Materiały źródłowe

• #1 Joint hypermobility syndrome

  https://www.nhs.uk/conditions/joint-hypermobility-syndrome/

  There’s no cure for joint hypermobility syndrome. The main treatment is improving muscle strength and fitness so your joints are better protected. A GP may refer you to a physiotherapist, occupational therapist or podiatrist for specialist advice. You can also pay for these services privately. These physical therapies can help to: reduce pain and the risk of dislocations […] improve muscle strength and fitness […] improve your posture and balance.

• #2 Joint Hypermobility Syndrome: Symptoms, Causes, Diagnosis & Treatments

  https://my.clevelandclinic.org/health/diseases/21763-joint-hypermobility-syndrome

  Theres no cure presently for joint hypermobility syndrome. Treatment involves protecting your joints and managing your pain. You can protect your joints by strengthening your muscles through exercise. Other recommendations include: […] See a physical therapist to help reduce pain, increase muscle strength and improve your posture and balance. […] While theres no cure, symptoms can be managed by keeping your joints strong and taking medication.

• #3 Clinical management of benign joint hypermobility syndrome: a case series

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7250515/

  Benign Joint Hypermobility Syndrome (BJHS) is a relatively prevalent condition of the spectrum of heritable connective tissue disorders, with musculoskeletal, visceral and psychological manifestations. The conservative management of the musculoskeletal symptomatology must be modified for optimal effectiveness and minimal sequelae. […] Manual therapy should be used judiciously; active exercise is an essential element of care. […] Future clinical trials are necessary to determine effective clinical management strategies for patients with BJHS. […] The restoration of joint mobility and function are typical goals of chiropractors and other manual therapists. While spinal manipulative therapy is a common therapeutic approach, it may not be appropriate for all patients presenting with hypermobile joints which, in theory, should not require treatments intended to impart increased mobility to articulations.

• #4 Joint hypermobility | Causes, symptoms, treatments

  https://versusarthritis.org/about-arthritis/conditions/joint-hypermobility/

  Whether your diagnosis is HSD or hEDS they can both cause the same number of problems and be managed in the same way. […] While there is no cure for HSD or hEDS, treatment can ensure your joints are better protected and can lessen the impact of your symptoms. […] The main treatment for HSD or hEDS is improving muscle strength and fitness, so your joints are better protected. […] Physical therapy can reduce pain, improve your strength, fitness and balance which will help reduce the risk of dislocations. […] Hydrotherapy can also help strengthen your joints. […] You may be referred to a physiotherapist, occupational therapist or podiatrist for specialist advice. […] Painkillers such as paracetamol can help ease your joint pain. […] If you find your pain isnt being controlled by these options your GP may be able to prescribe stronger painkillers. […] If your pain is not getting better your doctor may refer you to a pain clinic. […] Surgery on your joints is not normally recommended if you have hypermobility. […] Complementary treatments such as acupuncture can be useful.

• #5 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  There have been very few treatment intervention studies undertaken to date. Research by Barton and Bird reported improvements in joint stability and body pain with strengthening and stability exercises. Likewise, Kerr et al reported a good response to a progressive six-week exercise programme in a retrospective study of 39 children with joint hypermobility syndrome (JHS). Furthermore, Ferrell et al reported significant improvements in proprioception and pain with an eight-week programme of closed chain and proprioception exercises for individuals with hypermobile Ehlers-Danlos syndrome (hEDS) / JHS aged between 16 and 49 years. Other authors have reported improvements with graduated exercise programmes combined with education, behavioural and lifestyle advice. […] A multidisciplinary approach to rehabilitation is recommended, including occupational therapists, podiatrists, physical therapists, osteopaths, sports therapists, nurses and psychologists depending on the individuals needs.

• #6 Joint hypermobility | Causes, symptoms, treatments

  https://versusarthritis.org/about-arthritis/conditions/joint-hypermobility/

  Whether your diagnosis is HSD or hEDS they can both cause the same number of problems and be managed in the same way. […] While there is no cure for HSD or hEDS, treatment can ensure your joints are better protected and can lessen the impact of your symptoms. […] The main treatment for HSD or hEDS is improving muscle strength and fitness, so your joints are better protected. […] Physical therapy can reduce pain, improve your strength, fitness and balance which will help reduce the risk of dislocations. […] Hydrotherapy can also help strengthen your joints. […] You may be referred to a physiotherapist, occupational therapist or podiatrist for specialist advice. […] Painkillers such as paracetamol can help ease your joint pain. […] If you find your pain isnt being controlled by these options your GP may be able to prescribe stronger painkillers. […] If your pain is not getting better your doctor may refer you to a pain clinic. […] Surgery on your joints is not normally recommended if you have hypermobility. […] Complementary treatments such as acupuncture can be useful.

• #7 Joint hypermobility syndrome

  https://www.nhs.uk/conditions/joint-hypermobility-syndrome/

  There’s no cure for joint hypermobility syndrome. The main treatment is improving muscle strength and fitness so your joints are better protected. A GP may refer you to a physiotherapist, occupational therapist or podiatrist for specialist advice. You can also pay for these services privately. These physical therapies can help to: reduce pain and the risk of dislocations […] improve muscle strength and fitness […] improve your posture and balance.

• #8 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  Treating the treatable, for example acute soft tissue lesions and injuries. […] Relieving pain where possible through the use of soft tissue work, gentle mobilisations, electrotherapy and support of joints and tissues. […] Education and behaviour modification to enable individuals to manage the condition with minimal reliance on medical input or medication. […] Improving the endurance and strength capacity of the postural support and joint-stabilising muscles. […] Improving balance and coordination. […] Improving stamina and general fitness. […] Re-educating posture and gait to avoid or correct abnormalities in biomechanics. […] Facilitating a return to normal activities and functioning and promoting an active lifestyle. […] It is important to realize that the pain does not signify damage or primary inflammatory arthritis, but indicates soft tissue sprain- and strain-type injury due to poor control of the joints.

• #9 Guide | Physical Therapy Guide to Hypermobility Spectrum Disorders | Choose PT

  https://www.choosept.com/guide/physical-therapy-guide-benign-hypermobility-joint-syndrome

  Hypermobility spectrum disorders are conditions affecting the bodys ligaments and tendons. Physical therapists help people with HSDs reduce their pain and increase joint stability and strength. […] Physical therapy is vital for people with HSDs. Physical therapists offer strategies to help people reduce and/or manage pain and improve their joint stability and strength, energy levels, balance, and daily function. […] Your physical therapist will develop a personalized plan of care to treat your condition. Your treatment plan may include muscle strengthening, balance and joint awareness activities, orthotics/taping/bracing, manual therapy, abdominal and pelvic floor strengthening, patient education, and pain management. […] Physical therapists are experts in prescribing pain-management techniques that reduce or eliminate the need for medication, including opioids.

• #10 Joint Hypermobility Syndrome Tips – Sports Medicine Review

  https://www.sportsmedreview.com/blog/treatment-joint-hypermobility-syndrome/

  Treatment of patients in an intensive interdisciplinary pain management program and is individualized based on the needs of each patient, physiotherapy, occupational therapy, psychology counseling, relaxation training, and medication management by a pediatric physiatrist if needed. […] The management of patients with JHS can be challenging for the patient as well as the practitioner. […] However, one report highlights the importance of patient education, therapeutic exercise, and modification of work and lifestyle in the management of JHS. […] Physiotherapy emphasizes improvement of joint stability, proprioception, muscle strength, and overall cardiovascular fitness, because patients tend to be sedentary as a result of pain. Physiotherapy is considered a cornerstone of treatment historically.

• #11 Hyper Mobility Syndrome

  https://www.physio.co.uk/what-we-treat/rheumatology/hyper-mobility-syndrome.php

  Physiotherapy is an effective way of strengthening the area surrounding the joint to provide more support and minimise your symptoms. […] Your physiotherapist at Physio.co.uk will work with you to create a tailored treatment programme to help control your symptoms. […] Physiotherapy can treat any level of hypermobility syndrome and it is important to begin treatment as soon as possible to achieve the best possible outcome. […] Physiotherapy will help provide extra support to hypermobile joints and will allow you to maintain a healthy and active lifestyle without experiencing pain and discomfort. […] A physiotherapy programme with Physio.co.uk will help in the following ways: Reduce pain, Reduce swelling, Strengthen joints and surrounding muscles, Provide stability to joints, Reduce laxity of ligaments, Allow you to remain physically active and continue with your normal hobbies and sports.

• #12 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  There have been very few treatment intervention studies undertaken to date. Research by Barton and Bird reported improvements in joint stability and body pain with strengthening and stability exercises. Likewise, Kerr et al reported a good response to a progressive six-week exercise programme in a retrospective study of 39 children with joint hypermobility syndrome (JHS). Furthermore, Ferrell et al reported significant improvements in proprioception and pain with an eight-week programme of closed chain and proprioception exercises for individuals with hypermobile Ehlers-Danlos syndrome (hEDS) / JHS aged between 16 and 49 years. Other authors have reported improvements with graduated exercise programmes combined with education, behavioural and lifestyle advice. […] A multidisciplinary approach to rehabilitation is recommended, including occupational therapists, podiatrists, physical therapists, osteopaths, sports therapists, nurses and psychologists depending on the individuals needs.

• #13 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  Treating the treatable, for example acute soft tissue lesions and injuries. […] Relieving pain where possible through the use of soft tissue work, gentle mobilisations, electrotherapy and support of joints and tissues. […] Education and behaviour modification to enable individuals to manage the condition with minimal reliance on medical input or medication. […] Improving the endurance and strength capacity of the postural support and joint-stabilising muscles. […] Improving balance and coordination. […] Improving stamina and general fitness. […] Re-educating posture and gait to avoid or correct abnormalities in biomechanics. […] Facilitating a return to normal activities and functioning and promoting an active lifestyle. […] It is important to realize that the pain does not signify damage or primary inflammatory arthritis, but indicates soft tissue sprain- and strain-type injury due to poor control of the joints.

• #14 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  Treating the treatable, for example acute soft tissue lesions and injuries. […] Relieving pain where possible through the use of soft tissue work, gentle mobilisations, electrotherapy and support of joints and tissues. […] Education and behaviour modification to enable individuals to manage the condition with minimal reliance on medical input or medication. […] Improving the endurance and strength capacity of the postural support and joint-stabilising muscles. […] Improving balance and coordination. […] Improving stamina and general fitness. […] Re-educating posture and gait to avoid or correct abnormalities in biomechanics. […] Facilitating a return to normal activities and functioning and promoting an active lifestyle. […] It is important to realize that the pain does not signify damage or primary inflammatory arthritis, but indicates soft tissue sprain- and strain-type injury due to poor control of the joints.

• #15 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  Research has demonstrated that specific, isolated, low level, skilled stabilisation training is preferable to non-isolated functional exercise and can restore the timing of activation of postural muscles to near-normal levels. […] Joint stability, muscle strength and improving dynamic muscle control to supplement the ligamentous insufficiency should help to support and minimize trauma to joints. […] It can be useful, especially if the individual is experiencing significant pain, to start with static exercises in the hypermobile range before progressing to dynamic work and then on to resisted work. […] Hydrotherapy can also be useful if weightbearing and land based exercises prove difficult or too painful. […] During the acute phase of an injury support in the form of a brace or tape can be helpful to support a vulnerable joint to allow movement and also to help facilitate proprioception, healing and postural control.

• #16 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  As an adjunct to exercise, other methods of pain relief include hot packs or cold packs on specific joints. […] Manual therapy including mobilisations of stiff hypermobile joints can be helpful, as can soft tissue massage, trigger point work and myofascial release to alleviate pain associated with muscle spasm. […] Pacing and monitoring of activity is an extremely important part of pain management. […] The idea of pacing is to stop this rise and fall of symptoms by levelling out activities and gradually building them up again. […] Improving trunk stability is often the most appropriate starting point for a rehabilitation programme because efficient trunk stability is required for effective peripheral joint control. […] Motor-skill training is an important part of the rehabilitation process.

• #17 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  A combination of hypermobile joints, reduced proprioception, altered motor control, weak muscles and reduced stamina can profoundly affect gait. […] To correct this, the causes of the abnormalities need to be identified and worked on separately, alongside the hypermobile individual recognizing the abnormalities and trying to correct them. […] Given that proprioception and balance deficits are common in hEDS, techniques related to these problems should be incorporated into fitness and rehabilitation programmes. […] Psychological support can be helpful to enlist the help of a clinical psychologist. […] It is therefore important to incorporate some aerobic fitness work into the rehabilitation programme to improve cardiovascular health and improve energy and stamina. […] If untreated or undiagnosed hEDS may result in the development of a chronic pain cycle and a high level of disability. This will require an intensive rehabilitation programme to manage the symptoms effectively and improve functional capacity. […] It is also important to stress that a self-management-led programme with support from health, sport and exercise professionals is the most appropriate long-term treatment approach.

• #18 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  As an adjunct to exercise, other methods of pain relief include hot packs or cold packs on specific joints. […] Manual therapy including mobilisations of stiff hypermobile joints can be helpful, as can soft tissue massage, trigger point work and myofascial release to alleviate pain associated with muscle spasm. […] Pacing and monitoring of activity is an extremely important part of pain management. […] The idea of pacing is to stop this rise and fall of symptoms by levelling out activities and gradually building them up again. […] Improving trunk stability is often the most appropriate starting point for a rehabilitation programme because efficient trunk stability is required for effective peripheral joint control. […] Motor-skill training is an important part of the rehabilitation process.

• #19 Clinical management of benign joint hypermobility syndrome: a case series

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7250515/

  Benign Joint Hypermobility Syndrome (BJHS) is a relatively prevalent condition of the spectrum of heritable connective tissue disorders, with musculoskeletal, visceral and psychological manifestations. The conservative management of the musculoskeletal symptomatology must be modified for optimal effectiveness and minimal sequelae. […] Manual therapy should be used judiciously; active exercise is an essential element of care. […] Future clinical trials are necessary to determine effective clinical management strategies for patients with BJHS. […] The restoration of joint mobility and function are typical goals of chiropractors and other manual therapists. While spinal manipulative therapy is a common therapeutic approach, it may not be appropriate for all patients presenting with hypermobile joints which, in theory, should not require treatments intended to impart increased mobility to articulations.

