Keith McCormick told me that 40% of his patients on Evenity have joint pain. It is a listed side effect. In fact it is listed first, and headache is second. This may be at least partly due to the role of sclerostin, but I don't think they know (I read that idea in a study going on).

I have found on any of these meds that walking for longer than 20 minutes help. Not sure why. Maybe it lubricates the joints? I walk at least 45 minutes. My cancer doc said the same thing about those meds.

Of course your pain may be of different origin than mine! Just sharing my experience.