Hypermobility

There’s a real void of support for people with Hypermobility Spectrum Disorders and Hypermobile Ehlers Danlos Syndrome.

In their most common forms, genetic markers haven’t been identified, but geneticists are often tasked with diagnosis. All the guidelines say that people with connective tissue disorders should avoid surgery, but often only referral to a surgeon is offered for managing the most common pains and injuries.

The Ehlers Danlos Society has assembled an ever-growing set of resources for people with HSDs, hEDS and CTDs. However, where I practice in northern New England, there’s a shortage of providers and support, with a particular lack of recommendations for CTD-literate care in Maine. Along with a small group of other local clinicians and advocates, I’m working to help fill that gap.

Every person is their own ongoing experiment when it comes to the array of challenges associated with CTDs and hypermobility. For clinical problems, I’m happy to be your partner. You can use my experience to help make sense of your symptoms; we can usually identify patterns and solutions that other people have, too.

Education and recommendations last updated January 2023. Follow on Instagram for a steady stream of resources.

Hypermobility

You’re bendy. Must be nice. No way you could have pain with a range of motion like that. You’re just anxious. Nothing we can do about it anyway. ➡️ I know you’ve heard some combination of these things. Fortunately, the world has evolved a lot in our understanding in the past 5 years, and there’s a ton of useful guidance.

Website: Hypermobility 101 from Leslie Russek, DPT

Website: Ehlers Danlos Society

Podcast: Hypermobility Happy Hour

Podcast: Bendy Bodies

Instagram: The Hypermobile Chiro

Book: Disjointed edited by Diana Jovin

Video: Forms of joint pain and instability with Helen Cohen, MD

Podcast episodes: Life with hypermobility, and using a hypermobility coach with Taylor Goldberg, DC on Hypermobility Happy Hour AND on Hypermobility University AND on Adaptabilia

Podcast episode: History of the Beighton Scale and hEDS diagnosis problems with researcher Sabeeha Malek on The Rest Room

Podcast episode: How to make the most of your medical appointments, with Hannah Barham-Brown, MD on The Rest Room

Podcast episode: The wide spectrum of hypermobility severity with Melissa Koehl, DPT on Hypermobility Happy Hour

Podcast episode: Nutrition for hypermobility and symptoms with Savita Sandhu, RD on Hypermobility Happy Hour

Podcast episode: Co-occurring conditions in EDS with Pradeep Chopra, MD on Hypermobility Happy Hour


Mast Cell Disorders

These are characterized by diverse symptoms that often change over time, have varying triggers, and don’t show up on standard allergy testing. This often includes digestive system problems, skin problems, food reactions, asthma, episodic fatigue, widespread nerve tingling/numbness and other situations where clinicians have known something is up, but they’re not sure exactly what.

Website: The Mast Cell Society

Book: Never Bet Against Occam by Lawrence Afrin, MD

Podcast episode: Introduction to Mast Cell Disorders with Anne Maitland, MD on Bendy Bodies

Podcast episode: Treating Mast Cell Disorders with Leonard Weinstock, MD on Bendy Bodies

Webinar: Detailed discussion of mast cells with Theoharis Theoharides, MD on YouTube (2+ hours, starts at 3:25)


Dysautonomia

This includes symptoms of prominent dizziness, fainting, racing heart, anxiety, and undue fatigue. Diagnoses may include orthostatic hypotension, POTS, and ME/CFS.

Website: Dysautonomia International

Podcast episodes: Understanding Dysautonomia and Managing Dysautonomia with Svetlana Blitshteyn, MD on Bendy Bodies

Podcast episode: Post Exertional Malaise with Todd Davenport, DPT on The Rest Room

Podcast episode: Functional Neurology for POTS in hypermobility with Kevin Lasko, DC on Hypermobility Happy Hour

Recommendations

Many solutions you can access on your own. I’ll list some that I’ve vetted below:

 

Mast Cell Stabilizer

Mast cell hyper-reactivity plays an outsized role in the symptoms of many people with symptomatic joint hypermobility. Generally mast cell activity plays the biggest role in GI, skin, and nerve symptoms. Quercetin is a compound from food that can be supplemented for a meaningful improvement in mast cell behavior. I like the additional compounds and complement of vitamins in Klaire Labs’ product.

Klaire Labs Quercetin Bromelain Forte (via Fullscript)

Electrolytes

Adding salt to your water is a perfectly reasonable way to get electrolytes, which is important for orthostatic (POTS-like) symptoms and coat-hanger pain. However, not everyone likes or tolerates salt. Instead, you can take them as a swallowable pill.

Klaralyte salt capsules

Braces and compression garments

Recurrent sprains can be the first recognized problems in hypermobility disorders, and braces can be one solution. I recommend a quality fitting to avoid the cost of experimenting with multiple online or drug store purchases.

Some may also consider compression garments for muscle fatigue or circulatory problems.

MedCor Professionals (Scarborough, ME)

Routine nutritional support

Studies show that most people with hypermobility disorders naturally tend to underconsume protein. For minimizing “flare ups,” we also want to ensure consistent availability of the nutrients our body uses as building blocks- for nerves, muscles, tendons, skin. PPN’s flagship product is designed to support exactly this- practical daily nutrition with really high quality ingredients.

Use affiliate coupon code BM001 at checkout to save 10%.

Potential Power Nutrition, Breakfast Blend

Quick recoveries

Sometimes you just overexert yourself. Whether it’s from an effort to stay strong with resistance training, a walk/run that went long, or a irresistable dance floor, we know when our body is tapped out, and we dread the lingering aches and crashes. This Post Workout supports a good outcome from training and mitigates symptoms from going harder than usual, whether in training or in everyday activities.

Trace Minerals Research, Clean Post Workout (via Fullscript)