• #20 Clinical management of benign joint hypermobility syndrome: a case series

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7250515/

  Patients should be provided realistic expectations since their recovery and healing is often slower than in their non-hypermobile counterparts by the time required to improve joint proprioception and strength. […] The goal of management shifted to the protection of the joints by emphasizing an active exercise program to increase endurance and strength. […] It may seem paradoxical to apply manipulation, a treatment intended to impart mobility to articulations, in patients with BJHS. However, joint dysfunctions were detected and treated with manipulation in the cases described above. […] Prolotherapy is an alternative therapy, not explored in the three cases presented, which can be considered if conservative therapy has been exhausted. Prolotherapy consists of the injection of growth factors or growth factor stimulators that cause a brief inflammatory response, thus causing increased cellular activity that generates new collagen and extra-cellular matrix. This process increases connective tissue strength and has demonstrated potential to aid symptoms from BJHS. […] A case series cannot draw conclusions about efficacy nor effectiveness of the treatment interventions as presented herein. However, a case series can be hypothesis generating, and future research may illuminate best practice in the management of BJHS patients.

• #21 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  Research has demonstrated that specific, isolated, low level, skilled stabilisation training is preferable to non-isolated functional exercise and can restore the timing of activation of postural muscles to near-normal levels. […] Joint stability, muscle strength and improving dynamic muscle control to supplement the ligamentous insufficiency should help to support and minimize trauma to joints. […] It can be useful, especially if the individual is experiencing significant pain, to start with static exercises in the hypermobile range before progressing to dynamic work and then on to resisted work. […] Hydrotherapy can also be useful if weightbearing and land based exercises prove difficult or too painful. […] During the acute phase of an injury support in the form of a brace or tape can be helpful to support a vulnerable joint to allow movement and also to help facilitate proprioception, healing and postural control.

• #22 Joint hypermobility | Causes, symptoms, treatments

  https://versusarthritis.org/about-arthritis/conditions/joint-hypermobility/

  Whether your diagnosis is HSD or hEDS they can both cause the same number of problems and be managed in the same way. […] While there is no cure for HSD or hEDS, treatment can ensure your joints are better protected and can lessen the impact of your symptoms. […] The main treatment for HSD or hEDS is improving muscle strength and fitness, so your joints are better protected. […] Physical therapy can reduce pain, improve your strength, fitness and balance which will help reduce the risk of dislocations. […] Hydrotherapy can also help strengthen your joints. […] You may be referred to a physiotherapist, occupational therapist or podiatrist for specialist advice. […] Painkillers such as paracetamol can help ease your joint pain. […] If you find your pain isnt being controlled by these options your GP may be able to prescribe stronger painkillers. […] If your pain is not getting better your doctor may refer you to a pain clinic. […] Surgery on your joints is not normally recommended if you have hypermobility. […] Complementary treatments such as acupuncture can be useful.

• #23 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  Research has demonstrated that specific, isolated, low level, skilled stabilisation training is preferable to non-isolated functional exercise and can restore the timing of activation of postural muscles to near-normal levels. […] Joint stability, muscle strength and improving dynamic muscle control to supplement the ligamentous insufficiency should help to support and minimize trauma to joints. […] It can be useful, especially if the individual is experiencing significant pain, to start with static exercises in the hypermobile range before progressing to dynamic work and then on to resisted work. […] Hydrotherapy can also be useful if weightbearing and land based exercises prove difficult or too painful. […] During the acute phase of an injury support in the form of a brace or tape can be helpful to support a vulnerable joint to allow movement and also to help facilitate proprioception, healing and postural control.

• #24 Hypermobile Joints (Hypermobility Syndrome): Diagnosis and Treatment

  https://www.nationwidechildrens.org/conditions/hypermobile-joints

  Lifestyle modification: Changing habits to improve posture and decrease fatigue is very important. Avoid activities that bring on symptoms. Decrease heavy exercise and continue gentle isometric exercise with less stretching or pulling. Physical therapy is utilized to strengthen joints and muscles and patients are taught how to prevent hyperextension. […] Using braces to support weak joints when they are injured or painful may be initiated. However, caution should be used to prevent furthering weakening of the joints by constant bracing. Shoe inserts and/or orthotics are also helpful when the feet/ankles are involved, weak or flat. […] Because HMS can cause inflammation and pain, many different medications have been tried in the United States and Europe such as anti-inflammatory medications with some relief. Tricyclic antidepressants are used due to their pain relieving properties, sleep aid and for those with depression secondary to their pain and life-long illness. Gabapentin or Lyrica, medications for seizures, have been used with some success to decrease the burning that can be associated with HMS. Steroid injections have also been used as well as Tramadol, a non-narcotic pain medicine that reacts like an opioid drug and is tolerated fairly well. Lastly, at times, muscle relaxers are used for those who experience painful muscle spasms around loose joints.

• #25 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  Research has demonstrated that specific, isolated, low level, skilled stabilisation training is preferable to non-isolated functional exercise and can restore the timing of activation of postural muscles to near-normal levels. […] Joint stability, muscle strength and improving dynamic muscle control to supplement the ligamentous insufficiency should help to support and minimize trauma to joints. […] It can be useful, especially if the individual is experiencing significant pain, to start with static exercises in the hypermobile range before progressing to dynamic work and then on to resisted work. […] Hydrotherapy can also be useful if weightbearing and land based exercises prove difficult or too painful. […] During the acute phase of an injury support in the form of a brace or tape can be helpful to support a vulnerable joint to allow movement and also to help facilitate proprioception, healing and postural control.

• #26 Benign Hypermobility Joint Syndrome: Symptoms, Causes, Treatment

  https://www.webmd.com/children/benign-hypermobility-joint-syndrome

• #27 Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0415/p481-s1.html

  There is no cure, but often you can control your symptoms by making healthy choices. Taking good care of your body may prevent joint injuries and arthritis in the future. […] You should stay active but avoid activities that put too much stress on your joints. Activities to avoid include playing golf or swinging a bat. […] Don’t overstretch. Instead, focus on gentle activities that make you stronger to make your joints more stable. Good activities include walking, bicycling, and water aerobics. […] Taping or bracing joints that are too flexible may help prevent injuries by providing extra support. […] Tai chi (TY-CHEE, a form of exercise that uses slow, controlled movements) can help reduce falls and decrease pain in conditions like hypermobile EDS. […] Your family doctor will manage your care. It may involve a team of people like physical therapists, occupational therapists, counselors, and other kinds of doctors.

• #28 Joint hypermobility | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/conditions-that-can-affect-multiple-parts-of-the-body/joint-hypermobility/

  You wont need treatment of your joint hypermobility if doesnt cause any problems. […] But, you may need treatment and support if you have hEDS or HSD. These can cause a wide range of symptoms, including joint pain and digestive problems. […] If youre experiencing symptoms, there are some things you can do yourself that can help. These include: eating a healthy diet and maintaining a healthy weight which can help improve your joint strength, reducing the strain on them; trying to have good sleep routine (sleep hygiene); staying as active as you can, but sticking to low-impact exercises, like swimming, cycling, pilates or tai chi to reduce strain on your joints; wearing comfortable and supportive footwear to support your ankles; using heat or ice can be a helpful pain treatment. […] Physiotherapy can help people with hypermobile joints in many ways. For example, it may help to reduce pain, improve muscle strength and fitness, improve posture, improve your sense of your bodys position and movement (proprioception), correct the movement of individual joints.

• #29 Hypermobility Syndrome: Causes, Symptoms, and Treatment

  https://patient.info/doctor/hypermobility-syndrome-pro

  Joint hypermobility syndrome treatment and management includes patient education, activity modification, stretching exercises, osteopathic manipulation and physiotherapy. The goal is full participation in all activities. […] The most important factor in understanding of the condition, for patients, is that the pain in benign joint hypermobility syndrome is not a sign of muscle damage or an indication that activity is harmful. It means that the muscles are not strong enough and need strengthening. […] Physiotherapy can help to promote this using specific exercises that can be incorporated into daily life. The aim of physiotherapy is to restore full muscle strength and function throughout the full range of movement, to restore effective movement patterns, to improve general fitness, to restore normal range of movement, to provide education, reassurance, advice and pain management and to develop problem solving.

• #30 Ehlers-Danlos syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/ehlers-danlos-syndrome/diagnosis-treatment/drc-20362149

  There is no cure for Ehlers-Danlos syndrome, but treatment can help you manage your symptoms and prevent further complications. […] Your doctor may prescribe drugs to help you control: […] Pain. Over-the-counter pain relievers such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) are the mainstay of treatment. Stronger medications are only prescribed for acute injuries. […] Blood pressure. Because blood vessels are more fragile in some types of Ehlers-Danlos syndrome, your doctor may want to reduce the stress on the vessels by keeping your blood pressure low. […] Exercises to strengthen the muscles and stabilize joints are the primary treatment for Ehlers-Danlos syndrome. Your physical therapist might also recommend specific braces to help prevent joint dislocations. […] Surgery may be recommended to repair joints damaged by repeated dislocations, or to repair ruptured areas in blood vessels and organs. However, the surgical wounds may not heal properly because the stitches may tear through the fragile tissues.

• #31 Ehlers-Danlos syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/ehlers-danlos-syndrome/diagnosis-treatment/drc-20362149

  There is no cure for Ehlers-Danlos syndrome, but treatment can help you manage your symptoms and prevent further complications. […] Your doctor may prescribe drugs to help you control: […] Pain. Over-the-counter pain relievers such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) are the mainstay of treatment. Stronger medications are only prescribed for acute injuries. […] Blood pressure. Because blood vessels are more fragile in some types of Ehlers-Danlos syndrome, your doctor may want to reduce the stress on the vessels by keeping your blood pressure low. […] Exercises to strengthen the muscles and stabilize joints are the primary treatment for Ehlers-Danlos syndrome. Your physical therapist might also recommend specific braces to help prevent joint dislocations. […] Surgery may be recommended to repair joints damaged by repeated dislocations, or to repair ruptured areas in blood vessels and organs. However, the surgical wounds may not heal properly because the stitches may tear through the fragile tissues.

• #32 Joint hypermobility | Causes, symptoms, treatments

  https://versusarthritis.org/about-arthritis/conditions/joint-hypermobility/

  Whether your diagnosis is HSD or hEDS they can both cause the same number of problems and be managed in the same way. […] While there is no cure for HSD or hEDS, treatment can ensure your joints are better protected and can lessen the impact of your symptoms. […] The main treatment for HSD or hEDS is improving muscle strength and fitness, so your joints are better protected. […] Physical therapy can reduce pain, improve your strength, fitness and balance which will help reduce the risk of dislocations. […] Hydrotherapy can also help strengthen your joints. […] You may be referred to a physiotherapist, occupational therapist or podiatrist for specialist advice. […] Painkillers such as paracetamol can help ease your joint pain. […] If you find your pain isnt being controlled by these options your GP may be able to prescribe stronger painkillers. […] If your pain is not getting better your doctor may refer you to a pain clinic. […] Surgery on your joints is not normally recommended if you have hypermobility. […] Complementary treatments such as acupuncture can be useful.

• #33 Pain management | The HMSA

  https://www.hypermobility.org/pain-management

  Pain is a common part of hypermobility syndromes, and can vary a lot between individuals. […] Below are some suggestions that may help you manage some of your hypermobility related pain. […] Take strong enough analgesia to relieve pain and muscle spasm. Non steroidal anti-inflammatory drugs can be very effective, as long as you do not suffer from stomach ulcers as well. […] Antidepressants can be effective for their muscle relaxant property and can promote good sleep. […] For very severe, painful episodes, hydrocortisone injections and intensive physiotherapy, in the first 24 hours may be necessary. […] Daily sessions of muscle relaxation should help. […] Performing self mobilisation techniques. These must be smooth and rhythmic. […] Magnet Plasters and bracelets help relieve pain for some people.

• #34 Ehlers-Danlos syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/ehlers-danlos-syndrome/diagnosis-treatment/drc-20362149

  There is no cure for Ehlers-Danlos syndrome, but treatment can help you manage your symptoms and prevent further complications. […] Your doctor may prescribe drugs to help you control: […] Pain. Over-the-counter pain relievers such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) are the mainstay of treatment. Stronger medications are only prescribed for acute injuries. […] Blood pressure. Because blood vessels are more fragile in some types of Ehlers-Danlos syndrome, your doctor may want to reduce the stress on the vessels by keeping your blood pressure low. […] Exercises to strengthen the muscles and stabilize joints are the primary treatment for Ehlers-Danlos syndrome. Your physical therapist might also recommend specific braces to help prevent joint dislocations. […] Surgery may be recommended to repair joints damaged by repeated dislocations, or to repair ruptured areas in blood vessels and organs. However, the surgical wounds may not heal properly because the stitches may tear through the fragile tissues.

• #35 Ehlers-Danlos syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/ehlers-danlos-syndrome/diagnosis-treatment/drc-20362149

  There is no cure for Ehlers-Danlos syndrome, but treatment can help you manage your symptoms and prevent further complications. […] Your doctor may prescribe drugs to help you control: […] Pain. Over-the-counter pain relievers such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) are the mainstay of treatment. Stronger medications are only prescribed for acute injuries. […] Blood pressure. Because blood vessels are more fragile in some types of Ehlers-Danlos syndrome, your doctor may want to reduce the stress on the vessels by keeping your blood pressure low. […] Exercises to strengthen the muscles and stabilize joints are the primary treatment for Ehlers-Danlos syndrome. Your physical therapist might also recommend specific braces to help prevent joint dislocations. […] Surgery may be recommended to repair joints damaged by repeated dislocations, or to repair ruptured areas in blood vessels and organs. However, the surgical wounds may not heal properly because the stitches may tear through the fragile tissues.

• #36 Joint hypermobility | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/conditions-that-can-affect-multiple-parts-of-the-body/joint-hypermobility/

  Occupational therapy aims to help you overcome difficulties in your everyday life caused by having hEDS or HSD. […] Medication can be used to manage the pain associated with hEDS or HSD. […] Pain management: If painkillers are not helping to reduce your pain, you may benefit from being referred to a pain specialist at a pain clinic. Staff at the clinic will be able to provide further advice and treatment.

• #37 Pain management | The HMSA

  https://www.hypermobility.org/pain-management

  Pain is a common part of hypermobility syndromes, and can vary a lot between individuals. […] Below are some suggestions that may help you manage some of your hypermobility related pain. […] Take strong enough analgesia to relieve pain and muscle spasm. Non steroidal anti-inflammatory drugs can be very effective, as long as you do not suffer from stomach ulcers as well. […] Antidepressants can be effective for their muscle relaxant property and can promote good sleep. […] For very severe, painful episodes, hydrocortisone injections and intensive physiotherapy, in the first 24 hours may be necessary. […] Daily sessions of muscle relaxation should help. […] Performing self mobilisation techniques. These must be smooth and rhythmic. […] Magnet Plasters and bracelets help relieve pain for some people.

