Joint hypermobility syndrome (2024)

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

Joint hypermobility syndrome (2024)

FAQs

How serious is joint hypermobility syndrome? ›

In most people, this causes no problems and does not require treatment. However, in some people, hypermobile joints can cause joint pain and result in higher rates of subluxation, dislocations, sprains and secondary osteoarthritis. Sometimes this is known as benign hypermobility syndrome.

What are the two major criteria for benign joint hypermobility syndrome? ›

DIAGNOSTIC CRITERIA FOR THE BENIGN JOINT HYPERMOBILITY SYNDROME (BJHS)
  • A Beighton score of 4/9 or greater (either currently or historically)
  • Arthralgia for longer than 3 months in 4 or more joints.

Is joint hypermobility syndrome a disability? ›

Whether or not hypermobility is considered a disability depends on the severity of the symptoms. Many people with hypermobility syndrome only have mild symptoms, and only in a few joints. For others, their life can be seriously affected by the syndrome. It can impede them from carrying out basic daily living tasks.

Can you have joint hypermobility without EDS? ›

Some people have problems caused by hypermobility, but do not have any of the specific EDS conditions. They may be diagnosed with hypermobility spectrum disorder (HSD), which is treated in the same way as hEDS.

What is the life expectancy of someone with hypermobility? ›

Patients with the classical and hypermobility forms of Ehlers-Danlos syndrome have a normal life expectancy. About 80% of patients with vascular Ehlers-Danlos syndrome will experience a major health event by age 40 and the life expectancy is shortened, with an average age of death of 48 years.

What happens if hypermobility isn't treated? ›

You won't need treatment of your joint hypermobility if doesn't cause any problems. But, you may need treatment and support if you have hEDS or HSD. These can cause a wide range of symptoms, including joint pain and digestive problems.

What other conditions are linked to hypermobility? ›

In most people, hypermobility doesn't cause any pain or medical issues. However, for some people, hypermobility causes joint pain, joint and ligament injuries, tiredness (fatigue), bowel issues and other symptoms. Joint hypermobility syndrome is most common in children and young people.

Does hypermobility get worse with age? ›

Joint hypermobility syndrome is when you have very flexible joints and it causes you pain (you may think of yourself as being double-jointed). It usually affects children and young people and often gets better as you get older.

Is hypermobility linked to autism? ›

Many studies have shown a strong link between hypermobility and Autism, with up to 80% of Autistic individuals experiencing hypermobility. This connection is not fully understood, but researchers believe that there may be a genetic component involved.

Is hypermobility linked to ADHD? ›

Increased likelihood of chronic physical symptoms, including fatigue and pain, are also recognised. Over the years there have been several published case-reports of the association between autism/ADHD and hypermobility, including small studies in children.

What are the bowel problems with hypermobility? ›

The lower digestive tract can present problems such as constipation, abdominal pain, bloating, diarrhoea and a feeling of general abdominal discomfort. Nausea and vomiting can occur alongside any of the symptoms described above.

What exercises should I avoid with hypermobility? ›

Avoid higher level traditional Pilates exercises that can be excessively difficult and can put undue stresses on the body. If doing a Pilates class, then inform the instructor about your condition first. A good instructor should then be able to modify the exercises so that they are appropriate for you.

What can be mistaken for hypermobility? ›

Patients with EDS, especially those with EDS hypermobility type, are often misdiagnosed with conditions such as fibromyalgia, chronic fatigue syndrome, or depression, given the overlap of symptoms and the psychosocial impact they have on the patient.

Do hypermobile people look younger? ›

Due to the collagen in the skin being extra stretchy, many EDS patients experience a lack of wrinkles as they age. This collagen may help EDS patients look younger and can also cause skin to feel extremely soft.

How serious is hypermobility syndrome? ›

Hypermobility can cause a range of symptoms that often affect many parts of the body. These symptoms can range from mild to severe and can have a great impact on someone's life: pain and stiffness in the joints and muscles – particularly towards the end of the day and after physical activity. clicking joints.

Can you live a normal life with hypermobility? ›

While there is no cure for HSD or hEDS, treatment can ensure your joints are better protected and can lessen the impact of your symptoms. Many people with a hypermobility syndrome can live a full and active life but it is important to follow healthcare professionals' advice.

Does hypermobility syndrome get worse with age? ›

Joint hypermobility syndrome is when you have very flexible joints and it causes you pain (you may think of yourself as being double-jointed). It usually affects children and young people and often gets better as you get older.

Is hypermobility syndrome a chronic illness? ›

Joint hypermobility syndrome is a common cause of chronic pain and fatigue seen in at least 3% of the general population. Patients may also present with headaches, anxiety, orthostasis, and abdominal pain. Providers can use the Beighton Score and Brighton Criteria to screen for joint hypermobility syndrome.

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