
Someone with hypermobility has an excessive range of motion in some or most of their joints. While this hypermobility can be advantageous in youth sports like cheerleading or gymnastics, it may become more problematic later in life. These individuals are generally more prone to injury or joint subluxations and dislocations more easily.
Many hypermobile individuals may not meet the Ehlers-Danlos syndrome (EDS) diagnostic criteria but exhibit hypermobility during functional movements. These people may notice stability issues while cleaning the house or doing yard work. They may avoid strenuous activities or sports due to a history of ankle sprains or falls.
EDS involves a genetic defect in collagen and the development and structure of connective tissue. These defects are especially significant for pelvic health because the urogenital system and pelvic area have numerous collagen-rich tissues. It is fairly common to notice some level of hypermobility in those with hip or pelvic health issues. While pelvic organ prolapse is a more apparent diagnosis when examining changes in fascia and other collagen-rich tissues, sacroiliac dysfunction is a frequent but less anticipated problem for hypermobile individuals.
Symptom severity in EDS can vary. For some individuals, symptoms may worsen quickly after a viral infection, after surgery, and/or with hormonal changes during pregnancy or postpartum. There are 14 subtypes of EDS, with the hypermobile type (hEDS) being the most common. Obtaining a diagnosis for this subtype can be challenging as no specific blood test exists.
Muscle tightness in hypermobility can be a compensatory strategy for reduced joint stability and muscle strength. Stiff, short muscles can further weaken over time and can be a cause of pain. A treatment plan often begins with reducing muscle tension and improving muscle length while building a foundation of functional strength.
Physical therapy can be an effective treatment option for anyone with hypermobility. Individualized exercises can improve muscle coordination, strength, and stability which can help in providing support to the joints. Counterintuitively, certain areas of joint hypomobility can be identified in hypermobile individuals. This lack of joint motion can lead to compensatory excess joint motion in adjacent joints, so addressing this is crucial for optimal movement patterns.
As a result, a detailed and individualized assessment is necessary. Prioritizing the right strengthening exercises while promoting mobility in specific areas and stability and control where needed is key to improving multi-planar functional movements. This approach can also reduce or eliminate pain and enhance joint tolerance and reactivity for quick or explosive movements in recreational activities or sports.
Helpful Sites:
What is Ehlers-Danlos?
Diagnostic Checklist:
Any questions? Brentwood Pelvic Health would love to hear from you.Â
*Blog content is for informational purposes only and is not considered medical advice