• #38 Hypermobile Joints (Hypermobility Syndrome): Diagnosis and Treatment

  https://www.nationwidechildrens.org/conditions/hypermobile-joints

  Lifestyle modification: Changing habits to improve posture and decrease fatigue is very important. Avoid activities that bring on symptoms. Decrease heavy exercise and continue gentle isometric exercise with less stretching or pulling. Physical therapy is utilized to strengthen joints and muscles and patients are taught how to prevent hyperextension. […] Using braces to support weak joints when they are injured or painful may be initiated. However, caution should be used to prevent furthering weakening of the joints by constant bracing. Shoe inserts and/or orthotics are also helpful when the feet/ankles are involved, weak or flat. […] Because HMS can cause inflammation and pain, many different medications have been tried in the United States and Europe such as anti-inflammatory medications with some relief. Tricyclic antidepressants are used due to their pain relieving properties, sleep aid and for those with depression secondary to their pain and life-long illness. Gabapentin or Lyrica, medications for seizures, have been used with some success to decrease the burning that can be associated with HMS. Steroid injections have also been used as well as Tramadol, a non-narcotic pain medicine that reacts like an opioid drug and is tolerated fairly well. Lastly, at times, muscle relaxers are used for those who experience painful muscle spasms around loose joints.

• #39 Hypermobile Joints (Hypermobility Syndrome): Diagnosis and Treatment

  https://www.nationwidechildrens.org/conditions/hypermobile-joints

  Lifestyle modification: Changing habits to improve posture and decrease fatigue is very important. Avoid activities that bring on symptoms. Decrease heavy exercise and continue gentle isometric exercise with less stretching or pulling. Physical therapy is utilized to strengthen joints and muscles and patients are taught how to prevent hyperextension. […] Using braces to support weak joints when they are injured or painful may be initiated. However, caution should be used to prevent furthering weakening of the joints by constant bracing. Shoe inserts and/or orthotics are also helpful when the feet/ankles are involved, weak or flat. […] Because HMS can cause inflammation and pain, many different medications have been tried in the United States and Europe such as anti-inflammatory medications with some relief. Tricyclic antidepressants are used due to their pain relieving properties, sleep aid and for those with depression secondary to their pain and life-long illness. Gabapentin or Lyrica, medications for seizures, have been used with some success to decrease the burning that can be associated with HMS. Steroid injections have also been used as well as Tramadol, a non-narcotic pain medicine that reacts like an opioid drug and is tolerated fairly well. Lastly, at times, muscle relaxers are used for those who experience painful muscle spasms around loose joints.

• #40 Pain management | The HMSA

  https://www.hypermobility.org/pain-management

  Pain is a common part of hypermobility syndromes, and can vary a lot between individuals. […] Below are some suggestions that may help you manage some of your hypermobility related pain. […] Take strong enough analgesia to relieve pain and muscle spasm. Non steroidal anti-inflammatory drugs can be very effective, as long as you do not suffer from stomach ulcers as well. […] Antidepressants can be effective for their muscle relaxant property and can promote good sleep. […] For very severe, painful episodes, hydrocortisone injections and intensive physiotherapy, in the first 24 hours may be necessary. […] Daily sessions of muscle relaxation should help. […] Performing self mobilisation techniques. These must be smooth and rhythmic. […] Magnet Plasters and bracelets help relieve pain for some people.

• #41 Joint hypermobility | Causes, symptoms, treatments

  https://versusarthritis.org/about-arthritis/conditions/joint-hypermobility/

  Whether your diagnosis is HSD or hEDS they can both cause the same number of problems and be managed in the same way. […] While there is no cure for HSD or hEDS, treatment can ensure your joints are better protected and can lessen the impact of your symptoms. […] The main treatment for HSD or hEDS is improving muscle strength and fitness, so your joints are better protected. […] Physical therapy can reduce pain, improve your strength, fitness and balance which will help reduce the risk of dislocations. […] Hydrotherapy can also help strengthen your joints. […] You may be referred to a physiotherapist, occupational therapist or podiatrist for specialist advice. […] Painkillers such as paracetamol can help ease your joint pain. […] If you find your pain isnt being controlled by these options your GP may be able to prescribe stronger painkillers. […] If your pain is not getting better your doctor may refer you to a pain clinic. […] Surgery on your joints is not normally recommended if you have hypermobility. […] Complementary treatments such as acupuncture can be useful.

• #42 Joint hypermobility | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/conditions-that-can-affect-multiple-parts-of-the-body/joint-hypermobility/

  Occupational therapy aims to help you overcome difficulties in your everyday life caused by having hEDS or HSD. […] Medication can be used to manage the pain associated with hEDS or HSD. […] Pain management: If painkillers are not helping to reduce your pain, you may benefit from being referred to a pain specialist at a pain clinic. Staff at the clinic will be able to provide further advice and treatment.

• #43 Hypermobility Syndrome: Causes, Symptoms, and Treatment

  https://patient.info/doctor/hypermobility-syndrome-pro

  Occupational therapy may be helpful for participation in activities of daily living and helping with appropriate interventions. […] Sport will be greatly beneficial in the long term but it is important to be sure that the child is fit enough to participate at the level chosen, in the chosen sport. […] Weight management is important, since obesity correlates with increasing pain scores due to the added strain on the joints. […] If mood is low then engagement and motivation are less likely to be positive and this may need to be separately addressed.

• #44 Joint hypermobility factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/joint-hypermobility-factsheet

  Joint hypermobility is treated with a program that involves: building strength, conditioning exercise, pain management, management of mental health symptoms like stress and anxiety, management of other related health issues, like digestive problems. […] Children with joint hypermobility need to protect their muscles and joints from injury. They can do this by being supported in safe exercise and having good nutrition. Your child’s treatment team may include: physiotherapists to support exercise and strengthening, dieticians to support nutrition and digestive issues, occupational therapists to support fine motor and self-care skills that can be impacted by muscle issues (for example, handwriting), psychologists to support mental health, gastroenterologists to manage related issues with the digestive system.

• #45 Tips For Managing Pain From Hypermobility | Des Peres, Missouri | Pain Management Services

  https://painmanagementservices.net/blog/tips-for-managing-pain-from-hypermobility/

  Joint hypermobility is often hereditary, and it’s attributed to changes in collagen protein, which contributes to the strength of the body’s tissues. […] While many people with hypermobile joints don’t require medical treatment, people with joint hypermobility syndrome often need medical treatment to manage this condition. […] Engaging with self-care practices can help you manage your joint hypermobility syndrome, some of which include: Healthy Lifestyle: Maintain a balanced diet and healthy weight, and improve your joint strength over time to reduce the strain on your joints. […] While self-care practices can help alleviate symptoms, other treatments can help reduce pain, including physiotherapy and occupational therapy. […] Physiotherapy: Physiotherapy can help manage joint hypermobility through different techniques, including strength and balance training, stretching exercises, and pacing activities to help alleviate the joints. […] Occupational Therapy: Occupational therapy can provide techniques and adaptations to help perform daily tasks without creating strain on the joints.

• #46 Pain management | The HMSA

  https://www.hypermobility.org/pain-management

  TENS units are useful for pain relief in many areas. […] Even if the person with hypermobile joints is pain free and leads a normal life, it is essential that full movement through their joint range is maintained. […] Daily stretches are of paramount importance. […] Isometric / static strengthening exercises should be done to stabilise the joints. […] Have a daily programme of management; pace your activities, avoid repetitive tasks and fixed positions. […] Splints, clasps and supports can help to provide relief for elbows, knees etc. […] There may be a need to support the flat foot with insoles and a referral to a podiatrist or physiotherapist may be indicated.

• #47 Joint Hypermobility Syndrome: Causes, Symptoms & Treatment

  https://www.thefeetpeople.com.au/symptoms-we-treat/joint-hypermobility-syndrome/

  Joint hypermobility syndrome is a genetic disorder that you inherit at birth, so it cant be prevented or cured. The good news is that we can help you manage the symptoms, which tend to decrease with age. As the symptoms of JHS can range from mild to severe, its important to work with a trusted podiatrist team to learn ways to protect your joints and manage your pain. […] You can help improve your joint and muscle strength by: […] Learning about the ideal forms of exercise to support your joints safely (avoiding over-extending your joints which may cause more damage) […] Strengthening specific muscles to improve balance and help stabilise joints […] Using techniques such as muscular taping or braces to help to improve gait and prevent injury […] Wearing ergonomic shoes or modified footwear, and custom-made orthotics

• #48 Joint Hypermobility Syndrome: Causes, Symptoms & Treatment

  https://www.thefeetpeople.com.au/symptoms-we-treat/joint-hypermobility-syndrome/

  Participating in a tailored exercise programme to target physical needs […] Exercising regularly with frequent breaks […] Easing joint pain and stiffness with heat packs or warm baths. […] A podiatrist can assess your gait as well as your joint strength and function. They can also prescribe custom foot orthotics or braces that can help support your feet and legs, by reducing harmful movements and preventing injury and deterioration. […] Orthotics may also help with balance and reduce pain in the foot, ankle, leg, hip and lower back, by re-aligning the foot and the way the body’s weight passes through the legs. […] The Exo-Brace can help prevent ankle sprains and excessive movement at the ankle […] The Exo-Up brace helps with symptoms of muscle weakness like foot drop, preventing the toes from hitting the ground and reducing the risk of injury […] The Richie brace is another brace that yields fantastic results for the possible symptoms of JHS such as ankle instability, foot drop, and foot pain and problems. […] Managing the symptoms of JHS means that you can still live a full and active life.

• #49 Joint Hypermobility Syndrome: Causes, Symptoms & Treatment

  https://www.thefeetpeople.com.au/symptoms-we-treat/joint-hypermobility-syndrome/

  Participating in a tailored exercise programme to target physical needs […] Exercising regularly with frequent breaks […] Easing joint pain and stiffness with heat packs or warm baths. […] A podiatrist can assess your gait as well as your joint strength and function. They can also prescribe custom foot orthotics or braces that can help support your feet and legs, by reducing harmful movements and preventing injury and deterioration. […] Orthotics may also help with balance and reduce pain in the foot, ankle, leg, hip and lower back, by re-aligning the foot and the way the body’s weight passes through the legs. […] The Exo-Brace can help prevent ankle sprains and excessive movement at the ankle […] The Exo-Up brace helps with symptoms of muscle weakness like foot drop, preventing the toes from hitting the ground and reducing the risk of injury […] The Richie brace is another brace that yields fantastic results for the possible symptoms of JHS such as ankle instability, foot drop, and foot pain and problems. […] Managing the symptoms of JHS means that you can still live a full and active life.

• #50 Joint Hypermobility Syndrome: Understanding, Diagnosis, and Prolotherapy as a First-Line Treatment

  https://www.alleviatepainclinic.com/blog/unraveling-joint-hypermobility-syndrome-understanding-diagnosis-prolotherapy-as-a-first-line-treatment/

  The management and treatment of Joint Hypermobility Syndrome aim to address the symptoms and improve an individuals quality of life. Various approaches can be utilized: […] Prolotherapy as a First-Line Treatment: We at Alleviate Pain Clinic are big proponents of prolotherapy for joint hypermobility syndrome. Prolotherapy, or proliferation therapy, is a Regenerative Injection treatment that focuses on strengthening and repairing damaged ligaments and tendons. It is increasingly considered a first-line treatment for Joint Hypermobility Syndrome due to its regenerative properties. Prolotherapy involves injecting an irritant solution, often containing dextrose, into the affected ligaments and tendons. This initiates a healing response, resulting in the thickening and strengthening of connective tissues. The procedure is minimally invasive and is showing promise in improving joint stability and reducing pain in individuals with JHS.

• #51 Joint Hypermobility Syndrome: Understanding, Diagnosis, and Prolotherapy as a First-Line Treatment

  https://www.alleviatepainclinic.com/blog/unraveling-joint-hypermobility-syndrome-understanding-diagnosis-prolotherapy-as-a-first-line-treatment/

  The management and treatment of Joint Hypermobility Syndrome aim to address the symptoms and improve an individuals quality of life. Various approaches can be utilized: […] Prolotherapy as a First-Line Treatment: We at Alleviate Pain Clinic are big proponents of prolotherapy for joint hypermobility syndrome. Prolotherapy, or proliferation therapy, is a Regenerative Injection treatment that focuses on strengthening and repairing damaged ligaments and tendons. It is increasingly considered a first-line treatment for Joint Hypermobility Syndrome due to its regenerative properties. Prolotherapy involves injecting an irritant solution, often containing dextrose, into the affected ligaments and tendons. This initiates a healing response, resulting in the thickening and strengthening of connective tissues. The procedure is minimally invasive and is showing promise in improving joint stability and reducing pain in individuals with JHS.

• #52 Joint Hypermobility Syndrome: Understanding, Diagnosis, and Prolotherapy as a First-Line Treatment

  https://www.alleviatepainclinic.com/blog/unraveling-joint-hypermobility-syndrome-understanding-diagnosis-prolotherapy-as-a-first-line-treatment/

  The management and treatment of Joint Hypermobility Syndrome aim to address the symptoms and improve an individuals quality of life. Various approaches can be utilized: […] Prolotherapy as a First-Line Treatment: We at Alleviate Pain Clinic are big proponents of prolotherapy for joint hypermobility syndrome. Prolotherapy, or proliferation therapy, is a Regenerative Injection treatment that focuses on strengthening and repairing damaged ligaments and tendons. It is increasingly considered a first-line treatment for Joint Hypermobility Syndrome due to its regenerative properties. Prolotherapy involves injecting an irritant solution, often containing dextrose, into the affected ligaments and tendons. This initiates a healing response, resulting in the thickening and strengthening of connective tissues. The procedure is minimally invasive and is showing promise in improving joint stability and reducing pain in individuals with JHS.

