Joint Hypermobility Syndrome(JHS)
Joint hypermobility is very common affecting 10 – 20% of the population. Many people have no pain or symptoms. It is an inherited connective tissue disorder which leads to greater elasticity in the ligaments and skin. As the ligaments hold joints together, JHS can lead to instability, dislocations and sprains. As well as being defined by increased flexibility in certain joints such as knees and elbows, it can also be accompanied by pain and fatigue.
There is an overlap with conditions such as chronic fatigue and fibromyalgia syndromes however, these conditions don’t share JHS’ tendency to have dislocations and proprioceptive alterations.
There is also an overlap with other connective tissue disorders such as Marfan’s and Ehler-Danlos Syndromes as well as Osteogenesis Imperfecta.
As connective tissue is found all over the body, its weakness and increased elasticity, can impact during pregnancy, as well as affecting the cardiovascular system, the autonomic nervous system and the body structurally.
It has been found to be beneficial to improve proprioception and balance, strengthen muscles and core stability. For some where the lower limbs are particularly affected, an analysis of their walking pattern and prescriptive insoles can be helpful. An assessment of the work environment and postural advice can ease symptoms. An explanation of the nature of chronic pain and how it is not linked to actual injury of the tissues, can sometimes help to manage depression and anxiety, which often accompany the condition as well as managing expectations of the amount of physical activity possible, without incurring pain.
An Osteopath can help in diagnosing the condition, giving treatment, as well as exercise prescription and advice.