Hypermobility

Hypermobility is a term which refers to conditions where joints easily move beyond the normal range due to ligament laxity. The most common type is Benign Joint Hypermobility Syndrome (BJHS), often overlapping with Ehlers-Danlos Syndrome (EDS), a connective tissue disorder. Symptoms include joint pain, frequent dislocations, and soft tissue injuries. Some individuals experience widespread pain, fatigue, and autonomic dysfunction, impacting quality of life. Diagnosis is clinical, using criteria like the Beighton score to assess joint flexibility. Management focuses on physical therapy, exercise, pain relief, and lifestyle adjustments to prevent injuries and maintain joint stability.

  • Yes, "double-jointed" is a common term for hypermobility, but it can sometimes be misleading. Hypermobility is a feature in a whole spectrum of connective tissue disorders from the more mild Benign Joint Hypermobility Syndrome to more complex disorders such as Ehlers- Danlos Syndrome and Marfans Syndrome.

    Ehlers-Danlos Syndrome is where abnormal collagen affects not only joints but also skin, blood vessels, and organs. This can lead to symptoms such as fragile skin, easy bruising, and cardiovascular issues, impacting multiple body systems beyond joint flexibility.

  • Hypermobility can significantly impact the feet due to excessive joint flexibility, creating instability in the lower limbs. Common issues include overpronation and ankle instability, leading to increased strain on the ligaments, tendons, and muscles. This can cause pain, frequent sprains, and tendinitis. The excessive motion can also affect the development of gait patterns. Proper foot support, such as orthotics, supportive footwear, and targeted exercises, is crucial to manage symptoms and prevent complications.

  • Podiatry plays a significant role in managing hypermobility by addressing foot and ankle issues that often accompany the condition.

    Common interventions include custom orthotics, footwear recommendations, strengthening exercises for the lower limb, gait analysis and pain management strategies.

    These interventions help improve mobility, reduce pain, and prevent injuries.

  • While joint flexibility may decrease with age, pain and other symptoms may persist. Management focuses on symptom control and joint protection.