Unraveling the Mystery of Hypermobility Syndrome: A Physiotherapist's Insight
In the dynamic world of physiotherapy, I have encountered a significant number of individuals on the hypermobility spectrum, which has allowed me to gain a profound understanding of the challenges inherent in this unique population. This unintentional exposure has led me to an enhanced professional insight of this condition and has emphasized the importance of tailoring care to the individual needs of those navigating the complexities of hypermobility. In this blog post, we'll explore the intricacies of hypermobility, discuss three signs indicating one might be hypermobile, and offer practical recommendations for managing related challenges.
Understanding Hypermobility:
Hypermobility extends beyond flexibility, encompassing a spectrum that ranges from heightened joint flexibility to more complex conditions like Ehlers-Danlos Syndrome (EDS). The underlying theme is a genetic predisposition that affects the body's connective tissues, which include ligaments, tendons, and collagen, presenting individuals with a set of unique challenges, as they may have less inherent stability, leading to increased joint flexibility. While some individuals might experience this as a beneficial trait, allowing them to excel in certain activities like dance or yoga, others may find it challenging due to the potential for joint instability and related complications.
Signs You Might Be on the Hypermobility Spectrum:
Unpredictable Joint Instability
Joints may surprise you by "going out" during routine activities. For example, a simple step down, or sudden arm movement could trigger a joint dislocation. The unpredictability of these incidents is a key sign.
Persistent Tightness
Contrary to common belief, hypermobility doesn't always manifest as overt flexibility. The body compensates for joint instability by creating artificial stability through muscle tightness. Tighter muscles can serve as a protective mechanism.
History of Extreme Range-of-Motion Activities
Participation in activities demanding extraordinary joint flexibility, such as competitive dance, gymnastics, or advanced yoga, may indicate a genetic predisposition for hypermobility. This history often sets the stage for later challenges.
How can a Physiotherapist assist me in managing my hypermobility?
Excellent question! A physiotherapist such as myself who is well-versed in hypermobility can offer a variety of interventions to address both immediate symptoms and long-term management. Focusing on strengthening the muscles surrounding the joints becomes crucial to provide the necessary additional support due to potential limitations in ligament structure. Accordingly, this is why strength training will play a key role in the management of your symptoms and why choosing a physiotherapist who is knowledgeable in strength and conditioning is important. This approach, along with personalized guidance on proper body mechanics, can significantly contribute to a more effective and sustainable management of hypermobility.
What else can I do?
Cultivate Mindful Therapeutic Approaches:
Choose therapists who adopt gentle and thoughtful approaches to joint manipulation and muscle release techniques. Strive for a balanced physiotherapy plan that promotes stability without relying excessively on aggressive techniques, fostering a sustainable and adaptable approach.
Exercise Caution with Therapies:
Approach joint manipulation and muscle release techniques with caution. While these can still be beneficial for those who are hypermobile, an over-reliance on aggressive techniques may contribute to joint instability. Open communication with your physiotherapist is key.
Embrace the power of Strength Training
Acknowledge that there's no magic cure for hypermobility; it's about effective management. Prioritize strengthening exercises that your physiotherapist has prescribed for you.
Written by Brigitta Hicks, Registered Physiotherapist