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.

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

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.