Causes of Hypermobility
Hypermobility can be hereditary and is often caused by genetic factors affecting the connective tissues, such as collagen, which helps provide stability in the body. It is commonly seen in children and women and may decrease with age.
Symptoms of Hypermobility
Symptoms vary and can include:
- Frequent joint injuries, such as dislocations and sprains
- Chronic joint pain or muscle aches
- Soft, thin, stretchy skin
- Digestive issues with urination and defecation
- Fatigue
- Poor balance
Prognosis of Hypermobility
The prognosis depends on the severity and the presence of associated conditions. In some individuals, symptoms decrease as you get older. Many individuals manage symptoms with lifestyle modifications and physical therapy. Severe cases, especially those linked to syndromes like EDS, may require more comprehensive management and regular medical follow-up.
Diagnosis of Hypermobility
Diagnosis is primarily clinical and may include:
- Physical exam
- Beighton Score: A system to assess the extent of joint flexibility.
- Family history and genetic testing
Pain Medicine Intervention of Hypermobility
Hypermobility can usually be treated with pain medicine intervention, activity modification, and conservative treatment options. These include:
- RICE Method:
- Rest: Avoid activities that exacerbate joint pain.
- Ice: Apply a cold compress or ice pack to painful joints for 15-20 minutes a few times a day.
- Compression: Use compression bandages to support affected joints.
- Elevation: Keep the affected joint elevated to reduce swelling.
- Braces: Wrist, knee, or elbow braces to provide joint stability and reduce pain.
- OTC pain relievers: NSAIDs or acetaminophen to reduce pain and inflammation.
- Corticosteroids: Injectable steroids to manage severe pain and inflammation.
- Physical therapy: Strengthening and stabilizing exercises to support joint function and reduce pain.
Treatment of Hypermobility
Treatment aims to manage symptoms and improve joint stability:
- Physical therapy to strengthen muscles and support joints.
- Pain management strategies.
- Lifestyle modifications to avoid joint stress.
- Regular monitoring for any complications.
Treatment Videos
References
- Cleveland Clinic. (2021 September 2021). Joint hypermobility syndromes. https://my.clevelandclinic.org/health/diseases/21763-joint-hypermobility-syndrome
- Hypermobility Syndromes Association. (n.d.). What are hypermobility syndromes? Retrieved from https://www.hypermobility.org/what-is-hypermobility
- MedlinePlus. (22 October 2022). Hypermobile joints. Retrieved from https://medlineplus.gov/genetics/condition/joint-hypermobility/. https://medlineplus.gov/ency/article/003295.htm#:~:text=Hypermobile%20joints%20are%20joints%20that,wrists%2C%20fingers%2C%20and%20knees.
- NHS. (30 August 2023). Joint hypermobility syndrome. Retrieved from https://www.nhs.uk/conditions/joint-hypermobility-syndrome/
