Every time Renee gets a few good weeks of exercise under her belt, something flares up: first her shoulder, now her heel. She's starting to wonder if her body just isn't built for exercise anymore. It turns out that’s not the real story at all. In this episode of The Perimenopause Puzzle, Taryn is joined by her FitRight co-founder, musculoskeletal physiotherapist Jess Hextall, to unpack why tendon pain, joint pain and stop-start exercise are so common in perimenopause. Using Renee's story, they talk about what an assessment looks like when more than one thing hurts, why tendons actually want to be loaded (with the right amount), how to work around the real-life barriers of kids, work and gym anxiety, and what a realistic starting point for strength, bone-loading and cardio can look like. You'll learn: Why being believed is often the first step. Validating a woman's pain is part of treatment, not just a nice extra, and why the first appointment should leave you with a plan and a quick win.How falling and fluctuating oestrogen can affect tendons (think rotator cuff, heel and Achilles pain), and why it doesn't mean your body is "broken" or that you can't exercise, just that load needs to build up gradually.Practical ways around the barriers: 20-minute blocks, habit stacking (squats while the kettle boils), booking a class to attend on the way home from work, and the power of exercising with other women.What a beginner program can look like for strength, bone health and heart health: a push, pull, squat, hinge and carry, a little impact (like stomping on the stairs), and simple bike or circuit intervals.Why the full picture for Renee might include a musculoskeletal physio, a GP, a dietitian and a pelvic health physio (research has shown that pelvic floor symptoms are one of the common, but quieter reasons that women give up exercise).If you've ever felt like your body has turned on you every time you try to get back into exercise, this episode is for you. It's not that your body can't do it. It might just need a different starting point. Resources Season 1 episode on exercise, bone health and prolapse (the LIFTMOR study) Episode 1 with Dr Miranda Quenby: GP management of perimenopause [add link]Coming later this season: a bone health and osteoporosis Q&AInternational Menopause Society 2026 White Paper: Chronic pain at midlife Book an appointment with the team at FitRight Women's HealthLearn more about our women's health exercise classesFollow us on Instagram and Facebook for more evidence-based women's health educationPlease note: This episode uses a fictional case study to illustrate a common clinical presentation. Any resemblance to real people or their experiences is purely coincidental. The information shared is for educational purposes only and should not replace personalised medical advice. Thanks for listening to The Pelvic Puzzle. This is still a fairly new podcast, so if this episode resonated with you, a quick review helps more women find it. Please consider leaving one, and share it with a friend who might need to hear it too.