Hypermobility Spectrum Disorder

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What is Hypermobility Spectrum Disorder?

Hypermobility Spectrum Disorder (HSD) is a condition characterized by excessive joint flexibility beyond what is considered normal. Individuals with HSD often experience joint hypermobility, joint pain, and other musculoskeletal symptoms. HSD falls within a spectrum of connective tissue disorders, including Ehlers-Danlos Syndrome (EDS), and can vary widely in severity and presentation. It can affect people of all ages and may impact daily activities and quality of life.

What Are The Causes of Hypermobility Spectrum Disorder?

The exact cause of Hypermobility Spectrum Disorder is not fully understood, but it is believed to involve a combination of genetic and environmental factors. Genetic predisposition, collagen abnormalities, and alterations in connective tissue integrity may contribute to joint hypermobility and related symptoms. Additionally, certain factors such as hormonal changes, repetitive joint stress, and physical trauma may exacerbate symptoms in susceptible individuals.

What Are The Signs And Symptoms of Hypermobility Spectrum Disorder?

Signs and symptoms of Hypermobility Spectrum Disorder may include joint hypermobility, joint pain, muscle stiffness, fatigue, and recurrent joint dislocations or subluxations. Individuals with HSD may also experience other issues such as gastrointestinal problems, skin manifestations, and cardiovascular abnormalities. Symptoms can vary in severity and may worsen with physical activity or stress.

What Are The Risk Factors of Hypermobility Spectrum Disorder?

Risk factors for Hypermobility Spectrum Disorder may include a family history of joint hypermobility or connective tissue disorders, female gender (as it tends to affect females more frequently), and certain occupational or physical activities that place stress on the joints. Additionally, individuals with certain medical conditions such as autoimmune disorders or neurological conditions may be at higher risk for developing HSD.

How is Hypermobility Spectrum Disorder Diagnosed?

Diagnosis of Hypermobility Spectrum Disorder typically involves a thorough medical history, physical examination, and assessment of joint flexibility using standardized criteria such as the Beighton Score. Additional tests such as imaging studies (X-rays, MRI) and genetic testing may be performed to rule out other conditions and confirm the diagnosis. A multidisciplinary approach involving rheumatologists, orthopedists, and other specialists may be necessary for accurate diagnosis and management.

What Are Possible Treatments For Hypermobility Spectrum Disorder?

Treatment for Hypermobility Spectrum

Treatment for Hypermobility Spectrum Disorder focuses on managing symptoms and improving quality of life. This may include a combination of conservative measures such as physical therapy, pain management techniques, bracing or splinting, and lifestyle modifications. In some cases, medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants may be prescribed. For severe cases or complications, surgical interventions to stabilize joints or address specific issues may be considered.

Are There Preventative Steps or Measures To Avoid Hypermobility Spectrum Disorder?

While Hypermobility Spectrum Disorder may have a genetic component, there are no specific preventative measures to avoid its development. However, practicing joint-stabilizing exercises, maintaining a healthy weight, and avoiding activities that place excessive stress on the joints may help reduce the risk of injury and symptom exacerbation in individuals predisposed to HSD.

What Are The Risks If Hypermobility Spectrum Disorder Is Left Untreated?

If left untreated, Hypermobility Spectrum Disorder can lead to chronic joint pain, instability, and increased risk of joint injuries such as dislocations or subluxations. Over time, untreated HSD may result in joint degeneration, functional impairment, and decreased quality of life. Additionally, individuals with HSD may be at higher risk for developing other complications such as osteoarthritis, chronic pain syndromes, and psychological distress.

Are There Other Related Conditions To Hypermobility Spectrum Disorder?

Hypermobility is a spectrum, often referred to as hypermobility spectrum disorder (HSD), which includes genetic conditions such as Ehlers-Danlos. Typically these traits are:

  • Shared by other members of your family
  • Often worse in women, thanks to progesterone
  • Associated with:
    • Migraine
    • Pelvic Congestion Syndrome (PCS)
    • Postural orthostatic tachycardia syndrome (POTS)
    • Bowel and Bladder irregularities
    • Misdiagnosed Fibromyalgia

Hypermobility Spectrum Disorder is closely related to other connective tissue disorders such as Ehlers-Danlos Syndrome (EDS), particularly the hypermobile type (hEDS). Additionally, individuals with HSD may experience overlapping symptoms with conditions such as fibromyalgia, chronic fatigue syndrome, and autoimmune disorders. Proper diagnosis and management by healthcare professionals familiar with these conditions are essential for accurate treatment and improved outcomes.

Meet Manhattan Pain Medicne, PLLC

Jason W. Siefferman, MD is board-certified in Physical Medicine and Rehabilitation (PM&R) and Interventional Pain Medicine. He is trained to offer a comprehensive diagnostic evaluation and treatment for anyone experiencing pain or a disability. He has published articles, book chapters, and persuasive essays surrounding many... Learn More »