Most menopausal back pain is caused by postmenopausal osteoporosis, which can be treated by supplementing enough calcium and vitamins under doctor’s guidance and using estrogen replacement therapy, commonly used drugs include estradiol valerate and caprylyl estradiol. 1. Adequate calcium and vitamin D supplementation: In addition to a calcium-rich diet, it is recommended to take 600mg of calcium supplements per day. Vitamin D plays an important role in calcium absorption and maintenance of bone health, and it is recommended to take 400IU of supplementation per day for adults, and 600IU of supplementation per day for elderly people aged 65 years and above. 2. Estrogen replacement: For menopausal women who are suitable for hormone replacement and have no contraindications to its use, estrogen replacement can be chosen under the guidance of gynecologists, which plays an important role in maintaining bone mass and reducing pain caused by postmenopausal osteoporosis. Commonly used drugs include estradiol valerate, caprylyl estradiol, and so on. Menopausal women with back pain should consult a doctor in time for treatment, take medication under the guidance of a specialist, and avoid taking medication blindly on their own.