more aches and pains in joints and muscles than normal. Oestrogen helps to keep our cartilage, the connective tissue in joints, healthy. This means it plays an important role in helping to prevent joint inflammation and pain. As levels of oestrogen naturally decrease during the menopause, the joint protection properties can diminish, causing joint aches