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Aim: This study aims to study the awareness of musculoskeletal changes in postmenopausal women in rural areas. Postmenopausal women experience many changes due to menopause and musculoskeletal changes are highly prevalent which adversely affects the health of women. Objectives: The objective was to determine the awareness of musculoskeletal changes among the postmenopausal women in rural areas, and to determine the awareness about adverse effects of these musculoskeletal changes. Methods: This was an observational study with 94 participants aged above 50 years. This study was done by using a standardized validated questionnaire. Results: Out of 94 participants in this study 8.51% of women were completely aware of menopause effects on the musculoskeletal system, 27.66% of women had good knowledge whereas 63.83% were unaware. Conclusion: According to the study awareness of musculoskeletal changes due to menopause in women in rural areas is poor. Few women were completely aware of musculoskeletal changes due to menopause whereas most women were unaware. [ABSTRACT FROM AUTHOR]