Hypermobility Syndrome is a condition characterized by excessive flexibility of joints due to abnormalities in connective tissue. While some joint hypermobility is benign and harmless (especially in children or athletes), in Hypermobility Syndrome it is often accompanied by pain, instability, fatigue, and other systemic symptoms.



This condition falls under the umbrella of heritable connective tissue disorders, and may be a part of:



Benign Joint Hypermobility Syndrome (BJHS)



Hypermobile Ehlers-Danlos Syndrome (hEDS)



Or other variants of generalized joint hypermobility



Common signs and symptoms:



Frequent joint sprains, subluxations, or dislocations



Chronic joint and muscle pain



Fatigue, poor coordination



Digestive issues (e.g., IBS-like symptoms)



Autonomic dysfunction (e.g., dizziness, palpitations, POTS)



Thin or stretchy skin, easy bruising in some variants



Diagnosis is based on:



Clinical assessment (Beighton score ≥ 5/9 in adults)



Positive Brighton criteria or 2017 hEDS diagnostic guidelines



Exclusion of other connective tissue disorders



Management focuses on:



Physiotherapy to improve muscle strength and joint stability



Pain management with NSAIDs, heat therapy, or low-impact exercise (e.g., swimming, Pilates)



Education and lifestyle adaptation to prevent joint injury



Psychological support for those with chronic pain or fatigue



There is no cure, but with early recognition and proper multidisciplinary management, quality of life can be significantly improved.



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