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Hypermobility Spectrum Disorder

Understanding Joint Hypermobility: Impact on Activities, Injuries, and Physical Therapy

Joint hypermobility, while often seen as an advantage in activities like yoga, gymnastics, or dance, can cause significant challenges and pain for some individuals. In this article, we’ll explore what joint hypermobility and Hypermobility Spectrum Disorder (HSD) are, their effects on daily life, and how physical therapy can help.

What is Joint Hypermobility and Hypermobility Spectrum Disorder?

Joints are places where bones meet and allow for movement in the body, such as the knee or shoulder. Some people are born with greater joint motion than expected, and if this affects most of the body’s joints and causes pain or dysfunction, it may qualify as a disorder, known as Hypermobility Spectrum Disorder (HSD). HSD is a common body type, affecting women more often than men. This disorder may have genetic or hereditary components and can be a symptom of conditions such as Marfan syndrome, Ehlers-Danlos syndrome, or Down syndrome. However, a person can present with hypermobility without these syndromes or a family history of the condition.

Common Symptoms and Challenges of Hypermobile Joints

People with HSD often experience symptoms like muscle pain and tension, joint pain, subluxation (partial separation of a joint), and dislocation (complete separation of a joint). These issues can make normal activities more painful or difficult than expected. Symptoms can occur in the neck, shoulder, ribs, hips, or patella (kneecap). It may also be hard to sustain postures for long periods or engage in high-impact activities like running or high-intensity interval training (HIIT).

How Does Joint Hypermobility Impact Daily Life and Physical Activity?

Babies and children tend to be more flexible than adults, but for those with HSD, this condition lasts into adulthood. People with hypermobility often find that they are very flexible or “bendy,” which may help them excel in activities like dancing or gymnastics. However, as they age, they may notice increased pain or injury, especially in joints that are regularly overstretched or overused.

The Role of Physical Therapy in Managing Hypermobile Joints

Physical therapy can be an effective way to manage the symptoms of hypermobility. A physical therapist can assess whether tightness in the body is due to muscular tightness or joint stiffness and help individuals with HSD learn how to exercise safely. Strengthening muscles around the joints can provide stability, reducing the risk of injury or pain. Stretching is often not recommended for hypermobile joints, as it can worsen symptoms by overstretching the joints further. Instead, therapy focuses on controlled movements and building strength where muscles may be weaker than they should be.

Hypermobile woman doing medicine ball exercise

Exercises and Treatment Options for HSD

Physical therapy treatment may include exercises that target muscle strength and joint stability, as well as using orthoses or braces to support unstable joints. Taping can also provide extra support, and therapists might recommend using ice or heat to manage discomfort. While manual therapies like massage can help reduce pain initially, the goal is often for patients to learn how to manage their symptoms independently and use physical therapy as needed.

Most physical therapists prefer to focus on one area of the body at a time, helping patients learn how to manage their symptoms without feeling overwhelmed. Over time, a physical therapist can help develop a safe, long-term exercise plan that promotes overall health, while also minimizing joint strain. This is particularly important for maintaining heart, lung, muscle, and joint health, as well as cognitive function.

KT Tape for Hypermobile Knee

How to Stay Active and Healthy with HSD

Finding safe activities that don’t overstrain joints is crucial for people with hypermobility. Low-impact exercises like swimming, Pilates, or cycling may be good options. The key is to stay active, even if it means modifying exercises or movements to prevent joint injury or discomfort.

Conclusion

Joint hypermobility and HSD can present unique challenges, but with the right management plan, individuals can live active and healthy lives. Physical therapy offers targeted strategies to stabilize joints, improve strength, and manage symptoms effectively, allowing people to participate in daily activities and exercise safely.

If you’re dealing with joint hypermobility or experiencing symptoms of Hypermobility Spectrum Disorder, reach out to our expert physical therapists for a personalized treatment plan.

Picture of Megan Bardach

Megan Bardach

PT, DPT
Orthopedic Therapist

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