• #53 Treatment of Joint Hypermobility Syndrome, Including Ehlers-Danlos Syndrome, with Hackett-Hemwall Prolotherapy – Journal of Prolotherapy

  https://journalofprolotherapy.com/treatment-of-joint-hypermobility-syndrome-including-ehlers-danlos-syndrome-with-hackett-hemwall-prolotherapy/

  Prolotherapy works by initiating a brief inflammatory response, which causes a reparative cascade to generate new collagen and extra cellular matrix giving connective tissue their strength and ability to handle strain and force. […] Prolotherapy has a long history of success treating ligament injuries, including patients with joint hypermobility. […] Studies on Prolotherapy have shown that it eliminates chronic pain even in those patients who have been told by their medical doctor(s) that surgery was the only treatment option for their pain. […] The lack of long-lasting relief in any of these traditional treatments provides a grim prognosis for anyone living with the chronic disabling pain of Joint Hypermobility Syndrome and Ehlers-Danlos Syndrome. […] The common flaw in each of these traditional treatments is their inability to repair the weakened connective tissues causing the hypermobility. […] Logically, then the best approach would be the one that directly addresses the root of the disability, weakened connective tissues, such as ligaments and joint capsules, by inducing their repair to stabilize the affected joints.

• #54 Joint Hypermobility Syndrome: Understanding, Diagnosis, and Prolotherapy as a First-Line Treatment

  https://www.alleviatepainclinic.com/blog/unraveling-joint-hypermobility-syndrome-understanding-diagnosis-prolotherapy-as-a-first-line-treatment/

  The management and treatment of Joint Hypermobility Syndrome aim to address the symptoms and improve an individuals quality of life. Various approaches can be utilized: […] Prolotherapy as a First-Line Treatment: We at Alleviate Pain Clinic are big proponents of prolotherapy for joint hypermobility syndrome. Prolotherapy, or proliferation therapy, is a Regenerative Injection treatment that focuses on strengthening and repairing damaged ligaments and tendons. It is increasingly considered a first-line treatment for Joint Hypermobility Syndrome due to its regenerative properties. Prolotherapy involves injecting an irritant solution, often containing dextrose, into the affected ligaments and tendons. This initiates a healing response, resulting in the thickening and strengthening of connective tissues. The procedure is minimally invasive and is showing promise in improving joint stability and reducing pain in individuals with JHS.

• #55 Treatment of Joint Hypermobility Syndrome, Including Ehlers-Danlos Syndrome, with Hackett-Hemwall Prolotherapy – Journal of Prolotherapy

  https://journalofprolotherapy.com/treatment-of-joint-hypermobility-syndrome-including-ehlers-danlos-syndrome-with-hackett-hemwall-prolotherapy/

  Some of the rationale for using Prolotherapy for patients with EDS and JHS include that it has a high safety record, is comprehensive (all or most joints can be treated at each visit), is an outpatient procedure, is cost effective (compared to surgery), pain relief is often quick, and it provides joint stabilization. […] Prolotherapy could contribute to the treatment of hypermobility disorders also by preventing the development of precocious osteoarthritis. […] While the primary author has twenty years experience treating JHS and EDS musculoskeletal symptoms with Prolotherapy, future studies will need to be conducted to best document the exact role Prolotherapy has in the treatment of the musculoskeletal symptoms and hypermobility of JHS and EDS and if it can prevent future joint degeneration in these individuals.

• #56 PRP therapy and hypermobile Ehlers-Danlos syndrome

  https://jointrehab.com/prp-therapy-in-treating-hypermobile-ehlers-danlos-syndrome/

  While research is still exploring the role of regenerative injection therapies such as Platelet Rich Plasma and Stem Cell therapy, empirically and clinically, these treatments have demonstrated good results in relieving the symptoms of painful joint instability and hypermobility in patients with hEDS. […] PRP can help hEDS because the platelets contain growth factors crucial for the creation of collagen, fibrocartilage and hyaline cartilage. […] The platelets contain healing agents, or “growth factors” that help strengthen and tighten ligaments and tendons and rebuild cartilage.

• #57 PRP therapy and hypermobile Ehlers-Danlos syndrome

  https://jointrehab.com/prp-therapy-in-treating-hypermobile-ehlers-danlos-syndrome/

  While research is still exploring the role of regenerative injection therapies such as Platelet Rich Plasma and Stem Cell therapy, empirically and clinically, these treatments have demonstrated good results in relieving the symptoms of painful joint instability and hypermobility in patients with hEDS. […] PRP can help hEDS because the platelets contain growth factors crucial for the creation of collagen, fibrocartilage and hyaline cartilage. […] The platelets contain healing agents, or “growth factors” that help strengthen and tighten ligaments and tendons and rebuild cartilage.

• #58 PRP therapy and hypermobile Ehlers-Danlos syndrome

  https://jointrehab.com/prp-therapy-in-treating-hypermobile-ehlers-danlos-syndrome/

  While research is still exploring the role of regenerative injection therapies such as Platelet Rich Plasma and Stem Cell therapy, empirically and clinically, these treatments have demonstrated good results in relieving the symptoms of painful joint instability and hypermobility in patients with hEDS. […] PRP can help hEDS because the platelets contain growth factors crucial for the creation of collagen, fibrocartilage and hyaline cartilage. […] The platelets contain healing agents, or “growth factors” that help strengthen and tighten ligaments and tendons and rebuild cartilage.

• #59 My body hurts and I don’t know what to do | Mayo Clinic Connect

  https://connect.mayoclinic.org/discussion/my-body-hurts-and-i-dont-know-what-to-do/

  My daughter has hypermobility and inflammation as a result. What meds have you tried? Have you done PT? If you have PT and imaging shows no bone involvement, you are eligible for platelet rich plasma, a procedure my daughter had, that effectively tightens the loosened joints (which start out hypermobile and loose but can get even looser, creating problems). Unfortunately PRP is still out of pocket, around $1k, but it is offered within mainstream top notch orthopedic centers. […] Hi, so sorry you are suffering pain in your joints. Overly flexible joints like ours can result in joint dislocations and early-onset arthritis, which may explain your pain. Do warm showers help? Have you tried over-the-counter pain relievers — such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve)? (Be careful with dosage and duration — these pain relievers are for temporary relief and not long-term use.) Eating a good diet with lots of water, some protein, vegetables, fruits, whole grains, whole foods and minimal to no processed food will also help nourish your connective tissue.

• #60 Can SoftWave Therapy Help Treat Ehlers-Danlos Syndrome? – SoftWave

  https://softwaveclinics.com/blog/can-softwave-therapy-help-treat-ehlers-danlos-syndrome/

  Ehlers-Danlos Syndrome (EDS) is a genetic disorder that affects the connective tissues in the body. EDS weakens the body’s connective tissues, leading to symptoms such as hypermobility, easy bruising, and chronic pain. While there are various treatment options, SoftWave therapy offers a non-invasive and effective way to help manage EDS. This therapy can help improve joint stability, reduce pain, and promote healing for EDS and other joint or chronic conditions. […] There are several treatment options available for EDS patients, including medications, physical therapy, and lifestyle changes. Medications may include pain relievers, muscle relaxants, and anti-inflammatory drugs. Physical therapy can help strengthen the muscles and improve joint stability, while lifestyle changes such as avoiding certain activities and wearing supportive braces or shoes can help manage symptoms.

• #61 Can SoftWave Therapy Help Treat Ehlers-Danlos Syndrome? – SoftWave

  https://softwaveclinics.com/blog/can-softwave-therapy-help-treat-ehlers-danlos-syndrome/

  Ehlers-Danlos Syndrome (EDS) is a genetic disorder that affects the connective tissues in the body. EDS weakens the body’s connective tissues, leading to symptoms such as hypermobility, easy bruising, and chronic pain. While there are various treatment options, SoftWave therapy offers a non-invasive and effective way to help manage EDS. This therapy can help improve joint stability, reduce pain, and promote healing for EDS and other joint or chronic conditions. […] There are several treatment options available for EDS patients, including medications, physical therapy, and lifestyle changes. Medications may include pain relievers, muscle relaxants, and anti-inflammatory drugs. Physical therapy can help strengthen the muscles and improve joint stability, while lifestyle changes such as avoiding certain activities and wearing supportive braces or shoes can help manage symptoms.

• #62 Can SoftWave Therapy Help Treat Ehlers-Danlos Syndrome? – SoftWave

  https://softwaveclinics.com/blog/can-softwave-therapy-help-treat-ehlers-danlos-syndrome/

  However, new treatments such as SoftWave therapy are emerging as potential options for managing EDS symptoms by targeting the connective tissues directly. […] SoftWave therapy can help improve joint stability and reduce pain, making it a great option for EDS patients who experience joint hypermobility and chronic pain. […] SoftWave therapy shows significant potential as a treatment for Ehlers-Danlos Syndrome, offering benefits such as improved joint stability, pain reduction, and enhanced healing. This makes it a promising option for individuals with EDS who experience chronic pain and joint hypermobility.

• #63 Can SoftWave Therapy Help Treat Ehlers-Danlos Syndrome? – SoftWave

  https://softwaveclinics.com/blog/can-softwave-therapy-help-treat-ehlers-danlos-syndrome/

  However, new treatments such as SoftWave therapy are emerging as potential options for managing EDS symptoms by targeting the connective tissues directly. […] SoftWave therapy can help improve joint stability and reduce pain, making it a great option for EDS patients who experience joint hypermobility and chronic pain. […] SoftWave therapy shows significant potential as a treatment for Ehlers-Danlos Syndrome, offering benefits such as improved joint stability, pain reduction, and enhanced healing. This makes it a promising option for individuals with EDS who experience chronic pain and joint hypermobility.

• #64 Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0415/p481.html

  Management of musculoskeletal complaints includes conservative treatments such as physical activity, acetaminophen and nonsteroidal anti-inflammatory drugs, heat and/or cold application, improved ergonomics and posture, relaxation techniques, massage, hydrotherapy, and joint stabilization techniques with bracing and/or taping. […] Educating patients about lifestyle modifications, management options, and expectations is one of the most important interventions. Encouraging the optimization of sleep, joint protection through the proper amount of regular physical exercise (low impact and low resistance), weight control, avoidance of substance use (e.g., alcohol, nicotine), and the consumption of a healthy diet can decrease pain, injuries, and fatigue and support mobility and functionality. Orthostatic intolerance can be lessened by increasing fluids, increasing salt intake, and using compression stockings.

• #65 Joint Hypermobility Syndrome Tips – Sports Medicine Review

  https://www.sportsmedreview.com/blog/treatment-joint-hypermobility-syndrome/

  Education, reassurance, closed chain strengthening and core stability exercises are recommended by experts and used frequently by physiotherapists. […] Overall, maintenance of physical fitness is imperative for managing symptoms of JHS, especially activities that are focused on neuromusculoskeletal control; e.g., swimming, Tai Chi, pilates, yoga and dance. […] Occupational therapy focuses on postural biomechanics, the safe completion of functional daily tasks, pacing, and development of a daily schedule. Psychological interventions include strategies to self-manage pain and stress, including relaxation techniques, and the use of coping self-statements to help in times of distress. […] Medication management is often focused on correcting poor sleep latency and providing as-needed relief for breakthrough pain that did not respond to the above nonpharmacologic approaches.

• #66 Joint hypermobility | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/conditions-that-can-affect-multiple-parts-of-the-body/joint-hypermobility/

  You wont need treatment of your joint hypermobility if doesnt cause any problems. […] But, you may need treatment and support if you have hEDS or HSD. These can cause a wide range of symptoms, including joint pain and digestive problems. […] If youre experiencing symptoms, there are some things you can do yourself that can help. These include: eating a healthy diet and maintaining a healthy weight which can help improve your joint strength, reducing the strain on them; trying to have good sleep routine (sleep hygiene); staying as active as you can, but sticking to low-impact exercises, like swimming, cycling, pilates or tai chi to reduce strain on your joints; wearing comfortable and supportive footwear to support your ankles; using heat or ice can be a helpful pain treatment. […] Physiotherapy can help people with hypermobile joints in many ways. For example, it may help to reduce pain, improve muscle strength and fitness, improve posture, improve your sense of your bodys position and movement (proprioception), correct the movement of individual joints.

• #67 Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0415/p481-s1.html

  There is no cure, but often you can control your symptoms by making healthy choices. Taking good care of your body may prevent joint injuries and arthritis in the future. […] You should stay active but avoid activities that put too much stress on your joints. Activities to avoid include playing golf or swinging a bat. […] Don’t overstretch. Instead, focus on gentle activities that make you stronger to make your joints more stable. Good activities include walking, bicycling, and water aerobics. […] Taping or bracing joints that are too flexible may help prevent injuries by providing extra support. […] Tai chi (TY-CHEE, a form of exercise that uses slow, controlled movements) can help reduce falls and decrease pain in conditions like hypermobile EDS. […] Your family doctor will manage your care. It may involve a team of people like physical therapists, occupational therapists, counselors, and other kinds of doctors.

• #68 Joint hypermobility | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/conditions-that-can-affect-multiple-parts-of-the-body/joint-hypermobility/

  You wont need treatment of your joint hypermobility if doesnt cause any problems. […] But, you may need treatment and support if you have hEDS or HSD. These can cause a wide range of symptoms, including joint pain and digestive problems. […] If youre experiencing symptoms, there are some things you can do yourself that can help. These include: eating a healthy diet and maintaining a healthy weight which can help improve your joint strength, reducing the strain on them; trying to have good sleep routine (sleep hygiene); staying as active as you can, but sticking to low-impact exercises, like swimming, cycling, pilates or tai chi to reduce strain on your joints; wearing comfortable and supportive footwear to support your ankles; using heat or ice can be a helpful pain treatment. […] Physiotherapy can help people with hypermobile joints in many ways. For example, it may help to reduce pain, improve muscle strength and fitness, improve posture, improve your sense of your bodys position and movement (proprioception), correct the movement of individual joints.

• #69 Hypermobility Syndrome: Causes, Symptoms, and Treatment

  https://patient.info/doctor/hypermobility-syndrome-pro

  Occupational therapy may be helpful for participation in activities of daily living and helping with appropriate interventions. […] Sport will be greatly beneficial in the long term but it is important to be sure that the child is fit enough to participate at the level chosen, in the chosen sport. […] Weight management is important, since obesity correlates with increasing pain scores due to the added strain on the joints. […] If mood is low then engagement and motivation are less likely to be positive and this may need to be separately addressed.

• #70 Joint hypermobility | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/conditions-that-can-affect-multiple-parts-of-the-body/joint-hypermobility/

  You wont need treatment of your joint hypermobility if doesnt cause any problems. […] But, you may need treatment and support if you have hEDS or HSD. These can cause a wide range of symptoms, including joint pain and digestive problems. […] If youre experiencing symptoms, there are some things you can do yourself that can help. These include: eating a healthy diet and maintaining a healthy weight which can help improve your joint strength, reducing the strain on them; trying to have good sleep routine (sleep hygiene); staying as active as you can, but sticking to low-impact exercises, like swimming, cycling, pilates or tai chi to reduce strain on your joints; wearing comfortable and supportive footwear to support your ankles; using heat or ice can be a helpful pain treatment. […] Physiotherapy can help people with hypermobile joints in many ways. For example, it may help to reduce pain, improve muscle strength and fitness, improve posture, improve your sense of your bodys position and movement (proprioception), correct the movement of individual joints.

