Hypermobility Syndromes

Joints are held together by ligaments, and if the ligaments are extra elastic, there will be extra motion in the joint, a condition called hypermobility. When ligaments become overly stretchy, joints may make cracking or popping sounds, the arch of the foot may flatten in a standing position, or knees may “lock” when extended.

What Are Hypermobility Syndromes?

Hypermobility syndromes refer to conditions where individuals have excessive flexibility in their joints, often leading to instability and potential complications. Hypermobility occurs on a spectrum and involves ligaments which are intrinsically too stretchy to maintain optimal biomechanical function of the joints they support. Even the best known hypermobility condition, Ehlers-Danlos Syndrome, occurs on a spectrum.
Joints are held together by ligaments, and if the ligaments are extra elastic, there will be extra motion in the joint, a condition called hypermobility. When ligaments become overly stretchy, joints may make cracking or popping sounds, the arch of the foot may flatten in a standing position, or knees may “lock” when extended.
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

What Are The Causes of Hypermobility Syndromes?

Hypermobility syndromes can have various causes, including genetic factors, connective tissue disorders, and certain medical conditions. In some cases, hypermobility may be inherited, while in others, it can develop due to repetitive strain or injury. Understanding the underlying causes is crucial for effective treatment and management strategies.

What Are The Signs And Symptoms of Hypermobility Syndromes?

Signs and symptoms of hypermobility syndromes may include joint pain, instability, frequent dislocations or subluxations, fatigue, and muscle weakness. Additionally, individuals with hypermobility may be more prone to developing other musculoskeletal issues such as arthritis or tendonitis. Recognizing these symptoms early on can facilitate timely intervention and prevent complications.

What Are The Risk Factors of Hypermobility Syndromes?

Risk factors for hypermobility syndromes typically involve family history, certain genetic predispositions, and participation in activities that place repetitive stress on the joints. Additionally, individuals with hypermobility may be at increased risk of developing secondary conditions such as osteoarthritis or chronic pain disorders. Understanding these risk factors can help guide preventive measures and treatment approaches.

How Are Hypermobility Syndromes Diagnosed?

Diagnosing hypermobility syndromes often includes a thorough clinical evaluation, including a review of medical history, physical examination, and sometimes imaging studies to assess joint integrity. Specialized tests may also be conducted to evaluate joint laxity and functional impairment. Accurate diagnosis is essential for developing tailored treatment plans to address individual needs.

What Are Possible Treatments For Hypermobility Syndromes?

It’s important to know that hypermobility is common, and it is treated the same regardless of genetic diagnosis. We offer regenerative medicine techniques such as targeted prolotherapy and platelet rich plasma (PRP) to improve ligament function. We also treat and help manage associated conditions such as craniocervical instability, headache, and POTS.
The treatment has two goals:

  • Increase the stability of the joint
    • Dextrose prolotherapy injection to the joint and ligaments help tighten and strengthen them, reducing hypermobility
  • Optimize biomechanics
    • Strengthening stabilizing muscles
    • Developing postural awareness
    • Using braces or Arch supports judiciously

At Manhattan Pain Medicine, we are experts at treating hypermobility syndromes and other disorders of the joints. In close collaboration with each patient, we work to understand the process that’s causing symptoms and then identify the optimal treatment options.

Are There Preventative Steps or Measures To Avoid Hypermobility Syndromes?

While there are no foolproof methods to entirely prevent hypermobility syndromes, adopting certain lifestyle habits can help reduce the risk. Engaging in regular physical activity, such as strength training and low-impact exercises, can enhance muscle strength and joint stability, potentially minimizing the impact of hypermobility. Maintaining a healthy weight through balanced nutrition can also contribute to overall joint health.
Practicing proper posture and body mechanics during physical activities and daily tasks can help prevent excessive strain on joints. It’s important to be mindful of any family history of hypermobility syndromes and consult with a healthcare professional for personalized advice and early intervention if necessary.

What Are The Risks If Hypermobility Syndromes Are Left Untreated?

Failure to address hypermobility syndromes may lead to the chronic persistence of pain, compromised joint stability, and an elevated vulnerability to musculoskeletal injuries. Untreated hypermobility can also predispose individuals to the development of secondary conditions such as osteoarthritis or tendon injuries as they progress. Seeking prompt medical intervention and adhering to recommended treatment protocols can play a crucial role in mitigating these risks and promoting favorable long-term outcomes.

Are There Other Related Conditions To Hypermobility Syndromes?

Various additional conditions can be linked to hypermobility syndromes, such as joint hypermobility syndrome (JHS), Ehlers-Danlos Syndrome (EDS), and Marfan syndrome. While these conditions exhibit similarities concerning joint laxity and abnormalities in connective tissue, they may manifest with unique clinical characteristics and require different management approaches. It is crucial to undergo thorough evaluation by a healthcare provider to ensure precise diagnosis and appropriate treatment.

Key Takeaways About Hypermobility Syndromes

  1. Hypermobility syndromes involve excessive joint flexibility and can manifest across a spectrum of severity.
  2. Proper diagnosis is crucial for tailoring treatment approaches to address symptoms and prevent complications.
  3. Treatment may include regenerative medicine techniques, management of associated conditions, and lifestyle modifications to support joint health.
  4. Early recognition and intervention can help mitigate the risks associated with untreated hypermobility syndromes.
  5. A multidisciplinary approach involving healthcare professionals specializing in pain management, orthopedics, and rehabilitation may be beneficial for comprehensive care.

Recommended Next Steps

If you suspect you may have hypermobility syndrome or are experiencing symptoms related to joint hypermobility, we encourage you to schedule an appointment with Manhattan Pain Medicine. Our team of specialists offers comprehensive evaluation and personalized treatment plans to address your unique needs and improve your quality of life. Take the first step towards relief by contacting us today.

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 »