Yes, low testosterone can contribute to joint pain by weakening cartilage, reducing bone density, and increasing body fat. Testosterone therapy may help relieve symptoms and restore joint health.
When you think about joint pain, you might immediately think of arthritis (swelling of the joints). However, arthritis isn't the only cause. Low testosterone can also cause joint pain. To determine the cause, your doctor will need to conduct tests to rule out arthritis, low testosterone, or other potential conditions.
This article explains how low testosterone can cause joint pain and what you can do to improve your testosterone levels to keep your joints healthy.
To understand how joint pain is linked to low testosterone, let's first explain what low testosterone is.
Low testosterone is when your body doesn't produce enough testosterone. Normal levels are between 300 and 1,000 nanograms per deciliter (ng/dL). If your levels are below 300 ng/dL, you have low testosterone.
Older men naturally have lower testosterone, but it can happen to younger men, too. Testosterone plays a crucial role in various bodily functions, including regulating the sex drive, maintaining bone mass, protecting joint cartilage, and enhancing muscle mass. Low levels can have a negative impact on overall health.
Here are common symptoms of low testosterone:
As mentioned earlier, testosterone has many roles in the body. Your body can't perform these roles properly when it doesn't produce enough testosterone.
One role of testosterone is to protect cartilage from damage and inflammation. Cartilage is a connective tissue found throughout the body and joints. When cartilage gets damaged, it can cause joint pain, swelling, and difficulty moving the joint.
Studies show that testosterone affects cartilage. Some studies also show that men with low testosterone are at a higher risk of developing rheumatoid arthritis, an inflammatory disease that causes joint pain and swelling. In the EU, over 10 million people have arthritis. If low testosterone is a cause, then increasing testosterone levels might reduce the risk of developing arthritis.
Effect of Low Testosterone |
Impact on Joints and Bones |
---|---|
Reduced cartilage protection |
Increases joint inflammation and friction |
Lower bone density |
Higher risk of fractures and osteoporosis |
Increased fat mass |
Adds pressure on joints, worsening osteoarthritis |
Decreased muscle strength |
Less joint support, more strain on bones |
Poor pain regulation |
More sensitivity to chronic joint pain |
If you have low testosterone for a long time, you have a higher chance of developing osteoporosis. Osteoporosis is a bone disease that weakens your bones and increases the likelihood of fractures. It is diagnosed with a bone mineral density test, which compares your bone density to normal levels.
Although osteoporosis doesn't directly cause joint pain, its severe form can lead to other painful conditions that may be mistaken for joint pain. You don't have to suffer from this pain. Find ways to increase your bone density. Addressing low testosterone may help you combat osteoporosis and strengthen your bones.
Low testosterone can indirectly cause joint pain by increasing body weight. Studies show that men with low testosterone have more body fat compared to men with normal levels. This can also cause gynecomastia, where men develop enlarged breasts due to an imbalance between estrogen and testosterone.
Increased body weight puts more pressure on bones and joints, weakening them and leading to joint pain. It can also cause osteoarthritis, the most common form of arthritis, which leads to joint stiffness and pain. About 8.5 million people in the EU have osteoarthritis.
The good news is there are treatments and ways to increase testosterone levels and control your weight. Consult with a doctor to determine the main reason for your weight gain.
Testosterone deficiency can be caused by injury, cancer, or hormonal imbalance. However, you can still boost your testosterone levels with lifestyle changes, eating testosterone-boosting foods, and treatments like testosterone replacement therapy.
Natural ways to increase testosterone levels include:
You can also boost testosterone by eating vitamin D and zinc foods, such as tuna, egg yolk, shellfish, beef, oysters, fortified cereals, and beans.
A standard method to increase testosterone levels is testosterone replacement therapy. This treatment uses testosterone injections, pills, gels, patches, or pellets to restore your testosterone levels.
Although testosterone replacement therapy (TRT) won't directly fix your joints or reduce pain, it will increase your testosterone levels and help prevent further joint damage. If you experience joint pain, consult your doctor to determine the underlying cause.
If low testosterone is the cause, your doctor might recommend TRT. Every man has unique hormone needs, so an experienced doctor can help you find the proper hormone levels and create a custom treatment plan.
Once your testosterone levels return to normal, you'll feel more energised and experience less joint pain. Maintaining a healthy lifestyle is crucial for a faster and more effective recovery. A professional will guide you on how to keep your bone density strong and prevent future joint problems. By following your doctor's plan, you'll soon be able to enjoy life again.
When your testosterone levels return to normal, you'll notice many positive changes in your overall health. These changes can help with joint pain in the following ways.
TRT will address your testosterone deficiency, providing your body with sufficient hormones to enhance muscle mass and redistribute body fat. When combined with healthy lifestyle changes, such as regular exercise, this treatment can lead to a significant reduction in calories and body weight. Lower body weight means less stress on your joints, helping them regain strength and health.
Low testosterone levels can cause fatigue, making exercise more challenging. After restoring your testosterone levels, you'll experience increased energy, which can help reduce weight and alleviate joint pain. Exercise strengthens your bones and muscles, which supports your achy joints and helps repair them.
Studies show that testosterone helps create chondrocytes (cells in cartilage). Cartilage at the ends of bones acts as a cushion, preventing friction between joint surfaces. Damaged cartilage can cause joint pain and swelling. Increasing testosterone levels can stimulate chondrocyte production, helping repair damaged cartilage and joints.
Testosterone helps operate your body's natural pain relief system. When you feel physical pain, your body produces endorphins, which act like natural painkillers. Testosterone may help endorphins bind to their receptors, reducing joint pain.
Can low testosterone cause joint and bone pain?
Yes, low testosterone can reduce cartilage integrity and bone strength, leading to joint stiffness, pain, or fragility.
Will testosterone replacement therapy reduce joint pain?
TRT can enhance muscle strength, reduce body fat, and promote cartilage repair, potentially alleviating joint pain over time.
Is joint pain common in men with low T?
It’s not always the first symptom, but many men with long-term low testosterone report joint pain alongside fatigue and muscle loss.
Can low testosterone lead to arthritis?
Low testosterone may increase inflammation and risk for conditions like rheumatoid arthritis or osteoarthritis.
Does TRT improve bone density?
Yes, medically supervised TRT has been shown to improve bone mineral density in men with testosterone deficiency.
How long before TRT helps joint pain?
Some men report relief within weeks, but full joint support and strength improvements may take 3–6 months of consistent therapy.
There are many causes of joint pain, and one of them is low testosterone. If you experience joint pain, consult your doctor to determine the underlying cause. If it's due to low testosterone, testosterone replacement therapy might be the right choice. If you think you have a hormone imbalance, you can contact us to get a proper diagnosis.