For menopausal back pain, the possible causes are mainly as follows: 1. Osteoporosis by. Patients are in menopause, will be due to the body estrogen level of a wide range of decline, which in turn leads to serious osteoporosis. At this time it is possible to have some bony pain in the lumbar spine, pelvis, etc. 2, lumbar muscle strain. The patient’s back pain may be caused by prolonged sitting and standing, which may lead to muscle strain in the lumbar muscles. 3. peripheral neuropathy. If the patient has a previous peripheral neuropathy such as a lumbar disc herniation, the increase in inflammatory mediators in the body during menopause may lead to an increase in inflammation around the nerve roots, causing significant back pain. 4. old injury. For example, if you have had an old lumbar sprain or fracture, you may experience pain during menopause due to an increase in inflammatory mediators, which may lead to a recurrence of the old injury.