• #71

  https://www.nursingcenter.com/cearticle?an=00587875-202304000-00001&Journal_ID=3402523&Issue_ID=6649307

  One approach suggested by the authors is a multimodal one developed in a practice specializing in hypermobile patients. […] Physical therapy (PT) and/or occupational therapy (OT) must be a priority in rehabilitation for SJH. […] Patient education is a useful tool to reinforce a treatment plan, including knowledge of the neuroscience of pain, placebo versus nocebo effect, catastrophization, kinesiophobia, and environmental modifications. […] Nutrition plays a key role in managing chronic illness, such that a poorly managed diet can contribute to musculoskeletal pain. […] Insufficient sleep plays a unique bidirectional role as both a cause and effect of pain, implying the significance in the role of quality sleep for those with SJH. […] When treating patients with chronic pain and disability, a psychosocial approach can be effective for versatile treatment.

• #72 Benign Hypermobility Joint Syndrome: Symptoms, Causes, Treatment

  https://www.webmd.com/children/benign-hypermobility-joint-syndrome

• #73 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  As an adjunct to exercise, other methods of pain relief include hot packs or cold packs on specific joints. […] Manual therapy including mobilisations of stiff hypermobile joints can be helpful, as can soft tissue massage, trigger point work and myofascial release to alleviate pain associated with muscle spasm. […] Pacing and monitoring of activity is an extremely important part of pain management. […] The idea of pacing is to stop this rise and fall of symptoms by levelling out activities and gradually building them up again. […] Improving trunk stability is often the most appropriate starting point for a rehabilitation programme because efficient trunk stability is required for effective peripheral joint control. […] Motor-skill training is an important part of the rehabilitation process.

• #74 Joint Hypermobility Syndrome Tips – Sports Medicine Review

  https://www.sportsmedreview.com/blog/treatment-joint-hypermobility-syndrome/

  Education, reassurance, closed chain strengthening and core stability exercises are recommended by experts and used frequently by physiotherapists. […] Overall, maintenance of physical fitness is imperative for managing symptoms of JHS, especially activities that are focused on neuromusculoskeletal control; e.g., swimming, Tai Chi, pilates, yoga and dance. […] Occupational therapy focuses on postural biomechanics, the safe completion of functional daily tasks, pacing, and development of a daily schedule. Psychological interventions include strategies to self-manage pain and stress, including relaxation techniques, and the use of coping self-statements to help in times of distress. […] Medication management is often focused on correcting poor sleep latency and providing as-needed relief for breakthrough pain that did not respond to the above nonpharmacologic approaches.

• #75

  https://www.nursingcenter.com/cearticle?an=00587875-202304000-00001&Journal_ID=3402523&Issue_ID=6649307

  One approach suggested by the authors is a multimodal one developed in a practice specializing in hypermobile patients. […] Physical therapy (PT) and/or occupational therapy (OT) must be a priority in rehabilitation for SJH. […] Patient education is a useful tool to reinforce a treatment plan, including knowledge of the neuroscience of pain, placebo versus nocebo effect, catastrophization, kinesiophobia, and environmental modifications. […] Nutrition plays a key role in managing chronic illness, such that a poorly managed diet can contribute to musculoskeletal pain. […] Insufficient sleep plays a unique bidirectional role as both a cause and effect of pain, implying the significance in the role of quality sleep for those with SJH. […] When treating patients with chronic pain and disability, a psychosocial approach can be effective for versatile treatment.

• #76 Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0415/p481.html

  Management of musculoskeletal complaints includes conservative treatments such as physical activity, acetaminophen and nonsteroidal anti-inflammatory drugs, heat and/or cold application, improved ergonomics and posture, relaxation techniques, massage, hydrotherapy, and joint stabilization techniques with bracing and/or taping. […] Educating patients about lifestyle modifications, management options, and expectations is one of the most important interventions. Encouraging the optimization of sleep, joint protection through the proper amount of regular physical exercise (low impact and low resistance), weight control, avoidance of substance use (e.g., alcohol, nicotine), and the consumption of a healthy diet can decrease pain, injuries, and fatigue and support mobility and functionality. Orthostatic intolerance can be lessened by increasing fluids, increasing salt intake, and using compression stockings.

• #77 Joint Hypermobility Syndromes: Assessment and Intervention – Article 5499

  https://www.occupationaltherapy.com/articles/joint-hypermobility-syndromes-assessment-and-5499

  Treatment focuses on orthopedic treatment strategies and adaptation for these individuals. […] One of the main reasons individuals go to the doctor is they have chronic joint or muscular pain, are weak, or feel fatigued because their muscles are working so hard. […] Before getting into each specific age group, I want to talk about general treatment strategies. I provide a lot of education, show them via pictures and video what their postures look like, and help them adapt. […] If the ligaments and joint capsule are not going to provide stability, the muscles that cross over that joint can provide some stability to decrease the stress and pain; thus, one of our primary treatment strategies is strengthening muscles. […] Fabrication of orthosis or external support is sometimes warranted if tape or a softer support system will not work. […] I want the orthosis to provide the least intrusive amount of support or only to be used with specific activity; that is my ideal. […] Pain management is also a big issue with these older kids. I can teach them some pain management techniques, such as distraction, education, and guided imagery.

• #78

  https://www.nursingcenter.com/cearticle?an=00587875-202304000-00001&Journal_ID=3402523&Issue_ID=6649307

  One approach suggested by the authors is a multimodal one developed in a practice specializing in hypermobile patients. […] Physical therapy (PT) and/or occupational therapy (OT) must be a priority in rehabilitation for SJH. […] Patient education is a useful tool to reinforce a treatment plan, including knowledge of the neuroscience of pain, placebo versus nocebo effect, catastrophization, kinesiophobia, and environmental modifications. […] Nutrition plays a key role in managing chronic illness, such that a poorly managed diet can contribute to musculoskeletal pain. […] Insufficient sleep plays a unique bidirectional role as both a cause and effect of pain, implying the significance in the role of quality sleep for those with SJH. […] When treating patients with chronic pain and disability, a psychosocial approach can be effective for versatile treatment.

• #79 Hypermobility Spectrum Disorders (Joint Hypermobility Syndrome)

  https://patient.info/bones-joints-muscles/hypermobility-syndrome-leaflet

  Treatment is aimed at increasing muscle strength and joint resilience without causing injury. […] The first aim of treatment is aimed at strengthening the muscles that need to support the hypermobile joints. This will improve posture, strength and fitness for most children. […] Successfully increasing fitness needs education and moral support, so that children believe in the treatment and will persevere. […] The aim of treatment, whether from a physiotherapist, doctor, PE teacher or sports coach, is to help children treat this condition themselves. […] The aim of supported self-management is to help young people to understand the need to exercise regularly and work through discomfort over time. […] Pain can affect concentration, memory, mood and sleeping. Reassurance is needed that the pain is not harmful, as long as there is no injury, but it’s also important to find ways to help your child manage the pain.

• #80 Hypermobility Spectrum Disorders (Joint Hypermobility Syndrome)

  https://patient.info/bones-joints-muscles/hypermobility-syndrome-leaflet

  Treatment is aimed at increasing muscle strength and joint resilience without causing injury. […] The first aim of treatment is aimed at strengthening the muscles that need to support the hypermobile joints. This will improve posture, strength and fitness for most children. […] Successfully increasing fitness needs education and moral support, so that children believe in the treatment and will persevere. […] The aim of treatment, whether from a physiotherapist, doctor, PE teacher or sports coach, is to help children treat this condition themselves. […] The aim of supported self-management is to help young people to understand the need to exercise regularly and work through discomfort over time. […] Pain can affect concentration, memory, mood and sleeping. Reassurance is needed that the pain is not harmful, as long as there is no injury, but it’s also important to find ways to help your child manage the pain.

• #81 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  A combination of hypermobile joints, reduced proprioception, altered motor control, weak muscles and reduced stamina can profoundly affect gait. […] To correct this, the causes of the abnormalities need to be identified and worked on separately, alongside the hypermobile individual recognizing the abnormalities and trying to correct them. […] Given that proprioception and balance deficits are common in hEDS, techniques related to these problems should be incorporated into fitness and rehabilitation programmes. […] Psychological support can be helpful to enlist the help of a clinical psychologist. […] It is therefore important to incorporate some aerobic fitness work into the rehabilitation programme to improve cardiovascular health and improve energy and stamina. […] If untreated or undiagnosed hEDS may result in the development of a chronic pain cycle and a high level of disability. This will require an intensive rehabilitation programme to manage the symptoms effectively and improve functional capacity. […] It is also important to stress that a self-management-led programme with support from health, sport and exercise professionals is the most appropriate long-term treatment approach.

• #82 Joint hypermobility factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/joint-hypermobility-factsheet

  Joint hypermobility is treated with a program that involves: building strength, conditioning exercise, pain management, management of mental health symptoms like stress and anxiety, management of other related health issues, like digestive problems. […] Children with joint hypermobility need to protect their muscles and joints from injury. They can do this by being supported in safe exercise and having good nutrition. Your child’s treatment team may include: physiotherapists to support exercise and strengthening, dieticians to support nutrition and digestive issues, occupational therapists to support fine motor and self-care skills that can be impacted by muscle issues (for example, handwriting), psychologists to support mental health, gastroenterologists to manage related issues with the digestive system.

• #83 Hypermobility Spectrum Disorders (Joint Hypermobility Syndrome)

  https://patient.info/bones-joints-muscles/hypermobility-syndrome-leaflet

  Treatment is aimed at increasing muscle strength and joint resilience without causing injury. […] The first aim of treatment is aimed at strengthening the muscles that need to support the hypermobile joints. This will improve posture, strength and fitness for most children. […] Successfully increasing fitness needs education and moral support, so that children believe in the treatment and will persevere. […] The aim of treatment, whether from a physiotherapist, doctor, PE teacher or sports coach, is to help children treat this condition themselves. […] The aim of supported self-management is to help young people to understand the need to exercise regularly and work through discomfort over time. […] Pain can affect concentration, memory, mood and sleeping. Reassurance is needed that the pain is not harmful, as long as there is no injury, but it’s also important to find ways to help your child manage the pain.

• #84 Understanding Hypermobility Syndromes | Counseling | Therapy

  https://thecenterforgrowth.com/tips/understanding-hypermobility-syndromes

  Each year, thousands of Americans are diagnosed with hypermobility syndromes, including Ehlers-Danlos syndrome, joint hypermobility syndrome, and Marfan syndrome. […] In large cities like Philadelphia, people with hypermobility syndromes can find a variety of professionals (rheumatologists, pain management specialists, psychotherapists, physical therapists, massage therapists, acupuncturists) to help decrease pain, support joints, and manage the stress of living with a chronic illness. […] Living with a chronic illness can be difficult, especially for those who are newly diagnosed or experiencing a loss of mobility or worsening of symptoms. Having the support of a therapist can help you: Adjust to a recent diagnosis, new limitations, or changing roles in life. Manage chronic pain and fatigue. Decrease anxiety and depression. Grieve the loss of health or physical ability. Adapt to a new identity as chronically ill or disabled. Deal with changes to relationships and friendships.

• #85 Understanding Hypermobility Syndromes | Counseling | Therapy

  https://thecenterforgrowth.com/tips/understanding-hypermobility-syndromes

  Chronic illness therapy can help people with hypermobility syndromes address concerns like anxiety, depression, and pain, while exploring deeper issues of loss, identity, and fears about the future. […] In treating hypermobile clients, therapists often use cognitive-behavioral therapy to teach new coping skills for managing pain, change negative thought patterns that can make the pain experience worse, and decrease focus on chronic pain. […] Therapists can help you use other techniques like guided imagery, mindfulness, and meditation to learn to relax and tune out pain. […] Family or couples therapy may be useful to help the whole family learn how to deal with the stress of illness, pain, and fatigue. […] Support groups can help you connect with other individuals and families living with hypermobility syndromes, and provide a space for empathy, understanding, and community.

• #86 Effective Treatment for Hypermobile Ehlers-Danlos Syndrome | Relief Now

  https://www.reliefnow.com/articles/heds-disease

  By adopting a multidisciplinary approach to treatment and incorporating medication, pain management techniques, physical therapy, and exercise, you can effectively manage your hEDS symptoms and improve your overall well-being. […] The international consortium for EDS recommends utilizing cognitive behavioral therapy (CBT) in EDS patients. CBT has proven efficacy in EDS-related disorders such as anxiety, depression, and fibromyalgia, and can help people with EDS to lead a better quality of life with their untreatable disorder. […] Transcutaneous electrical nerve stimulation (TENS) is a type of pain relief therapy. It uses a low-voltage electrical current to block pain or change your perception of it. This therapy has been shown to have a significant effect on pain reduction for EDS patients.

• #87 Hypermobility: Causes, Treatment

  https://www.gillettechildrens.org/conditions-care/hypermobility

  When you work with specialists at Gillette, you’ll get a hypermobility treatment plan customized for your child. If there are few symptoms, treatment might not be necessary. With more severe symptoms, however, our experts might recommend treatments that include steps to help: […] Here are a few of the treatment types specialists at Gillette might recommend for your child. […] Specialists in physical therapy and occupational therapy might evaluate your child’s gross motor skills. We will also educate patients and families on joint protection, such as avoiding extreme range of motion and stretching safely. Your child’s treatment might include: […] Psychologists can work with your family to develop strategies for managing pain caused by joint hypermobility. These strategies might include relaxation techniques or coping tools for anxiety.

• #88 Understanding Hypermobility Syndromes | Counseling | Therapy

  https://thecenterforgrowth.com/tips/understanding-hypermobility-syndromes

  Chronic illness therapy can help people with hypermobility syndromes address concerns like anxiety, depression, and pain, while exploring deeper issues of loss, identity, and fears about the future. […] In treating hypermobile clients, therapists often use cognitive-behavioral therapy to teach new coping skills for managing pain, change negative thought patterns that can make the pain experience worse, and decrease focus on chronic pain. […] Therapists can help you use other techniques like guided imagery, mindfulness, and meditation to learn to relax and tune out pain. […] Family or couples therapy may be useful to help the whole family learn how to deal with the stress of illness, pain, and fatigue. […] Support groups can help you connect with other individuals and families living with hypermobility syndromes, and provide a space for empathy, understanding, and community.

