Hypermobility and hEDS
Why can my joints move so far and still feel stiff?
You might have plenty of range and still feel as if you have to grip to get through a step, a reach, or a long day at your desk. I want to know which movement feels hard to control and where you feel like you’re doing extra work.
What I assess when movement takes extra effort
I may watch how you take weight through one leg or reach for something at shoulder height. We can adjust how you’re supported and compare whether the same movement feels steadier or less effortful. When I look at breathing, I’m watching how your trunk adapts as the demand changes. The goal is support you can use in daily life without thinking through every movement.
Tell me about a movement that feels tiring or unsteady, even when you can get through the full range.
What the evidence supports
A systematic review of exercise and rehabilitation in people with Ehlers-Danlos syndromes or hypermobility spectrum disorders found promising improvements in some outcomes. It included 10 studies, with substantial risk of bias in most nonrandomized studies.1 The core pressure approach described here is a clinical assessment lens. The review did not establish it as a treatment for hEDS.