unPAUSED with Dr. Mary Claire Haver Menopause, Frozen Shoulder and the Joint Pain Wake Up Call with Dr. Jocelyn Wittstein - Part 1
Jan 20, 2026
In a captivating discussion, Dr. Jocelyn Ross Wittstein, an orthopedic surgeon and researcher, sheds light on the surprising connection between frozen shoulder and menopause. With her expertise, she explains how declining estrogen uniquely affects women's joints, particularly in midlife. Dr. Wittstein highlights early detection signs of frozen shoulder and stresses the importance of timely steroid treatments. She also discusses the musculoskeletal syndrome of menopause, urging awareness of osteoporosis as a critical women's health issue. Prepare to rethink joint health!
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Chance Meeting Sparked Cross‑Specialty Work
- Jocelyn met Ann Ford in the hospital break room and their conversation led to long‑term collaboration across orthopedics and women's health.
- That chance encounter sparked her interest in integrating menopausal care into musculoskeletal practice.
Frozen Shoulder Is Likely Hormone‑Linked
- Frozen shoulder (adhesive capsulitis) disproportionately affects women aged ~40–60 and often follows a non‑traumatic onset of severe pain then stiffness.
- Estrogen receptors in the shoulder synovium and estrogen's inhibitory effect on fibroblasts suggest a hormonal mechanism.
HRT May Prevent Frozen Shoulder
- Preliminary data show systemic estradiol users had about half the risk of developing frozen shoulder versus non‑users, but studies remain underpowered.
- Larger prospective registries and trials are underway to confirm a protective effect.