• #89 Understanding Hypermobility Syndromes | Counseling | Therapy

  https://thecenterforgrowth.com/tips/understanding-hypermobility-syndromes

  Chronic illness therapy can help people with hypermobility syndromes address concerns like anxiety, depression, and pain, while exploring deeper issues of loss, identity, and fears about the future. […] In treating hypermobile clients, therapists often use cognitive-behavioral therapy to teach new coping skills for managing pain, change negative thought patterns that can make the pain experience worse, and decrease focus on chronic pain. […] Therapists can help you use other techniques like guided imagery, mindfulness, and meditation to learn to relax and tune out pain. […] Family or couples therapy may be useful to help the whole family learn how to deal with the stress of illness, pain, and fatigue. […] Support groups can help you connect with other individuals and families living with hypermobility syndromes, and provide a space for empathy, understanding, and community.

• #90 Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0415/p481.html

  More research is needed, but three small studies of a multidisciplinary approach that includes physical, occupational, and cognitive behavior therapy have shown reduced anxiety, depression, catastrophizing, and kinesiophobia (fear of pain due to movement), with improved physical function and self-efficacy in treated patients.

• #91 Joint Hypermobility Syndrome Tips – Sports Medicine Review

  https://www.sportsmedreview.com/blog/treatment-joint-hypermobility-syndrome/

  When pain is persistent and causes distress or limits function, psychological intervention to explore stressors and develop coping strategies for chronic pain, anxiety and related fatigue is helpful. […] Prolotherapy has a history of success treating ligament injuries, including patients with joint hypermobility. […] Surgical interventions are sometimes used. Common operations include tendon transplant or transfer, capsulorrhaphy, arthroscopic surgery and arthroplasty. […] Optimal care requires navigation of the complex array and interplay of associated medical conditions, necessitating multidisciplinary coordinated management. Counseling on diagnosis and expectations with this condition can play an important role in the management of joint hypermobility syndrome.

• #92 Joint hypermobility factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/joint-hypermobility-factsheet

  Joint hypermobility is treated with a program that involves: building strength, conditioning exercise, pain management, management of mental health symptoms like stress and anxiety, management of other related health issues, like digestive problems. […] Children with joint hypermobility need to protect their muscles and joints from injury. They can do this by being supported in safe exercise and having good nutrition. Your child’s treatment team may include: physiotherapists to support exercise and strengthening, dieticians to support nutrition and digestive issues, occupational therapists to support fine motor and self-care skills that can be impacted by muscle issues (for example, handwriting), psychologists to support mental health, gastroenterologists to manage related issues with the digestive system.

• #93 Hypermobility Syndrome (Juvenile)

  https://rheumatology.org/patients/hypermobility-syndrome-juvenile

  Muscle aches and pains occurring after activity, and growing pains may improve with rest and massage. Exercising, building muscle strength, using joint protection steps, and practice ways to improve your balance, like standing on one foot or walking in a straight line may ease symptoms. Physical therapy is helpful for guiding and teaching these techniques. […] Physical therapy and daily exercise can strengthen a childs muscles and stabilize joints. Good posture while standing and sitting, standing with knees slightly bent, avoiding extreme ranges of motion and wearing good shoes with arch supports may help manage symptoms or prevent joint injuries. This may also prevent joint overuse. Children should stay physically active, eat a balanced diet and maintain a healthy weight. Parents can change the childs activity according to pain levels. Over-the-counter NSAIDs (such as Motrin or Aleve) or pain medicines should only be used for occasional pain relief before or after activity or exercise.

• #94 Information on Benign Joint Hypermobility Syndrome — Dr Jeffrey Chaitow

  https://www.jeffchaitowpractice.com.au/benign-joint-hypermobility-syndrome

  Joint hypermobility is treated with a rehabilitation programme of physical strengthening and reconditioning in conjunction with pain management psychological strategies to help children and young people deal with stress and anxiety. People with hypermobile joints, need to protect their joints with healthy muscle maintained through physical fitness. Maintaining movement and great nutrition needs to become priorities in life to minimize injury and disability. […] Physiotherapy with a focus on core and postural muscles helps protect joints and prevent pain symptoms. Because joints support our bodies, individuals who are overweight suffer from increased joint pain, so a healthy diet is important. A published study demonstrated that a 6-8 week physiotherapy exercise program is effective in reducing chronic joint pain by 30-40%.

• #95 Hypermobility Syndrome (Juvenile)

  https://rheumatology.org/patients/hypermobility-syndrome-juvenile

  Muscle aches and pains occurring after activity, and growing pains may improve with rest and massage. Exercising, building muscle strength, using joint protection steps, and practice ways to improve your balance, like standing on one foot or walking in a straight line may ease symptoms. Physical therapy is helpful for guiding and teaching these techniques. […] Physical therapy and daily exercise can strengthen a childs muscles and stabilize joints. Good posture while standing and sitting, standing with knees slightly bent, avoiding extreme ranges of motion and wearing good shoes with arch supports may help manage symptoms or prevent joint injuries. This may also prevent joint overuse. Children should stay physically active, eat a balanced diet and maintain a healthy weight. Parents can change the childs activity according to pain levels. Over-the-counter NSAIDs (such as Motrin or Aleve) or pain medicines should only be used for occasional pain relief before or after activity or exercise.

• #96 Hypermobility Syndrome (Juvenile)

  https://rheumatology.org/patients/hypermobility-syndrome-juvenile

  Muscle aches and pains occurring after activity, and growing pains may improve with rest and massage. Exercising, building muscle strength, using joint protection steps, and practice ways to improve your balance, like standing on one foot or walking in a straight line may ease symptoms. Physical therapy is helpful for guiding and teaching these techniques. […] Physical therapy and daily exercise can strengthen a childs muscles and stabilize joints. Good posture while standing and sitting, standing with knees slightly bent, avoiding extreme ranges of motion and wearing good shoes with arch supports may help manage symptoms or prevent joint injuries. This may also prevent joint overuse. Children should stay physically active, eat a balanced diet and maintain a healthy weight. Parents can change the childs activity according to pain levels. Over-the-counter NSAIDs (such as Motrin or Aleve) or pain medicines should only be used for occasional pain relief before or after activity or exercise.

• #97 Hypermobility Syndrome (Juvenile)

  https://rheumatology.org/patients/hypermobility-syndrome-juvenile

  Muscle aches and pains occurring after activity, and growing pains may improve with rest and massage. Exercising, building muscle strength, using joint protection steps, and practice ways to improve your balance, like standing on one foot or walking in a straight line may ease symptoms. Physical therapy is helpful for guiding and teaching these techniques. […] Physical therapy and daily exercise can strengthen a childs muscles and stabilize joints. Good posture while standing and sitting, standing with knees slightly bent, avoiding extreme ranges of motion and wearing good shoes with arch supports may help manage symptoms or prevent joint injuries. This may also prevent joint overuse. Children should stay physically active, eat a balanced diet and maintain a healthy weight. Parents can change the childs activity according to pain levels. Over-the-counter NSAIDs (such as Motrin or Aleve) or pain medicines should only be used for occasional pain relief before or after activity or exercise.

• #98 Information on Benign Joint Hypermobility Syndrome — Dr Jeffrey Chaitow

  https://www.jeffchaitowpractice.com.au/benign-joint-hypermobility-syndrome

  Management of complex chronic joint pain should include a multidisciplinary approach including physiotherapy and psychology for pain-focused cognitive-behavioural therapy and specialists in musculoskeletal disease. […] Physical activity is important for the health and wellbeing of all children and adolescents, including those with hypermobile joints. Pacing of activity levels both at home and at school is important if children are experiencing pain or fatigue, and some sports may need to be modified or avoided if they cause frequent injuries. Advice about specific sports and physical activities for you/your child should be discussed with your physiotherapist or doctor. Care should be taken with contact sports and trampolines, which should be avoided if the child is hypermobile in their neck. Swimming, pilates, bike riding, walking and other water based activities are excellent activities to increase physical strength and joint stability.

• #99 Information on Benign Joint Hypermobility Syndrome — Dr Jeffrey Chaitow

  https://www.jeffchaitowpractice.com.au/benign-joint-hypermobility-syndrome

  Management of complex chronic joint pain should include a multidisciplinary approach including physiotherapy and psychology for pain-focused cognitive-behavioural therapy and specialists in musculoskeletal disease. […] Physical activity is important for the health and wellbeing of all children and adolescents, including those with hypermobile joints. Pacing of activity levels both at home and at school is important if children are experiencing pain or fatigue, and some sports may need to be modified or avoided if they cause frequent injuries. Advice about specific sports and physical activities for you/your child should be discussed with your physiotherapist or doctor. Care should be taken with contact sports and trampolines, which should be avoided if the child is hypermobile in their neck. Swimming, pilates, bike riding, walking and other water based activities are excellent activities to increase physical strength and joint stability.

• #100 Information on Benign Joint Hypermobility Syndrome — Dr Jeffrey Chaitow

  https://www.jeffchaitowpractice.com.au/benign-joint-hypermobility-syndrome

  Management of complex chronic joint pain should include a multidisciplinary approach including physiotherapy and psychology for pain-focused cognitive-behavioural therapy and specialists in musculoskeletal disease. […] Physical activity is important for the health and wellbeing of all children and adolescents, including those with hypermobile joints. Pacing of activity levels both at home and at school is important if children are experiencing pain or fatigue, and some sports may need to be modified or avoided if they cause frequent injuries. Advice about specific sports and physical activities for you/your child should be discussed with your physiotherapist or doctor. Care should be taken with contact sports and trampolines, which should be avoided if the child is hypermobile in their neck. Swimming, pilates, bike riding, walking and other water based activities are excellent activities to increase physical strength and joint stability.

• #101 Joint hypermobility factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/joint-hypermobility-factsheet

  If your child has joint hypermobility and injured, it may take them longer to heal and build back muscle strength and endurance. Your child’s doctor and physiotherapist will be able to help them recover using treatments like: rest, immobilisation holding a joint in place using a cast, brace, or splint, gentle movement in water, pain management.

• #102 Joint hypermobility factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/joint-hypermobility-factsheet

  If your child has joint hypermobility and injured, it may take them longer to heal and build back muscle strength and endurance. Your child’s doctor and physiotherapist will be able to help them recover using treatments like: rest, immobilisation holding a joint in place using a cast, brace, or splint, gentle movement in water, pain management.

• #103 Joint hypermobility | Causes, symptoms, treatments

  https://versusarthritis.org/about-arthritis/conditions/joint-hypermobility/

  Whether your diagnosis is HSD or hEDS they can both cause the same number of problems and be managed in the same way. […] While there is no cure for HSD or hEDS, treatment can ensure your joints are better protected and can lessen the impact of your symptoms. […] The main treatment for HSD or hEDS is improving muscle strength and fitness, so your joints are better protected. […] Physical therapy can reduce pain, improve your strength, fitness and balance which will help reduce the risk of dislocations. […] Hydrotherapy can also help strengthen your joints. […] You may be referred to a physiotherapist, occupational therapist or podiatrist for specialist advice. […] Painkillers such as paracetamol can help ease your joint pain. […] If you find your pain isnt being controlled by these options your GP may be able to prescribe stronger painkillers. […] If your pain is not getting better your doctor may refer you to a pain clinic. […] Surgery on your joints is not normally recommended if you have hypermobility. […] Complementary treatments such as acupuncture can be useful.

• #104 What is Hypermobility Syndrome and How is It Treated? | Watsonia Podiatry

  https://watsoniapodiatry.com.au/hypermobility-and-how-it-affects-you/

  Medications can be used as part of the treatment plan for people with hypermobility syndrome (HMS) to help reduce pain and inflammation and improve joint function. […] Assistive devices can help to support and protect the joints and prevent further joint injuries. […] In some cases, surgery may be necessary particularly when a joint has been damaged and is causing chronic pain or instability. […] People with HMS should avoid activities that put excessive stress on their joints and maintain a healthy weight, this can help to reduce the risk of joint damage and improve overall joint health.

• #105 Ehlers-Danlos syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/ehlers-danlos-syndrome/diagnosis-treatment/drc-20362149

  There is no cure for Ehlers-Danlos syndrome, but treatment can help you manage your symptoms and prevent further complications. […] Your doctor may prescribe drugs to help you control: […] Pain. Over-the-counter pain relievers such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) are the mainstay of treatment. Stronger medications are only prescribed for acute injuries. […] Blood pressure. Because blood vessels are more fragile in some types of Ehlers-Danlos syndrome, your doctor may want to reduce the stress on the vessels by keeping your blood pressure low. […] Exercises to strengthen the muscles and stabilize joints are the primary treatment for Ehlers-Danlos syndrome. Your physical therapist might also recommend specific braces to help prevent joint dislocations. […] Surgery may be recommended to repair joints damaged by repeated dislocations, or to repair ruptured areas in blood vessels and organs. However, the surgical wounds may not heal properly because the stitches may tear through the fragile tissues.

• #106 Ehlers-Danlos syndrome – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/ehlers-danlos-syndrome/diagnosis-treatment/drc-20362149

  There is no cure for Ehlers-Danlos syndrome, but treatment can help you manage your symptoms and prevent further complications. […] Your doctor may prescribe drugs to help you control: […] Pain. Over-the-counter pain relievers such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) are the mainstay of treatment. Stronger medications are only prescribed for acute injuries. […] Blood pressure. Because blood vessels are more fragile in some types of Ehlers-Danlos syndrome, your doctor may want to reduce the stress on the vessels by keeping your blood pressure low. […] Exercises to strengthen the muscles and stabilize joints are the primary treatment for Ehlers-Danlos syndrome. Your physical therapist might also recommend specific braces to help prevent joint dislocations. […] Surgery may be recommended to repair joints damaged by repeated dislocations, or to repair ruptured areas in blood vessels and organs. However, the surgical wounds may not heal properly because the stitches may tear through the fragile tissues.

