Joint hypermobility syndrome is when you have very flexible joints that cause you pain (you may think you have double joints).
It usually affects children and young people and often gets better as you get older.
Symptoms of joint hypermobility syndrome
You or your child may have joint hypermobility syndrome if you:
- often gets tired, even after rest
- pain and stiffness in your joints or muscles persists
- keeps getting sprains and strains
- keep moving your joints (they "pop out")
- have poor balance or coordination
- has thin, stretchy skin
- have bladder or bowel problems
Some people with joint hypermobility syndrome have no symptoms.
Non-urgent advice:Consult a doctor if:
- you think you or your child has joint hypermobility syndrome
What happens during your doctor's visit?
The GP will usually test for joint hypermobility syndrome by checking the flexibility of your joints using a test called the Beighton scoring system.
They may also refer you for a blood test or x-ray to rule out other conditions, such as arthritis.
Treatment of joint hypermobility syndrome
There is no cure for joint hypermobility syndrome.
The most important treatment is to improve muscle strength and fitness, so that your joints are better protected.
A GP can refer you to a physiotherapist, occupational therapist or podiatrist for specialist advice.
You can also pay for these services privately.
These physical therapies can help to:
- reduce pain and the risk of dislocations
- improve muscle strength and fitness
- improve your posture and balance
Treatment of joint pain
Paracetamoland anti-inflammatory painkillers (e.gibuprofen(available as tablets, gels and sprays) can help relieve pain.
Talk to a pharmacist about the best pain reliever for you.
A doctor may be able to prescribe stronger painkillers.
If you have severe pain, a doctor may refer you to a pain clinic to help you manage the pain.
To relieve joint pain and stiffness, you can:
- have warm baths
- use hot water bottles
- use heat rub cream
You can manage the shared care yourself
If you have joint hypermobility syndrome, there are things you can do to improve joint and muscle strength and reduce tension.
Doing
-
light exercise – start with low-impact exercises such as swimming or cycling if you haven't been active before (not exercising can make your symptoms worse)
-
one maintainedhealthy weight
-
wear supportive shoes
-
use special insoles (orthotics) in your shoes if a podiatrist has recommended them
Do not
-
Don't overload your joints just because you can
-
don't do repetitive exercises or activities - take regular breaks (this is called pacing)
What causes joint hypermobility syndrome
Joint hypermobility syndrome can run in families and cannot be prevented.
Usually the joints are loose and stretchy because the ligaments that strengthen and support them are weak.
The weakness is because the collagen that strengthens the ligaments is different from others.
Most experts agree that joint hypermobility syndrome is part of a spectrum of hypermobility disordersEhlers-Danlos syndrome.
Since last review: August 30, 2023
Next review: August 30, 2026