Ehlers-Danlos Syndrome (Hypermobility Management)
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Ehlers-Danlos Syndrome (EDS) is a group of inherited connective tissue disorders characterised by joint hypermobility, skin hyperextensibility, and tissue fragility. One of the most common forms—Hypermobile EDS (hEDS)—often leads to chronic pain, joint instability, and frequent injuries, making day-to-day function a challenge.


At Isleworth Pain and Injury Clinic, we specialise in chiropractic and physiotherapy-based management for patients with hypermobility. Our focus is on building stability, reducing pain, and improving function through safe, personalised care.


What Is Ehlers-Danlos Syndrome?


EDS is a group of genetic conditions that affect the body’s connective tissues, including collagen in particular. These tissues support skin, joints, blood vessels, and internal organs. The hypermobile type is associated with:


  • Excessive joint mobility (hyperflexibility)
  • Recurrent joint dislocations or subluxations
  • Chronic pain and fatigue
  • Soft or stretchy skin
  • Poor wound healing
  • Digestive issues or autonomic symptoms


Many individuals with hEDS feel dismissed or misunderstood due to the complex and varied nature of their symptoms. Early diagnosis and multidisciplinary care are key to improving quality of life.


Challenges of Living with Hypermobile EDS


People with hypermobility often deal with:


  • Frequent sprains and injuries
  • Joint pain, especially after activity
  • Muscle fatigue or weakness
  • Poor proprioception (awareness of joint position)
  • Difficulty maintaining posture
  • Anxiety around movement or physical activity


Without proper guidance, many fall into a cycle of pain, inactivity, and reduced confidence in their physical capabilities.


How Chiropractic Care Can Help Manage Hypermobility


While chiropractic care may need to be approached more gently in EDS patients, it still offers several benefits:


  • Joint alignment support without excessive force
  • Neuromuscular re-education to improve body awareness
  • Manual soft tissue therapy to reduce muscle tension
  • Postural correction strategies to support spinal health


At Isleworth Pain and Injury Clinic, our chiropractors are trained to modify techniques to safely support joint health in those with hypermobility, focusing on precision, not force.


The Role of Physiotherapy in Hypermobility Management


Physiotherapy is central to a safe and effective long-term management plan for hypermobility. Our physiotherapists create customised programs that include:


  • Stabilisation exercises: Strengthen muscles that support hypermobile joints
  • Proprioceptive training: Improve coordination and joint control
  • Low-impact strengthening: Such as Pilates-based or closed-chain exercises
  • Balance and gait retraining
  • Breathing and core control techniques
  • Activity pacing and fatigue management


The goal is to build resilience without overloading fragile joints—a delicate but powerful balance that helps prevent injury and increase confidence.


Why a Holistic Approach Matters


Hypermobility affects more than just the joints. Many individuals also experience:


  • Pelvic floor dysfunction
  • TMJ disorders
  • Digestive and cardiovascular symptoms
  • Sleep disturbances and chronic fatigue


Our integrated team addresses the full picture, supporting not only physical strength but also mental well-being, energy levels, and daily function.


You’re Not Alone—Support Is Available


Living with EDS or chronic joint hypermobility can feel isolating, but you don’t have to manage it alone. With a supportive team and a structured care plan, it’s possible to reduce symptoms, regain strength, and improve your everyday life.


At Isleworth Pain and Injury Clinic, we’re experienced in helping individuals with hypermobility conditions move safely, manage pain, and feel more stable in their bodies.


Call today to schedule a consultation with our friendly team. Let’s build a plan that empowers you, one step, stretch, and rep at a time.

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We offer expert physiotherapy, chiropractic, and rehabilitation to relieve pain, restore movement, and support lasting recovery.

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