• #107 Clinical management of benign joint hypermobility syndrome: a case series

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7250515/

  Patients should be provided realistic expectations since their recovery and healing is often slower than in their non-hypermobile counterparts by the time required to improve joint proprioception and strength. […] The goal of management shifted to the protection of the joints by emphasizing an active exercise program to increase endurance and strength. […] It may seem paradoxical to apply manipulation, a treatment intended to impart mobility to articulations, in patients with BJHS. However, joint dysfunctions were detected and treated with manipulation in the cases described above. […] Prolotherapy is an alternative therapy, not explored in the three cases presented, which can be considered if conservative therapy has been exhausted. Prolotherapy consists of the injection of growth factors or growth factor stimulators that cause a brief inflammatory response, thus causing increased cellular activity that generates new collagen and extra-cellular matrix. This process increases connective tissue strength and has demonstrated potential to aid symptoms from BJHS. […] A case series cannot draw conclusions about efficacy nor effectiveness of the treatment interventions as presented herein. However, a case series can be hypothesis generating, and future research may illuminate best practice in the management of BJHS patients.

• #108 What is Hypermobility Syndrome and How is It Treated? | Watsonia Podiatry

  https://watsoniapodiatry.com.au/hypermobility-and-how-it-affects-you/

  Medications can be used as part of the treatment plan for people with hypermobility syndrome (HMS) to help reduce pain and inflammation and improve joint function. […] Assistive devices can help to support and protect the joints and prevent further joint injuries. […] In some cases, surgery may be necessary particularly when a joint has been damaged and is causing chronic pain or instability. […] People with HMS should avoid activities that put excessive stress on their joints and maintain a healthy weight, this can help to reduce the risk of joint damage and improve overall joint health.

• #109 Joint Hypermobility Syndrome Tips – Sports Medicine Review

  https://www.sportsmedreview.com/blog/treatment-joint-hypermobility-syndrome/

  When pain is persistent and causes distress or limits function, psychological intervention to explore stressors and develop coping strategies for chronic pain, anxiety and related fatigue is helpful. […] Prolotherapy has a history of success treating ligament injuries, including patients with joint hypermobility. […] Surgical interventions are sometimes used. Common operations include tendon transplant or transfer, capsulorrhaphy, arthroscopic surgery and arthroplasty. […] Optimal care requires navigation of the complex array and interplay of associated medical conditions, necessitating multidisciplinary coordinated management. Counseling on diagnosis and expectations with this condition can play an important role in the management of joint hypermobility syndrome.

• #110 Genetics of Ehlers-Danlos Syndrome Treatment & Management: Medical Care, Surgical Care, Consultations

  https://emedicine.medscape.com/article/943567-treatment

  The correct diagnosis for patients with Ehlers-Danlos syndrome (EDS) is critical and must be determined, if possible. […] Monitor patients for scoliosis. Instruct them to avoid excessive or repetitive lifting and other activities that produce undue strain or stress on their already hypermobile joints. Recommend low-resistance exercise to help increase muscle tone and stabilize loose joints. Physical therapy guided by a therapist who is experienced in working with patients with connective-tissue abnormalities and joint dysfunction can be very helpful in the management of long-term health. […] High-dose (1-4 g/d) ascorbic acid (vitamin C) therapy has been tried and, in theory, has a potential effect. […] A study by Larson et al indicated that patients with hypermobility-type EDS suffering from femoroacetabular impingement (FAI) and extreme capsular laxity (soft-tissue hip instability) can be effectively treated with capsular plication, arthroscopic correction of FAI, and labral preservation, without the occurrence of iatrogenic dislocations.

• #111 Hypermobility Spectrum Disorders (Joint Hypermobility Syndrome)

  https://patient.info/bones-joints-muscles/hypermobility-syndrome-leaflet

  Treatment is aimed at increasing muscle strength and joint resilience without causing injury. […] The first aim of treatment is aimed at strengthening the muscles that need to support the hypermobile joints. This will improve posture, strength and fitness for most children. […] Successfully increasing fitness needs education and moral support, so that children believe in the treatment and will persevere. […] The aim of treatment, whether from a physiotherapist, doctor, PE teacher or sports coach, is to help children treat this condition themselves. […] The aim of supported self-management is to help young people to understand the need to exercise regularly and work through discomfort over time. […] Pain can affect concentration, memory, mood and sleeping. Reassurance is needed that the pain is not harmful, as long as there is no injury, but it’s also important to find ways to help your child manage the pain.

• #112 Joint hypermobility | Causes, symptoms, treatments

  https://versusarthritis.org/about-arthritis/conditions/joint-hypermobility/

  Whether your diagnosis is HSD or hEDS they can both cause the same number of problems and be managed in the same way. […] While there is no cure for HSD or hEDS, treatment can ensure your joints are better protected and can lessen the impact of your symptoms. […] The main treatment for HSD or hEDS is improving muscle strength and fitness, so your joints are better protected. […] Physical therapy can reduce pain, improve your strength, fitness and balance which will help reduce the risk of dislocations. […] Hydrotherapy can also help strengthen your joints. […] You may be referred to a physiotherapist, occupational therapist or podiatrist for specialist advice. […] Painkillers such as paracetamol can help ease your joint pain. […] If you find your pain isnt being controlled by these options your GP may be able to prescribe stronger painkillers. […] If your pain is not getting better your doctor may refer you to a pain clinic. […] Surgery on your joints is not normally recommended if you have hypermobility. […] Complementary treatments such as acupuncture can be useful.

• #113

  https://lotusptny.com/blog/ehlers-danlos-syndrome-physical-therapy-managing-joint-instability

  Physical therapy plays a crucial role in managing joint instability associated with Ehlers-Danlos Syndrome (EDS). By focusing on strengthening muscles, improving joint mobility, and enhancing overall stability, therapists can significantly alleviate symptoms and improve quality of life for patients with EDS. […] Strengthening exercises are fundamental in EDS management, aiming to build muscle strength around unstable joints. Therapists design customized exercise programs tailored to individual needs and capabilities, focusing on muscle groups that support vulnerable joints. […] Educating patients on joint protection techniques is essential to prevent injuries and reduce joint stress. […] Manual therapy techniques, such as soft tissue mobilization and joint mobilization, are beneficial for improving joint range of motion and reducing pain in individuals with EDS.

• #114 Benign Hypermobility Joint Syndrome: Symptoms, Causes, Treatment

  https://www.webmd.com/children/benign-hypermobility-joint-syndrome

• #115 Physical therapy for hypermobility

  https://www.ehlers-danlos.org/information/physical-therapy-for-hypermobility/

  As an adjunct to exercise, other methods of pain relief include hot packs or cold packs on specific joints. […] Manual therapy including mobilisations of stiff hypermobile joints can be helpful, as can soft tissue massage, trigger point work and myofascial release to alleviate pain associated with muscle spasm. […] Pacing and monitoring of activity is an extremely important part of pain management. […] The idea of pacing is to stop this rise and fall of symptoms by levelling out activities and gradually building them up again. […] Improving trunk stability is often the most appropriate starting point for a rehabilitation programme because efficient trunk stability is required for effective peripheral joint control. […] Motor-skill training is an important part of the rehabilitation process.

• #116

  https://www.nursingcenter.com/cearticle?an=00587875-202304000-00001&Journal_ID=3402523&Issue_ID=6649307

  One approach suggested by the authors is a multimodal one developed in a practice specializing in hypermobile patients. […] Physical therapy (PT) and/or occupational therapy (OT) must be a priority in rehabilitation for SJH. […] Patient education is a useful tool to reinforce a treatment plan, including knowledge of the neuroscience of pain, placebo versus nocebo effect, catastrophization, kinesiophobia, and environmental modifications. […] Nutrition plays a key role in managing chronic illness, such that a poorly managed diet can contribute to musculoskeletal pain. […] Insufficient sleep plays a unique bidirectional role as both a cause and effect of pain, implying the significance in the role of quality sleep for those with SJH. […] When treating patients with chronic pain and disability, a psychosocial approach can be effective for versatile treatment.

• #117 Joint hypermobility | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/muscle-bone-and-joints/conditions-that-can-affect-multiple-parts-of-the-body/joint-hypermobility/

  You wont need treatment of your joint hypermobility if doesnt cause any problems. […] But, you may need treatment and support if you have hEDS or HSD. These can cause a wide range of symptoms, including joint pain and digestive problems. […] If youre experiencing symptoms, there are some things you can do yourself that can help. These include: eating a healthy diet and maintaining a healthy weight which can help improve your joint strength, reducing the strain on them; trying to have good sleep routine (sleep hygiene); staying as active as you can, but sticking to low-impact exercises, like swimming, cycling, pilates or tai chi to reduce strain on your joints; wearing comfortable and supportive footwear to support your ankles; using heat or ice can be a helpful pain treatment. […] Physiotherapy can help people with hypermobile joints in many ways. For example, it may help to reduce pain, improve muscle strength and fitness, improve posture, improve your sense of your bodys position and movement (proprioception), correct the movement of individual joints.

• #118 Pain management | The HMSA

  https://www.hypermobility.org/pain-management

  Pain is a common part of hypermobility syndromes, and can vary a lot between individuals. […] Below are some suggestions that may help you manage some of your hypermobility related pain. […] Take strong enough analgesia to relieve pain and muscle spasm. Non steroidal anti-inflammatory drugs can be very effective, as long as you do not suffer from stomach ulcers as well. […] Antidepressants can be effective for their muscle relaxant property and can promote good sleep. […] For very severe, painful episodes, hydrocortisone injections and intensive physiotherapy, in the first 24 hours may be necessary. […] Daily sessions of muscle relaxation should help. […] Performing self mobilisation techniques. These must be smooth and rhythmic. […] Magnet Plasters and bracelets help relieve pain for some people.

• #119

  https://lotusptny.com/blog/ehlers-danlos-syndrome-physical-therapy-managing-joint-instability

  Postural imbalances contribute to joint instability and chronic pain in EDS patients. […] Improving balance and coordination is crucial for managing proprioceptive deficits common in EDS. […] Regular, low-impact exercise plays a crucial role in managing joint hypermobility. […] Making ergonomic adjustments at home and work environments can significantly alleviate joint strain. […] Maintaining a balanced diet rich in nutrients that support joint health is crucial. […] Effective stress management techniques, such as yoga, meditation, or deep breathing exercises, help reduce muscle tension and improve relaxation. […] Managing joint instability associated with Ehlers-Danlos Syndrome (EDS) requires a multifaceted approach that includes targeted physical therapy interventions. […] At Lotus Physical Therapy for Women, PLLC, we specialize in empowering individuals with EDS to improve joint function, enhance stability, and reduce pain through personalized care and evidence-based treatments.

• #120 Hypermobility Syndrome: Causes, Symptoms, and Treatment

  https://patient.info/doctor/hypermobility-syndrome-pro

  Occupational therapy may be helpful for participation in activities of daily living and helping with appropriate interventions. […] Sport will be greatly beneficial in the long term but it is important to be sure that the child is fit enough to participate at the level chosen, in the chosen sport. […] Weight management is important, since obesity correlates with increasing pain scores due to the added strain on the joints. […] If mood is low then engagement and motivation are less likely to be positive and this may need to be separately addressed.

• #121 Pain management | The HMSA

  https://www.hypermobility.org/pain-management

  Pain is a common part of hypermobility syndromes, and can vary a lot between individuals. […] Below are some suggestions that may help you manage some of your hypermobility related pain. […] Take strong enough analgesia to relieve pain and muscle spasm. Non steroidal anti-inflammatory drugs can be very effective, as long as you do not suffer from stomach ulcers as well. […] Antidepressants can be effective for their muscle relaxant property and can promote good sleep. […] For very severe, painful episodes, hydrocortisone injections and intensive physiotherapy, in the first 24 hours may be necessary. […] Daily sessions of muscle relaxation should help. […] Performing self mobilisation techniques. These must be smooth and rhythmic. […] Magnet Plasters and bracelets help relieve pain for some people.

• #122 Physical Therapy – The Ehlers Danlos Society

  https://www.ehlers-danlos.com/physical-therapy/

  Physical therapists (also called physiotherapists or PTs) can help people with the Ehlers-Danlos syndromes (EDS) and hypermobility spectrum disorders (HSD) in many ways, depending on the type of pain and other symptoms they have. […] A physical therapist can: Prescribe appropriate exercises to reduce pain associated with joint instability, muscle spasms, strains, and sprains […] Apply gentle manual therapy to reduce pain and help with joint instability. […] A physical therapist can also suggest other helpful pain management strategies, such as: Heat, Ice, Electrotherapy (such as TENS), Supportive taping, Braces and splints, Mobility aids, Laser therapy, Ultrasound, Dry needling. […] Exercise is important for people with EDS and HSD because it improves muscle strength, which helps stabilize hypermobile joints.

• #123

  https://www.hingehealth.com/resources/articles/joint-hypermobility/

  You dont have to avoid movement just find what works best for you. If high-impact activities like running or jumping feel uncomfortable, lower-impact options like Pilates, swimming, or strength training can help you stay active while keeping your joints supported. […] Paying attention to how your body feels during movement and making little modifications can make daily activities more comfortable. […] Sometimes, a little extra support can go a long way. Braces, compression sleeves, or kinesiology tape can help you feel more stable and aware of your movements, especially during activities that challenge your joints. These tools can offer temporary support when you need it while you work on increasing strength in the areas around your hypermobile joints, says Dr. Govani.

• #124 Pain management | The HMSA

  https://www.hypermobility.org/pain-management

  Pain is a common part of hypermobility syndromes, and can vary a lot between individuals. […] Below are some suggestions that may help you manage some of your hypermobility related pain. […] Take strong enough analgesia to relieve pain and muscle spasm. Non steroidal anti-inflammatory drugs can be very effective, as long as you do not suffer from stomach ulcers as well. […] Antidepressants can be effective for their muscle relaxant property and can promote good sleep. […] For very severe, painful episodes, hydrocortisone injections and intensive physiotherapy, in the first 24 hours may be necessary. […] Daily sessions of muscle relaxation should help. […] Performing self mobilisation techniques. These must be smooth and rhythmic. […] Magnet Plasters and bracelets help relieve pain for some people.

• #125 Pain management | The HMSA

  https://www.hypermobility.org/pain-management

  TENS units are useful for pain relief in many areas. […] Even if the person with hypermobile joints is pain free and leads a normal life, it is essential that full movement through their joint range is maintained. […] Daily stretches are of paramount importance. […] Isometric / static strengthening exercises should be done to stabilise the joints. […] Have a daily programme of management; pace your activities, avoid repetitive tasks and fixed positions. […] Splints, clasps and supports can help to provide relief for elbows, knees etc. […] There may be a need to support the flat foot with insoles and a referral to a podiatrist or physiotherapist may be indicated.

