Had joint pain for months pre hrt. ADs and codeine helped a bit. Then it faded. It returned for the first few weeks on hrt, especially the tight calf muscles. I had other side effects for at least three months. However, I sometimes wonder if they were 'continued symptoms' rather than hrt side effects, as it soon became clear that the dose I was on was doing nothing for me. Current stronger dose and I rarely have any pain. If I do, it's not intense and long term, like it used to be (fingers crossed!!) x