• #126

  https://www.hingehealth.com/resources/articles/joint-hypermobility/

  You dont have to avoid movement just find what works best for you. If high-impact activities like running or jumping feel uncomfortable, lower-impact options like Pilates, swimming, or strength training can help you stay active while keeping your joints supported. […] Paying attention to how your body feels during movement and making little modifications can make daily activities more comfortable. […] Sometimes, a little extra support can go a long way. Braces, compression sleeves, or kinesiology tape can help you feel more stable and aware of your movements, especially during activities that challenge your joints. These tools can offer temporary support when you need it while you work on increasing strength in the areas around your hypermobile joints, says Dr. Govani.

• #127 Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0415/p481.html

  The central goals of therapy are managing symptoms, preventing joint injury, and educating patients about their condition. Based on limited evidence, patients with hypermobile EDS/hypermobility spectrum disorders may benefit from physical and occupational therapy, psychological support, and self-management. […] Treatment strategies are diverse because of the many different systems that may be involved. Patients with hypermobile EDS can benefit from a multidisciplinary team that includes physicians, nursing staff, physical therapists, occupational therapists, orthotists, nutritionists and/or lifestyle coaches, psychologists, and community and online support. Specialty care can help in the management of skin, joint, cardiovascular, and gastrointestinal complications and chronic pain. Family physicians play a key role in overseeing and coordinating the complex care that many patients with hypermobile EDS require.

• #128 Joint Hypermobility Syndrome Tips – Sports Medicine Review

  https://www.sportsmedreview.com/blog/treatment-joint-hypermobility-syndrome/

  When pain is persistent and causes distress or limits function, psychological intervention to explore stressors and develop coping strategies for chronic pain, anxiety and related fatigue is helpful. […] Prolotherapy has a history of success treating ligament injuries, including patients with joint hypermobility. […] Surgical interventions are sometimes used. Common operations include tendon transplant or transfer, capsulorrhaphy, arthroscopic surgery and arthroplasty. […] Optimal care requires navigation of the complex array and interplay of associated medical conditions, necessitating multidisciplinary coordinated management. Counseling on diagnosis and expectations with this condition can play an important role in the management of joint hypermobility syndrome.

• #129 Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0415/p481.html

  The central goals of therapy are managing symptoms, preventing joint injury, and educating patients about their condition. Based on limited evidence, patients with hypermobile EDS/hypermobility spectrum disorders may benefit from physical and occupational therapy, psychological support, and self-management. […] Treatment strategies are diverse because of the many different systems that may be involved. Patients with hypermobile EDS can benefit from a multidisciplinary team that includes physicians, nursing staff, physical therapists, occupational therapists, orthotists, nutritionists and/or lifestyle coaches, psychologists, and community and online support. Specialty care can help in the management of skin, joint, cardiovascular, and gastrointestinal complications and chronic pain. Family physicians play a key role in overseeing and coordinating the complex care that many patients with hypermobile EDS require.

• #130 Effective Treatment for Hypermobile Ehlers-Danlos Syndrome | Relief Now

  https://www.reliefnow.com/articles/heds-disease

  Always consult your doctor before starting a new treatment or exercise routine. […] If you have been diagnosed with hEDS, there are various treatment options available to help manage your symptoms and improve your quality of life. It’s important to approach treatment from a multidisciplinary perspective, addressing both the physical and emotional aspects of the condition. Treatment for hEDS typically involves a combination of medication and pain management, as well as physical therapy and exercise. […] Managing hEDS often requires a multidisciplinary approach, involving primary care physician, rheumatologist, orthopedic specialist, physical therapist, pain management specialist, and mental health professional. Collaborating with these experts ensures a comprehensive and personalized treatment plan that targets your specific needs.

• #131 Joint hypermobility factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/joint-hypermobility-factsheet

  Joint hypermobility is treated with a program that involves: building strength, conditioning exercise, pain management, management of mental health symptoms like stress and anxiety, management of other related health issues, like digestive problems. […] Children with joint hypermobility need to protect their muscles and joints from injury. They can do this by being supported in safe exercise and having good nutrition. Your child’s treatment team may include: physiotherapists to support exercise and strengthening, dieticians to support nutrition and digestive issues, occupational therapists to support fine motor and self-care skills that can be impacted by muscle issues (for example, handwriting), psychologists to support mental health, gastroenterologists to manage related issues with the digestive system.

• #132 Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0415/p481.html

  The central goals of therapy are managing symptoms, preventing joint injury, and educating patients about their condition. Based on limited evidence, patients with hypermobile EDS/hypermobility spectrum disorders may benefit from physical and occupational therapy, psychological support, and self-management. […] Treatment strategies are diverse because of the many different systems that may be involved. Patients with hypermobile EDS can benefit from a multidisciplinary team that includes physicians, nursing staff, physical therapists, occupational therapists, orthotists, nutritionists and/or lifestyle coaches, psychologists, and community and online support. Specialty care can help in the management of skin, joint, cardiovascular, and gastrointestinal complications and chronic pain. Family physicians play a key role in overseeing and coordinating the complex care that many patients with hypermobile EDS require.

• #133 Hypermobile Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders | AAFP

  https://www.aafp.org/pubs/afp/issues/2021/0415/p481.html

  More research is needed, but three small studies of a multidisciplinary approach that includes physical, occupational, and cognitive behavior therapy have shown reduced anxiety, depression, catastrophizing, and kinesiophobia (fear of pain due to movement), with improved physical function and self-efficacy in treated patients.

• #134 Joint hypermobility factsheet | The Sydney Children’s Hospitals Network

  https://www.schn.health.nsw.gov.au/joint-hypermobility-factsheet

  Joint hypermobility is treated with a program that involves: building strength, conditioning exercise, pain management, management of mental health symptoms like stress and anxiety, management of other related health issues, like digestive problems. […] Children with joint hypermobility need to protect their muscles and joints from injury. They can do this by being supported in safe exercise and having good nutrition. Your child’s treatment team may include: physiotherapists to support exercise and strengthening, dieticians to support nutrition and digestive issues, occupational therapists to support fine motor and self-care skills that can be impacted by muscle issues (for example, handwriting), psychologists to support mental health, gastroenterologists to manage related issues with the digestive system.

• #135 Joint Hypermobility Syndrome Tips – Sports Medicine Review

  https://www.sportsmedreview.com/blog/treatment-joint-hypermobility-syndrome/

  When pain is persistent and causes distress or limits function, psychological intervention to explore stressors and develop coping strategies for chronic pain, anxiety and related fatigue is helpful. […] Prolotherapy has a history of success treating ligament injuries, including patients with joint hypermobility. […] Surgical interventions are sometimes used. Common operations include tendon transplant or transfer, capsulorrhaphy, arthroscopic surgery and arthroplasty. […] Optimal care requires navigation of the complex array and interplay of associated medical conditions, necessitating multidisciplinary coordinated management. Counseling on diagnosis and expectations with this condition can play an important role in the management of joint hypermobility syndrome.

• #136 Joint Hypermobility Syndrome Tips – Sports Medicine Review

  https://www.sportsmedreview.com/blog/treatment-joint-hypermobility-syndrome/

  When pain is persistent and causes distress or limits function, psychological intervention to explore stressors and develop coping strategies for chronic pain, anxiety and related fatigue is helpful. […] Prolotherapy has a history of success treating ligament injuries, including patients with joint hypermobility. […] Surgical interventions are sometimes used. Common operations include tendon transplant or transfer, capsulorrhaphy, arthroscopic surgery and arthroplasty. […] Optimal care requires navigation of the complex array and interplay of associated medical conditions, necessitating multidisciplinary coordinated management. Counseling on diagnosis and expectations with this condition can play an important role in the management of joint hypermobility syndrome.

• #137 The evidence-based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos syndrome – PubMed

  https://pubmed.ncbi.nlm.nih.gov/28306230/

  New insights into the phenotype of Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome-hypermobile type (hEDS) have raised many issues in relation to classification, diagnosis, assessment, and treatment. […] Within the multidisciplinary team, physical therapy plays a central role in management of individuals with hypermobility related disorders. […] The current evidence-based literature regarding the management of JHS/hEDS is limited in size and quality and there is insufficient research exploring the clinical outcomes of a number of interventions. […] Until further multicenter trials are conducted, clinical decision-making should be based on theoretical and the current limited research evidence. […] For all individuals diagnosed with JHS/hEDS, international consensus and combined efforts to identify risk profiles would create a better understanding of the pathological mechanisms and the potential for optimizing health care for affected individuals.

• #138 The evidence-based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos syndrome – PubMed

  https://pubmed.ncbi.nlm.nih.gov/28306230/

  New insights into the phenotype of Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome-hypermobile type (hEDS) have raised many issues in relation to classification, diagnosis, assessment, and treatment. […] Within the multidisciplinary team, physical therapy plays a central role in management of individuals with hypermobility related disorders. […] The current evidence-based literature regarding the management of JHS/hEDS is limited in size and quality and there is insufficient research exploring the clinical outcomes of a number of interventions. […] Until further multicenter trials are conducted, clinical decision-making should be based on theoretical and the current limited research evidence. […] For all individuals diagnosed with JHS/hEDS, international consensus and combined efforts to identify risk profiles would create a better understanding of the pathological mechanisms and the potential for optimizing health care for affected individuals.

• #139 The evidence-based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos syndrome – PubMed

  https://pubmed.ncbi.nlm.nih.gov/28306230/

  New insights into the phenotype of Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome-hypermobile type (hEDS) have raised many issues in relation to classification, diagnosis, assessment, and treatment. […] Within the multidisciplinary team, physical therapy plays a central role in management of individuals with hypermobility related disorders. […] The current evidence-based literature regarding the management of JHS/hEDS is limited in size and quality and there is insufficient research exploring the clinical outcomes of a number of interventions. […] Until further multicenter trials are conducted, clinical decision-making should be based on theoretical and the current limited research evidence. […] For all individuals diagnosed with JHS/hEDS, international consensus and combined efforts to identify risk profiles would create a better understanding of the pathological mechanisms and the potential for optimizing health care for affected individuals.

• #140 Clinical management of benign joint hypermobility syndrome: a case series

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7250515/

  Patients should be provided realistic expectations since their recovery and healing is often slower than in their non-hypermobile counterparts by the time required to improve joint proprioception and strength. […] The goal of management shifted to the protection of the joints by emphasizing an active exercise program to increase endurance and strength. […] It may seem paradoxical to apply manipulation, a treatment intended to impart mobility to articulations, in patients with BJHS. However, joint dysfunctions were detected and treated with manipulation in the cases described above. […] Prolotherapy is an alternative therapy, not explored in the three cases presented, which can be considered if conservative therapy has been exhausted. Prolotherapy consists of the injection of growth factors or growth factor stimulators that cause a brief inflammatory response, thus causing increased cellular activity that generates new collagen and extra-cellular matrix. This process increases connective tissue strength and has demonstrated potential to aid symptoms from BJHS. […] A case series cannot draw conclusions about efficacy nor effectiveness of the treatment interventions as presented herein. However, a case series can be hypothesis generating, and future research may illuminate best practice in the management of BJHS patients.

• #141 Clinical management of benign joint hypermobility syndrome: a case series

  https://pmc.ncbi.nlm.nih.gov/articles/PMC7250515/

  Patients should be provided realistic expectations since their recovery and healing is often slower than in their non-hypermobile counterparts by the time required to improve joint proprioception and strength. […] The goal of management shifted to the protection of the joints by emphasizing an active exercise program to increase endurance and strength. […] It may seem paradoxical to apply manipulation, a treatment intended to impart mobility to articulations, in patients with BJHS. However, joint dysfunctions were detected and treated with manipulation in the cases described above. […] Prolotherapy is an alternative therapy, not explored in the three cases presented, which can be considered if conservative therapy has been exhausted. Prolotherapy consists of the injection of growth factors or growth factor stimulators that cause a brief inflammatory response, thus causing increased cellular activity that generates new collagen and extra-cellular matrix. This process increases connective tissue strength and has demonstrated potential to aid symptoms from BJHS. […] A case series cannot draw conclusions about efficacy nor effectiveness of the treatment interventions as presented herein. However, a case series can be hypothesis generating, and future research may illuminate best practice in the management of BJHS patients.

• #142 The evidence-based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos syndrome – PubMed

  https://pubmed.ncbi.nlm.nih.gov/28306230/

  New insights into the phenotype of Joint Hypermobility Syndrome (JHS) and Ehlers-Danlos Syndrome-hypermobile type (hEDS) have raised many issues in relation to classification, diagnosis, assessment, and treatment. […] Within the multidisciplinary team, physical therapy plays a central role in management of individuals with hypermobility related disorders. […] The current evidence-based literature regarding the management of JHS/hEDS is limited in size and quality and there is insufficient research exploring the clinical outcomes of a number of interventions. […] Until further multicenter trials are conducted, clinical decision-making should be based on theoretical and the current limited research evidence. […] For all individuals diagnosed with JHS/hEDS, international consensus and combined efforts to identify risk profiles would create a better understanding of the pathological mechanisms and the potential for optimizing health care for affected individuals.

• #143 What is HSD? – The Ehlers Danlos Society

  https://www.ehlers-danlos.com/what-is-hsd/

  How is HSD managed? The hypermobility spectrum disorders can cause a variety of symptoms in different areas of the body. Therefore, people with HSD may require multiple providers in different specialties to manage their care. There are no disease-specific treatments for HSD, so HSD is managed by managing each individual’s symptoms. People with HSD may have very different symptoms and respond differently to different management strategies. Each person should work with their care team to develop a care plan that meets their individual needs. […] At present, the principles and types of management are the same for both HSD and hEDS. Both conditions need awareness, recognition, validation, and care. It is fundamentally important that clinicians worldwide know that there are management strategies for both HSD and EDS that can improve the lives of people living with these conditions.

• #144 What is HSD? – The Ehlers Danlos Society

  https://www.ehlers-danlos.com/what-is-hsd/

  How is HSD managed? The hypermobility spectrum disorders can cause a variety of symptoms in different areas of the body. Therefore, people with HSD may require multiple providers in different specialties to manage their care. There are no disease-specific treatments for HSD, so HSD is managed by managing each individual’s symptoms. People with HSD may have very different symptoms and respond differently to different management strategies. Each person should work with their care team to develop a care plan that meets their individual needs. […] At present, the principles and types of management are the same for both HSD and hEDS. Both conditions need awareness, recognition, validation, and care. It is fundamentally important that clinicians worldwide know that there are management strategies for both HSD and EDS that can improve the lives of people living with these conditions.

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